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A FA MCQ CN nerve injury - quansar
#1
Pt cannot protude tongue to the left and has a right sided spastic paralysis, where is the lesion

1. Left medulla, CN XII
2. right medulla, CN XII
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#2
1.
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#3
are you sure?? Smile) kashmala
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#4
come one just shoot ur corect answerSmile
corticospinal fibers decussate somewhere in medulla if am not frogetting.
tonguue is supposd to prutrude towrds the side of lesion(CN XII)
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#5
it should be 2 as tounge deviate towards the side of lesion it cannot deviate toward the left side ,am i write?
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#6
kashmala, u r right, tonguue is supposd to prutrude towrds the side of lesion(CN XII)

but this pt is having s/s that he can not protrude his tongue to the left, so where is the lesion??? it means he has right side XII nerve injury.

I post this q again simply because FA is wrong on this q and I was reviewing FA today so I want to bring it up one more time
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#7
oh sory i thot pt protruded tongue towrds the left side.never mind.i wish i don show this lack of attention in real exam.
its 2
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