This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Facial Nerve And Its Disorders, Subject name: ENT
Bell's palsy patient comes on day 3. Treatment given would be: 
Select and explain. 
A. Intratympanic steroids, B. Oral steroids + vitamin B complex, C. Oral steroids + Acyclovir, D. Vasodilators + vitamin B complex
C: Oral steroids + Acyclovir
Answer: C: Oral steroids + Acyclovir 
Explanation: (c) Oral steroids + Acyclovir is the best answer.(Ref. Cummings, 6th ed., 2621)Antiviral has to be started within 3 days. Since the patient has presented on the 3rd day, acyclovir should also be started here along with the steroids.If the patient comes after 3 days he should be given only the steroid and vitamin B.Intratympanic steroids and vasodilators are not used for Bell's palsy.