lecture 9 - EOM 2 Flashcards

(36 cards)

1
Q

where do you look to see for a muscle weakness ?

A

you use the position where the muscle is maximally used

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2
Q

dextroversion means ..

A

right

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3
Q

laevoversion means..

A

left

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4
Q

in primary position which muscles are innervated?

A

all muscles are equally innervated

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5
Q

why is primary position not good for detecting a muscle weakness ?

A

each muscle only works by a small amount, therefore you would be unable to detect subtle weakness and you wouldn’t be ale to detect which muscle is causing the problem

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6
Q

what are the secondary positions?

A

direct elevation
direct depression
laevoversion
dextroversion

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7
Q

which muscles are maximally used in direct elevation

A

right & left:

Superior Rectus and inferior oblique

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8
Q

which muscles are maximally used in direct depression

A

right and left

inferior rectus and superior oblique

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9
Q

which muscle is maximally sed in laevoversion

A

right medial rectus
and
left lateral rectus

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10
Q

which muscle is maximally used in dextroversion

A

right lateral rectus

left medial rectus

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11
Q

if esotropic, which muscle is weak?

A

lateral rectus

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12
Q

if exotropic which muscle is weak?

A

medial rectus

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13
Q

what are the tertiary positions?

A

dextroelevation
dextrodepression
laevoelevation
laevodepression

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14
Q

which muscles are used maximally in dextroelevation

A

right Superior Rectus

left inferior oblique

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15
Q

which muscles are used maximally in dextrodepression

A

right inferior rectus and left superior oblique

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16
Q

which muscles are used maximally in laevoelevation

A

left Superior Rectus

right inferior oblique

17
Q

which muscles are used maximally in laevodepression

A

right superior oblique and left inferior rectus

18
Q

what is an agonist

A

the muscle that starts off a movement

19
Q

what is an antagonist

A

EOM who’s action opposes the contracting muscles

20
Q

contraction of the agonist produces …. in the antagonist

21
Q

what is sherringtons law

A
Whenever an agonist
receives an impulse to
contract, an equivalent
inhibitory input is sent
to its antagonist, which
relaxes and actually
lengthens.
22
Q

what do the MR and LR do on direction elevation/depression

A

move out of their plane of action
may contribute
or effect horizontal position by increasing abduction or adduction as the eye elevates or depresses

23
Q

if you tilt your head to your right shoulder what does the right eye do?

A

introits and slightly elevates

24
Q

what are the synergists in RE if you tilt your head to the right

25
what are the direct antagonists in RE if you tilt your head to the right
RIR and RIO
26
if you tilt your head to your right shoulder what does the left eye do?
extorts and slightly depresses
27
what are the synergists in LE if you tilt your head to the right?
LIR and LIO
28
what are the direct antagonists in LE if you tilt your head to the right ?
LSR and LSO
29
if you tilt your head to your left shoulder what does the left eye do?
intorts and slightly elevates
30
what are the synergists in LE if you tilt your head to the left
LSR and LSO
31
what are the direct antagonists in LE if you tilt your head to the left
LIR & LIO
32
what are the direct antagonists in RE if you tilt your head to the left ?
RSR & RSO
33
what are the synergists in RE if you tilt your head to the rleftght?
RIR & RIO
34
W hat action does the RSR mainly have when you carry out ocular motility on dextroelevation ?
elevation
35
What action does the RSO mainly have when you carry out ocular motility on laevo depression?
depression
36
What muscles will contract in the Right eye when you tilt your head to the Left?
Right inferior rectus, right inferior oblique