Neurology Quiz #49: Visual Field Defects and Internuclear Ophthalmoplegia

1. A 65-year-old man with a history of hypertension and smoking presents to the clinic complaining of sudden vision loss in his left eye. On examination, you note that he has lost vision in the temporal half of his left eye and the nasal half of his right eye. This type of visual field defect is most consistent with a lesion in which of the following structures? 

Question 1 of 5

2. A 30-year-old woman presents with double vision and difficulty moving her eyes. On examination, you notice that when she looks to the right, her left eye fails to adduct, and nystagmus is observed in her right eye. These findings are most suggestive of damage to which of the following structures? 

Question 2 of 5

3. A 50-year-old man presents with a complaint of "a curtain coming down over my vision" in his right eye. This symptom suggests a visual field defect involving which of the following patterns? 

Question 3 of 5

4. A 28-year-old woman with a history of multiple sclerosis presents with acute onset of double vision. On examination, you observe that her eyes do not move together when she attempts to look laterally, and she reports that the double vision worsens when looking to the sides. This presentation is most consistent with which of the following conditions? 

Question 4 of 5

5. A 45-year-old man presents with a headache and visual disturbances. Visual field testing reveals loss of peripheral vision in both eyes. This type of visual field defect is most consistent with a lesion in which of the following locations? 

Question 5 of 5


 

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