Quiz 08/01/2022 (1)

A 38-year-old female presents to the clinic with episodes of facial pain. She reports episodes of sudden severe and debilitating sharp pain on her right face lasting a few seconds to a couple of minutes. These seem to be triggered by eating or lightly touching the face. Outside of these episodes, she is pain-free. She does not endorse any associated rhinorrhea, lacrimation, or facial flushing. What is the likely cause of her symptoms?

Which of the following testing can be used to diagnose a small fiber neuropathy?

What findings would be found on EMG/NCS in a patient who presents with a small fiber neuropathy?

A 46-year-old female presents to the clinic with complaints of recurring headaches. She states that she experiences episodes of sharp pain in her left cheek, which is exacerbated by eating or a cold wind blowing on her face. Outside of these triggers, she is largely pain-free. She doesn’t endorse any associated rhinorrhea, lacrimation, or facial flushing. Which of the following is the most appropriate treatment for her disease?

A patient presents to the emergency room after experiencing a syncopal event. On history, he endorses unilateral, paroxysmal pain in the tonsil, tongue, and ear triggered by swallowing. What is the most likely diagnosis?