USMLE Forum - Largest USMLE Community

Full Version: nbme q - appendicitis
You're currently viewing a stripped down version of our content. View the full version with proper formatting.
After nearly drowning, an 82-year-old man suffers from severe hypoxia with resulting severe brain edema. This edema leads to raised intracranial pressure. When the pressure exceeds 200 mmHg, the medial temporal lobe begins to be compressed against the tentorium cerebelli. What is typically the first sign of such compression?

A. Anisocoria contralateral to compression

B. Anisocoria ipsilateral to compression

C. Both pupils 5“6 mm and fixed

D. External oculomotor ophthalmoplegia

E. This condition has no effect on the eyes

there is 3rd nerve palsy b and d both seem correct
wat is external occulomoter ophthalmoplegia ?does it mean 3rd nerve palsy?explain plz
I'd pick B. Anisocoria ipsilateral to compression.