FrontalCortex, Inc. is a non-profit corporation dedicated to neurology education.

Miosis 1

Topic: Behavior

Created on Friday, February 22 2013 by jdmiles

Last modified on Friday, February 22 2013.

A famous elderly, retired model presents to the E.R. She had no neurologic defecits prior to this morning, when she awoke to find changes in the way her face looks, as shown in the image above.
Of the following choices, which ONE other finding would you MOST expect to see in this patient?

 
        A) Tongue deviation to the left
 
        B) Loss of sweating on the right side of the face
 
        C) A left internuclear ophthalmoplegia (INO)
 
        D) Loss of sweating on the left side of the face
 
        E) Tongue deviation to the right
 

 


Back to the question = Go back to the top of the page.
See another question like this one = Reload a different version of this question ().
Click here for a random question = Load a random question from the database.
Clone this question = Use this question as a template to create a totally NEW question.
Rate this question = Enter detailed rating for this question!
Average rating not yet available
= How users like you have rated this question.
This question was created on February 22, 2013 by jdmiles.
This question was last modified on February 22, 2013.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Tongue deviation to the left

This answer is incorrect.


This image demonstrates miosis and ipsilateral ptosis, two of the classic features of Horner syndrome. The third part of the triad is ipsilateral facial anhydrosis. Hypoglossal palsy is not an expected feature of the Horner syndrome.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




B) Loss of sweating on the right side of the face

This answer is incorrect.


This image demonstrates miosis and ipsilateral ptosis, two of the classic features of Horner syndrome. The third part of the triad is ipsilateral (not contralateral) facial anhydrosis.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




C) A left internuclear ophthalmoplegia (INO)

This answer is incorrect.


This image demonstrates miosis and ipsilateral ptosis, two of the classic features of Horner syndrome. The third part of the triad is ipsilateral facial anhydrosis. Internuclear ophthalmoplegia is not an expected feature of the Horner syndrome.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




D) Loss of sweating on the left side of the face

This answer is correct.


This image demonstrates miosis and ipsilateral ptosis, two of the classic features of Horner syndrome. The third part of the triad is ipsilateral facial anhydrosis.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




E) Tongue deviation to the right

This answer is incorrect.


This image demonstrates miosis and ipsilateral ptosis, two of the classic features of Horner syndrome. The third part of the triad is ipsilateral facial anhydrosis. Hypoglossal palsy is not an expected feature of the Horner syndrome.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

 

 

 

References:

1. Walton, K.A., and Buono, L.M. (2003). "Horner syndrome." Curr Opin Ophthalmol, 14(6) 357-63. (PMID:14615640)
Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this question
Average rating not yet available
Please log in if you want to rate questions.

 

FrontalCortex.com -- Neurology Review Questions -- Neurology Boards -- Board Review -- Residency Inservice Training Exam -- RITE Exam Review
behavior
Miosis 1
Question ID: 022213191
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 02/22/2013
Modified: 02/22/2013
Estimated Permutations: 600

User Comments About This Question:

0 user entries
Please log in if you'd like to add a comment.