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Anatomy · Head and neck: facial nerve
Sample itemA parotidectomy patient cannot close the right eye tightly but has preserved facial sensation. Which cranial nerve branch is affected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Temporal branch of facial nerve
The temporal branch of CN VII supplies the upper facial muscles, including orbicularis oculi. Trigeminal nerve carries facial sensation, which remains intact in a motor facial palsy.
Option by option
A. Mandibular division of trigeminal nerve
V3 supplies mastication and lower-face sensation.
B. Hypoglossal nerve
Hypoglossal nerve supplies tongue muscles.
C. Ophthalmic division of trigeminal nerve
V1 supplies forehead and corneal sensation rather than orbicularis oculi motor function.
D. Temporal branch of facial nerve (correct)
Correct. Facial motor loss affecting eye closure localises to CN VII's temporal branch.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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