Gabby, aged 22, has Bell’s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?
a) “Most patients have complete recovery in 3 to 6 months.”
b) “Unfortunately, you’ll probably have a small amount of residual damage.”
c) “Don’t worry, I’ll take care of everything.”
d) “You may have a few more episodes over the course of your lifetime but no permanent damage.”
Sam, aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why this is necessary. You tell him:
a) “L-dopa is neuroprotective.”
b) “The primary goal of therapy is to replace depleted stores of dopamine.”
c) “This is the only drug that can provide symptomatic benefit.”
d) “This is the initial monotherapy drug.”
Which of the following signs is seen in a patient with more advanced PD?
a) Resting tremor
d) Postural instability
Which of the following is the most commonly experienced symptom of migraine?
a) Light sensitivity
b) Pulsatile pain
c) Sound sensitivity
d) Experiencing an aura
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