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When considering the presentation of Bell’s palsy to the emergency department (ED), which one of the following statements is correct?
Which one of the following statements is correct regarding the anatomy of the facial nucleus and nerve?
A 43-year-old man presents to the ED stating that his wife has noticed that the right side of his face is drooping. You start the assessment of this patient by taking a thorough history.
One of the following statements regarding the history is correct, which one is it?
You move on to examine the patient. Initially you consider whether you are dealing with an upper or lower motor neurone lesion and conduct a general examination.
Which one of the following statements is correct?
Having established that the patient has a right-sided peripheral facial weakness, you decide to examine his head and face carefully and consider which investigations may be required.
Which one of the following statements is correct regarding your examination and investigation?
You confidently make a diagnosis of Bell’s palsy in a 53-year-old woman with a peripheral facial weakness of no apparent cause. Your next decision is how to treat her.
Which one of the following options is correct regarding the pharmacological management of this patient?
Having decided on the appropriate pharmacological management for this patient, you realise that she also needs additional advice and treatment for the complications of facial muscle weakness.
Which one of the following statements is correct?
Your patient with Bell’s palsy then asks you about follow-up and what her chances are of a full recovery.
Which one of the following statements is correct?
Which one of the following statements is correct regarding the pathophysiology and clinical presentation of a patient with Ramsay Hunt syndrome?
A 58-year-old woman presents to the ED with a left sided facial weakness of 6 hours duration. She is previously fit and well and is not taking any medication. She has felt systemically well, has no other symptoms and no abnormal signs on general examination.
Which one of the following statements is correct regarding your assessment and management of this patient?
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