Choose how you want to revise

Select Questions

Revise with my preferences. Choose your difficulty or recap questions you've found hard.

Mock tests

Test myself against recent exam themes and ones curated by BMJ’s editorial team of doctors.

Group Learning

Play under a username and join friends or others for 10 questions. Move up of the daily leaderboard.

On the go

Download the app for offline access. Make revision easily fit into your schedule.

Revise with quality questions and detailed explanations



Demo Question


A young woman presents with pain in her tongue and says that she has developed some intermittent speech problems over the last few weeks.

A CT head is negative for any infarct.

On examination, she has normal power in muscles of mastication and facial expression. She does, however, have some marked weakness when asked to move her tongue to her left cheek compared to the right.

You suspect a cranial nerve lesion.

Given the nerve affected, where does it exit the skull?

Foramen Ovale

Foramen Rotundum

Internal Auditory canal

  Hypoglossal canal

Jugular Foramen





Key Learning Point

 

The hypoglossal canal allows for exit of the hypoglossal nerve in the occipital bone.



Explanation

 

The affected nerve here is the hypoglossal nerve which is responsible for all of the motor control of the tongue.

The hypoglossal canal allows for exit of the hypoglossal nerve in the occipital bone.

The Foramen rotundum is responsible for the maxillary branch of the trigeminal nerve.

Foramen ovale allows for the exit of the mandibular branch of the trigeminal nerve.

The jugular foramen allows for passage of the glossopharyngeal, vagus and accessory nerves.

The internal auditory canal is responsible for exit of the facial and vestibulocochlear nerve.

Smart features to maximise your revision efforts

Daily questions

Keep on track. Set a time that suits you, we will send you a personalised revision question every day.

Revision plans

Turn weaknesses into strengths. Focus on the specialities that will give you the biggest learnings.

Feedback & peer comparison

Indicates how likely you are to pass. Detailed performance graphs show how you’re currently performing and benchmark you against your peers.

Save time and focus on the most important questions

High Impact Questions

Maximise your revision time. High Impact Questions instantly delivers you the most important questions, ranked by our clinical tutors and your peers.