Pathology · single question

After a tongue biopsy, the patient's tongue deviates to the right on protrusion. Which nerve is responsible for this deviation?

  1. Right hypoglossal nerve (the tongue deviates toward the side of the lesion)
  2. Left hypoglossal nerve
  3. Right vagus nerve
  4. Left vagus nerve
Show answer and explanation

Correct answer: A. Right hypoglossal nerve (the tongue deviates toward the side of the lesion)

The hypoglossal nerve (CN XII) supplies tongue musculature; with a lower motor neuron lesion, the tongue deviates toward the affected (weak) side, so right deviation indicates right hypoglossal injury.Other options: The left hypoglossal lesion would deviate the tongue left; the vagus nerves do not control tongue protrusion.Key exam takeaway: Tongue deviates toward the side of a hypoglossal (CN XII) lesion.

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