<prompt> A 26 year old female presents with insidious onset of diplopia on alternate cover test, the patient has a right hypertropia, worse on right head tilt and left gaze. Which muscle is paralysedLeft superior rectusRight superior obliqueRight inferior rectusLeft inferior oblique  <response>: Two important patterns:Right hyper left gaze Right tilt - rt. so palsy.Left hyper right gaze left tilt - lt. so palsy. 