Extraocular muscles
Topic: Anatomy
Created on Tuesday, July 11 2006 by
Last modified on Wednesday, December 31 1969.
A 64 year-old male defense attorney visits you in an art house movie theatre, complaining of diplopia.
You note that most of the time that he is facing you and talking, he sits with his chin held down with no extraordinary tilting of his head.
Based on this information alone, you suspect that there may be a paresis of which extraocular muscle?
A) Right medial rectus B) Right lateral rectus C) Right oblique rectus D) Right inferior rectus E) Left oblique rectus
This question was created on July 11, 2006 by .
This question was last modified on December 31, 1969.
ANSWERS AND EXPLANATIONS
A) right medial rectus
This answer is incorrect.
This presentation is typical of a paresis of the right inferior rectus. 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 his diplopia by looking at the world with his chin turned toward his left shoulder and his left eye abducted. (
See References)
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B) right lateral rectus
This answer is incorrect.
This presentation is typical of a paresis of the right inferior rectus. 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 his diplopia by looking at the world with his chin turned toward his right shoulder and his left eye adducted. (
See References)
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C) right oblique rectus
This answer is incorrect.
This presentation is typical of a paresis of the right inferior rectus. The right oblique rectus is not a real muscle. (
See References)
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D) right inferior rectus
This answer is correct.
This presentation is typical of a paresis of the right inferior rectus. A patient with a paresis of the right inferior rectus muscle will have impaired depression and outward rotation of the right eye, and is likely to try to minimize his diplopia by looking at the world with his chin held down with no extraordinary tilting of his head. (
See References)
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E) left oblique rectus
This answer is incorrect.
This presentation is typical of a paresis of the right inferior rectus. The left oblique rectus is not a real muscle. (
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