Neurodegenerative Diseases USMLE Step 1 Practice Question
A 63-year-old woman presents with recurrent, brief episodes of severe electric shock-like pain over the right cheek triggered by washing her face and chewing. Vital signs show BP 138/82 mmHg, HR 76/min, RR 14/min, temperature 37.0°C. Neurologic examination reveals normal strength and sensation; MRI brain with contrast shows no mass effect or demyelination. She denies facial weakness or hearing loss. She takes lisinopril for hypertension. Which of the following is the most likely diagnosis?
Answer choices
- ATemporal arteritis
- BTrigeminal neuralgiaCorrect answer
- CGlossopharyngeal neuralgia
- DHerpes zoster ophthalmicus
- ECluster headache
- FTemporomandibular joint disorder
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