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Ophthalmology · Nystagmus: jerk direction
Sample itemIn jerk nystagmus, how is the direction named?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. By the direction of the fast phase
The fast phase is a corrective saccade, and by convention the nystagmus is named after it. The slow phase is the pathological drift.
Option by option
A. By the direction of the fast phase (correct)
Correct. Naming follows the fast phase.
B. By the eye with greater amplitude
Amplitude does not define direction.
C. By the direction of head tilt
Head tilt is unrelated.
D. By the direction of the slow phase
The slow phase is the abnormal drift, not the naming phase.
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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