A 60-Year-Old Man Is Brought to the Emergency Department Because

A 60-year-old man is brought to the emergency department because of a 1-hour history of abnormal face shape. The patient has a history of hypertension, hyperlipidemia, and type 2 diabetes mellitus.  Vital signs are within normal limits.  Physical examination shows facial asymmetry with drooping of the left corner of the mouth and loss of the left nasolabial fold.  Which of the following additional examination findings on the affected side would be most suggestive of central nervous system involvement?

A) Decreased eye lacrimation
B) Inability to tense soft tissues of the neck
C) Increased loudness of sounds
D) Loss of taste sensation on the anterior tongue
E) Sparing of the forehead muscles

Correct Answer:

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