Which of the symptoms below are indicative of Ramsay-Hunt syndrome?
A. Acute facial paralysis and ear pain
B. Blisters in the external ear and mouth
C. Problems with balance, gaze stability, and vertigo
D. All of the above
ANS: D
Rationale: Both the facial and vestibulocochlear nerves are affected in Ramsay-Hunt syndrome. The syndrome, caused by varicella zoster (shingles) infection, usually consists of acute facial paralysis accompanied by ear pain and blisters on the external ear. In some cases, blisters in the mouth and problems with balance, gaze stability, vertigo, hearing, and rarely tinnitus (i.e., the sensation of ringing, hissing, or buzzing sounds in the absence of external sounds) may also occur.
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