This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
Treatment of severe ulnar neuritis in borderline tuberculoid leprosy is which of the following? 
Select and explain. 
A. MDT only, B. MDT +steroid, C. Wait and watch, D. MDT + thalidomide
B: MDT +steroid
Answer: B: MDT +steroid 
Explanation: Borderline tuberculoid leprosy patients may experience both type 1 ant type 2 lepra reactions. If there is nerve involvement in type 1 lepra reaction, coicosteroids are added to the Multi drug treatment regimen. Ref: Textbook of Dermatology, Venereology and Leprology, Devinder Mohan Thappa, 2nd Edition, Page 326 & 332; Handbook of leprosy by Jopling & Mc Dougall 5,th /127, 123; Current treatment options in Neurology 2002, / 189- 196.