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