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Dentistry · Oral anatomy: lateral pterygoid weakness
Sample itemA patient has paralysis of the right lateral pterygoid muscle. In which direction does the mandible deviate on opening the mouth?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. To the right
Each lateral pterygoid pulls the condyle forward and pushes the chin to the opposite side. With the right muscle paralysed, the left one dominates and the jaw deviates toward the weak right side.
Option by option
A. It does not deviate
Unilateral paralysis produces deviation.
B. Backward only
Deviation is sideways, not simply backward.
C. To the right (correct)
Correct. The jaw deviates toward the paralysed side.
D. To the left
Deviation to the left would occur with a left-sided weakness.
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.
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