Lyme Bilateral Facial Palsy — SCE Infectious Diseases MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Early disseminated Lyme neuroborreliosis after a compatible tick exposure
The best answer is “Early disseminated Lyme neuroborreliosis after a compatible tick exposure”. Bilateral facial palsy is a characteristic neurological Lyme presentation; exposure history supports serology and neurological assessment, with CSF testing when neuroborreliosis is suspected. Compatible tick exposure with bilateral facial palsy or other neurological features prompts Lyme serology and neuroborreliosis assessment and treatment.
Reference: NICE NG95: Lyme disease: https://www.nice.org.uk/guidance/ng95/chapter/Recommendations