The use case is something like this:
cranial nerve 12 test: tell the patient to stick out their tongue.  You're 
looking for either straight ahead (normal) or deviating to the R or to the 
L.

Lets say initially I marked it as deviating to the R, so I check off the 
"R" box.  This type of test is either/or or possibly negative (both 
unchecked) but never both checked.  Lets say I decide, "no, I was 
hallucinating, I'm going to call that negative (normal)" so I'd want to 
uncheck the R checkbox, but I don't want the L one to suddenly become 
checked - I want to call it a normal test (both unchecked)

Does that help clarify?

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