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2004 Series : February 3, 2004
December 28, 2004  |  December 21, 2004  |  December 14, 2004  |  December 7, 2004  |  November 30, 2004  |  November 23, 2004  |  November 16, 2004  |  November 9, 2004  |  November 2, 2004  |  October 26, 2004  |  October 19, 2004  |  October 12, 2004  |  October 5, 2004  |  September 28, 2004  |  September 21, 2004  |  September 14, 2004  |  September 7, 2004  |  August 31, 2004  |  August 24, 2004  |  August 17, 2004  |  August 10, 2004  |  August 3, 2004  |  July 27, 2004  |  July 20, 2004  |  July 13, 2004  |  July 6, 2004  |  June 29, 2004  |  June 22, 2004  |  June 15, 2004  |  June 8, 2004  |  June 1, 2004  |  May 25, 2004  |  May 18, 2004  |  May 11, 2004  |  May 4, 2004  |  April 27, 2004  |  April 20, 2004  |  April 13, 2004  |  April 6, 2004  |  March 30, 2004  |  March 23, 2004  |  March 16, 2004  |  March 9, 2004  |  March 2, 2004  |  February 24, 2004  |  February 17, 2004  |  February 10, 2004  |  February 3, 2004  |  January 27, 2004  |  January 20, 2004

 

  Ptosis with jaw wink - 1   Ptosis jaw wink - 2

 

This 4-year-old boy has been noted by his parents to have a droopy right lid since birth.  In addition, they noted as an infant his right upper lid "bounced" up and down when he fed from a bottle and the lid continues to act in this manner when he chews.  The boy is healthy and has no known blood relatives with any sort of ptosis.

1. The most likely diagnosis is:
 

a.  congenital ptosis, right upper lid
b.  Marcus-Gunn jaw winking
c.  Horner's syndrome
d.  misdirection of the third nerve

2.  The cause of this condition is:
  a.   misdirection of the VII cranial nerve

b.     misdirection of the levator aponeurosis

c.     clinically unknown

d.  misdirection of the V nerve to supply the levator muscle
 

3. Treatment of this condition depends on all but one of the following: 
  a.  the patient's symptoms
b.  function of the levator
c.  strength of the internal pterygoid muscle
d.
  amount of ptosis

 

For answers to the above, click here: