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Ophthalmology · Ocular motility
Sample itemWhich nerve palsy causes an eye positioned down and out with ptosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Oculomotor nerve palsy
Oculomotor nerve palsy weakens most extraocular muscles and levator palpebrae, leaving lateral rectus and superior oblique actions unopposed.
Option by option
A. Abducens nerve palsy
Sixth-nerve palsy mainly prevents abduction.
B. Oculomotor nerve palsy (correct)
Correct: third-nerve palsy causes down-and-out eye with ptosis.
C. Facial nerve palsy
Facial palsy affects eyelid closure rather than globe position.
D. Trochlear nerve palsy
Fourth-nerve palsy impairs depression in adduction.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Ophthalmology questions
- Ocular motilityFailure to abduct eye indicates palsy of what nerve?
- Ocular motilityFailure to depress adducted eye indicates palsy of what nerve?
- Ocular motilityWhich cranial nerve supplies most extraocular muscles?
- Ocular motilityA patient reports seeing two images of a single object; what symptom is being described?