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Cranial Nerve Palsy Quiz
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Cranial Nerve Palsy Quiz

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Questions and Answers

Which type of strabismus may be associated with raised intracranial pressure?

  • Accommodative esotropia
  • Congenital strabismus
  • Posterior fossa tumors or malformations
  • Neurological strabismus (correct)
  • What type of strabismus is characterized by the eyes turning in, out, up, or down?

  • Accommodative esotropia
  • Intermittent strabismus
  • Congenital strabismus
  • Neurological strabismus (correct)
  • Which condition is NOT listed as a cause of strabismus in the text?

  • Head trauma
  • Neurological onset
  • Conjunctivitis (correct)
  • Myasthenia gravis
  • Which cranial nerves are mentioned as potentially associated with cranial nerve palsies?

    <p>CN III, IV, VI</p> Signup and view all the answers

    Which test indicates mechanical restriction of a muscle?

    <p>Positive Forced Duction Test</p> Signup and view all the answers

    What is another name for Monocular Depression Deficiency?

    <p>Double Depressor Palsy</p> Signup and view all the answers

    What is the common cause of Internuclear Ophthalmoplegia in younger patients?

    <p>Multiple Sclerosis</p> Signup and view all the answers

    Which presentation is associated with Unilateral CN III with bilateral ptosis?

    <p>Nuclear Palsies</p> Signup and view all the answers

    What is the first step in managing strabismic symptoms?

    <p>Prescribing Glasses</p> Signup and view all the answers

    What is the common dosage range for Botulinum Neurotoxin in treating acute paralytic strabismus?

    <p>1.25 to 5 units</p> Signup and view all the answers

    Which side effect is associated with Botulinum Neurotoxin treatment?

    <p>Difficulty swallowing</p> Signup and view all the answers

    What is the purpose of eye muscle surgery in treating strabismus?

    <p>To weaken, strengthen, or change the vector of force for a given muscle</p> Signup and view all the answers

    What should be ordered if ischemic etiology is suspected in a patient with strabismus?

    <p>Blood Pressure, CBC, RPR, FTA-Ab, ANA, ESR, CRP, glucose tolerance test</p> Signup and view all the answers

    What is the main goal of occlusion as a short-term treatment for diplopia?

    <p>To temporarily treat diplopia</p> Signup and view all the answers

    What is the common cause of supranuclear neurogenic palsies?

    <p>Atherosclerosis</p> Signup and view all the answers

    Which of the following is a common treatment for muscle spasms?

    <p>Botulinum toxin injections</p> Signup and view all the answers

    What is the condition characterized by weakness or paralysis of the muscles responsible for eye movement?

    <p>Paralytic strabismus</p> Signup and view all the answers

    Which structure is associated with the condition known as orbital apex syndrome?

    <p>Cavernous sinus</p> Signup and view all the answers

    What is a common feature of paretic strabismus?

    <p>Diplopia</p> Signup and view all the answers

    What is a potential consequence of cranial nerve palsy?

    <p>Double vision</p> Signup and view all the answers

    Which condition is associated with the use of Fresnel prism lenses?

    <p>Strabismus</p> Signup and view all the answers

    What is a common cause of strabismus?

    <p>Neurologic causes</p> Signup and view all the answers

    Which of the following is a characteristic of internuclear ophthalmoparesis?

    <p>Double vision</p> Signup and view all the answers

    What is a potential consequence of paralytic strabismus?

    <p>Diplopia</p> Signup and view all the answers

    Which structure is associated with the condition known as internuclear ophthalmoparesis?

    <p>Orbit</p> Signup and view all the answers

    What is a common feature of internuclear ophthalmoparesis?

    <p>Double vision</p> Signup and view all the answers

    Which test is NOT typically used to evaluate cranial nerve 3 palsy?

    <p>Brain MRI</p> Signup and view all the answers

    What is the main symptom of trochlear nerve palsy?

    <p>Convergence strabismus</p> Signup and view all the answers

    What are the etiologies of cranial nerve 4 palsy?

    <p>Congenital abnormalities, head trauma, and microvasculopathy</p> Signup and view all the answers

    What is the effect of lesions of the abducens nerve?

    <p>Ipsilateral paresis of the lateral rectus and convergence strabismus</p> Signup and view all the answers

    Which condition can be caused by multiple cranial nerve palsies?

    <p>Horner's syndrome</p> Signup and view all the answers

    What are the differential diagnoses for single muscle palsies?

    <p>Atypical presentations, myogenic causes, and trauma-related conditions</p> Signup and view all the answers

    Which nerve palsy affects the extraocular muscles and pupil dilation?

    <p>Oculomotor nerve palsy</p> Signup and view all the answers

    What is a common etiology of cranial nerve 3 palsy?

    <p>Vascular causes</p> Signup and view all the answers

    What is the effect of trochlear nerve palsy?

    <p>Double vision</p> Signup and view all the answers

    What can cause abducens nerve palsy?

    <p>Trauma, aneurysm, ischemic, or idiopathic causes</p> Signup and view all the answers

    Which condition can be caused by multiple nerve palsies?

    <p>Horner's syndrome</p> Signup and view all the answers

    Study Notes

    Cranial Nerve Palsy and Multiple Nerve Palsies

    • Symptoms of cranial nerve 3 palsy include double vision, blurry vision, reduced peripheral vision, headaches, and dizziness
    • Oculomotor nerve palsy affects the extraocular muscles, causing eye movement and pupil dilation issues
    • Etiologies of cranial nerve 3 palsy include vascular, compressive, traumatic, and inflammatory causes
    • Tests to evaluate cranial nerve 3 palsy include case history, visual acuity, cover test, and pupil testing
    • Trochlear nerve palsy affects the superior oblique muscle and can result from congenital or acquired causes
    • Etiologies of cranial nerve 4 palsy include congenital abnormalities, head trauma, and microvasculopathy
    • Tests to evaluate cranial nerve 4 palsy include case history, cover test, and pupil testing
    • Abducens nerve palsy affects the lateral rectus muscle and can result from trauma, aneurysm, ischemic, or idiopathic causes
    • Lesions of the abducens nerve cause ipsilateral paresis of the lateral rectus and convergence strabismus
    • Multiple cranial nerve palsies can affect CN 3, 4, 5, 6, or cause Horner's syndrome, with cavernous sinus and orbital apex syndrome being common causes
    • Other forms of paralysis include single muscle palsies and double elevator palsy, each with distinct presentations and etiologies
    • Differential diagnoses for single muscle palsies include atypical presentations, myogenic causes, and trauma-related conditions such as blowout fractures

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    Description

    Test your knowledge of cranial nerve palsy and multiple nerve palsies with this quiz. Explore symptoms, etiologies, and diagnostic tests for cranial nerve 3, 4, and 6 palsy, as well as multiple cranial nerve palsies. Learn about the causes and presentations of single muscle palsies and double elevator palsy.

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