Pharmacology · single question
If the facial paralysis above is due to herpes zoster reactivation (Ramsay Hunt syndrome), what medication is indicated?
Show answer and explanation
Correct answer: A. Antiviral therapy (with corticosteroid)
- A. Correct. Ramsay Hunt syndrome is varicella zoster reactivation in the geniculate ganglion. High-dose acyclovir or valacyclovir combined with corticosteroid, started within 72 hours, gives the best chance of facial nerve recovery.
- B. Incorrect. There is no fungal component.
- C. Incorrect. Antibacterials have no role in a viral reactivation.
- D. Incorrect. Antihistamines do not affect viral replication or nerve inflammation.