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This boy’s parents brought this candid photograph to show that this is the typical head posture assumed by their child.  There is no family history of such head posture, the child was the result of a normal pregancy and delivery, and is in good health now with no complaints.

1.	When first seeing this head posture, the diagnosis could be:
	a. esotropic, Duane I in the left eye b. left superior oblique palsy c. left sixth nerve palsy d.  right exotropic Duane II in the right eye e. null point nystagmus with the null in right gaze f. Brown syndrome, left eye g. all of the above
2.	In the clinical setting, what test should be done?
	a. prism and cover testing b. ductions c. fixation with either eye to determine if a secondary deviation is present d.  the head tilt test e. all of the above
3.	The most likely treatment would be:
	a. none; just wait and watch b. appropriate surgery c. prism glasses with base in OD and base out OS d.  a neck brace e. eye exercises f. none of the above

For answers to the above, click here on or after September 25, 2007.