Approach to facial palsy Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 71-year-old man presents to urgent care for evaluation of left-sided facial droop for the past few hours. He was eating dinner with his partner when she noticed he was drooling slightly on the left side and his speech was slurred. They observed that the right side of his face was drooping compared to the left. There is no history of recent falls. Past medical history is significant for hypertension, type 2 diabetes mellitus, and hypercholesterolemia, which are all well-controlled with medication. Temperature is 37°C, (98.6°F), pulse is 80/min, respirations are 20/min, and blood pressure is 148/92 mmHg. Weight is 104 kg (229 lb.), and height is 178 cm (5 ft 10 in). Physical examination shows an asymmetric smile with mild drooling and dysarthria. The patient is sensitive to tuning fork stimulation on the right side. Point-of-care glucose is 150 mg/dL. Which of the following is the best next step in management?

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Non-contrast computed tomography (CT) of the head

Magnetic resonance imaging (MRI) of the head without contrast

Examination of the skin and external auditory canal on the left side

Oral corticosteroids

Assessment of frontalis and orbicularis oculi function bilaterally