Review Question - QID 109799

A 25-year-old woman with a history of polycystic ovary syndrome, depression, and chronic bilateral ear infections presents to the otolaryngologist's clinic 12 weeks after right ear tympanoplasty. Her audiology report 1 week prior showed that her hearing improved as expected by 20 decibels. However, she reports that she has occasional shooting pain with eating and when she wears earrings. She states that she has a stressful job as a cashier at the local department store and often sleeps poorly. She denies any neck pain or tenderness when she washes her face. Her temperature is 98.6°F (37°C), blood pressure is 115/74 mmHg, pulse is 86/min, and respirations are 12/min. On physical exam, no tenderness is elicited with preauricular or mandibular palpation bilaterally. No jaw-clicking is heard. Right postauricular tapping causes tenderness in her right tonsillar area. Her molar teeth appear even and symmetric bilaterally. Her uvula is midline and her gag reflex is intact. Which of the following is the most likely diagnosis?