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Bell palsy — RCPSC EM MCQ

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EasyNeurological emergenciesBell palsyRCPSC EM

CTAS 4. A 39-year-old has acute left facial weakness involving the forehead and mouth. There is hyperacusis and reduced taste. Limb strength, speech, and gait are normal. No vesicles are seen in the ear canal. What is the most likely diagnosis?

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Correct answer: DBell palsy

Forehead-involving isolated lower motor neuron facial palsy without vesicles or other neurologic deficits is most consistent with Bell palsy.

Reference: Canadian Family Physician Bell palsy review; Tintinalli's Emergency Medicine