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ENT · Facial nerve: Bell palsy
Sample itemA patient has acute unilateral facial weakness involving inability to wrinkle the forehead or close the eye. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Bell palsy
Bell palsy is an acute lower-motor-neuron facial palsy involving the forehead as well as the lower face. Eye protection is important because incomplete closure risks corneal injury.
Option by option
A. Myasthenia gravis
Myasthenia causes fluctuating fatigable weakness rather than isolated acute facial paralysis.
B. Trigeminal neuralgia
Trigeminal neuralgia causes episodic facial pain, not weakness.
C. Cortical stroke
Cortical stroke often spares the forehead because of bilateral cortical innervation.
D. Bell palsy (correct)
Correct. Forehead involvement supports a peripheral facial palsy.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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