PANCE Exam Practice Questions: Quiz 356 March 30, 2016 By Aamir Khan Leave a Comment A 35-year-old male complains of inability to close his right eye. Examination shows facial nerve weakness of the upper and lower halves of the face. There are no other cranial nerve abnormalities, and the rest of the neurological examination is normal. Examination of the heart, chest, abdomen, and skin show no additional abnormalities. There is no lymphadenopathy. About one month ago the patient was seen by a dermatologist for a bull’s-eye skin rash. The patient lives in upstate New York and returned from a camping trip a few weeks before noting the rash. Which of the following is the most likely diagnosis? a. Sarcoidosis b. Idiopathic Bell palsy c. Lyme disease d. Syphilis Δ
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