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Pain Medicine MOC Sample Question 1

A 35-year-old male presents with new facial pain but no other medical problems. About 5-6 months ago, he began experiencing occasional jabs of sharp pain lasting several seconds in the same spot on the right cheek. He initially ignored it, but over the last several months they have increased in frequency. Now, these episodes of pain occur multiple times a day and are triggered by benign things such as chewing on the right side of his face, brushing his teeth, or feeling a light breeze across his skin. On examination, the patient’s cranial nerves are normal. What is the next evaluation step? 

  • ARefer to dentist for cavity
  • BObtain brain CT for small brainstem hemorrhage
  • COrder lumbar puncture to assess for infections affecting facial nerve
  • DOrder brain MRI with MRA
  • EOrder EEG for seizures

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