Neuromuscular Disorders USMLE Step 1 Practice Question
A 34-year-old woman presents with acute-onset right facial weakness over 24 hours. Vital signs: BP 118/76, HR 82, RR 14, temp 37.2°C, SpO2 98% on room air. She cannot close her right eye, has lost forehead wrinkling on the right, and reports decreased taste on the anterior two-thirds of her tongue. Electrolyte panel and brain MRI are normal. She denies recent trauma or otologic infection. Which of the following is the most likely diagnosis?
Answer choices
- AStroke involving the left internal capsule
- BGlossopharyngeal neuralgia
- CMyasthenia gravis
- DTrigeminal neuralgia
- EBell palsyCorrect answer
- FRamsay Hunt syndrome
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