MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

BELLS PALSY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Regarding Bell’s Palsy prognosis:Which of the following is incorrect?
A
A complete lesion has a poorer prognosis
B
If there is pain with the onset, a poorer prognosis is likely
C
Medical treatment improves the recovery by 70%
D
Many recover within 3 months without treatment
Explanation: 

Detailed explanation-1: -Surgery is rarely an option for Bell’s palsy. Because the eye on the affected side doesn’t close, it’s important to take steps to protect and care for that eye.

Detailed explanation-2: -A steroid called Prednisolone is commonly used to treat patients with Bell’s palsy. This should be administered within 72 hours of the symptoms appearing and works by helping to reduce inflammation. There is no evidence at present to suggest that there is any benefit in taking steroids beyond the 72-hour time window.

Detailed explanation-3: -Oral corticosteroids, such as prednisone, decrease nerve swelling and may help you regain facial movement faster. Antiviral medications, such as acyclovir for herpes, may speed recovery, although it’s unclear how much benefit they provide. Eye care is very important. More items •29-May-2020

There is 1 question to complete.