Otology Q15

A 65-year-old lady presents to her GP with a new-onset left-sided lower motor neuron facial palsy and mild-to-moderate left-sided otalgia. She suffers from hypertension and diverticular disease. On examination there is a tender vesicular rash found inside the external auditory canal on the left-side; the right side is normal. Hearing appears normal for her age.

What is the most likely diagnosis?

  • A) Bell’s palsy
  • B) Cerebrovascular accident (CVA)
  • C) Otitis externa with perichondritis
  • D) Ramsay Hunt Syndrome type II
  • E) Postherpetic neuralgia