19.Nerves_and_Muscles_Disorders_Tests

Question 1

A patient awakens with unilateral facial droop that spares the forehead and reports no other neurologic symptoms.
Which of the following diagnoses best fits this presentation?
A. Bell’s Palsy
B. Trigeminal Neuralgia
C. Glossopharyngeal Neuralgia
D. Postherpetic Neuralgia

Answer 1

A - Bell’s Palsy: acute idiopathic facial nerve paralysis

Question 2

A 60-year-old describes sudden, electric shock-like pain episodes in the right cheek triggered by light touch.
Which of the following diagnoses best fits this presentation?
A. Glossopharyngeal Neuralgia
B. Trigeminal Neuralgia
C. Postherpetic Neuralgia
D. Frey’s Syndrome

Answer 2

B - Trigeminal Neuralgia: severe facial pain in trigeminal distribution

Question 3

A patient experiences severe throat and ear pain when swallowing, without facial numbness.
Which of the following diagnoses best fits this presentation?
A. Postherpetic Neuralgia
B. Frey’s Syndrome
C. Glossopharyngeal Neuralgia
D. Myasthenia Gravis

Answer 3

C - Glossopharyngeal Neuralgia: pain in throat and ear along glossopharyngeal nerve

Question 4

An elderly patient has burning pain in a dermatomal distribution months after a shingles rash resolved.
Which of the following diagnoses best fits this presentation?
A. Frey’s Syndrome
B. Myasthenia Gravis
C. Multiple Sclerosis
D. Postherpetic Neuralgia

Answer 4

D - Postherpetic Neuralgia: persistent pain after shingles infection

Question 5

A patient post-parotidectomy develops sweating and flushing in the cheek during meals.
Which of the following diagnoses best fits this presentation?
A. Frey’s Syndrome
B. Bell’s Palsy
C. Trigeminal Neuralgia
D. Glossopharyngeal Neuralgia

Answer 5

A - Frey’s Syndrome: gustatory sweating after parotid surgery

Question 6

A young adult reports progressive muscle weakness worsening with activity and improving with rest.
Which of the following diagnoses best fits this presentation?
A. Bell’s Palsy
B. Myasthenia Gravis
C. Trigeminal Neuralgia
D. Glossopharyngeal Neuralgia

Answer 6

B - Myasthenia Gravis: antibody-mediated neuromuscular junction weakness

Question 7

A patient has episodes of optic neuritis and internuclear ophthalmoplegia on neurologic exam.
Which of the following diagnoses best fits this presentation?
A. Bell’s Palsy
B. Trigeminal Neuralgia
C. Multiple Sclerosis
D. Glossopharyngeal Neuralgia

Answer 7

C - Multiple Sclerosis: demyelinating CNS disorder with varied neurologic deficits