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Extraocular muscles

Topic: Anatomy

Created on Tuesday, July 11 2006 by

Last modified on Wednesday, December 31 1969.

A 80 year-old female kangaroo activist visits you in a quaint little restaurant in Shanghai, complaining of diplopia.
You note that most of the time that she is facing you and talking, she sits with her chin held down and her head tilted and turned with her left ear held close to her left shoulder.
Based on this information alone, you suspect that there may be a paresis of which extraocular muscle?

A) Left oblique rectus

B) Left lateral rectus

C) Right superior oblique

D) Right lateral rectus

E) Right medial rectus

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This question was created on July 11, 2006 by .
This question was last modified on December 31, 1969.

ANSWERS AND EXPLANATIONS

A) left oblique rectus

This answer is incorrect.

This presentation is typical of a paresis of the right superior oblique. The left oblique rectus is not a real muscle. (See References)


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B) left lateral rectus

This answer is incorrect.

This presentation is typical of a paresis of the right superior oblique. A patient with a paresis of the left lateral rectus muscle will have impaired adbuction of the left eye, and is likely to try to minimize her diplopia by looking at the world with her chin turned toward her left shoulder and her right eye adducted. (See References)


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C) right superior oblique

This answer is correct.

This presentation is typical of a paresis of the right superior oblique. A patient with a paresis of the right superior oblique muscle will have impaired depression and inward rotation of the right eye, and is likely to try to minimize her diplopia by looking at the world with her chin held down and her head tilted and turned with her left ear held close to her left shoulder. (See References)


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D) right lateral rectus

This answer is incorrect.

This presentation is typical of a paresis of the right superior oblique. A patient with a paresis of the right lateral rectus muscle will have impaired adbuction of the right eye, and is likely to try to minimize her diplopia by looking at the world with her chin turned toward her right shoulder and her left eye adducted. (See References)


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E) right medial rectus

This answer is incorrect.

This presentation is typical of a paresis of the right superior oblique. A patient with a paresis of the right medial rectus muscle will have impaired adduction of the right eye, and is likely to try to minimize her diplopia by looking at the world with her chin turned toward her left shoulder and her left eye abducted. (See References)


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References:

1. Ross, R.T. (1999). How to Examine the Nervous System, 3rd Edition. Appleton & Lange, Stamford, Connecticut. Pp. 45-60


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anatomy
Extraocular muscles
Question ID: 0000003
Question written by . (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 07/11/2006
Modified: 12/31/1969
Estimated Permutations: 0