Eyelids

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| By Tunstillt
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Tunstillt
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1. The superior tarsal muscle is also called muller or mueller's smooth muscle

Explanation

The statement is true because the superior tarsal muscle is indeed referred to as Muller or Mueller's smooth muscle. This muscle is responsible for elevating the upper eyelid and is composed of smooth muscle fibers. It is named after its discoverer, Johannes Peter Muller, a German physiologist.

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About This Quiz
Eye Quizzes & Trivia

This quiz titled 'Eyelids' explores various conditions and structural components of the eyelid. It assesses knowledge on parts of the eyelid, disorders like hordeolum and chalazion, and conditions... see moreaffecting eyelash growth, such as distichiasis and trichiasis. Essential for students and professionals in medical fields, particularly ophthalmology. see less

2. Which of the following is when the accessory row of eyelashes either partial or complete emerjes adjacent to or from the opening of the meibomian glands?

Explanation

Distichiasis is the correct answer because it refers to a condition where an extra row of eyelashes, either partially or completely, emerges adjacent to or from the opening of the meibomian glands. This can cause irritation, redness, and discomfort in the eye. Trichiasis, on the other hand, is a condition where the eyelashes grow inward towards the eye, while Horner syndrome is a neurological condition that affects the eye muscles, and entropion is the inward turning of the eyelid.

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3. Which of the following can lead to blepharospasm

Explanation

All of the options mentioned can lead to blepharospasm. Blepharospasm is a condition characterized by involuntary spasms or contractions of the muscles around the eyelids. Idiopathic causes refer to cases where the exact cause is unknown. Drug-induced blepharospasm can occur as a side effect of certain medications. Keratitis, which is inflammation of the cornea, can also lead to blepharospasm. Additionally, Parkinson's disease, a neurodegenerative disorder, can cause involuntary muscle movements including blepharospasm. Therefore, all of the above options can contribute to the development of blepharospasm.

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4. Which of the following is when the accessory row of eyelashes either partial or complete emerjes adjacent to or from the opening of the meibomian glands?

Explanation

Distichiasis is the correct answer because it refers to the condition when an additional row of eyelashes, either partially or completely, emerges adjacent to or from the opening of the meibomian glands. This can cause irritation and discomfort to the eye, and in severe cases, it may lead to corneal abrasions or other complications. Trichiasis, horner syndrome, and entropian are all different eye conditions that do not specifically involve the accessory row of eyelashes emerging from the meibomian glands.

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5. Rapid movement requires low chronaxie

Explanation

The statement is true because chronaxie is the time it takes for a nerve to respond to an electrical stimulus. A low chronaxie means that the nerve can respond quickly to the stimulus, indicating that rapid movement can be achieved.

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6. The chronaxie of the palpebral orbicularis oculi is related to the orbital potion how?

Explanation

not-available-via-ai

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7. Which of the following is when the normal eyelashes develop and have an abnormal orientation, and grow in instead of out.

Explanation

Trichiasis is a condition where the normal eyelashes grow inwards instead of outwards, causing them to irritate the eye. This abnormal orientation of the eyelashes can lead to discomfort, redness, and even damage to the cornea if left untreated. Distichiasis, on the other hand, refers to the development of extra rows of eyelashes, while horner syndrome and entropian are unrelated conditions.

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8. Rapid movement requires high chronaxie

Explanation

LOW chronaxie

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9. Which muscle is not involved in opening the eye?

Explanation

The orbicularis oculi muscle is responsible for closing the eye, not opening it. When this muscle contracts, it causes the eyelids to close. Therefore, it is not involved in the process of opening the eye. The other options listed, such as the levator palpebrae superioris, retractors of the lower lids, and smooth muscle of Muller, are all involved in the movement and opening of the eye.

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10. Which of the following is part of the posterior lamella (pick three)

Explanation

The posterior lamella of the eyelid is composed of the tarsal plate, conjunctiva, and meibomian glands. The tarsal plate is a dense connective tissue that provides structural support to the eyelid. The conjunctiva is a thin, transparent membrane that lines the inner surface of the eyelid and covers the white part of the eye. The meibomian glands are located within the tarsal plate and secrete an oily substance that helps lubricate the eye.

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11. Which of the following is true of the levator palpebrae superioris? (select 3)

Explanation

The levator palpebrae superioris is a muscle that functions as the chief retractor of the upper eyelid. It is innervated by cranial nerve 3 (oculomotor nerve). It receives equal innervation from both the right and left sides, causing the eyelids to move in a coordinated manner.

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12. Which reflexes can lead to blinking? (select 3)

Explanation

Blinking is a reflex action that occurs in response to certain stimuli. Visual stimuli, such as bright lights or objects coming towards the eyes, can trigger the blinking reflex. Auditory stimuli, such as loud noises or sudden sounds, can also cause blinking. Additionally, tactile stimuli, such as a touch or a foreign object touching the eye, can lead to blinking as a protective response. Olfactory stimuli, related to smell, and the Babinski reflex, which is a reflex in the foot, are not directly associated with blinking.

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13. Which of the following can result in inflammation leading to hordeolum or chalazion?

Explanation

Abnormality of keratinization can result in inflammation leading to hordeolum or chalazion. Keratinization is the process by which cells in the outer layer of the skin become filled with keratin, a protein that provides protection. If there is an abnormality in this process, such as excessive production or improper differentiation of keratinocytes, it can lead to blockage of the oil glands in the eyelids. This blockage can then cause inflammation and the formation of hordeolum or chalazion.

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14. Which of the following is part of the anterior lamella (pick three)

Explanation

The anterior lamella of the eyelid is composed of several structures. The Zeis and Moll glands are sebaceous glands located within the anterior lamella. The orbicularis oculi muscle is a circular muscle that surrounds the eyelid and is also part of the anterior lamella. Additionally, the skin is another component of the anterior lamella. Therefore, the correct answer is zeis and moll glands, orbicularis oculi muscle, and skin.

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15. Which of the following is true of the levator aponeurosis of the levator palpebrae superioris? (Select 3)

Explanation

The levator aponeurosis of the levator palpebrae superioris inserts into the anterior tarsal, which means it attaches to the front surface of the tarsal plate. If it becomes disinserted from the tarsal, it can lead to ptosis, which is drooping or sagging of the upper eyelid. Additionally, the levator aponeurosis passes through the orbicularis muscle, which is the muscle responsible for closing the eyelids.

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16. In what way does contraction of the orbicularis oculi muscle help in lacrimal pump mechanism?

Explanation

The pretarsal muscle surrounding the canaliculi helps squeeze in the lacrimal drainage system. This contraction of the orbicularis oculi muscle aids in the lacrimal pump mechanism by creating pressure on the lacrimal sac, which helps to propel tears through the lacrimal ducts and into the nasal cavity.

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17. What are other names for horner's syndrome? (select 2)

Explanation

ocular cicatricial pemphigoid and stevens-johnson sydnrom lead to distichiasis

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18. Which of the following muscles is analagous to mullers?

Explanation

The correct answer is inferior tarsal. The inferior tarsal muscle is responsible for elevating and retracting the lower eyelid. Müller's muscle, also known as the superior tarsal muscle, is responsible for elevating the upper eyelid. Therefore, the inferior tarsal muscle is analogous to Müller's muscle in terms of their function in eyelid movement.

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19. Which of the following is true of the mullers muscle? (select 3)

Explanation

beta1 is for the LPS

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20. Which of the following is true of distichiasis? (select 3)

Explanation

Distichiasis is a condition where normal eyelashes develop but have an abnormal orientation. It is usually caused by chronic inflammation and is considered a mucocutaneous disease. It can also result from ocular cicatricial pemphigoid and Stevens-Johnson syndrome, which are both inflammatory disorders affecting the mucous membranes.

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21. Which of the following is true of the sensory innervation of the lid? (select 3)

Explanation

The sensory innervation of the lid comes from the ophthalmic branch of the trigeminal nerve, as it supplies sensory input to the area. The plexus of nerves is deep to palpebral fibers of the orbicularis oculi muscle, meaning it is located beneath the muscle fibers. This is important to note because it helps in understanding the anatomical arrangement of the nerves in the lid. Lastly, anesthesia for the lid requires deep penetration, indicating that the nerves are located deeper within the lid and not easily accessible.

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22. Match the afferent pathways: (Select 3)

Explanation

The answer is correct because it accurately matches the afferent pathways for each sensory modality. Tactile sensation is transmitted through the trigeminal nerve (V CN), which synapses at the Gasserian Ganglion before reaching the midbrain. Dazzle sensation is transmitted through the optic nerve (II CN), which synapses at the superior colliculus and supraoptic nuclei. Menace sensation is also transmitted through the optic nerve (II CN), but it follows a different pathway, synapsing at the lateral geniculate nucleus (LGN) before reaching the primary visual cortex and association fibers to the rolandic area.

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23. Which of the following is true of Bell's phenomenon? (Select 3)

Explanation

disappears in brainstem lesion above the pons and is absent in 10% of the population

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24. Which of the following is true of lid closure? (select 3)

Explanation

The palpebral portion of lid closure is more excitable, resulting in a rapid blink and reflexive or spontaneous blinking. The orbital portion, on the other hand, is less excitable and is responsible for forced and prolonged closure of the eyelids. During a voluntary wink, both the palpebral and orbital portions are involved in the closure of the lids.

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25. Which of the following is true of the LPS? (select 3)

Explanation

Hering's law can be applied to the innervation of the LPS, meaning that the LPS follows the principles of Hering's law of equal innervation. Motor neurons that control the LPS arise from the oculomotor complex. Additionally, a single neuron innervates the levator muscle bilaterally, meaning that both sides of the muscle are controlled by one neuron.

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26. Which of the following matches are correct? (select 3)

Explanation

The correct matches are:

1. Simple: dystrophy of the levator muscle. Lid lags on down gaze and higher than normal lid crease.
2. Synkinetic: innervation of the levator muscle by V# known as Marcus Gunn jaw-winking syndrome where eyelid retracts with ipsilateral pterygoid muscle contraction.
3. Aponeurotic: failure of the aponeurosis to insert on the anterior surface of the tarsus and skin crease is high.

These matches describe different types of eyelid disorders and their associated symptoms.

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27. Which of the following is true of the tactile reflex? (select 3)

Explanation

persists with brainstem transection below the thalamic level

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28. Which of the following is true of the dazzle reflex? (select 3)

Explanation

persists with brainstem transection below the thalamic level

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29. Which of the following is true of the menace reflex? (select 3)

Explanation

persists with brainstem transection below the thalamic level

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30. Which of the following is true of the cortical control of closure of the eyelids? (Select 3)

Explanation

The cortical control of closure of the eyelids is mediated by the motor cortex, specifically the precentral gyrus. The motor cortex sends descending signals through the corticobulbar tracts, which pass through the VII nucleus in the pons, and ultimately reach the orbicularis oculi muscle. This pathway allows for the coordinated bilateral elevation of the eyelids in response to stimulation of the central caudal subdivision of the III nucleus. The involvement of the oculogyric center is not mentioned in the explanation.

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31. Which of the following is true of the force generation test (select 3)?

Explanation

The force generation test is a diagnostic tool used to assess the functioning of the levator muscle and differentiate between different types of ptosis. It involves attaching a force transducer to the lashes and measuring the maximum force generated during upgaze. This test helps determine the strength and efficiency of the levator muscle, which is responsible for lifting the upper eyelid. By measuring the force generated during upgaze, it can provide valuable information about the muscle's functionality and identify any abnormalities or weaknesses. Additionally, the test can also help differentiate between different types of ptosis, a condition characterized by drooping of the upper eyelid.

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32. Which of the following is true of the cortical control of elevation of the eyelids? (Select 3)

Explanation

The correct answer is that the cortical control of elevation of the eyelids involves the frontal cortex, the stimulus of the central caudal subdivision of the III nucleus results in bilateral elevation, and it involves the oculogyric center. This means that the frontal cortex is involved in controlling the elevation of the eyelids, the stimulus from a specific area of the III nucleus causes both eyelids to elevate, and the oculogyric center plays a role in this process.

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The superior tarsal muscle is also called muller or mueller's...
Which of the following is when the accessory row of eyelashes either...
Which of the following can lead to blepharospasm
Which of the following is when the accessory row of eyelashes either...
Rapid movement requires low chronaxie
The chronaxie of the palpebral orbicularis oculi is related to the...
Which of the following is when the normal eyelashes develop and have...
Rapid movement requires high chronaxie
Which muscle is not involved in opening the eye?
Which of the following is part of the posterior lamella (pick three)
Which of the following is true of the levator palpebrae superioris?...
Which reflexes can lead to blinking? (select 3)
Which of the following can result in inflammation leading to hordeolum...
Which of the following is part of the anterior lamella (pick three)
Which of the following is true of the levator aponeurosis of the...
In what way does contraction of the orbicularis oculi muscle help in...
What are other names for horner's syndrome? (select 2)
Which of the following muscles is analagous to mullers?
Which of the following is true of the mullers muscle? (select 3)
Which of the following is true of distichiasis? (select 3)
Which of the following is true of the sensory innervation of the lid?...
Match the afferent pathways: (Select 3)
Which of the following is true of Bell's phenomenon? (Select 3)
Which of the following is true of lid closure? (select 3)
Which of the following is true of the LPS? (select 3)
Which of the following matches are correct? (select 3)
Which of the following is true of the tactile reflex? (select 3)
Which of the following is true of the dazzle reflex? (select 3)
Which of the following is true of the menace reflex? (select 3)
Which of the following is true of the cortical control of closure of...
Which of the following is true of the force generation test (select...
Which of the following is true of the cortical control of elevation of...
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