USMLE Forum Archives - USMLE Step 3 - bells palsy
bells palsy
bingousmle - 05-18-10 08:05
A 28-year-old woman who uses oral contraceptives comes to the emergency room because when she looked in the mirror this morning, her face was twisted. It felt numb and swollen. While eating breakfast, she found that her food tasted different and she drooled out of the right side of her mouth when swallowing. Neurologic examination discloses only a dense right facial paresis equally involving the frontalis, orbicularis oculi, and orbicularis oris. Finger rubbing is appreciated as louder in the right ear than in the left. The physician should
A: instruct the patient in using a patch over the right eye during sleep
B: recommend that she discontinue the use of oral contraceptives
C: order brainstem auditory evoked potentials to assess her hearing asymmetry
D: inform her that her chances of substantial improvement within several weeks are only about
40 percent
E: order an echocardiogram to rule out mitral valve prolapse as a source of emboli
bingousmle - 05-18-10 08:05
A 28-year-old woman who uses oral contraceptives comes to the emergency room because when she looked in the mirror this morning, her face was twisted. It felt numb and swollen. While eating breakfast, she found that her food tasted different and she drooled out of the right side of her mouth when swallowing. Neurologic examination discloses only a dense right facial paresis equally involving the frontalis, orbicularis oculi, and orbicularis oris. Finger rubbing is appreciated as louder in the right ear than in the left. The physician should
A: instruct the patient in using a patch over the right eye during sleep
B: recommend that she discontinue the use of oral contraceptives
C: order brainstem auditory evoked potentials to assess her hearing asymmetry
D: inform her that her chances of substantial improvement within several weeks are only about
40 percent
E: order an echocardiogram to rule out mitral valve prolapse as a source of emboli
The correct answer and explanation will be available after you answer.
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#3
Re: bells palsy babbu5508 - 05-25-10 02:50 My answer is: a.
A: instruct the patient in using a patch over the right eye during sleep to prevent corneal and conjunctival drying ...this looks like bells palsy....ressure the patient that it would spontaneously subside usually..
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