Picture Quiz: Newsweek
April 17th, 2008

Just so everyone doesn’t think I just pick on comic books and television (and the occasional movie), today’s Picture Quiz comes straight from the pages of this week’s Newsweek.
What are the error(s) in the image reproduced above? It comes from the article “A New Reason to Frown” and is about potential problems recently discovered with Botox injections. For those of you who want to play along at home, it’s on page 45 of the April 21st edition of the magazine.
Hint #1: There are two related errors.
Hint #2: Check the handy “medical terms” Newsweek provided in the chart.
April 18th, 2008 at 1:03 am
Does it have something to do with how that needle is uncomfortably close to the patient’s eye, and/or the non-neutral position she is lying in?
April 18th, 2008 at 1:19 am
Maybe it’s the fact that two of the ‘Medical Uses’ of Botox it lists aren’t FDA approved? I assume that precludes them from being used medically?
April 18th, 2008 at 1:32 am
Correct me if I am wrong, but it seems that the medical terms for “lazy eye” and “eyelid spasm” have been swapped around. That is, strabismus is the term for misalignment of the eyes (”lazy eye”) and blepharospasm is the term for eyelid spasm.
April 18th, 2008 at 2:53 am
Also, is cervical dystonia really a condition of the neck? I know nothing about medicin, but I thought the cervix was somewhere else.
April 18th, 2008 at 4:29 am
A bit surprised Cerebal Palsy isn’t FDA approved. I thought it was the first use that Botox was developed for.
April 18th, 2008 at 6:26 am
“Cervix” is Latin for “neck”. Pris, you’re thinking of the “neck” of the uterus. Confusingly, both usages are correct.
April 18th, 2008 at 7:02 am
Official Comment
Aaron,
“Off Label” uses of medication aren’t illegal and — depending on the medication — are fairly common. Since it’s not FDA approved, it means that neither the company nor its drug reps can advertise that use.
Pris,
What Carl said. The top portion of the spine (roughly the bottom of the skull to the shoulders) is the “cervical spine.”
April 18th, 2008 at 10:41 am
Easy one… finally a picture quiz i can answer! Lazy eye is NOT belapharospasm – that’s an eyelid twitch. Strabismus is neither lazy eye nor eyelid spasm – lazy eye is amblyopia, which is just one eye not transferring its image to the brain, strabismus occurs when the gaze is not aligned, leading to double vision – usually caused by eye muscle problems.
April 18th, 2008 at 1:14 pm
1) That’s not where it’s injected (that’s right on bone)
2) The needle still seems to have the safety thingy attached
3) Botox treatment does not work on elves.
April 18th, 2008 at 1:51 pm
Official Comment
Evan,
You’re right — the needle cap is still on. I totally missed that.
April 19th, 2008 at 6:37 pm
“Correct me if I am wrong, but it seems that the medical terms for “lazy eye” and “eyelid spasm” have been swapped around. That is, strabismus is the term for misalignment of the eyes (”lazy eye”) and blepharospasm is the term for eyelid spasm.”
This is my answer too! It took me both hints to figure it out though.
April 19th, 2008 at 9:06 pm
Official Comment
The answer — as many of you have figured out — is that the definitions of blepharospasm and strabismus were switched. Though Timo is also correct in that strabismus and lazy eye are not synonymous (lazy eye is more correctly “amblyopia”).
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