@usmle_pearls: Imagine you’re checking out at the store and notice the cashier keeps tilting his head to the side every time you ask a question 🤨. Weird habit… or hidden diagnosis? 👀 This is one of those classic step-style scenarios where body language tells you more than words. Med students — what’s the underlying problem here? 🧠 Think you know the answer? Comment below ⬇️ and tag a friend who’s grinding for Step right now 📚🔥 ⸻ #MedSchool #USMLE #Step1 #Step2CK #Step3 #MedStudent #MedLife #MedTok #FutureMD #DoctorsOfInstagram #ClinicalPearls #ExamPrep #BoardPrep #MedEd #MedicalMeme #MedStudentHumor #ResidentLife #MedSchoolProblems #fyp #foryoupage #xyzbca #trending #viral #medfyp #studyfyp ⸻ Explanation: This is a CN IV (trochlear nerve) palsy. The superior oblique muscle depresses and intorts the eye. When it’s weak, patients experience vertical diplopia, especially when looking down (like reading or going downstairs). To compensate, they tilt their head away from the affected eye to realign vision. That’s why the cashier unconsciously tilts his head to the right — it helps fuse the images. • CN III palsy → ptosis, “down & out” eye, possible dilated pupil • CN VI palsy → impaired abduction • CN VII palsy → facial droop • CN VIII palsy → vertigo/hearing loss ⸻ Answer: D) CN IV (trochlear nerve) ✅

rayyshelllyy 🇵🇦 :

I’m a doctor and ts frying me 😭😭😭

Austen Callister :

superior oblique deficit —> CN IV (?)

NazG :

Chat what’s the answer

moutain_goat :

Why not 3

︎ ︎ ︎ ︎ ︎ ︎ ︎ :

dang... its uh... i think its uh.....

Pabi_Mofokeng :

Is it cranial nerve IV (trochlear nerve)?

Tjackjesus :

idk, bros tryna hear better and option D is hearing related so i’ll say it’s D

Nif :

He is not no damn 36🤣🤣🤣

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Bobby John :

It’s D, head tilt gives it away

chanin :

top 10 accounts right now prob

zasedkante :

ISAAC REFERENCE

F A R T :

It could also be VIII. If there was a vestibular loss that was partially compensated it could cause double vision. Turning better ear towards the speaker to compensate for hearing loss and trying to better face them to “lip read”.

TwistedFrogger12 :

Not even remotely a med student but love these

Birth Defect :

Abdel Osman891 :

D, superior oblique isn’t obliquing

🍓 :

I need a nursing version of this account 😭 this is amazing lmaooo

ini maman 777 :

why am i even reading comment bruh, ima comsci major

sailboat_gd :

A, C, and D can all have control over eye movement and visionary attributes, but I believe only the Abducens (CN VI) can control eye movements going left or right.

Izzy :

I keep getting these right and I feel like megamind

Hallie Phelan :

Ima go with….idk this one

千尺ㄖ丂ㄒㄚ :

He did NOT report that😭😭😭

Strebr :

@Grok

G :

"I'm looking for... huh... huh"

Mrrsv :

Im unemployed and ts frying me 😂😂😂😂🥀🥀🥀🙏🏻