Grays

Question 1

A woman has thyroid tumor surgery, but 24 hrs later starts aspirating fluid into her lungs. The area of the piriform recess above the vocal fold of the larynx was anesthetized. What nerve was most likely iatrogenically injured?

• External branch of the superior pharyngeal
• Hypoglossal
• internal branch of the superior laryngeal
• Lingual
• Recurrent laryngeal

Answer 1

Internal branch of the superior laryngeal

Results in loss of sensation above the vocal cords and loss of taste on teh epigottis; loss of sensation in the laryngeal vestibule precipitates aspiration of fluid into the larynx, trachea, and lungs

Question 2

Air bubbles on a CT of her brain after thyroidectomy. What caused it?

• Injury to inferior thyroid artery
• Injury to inferior an dupserior thyroid arteries
• Injury to superior thyroid artery and vein
• Injury to superior an dmiddle thyroid veins
• Injury to superior, middle, and inferior thyroid veins

Answer 2

Injury to superior an dmidle thyroid veins

The superior thyroid vein is from the internal jugular vein and accompanies the superior thyroid artery .The middle thyroid vein is also from the internal jugular vein. Both can be torn in thyroid surgery, admitting an airbubble (due to negative pressure in veins) that can ascend in the internal jugular vein up to the skull.

Question 3

What would we expect with injury to the left external laryngeal nerve?

• Inability to abduct the vocal fold
• Monotone, easily fatigued voice with poor pitch control
• Decreased/absent sensation above the vocal cord
• Decreased/absent sensation below the vocal folds
• Decreased/absent cough reflex

Answer 3

Monotone, easily fatigued voice with poor pitch control

The external laryngeal nerve is motor only; it supplies the cricothyroid muscle, which tenses the vocal cords.

Question 4

She can’t abduct her righ teye. Where would an aneurysym most likely be located to cause the nerve compression resulting in the symptoms/signs?

• PCA
• ICA
• External carotid artery
• Anterior cerebtral artery
• Posterior communicating artery

Answer 4

Internal carotid artery is the main blood supply to the brain. It has several parts. It runs with the abducens nerve through the cavernous sinuses

267

Question 5

A man got in a car crash. “Step off” defects were palpated over the root o th nose and teh glabella. There was also clear fluid draining from the nasal cavity. There was a fracture in th emiddle region fo the anterior cranial fossa. What else does the patient probably have?

• Blurred vision
• Diplopia
• Anosmia
• Blindness
• Dry left eye

Answer 5

Anosmia (loss of smell).

Leakage of CSF occurs with fractured cribiform plate, which will also damage the olfactory n. If the orbital rim is involved in the fracture, the patient has palpable bony ‘step off’ and complains of pain when palpating there. Anterior cranial fossa fractures often include CSF rhinorrhea and bruising around eyes.

293

Question 6

Woman suddenly has vision problems. There’s an aneurysm in one of the arteries at the base of the brain, compressing the optic chiasm. Which artery was most likely involved?

• Middle cerebral
• Anterior communicating
• Anterior cerebral
• Superior cerebellar
• Posterior superior cerebellar

Answer 6

Anterior communicating

The anterior communicating artery is right behind the optic chiasm

Question 7

A boy has severe acne, a fever, confused mental state, and drowsiness. He has cavernous sinus thrombosis. Which of the following routes of entry to the cavernous sinus would most likely be responsible for the infection?

• Carotid artery
• Mastoid emissary vein
• Middle meningeal artery
• Ophthalmic vein
• Parietal emissary vein

Answer 7

The superior ophthalmic vein provides a more direct route to the cavernous sinus; it receives blood from veins that supply the area around the nose and lower forehead.

The emissary veins communicate between the venous sinuses and the veins of the scalp.

81

Question 8

A man has a fracture through the crista galli on the anterior cranial fossa, resulting in slow, local bleeding. Which is most likely the source of bleeding?

• Middle meningeal artery
• Great cerebral vein of GAlen
• Sueprior sagittal sinus
• Straight sinus
• Superior ophthalmic vein

125

Answer 8

Superior sagittal sinus attaches anteriorly to the crista galli; bleeds slow.

Middle meningeal is near the pterion on the temporal aspect of the skull and would bleed profusely. The great cerebral vein and straight sinus are both posterior. The superior ophthalmic vein is inferior to the crista galli as it drains the orbit to the cavernous sinus.

Question 9

Diplopia when walking down stairs (moving pupil downward and laterally)

Answer 9

Problem with the trochlear nerve, which innervates the superior oblique muscle to look downward and laterally

Question 10

A woman has tenderness in the thorax, painful to compression. She has slight ptosis of her right eyelid and the right pupil is constricted more than the other.

• Raynaud’s disease
• Frey’s syndrome
• Bell’s palsy
• Quinsy
• Pancoast tumor

Answer 10

Pancoast tumor in the pulmonary apex affects teh sympathetic chain ganglia –> Horner’s (slight ptosis and miosis)

Question 11

A boy had a mastoidectomy and post-op had Bell’s palsy, accumulation of saliva in the vestibula of his oral cavity, and dribble from the corner of his mouth. What was most likely paralyzed?

• Zygomaticus major
• Orbicularis oculi
• Buccinator
• Levator palpebrae superioris
• Orbicularis oris

Answer 11

Buccinator muscle usually prevents accumulation of saliva and food in the oralvestibule

Question 12

The dilator pupillae muscle, the smooth muscle cell fibers of the superior tarsal muscle (of Muller, part of levator palpebrae superioris), and the smooth muscle cells of the blood vessels of the ciliary body are suppplied by efferent nerve fibers. Which of the following structures contains the neural cell bodies of these fibers?

• Pterygopalatine ganglion
• IML nucleus (lateral horn) C1-4
• Geniculate ganglion
• Nucleus solitarius
• Superior cervical ganglion

104

Answer 12

The postsynpatic cell bodies of the sympathetic neurons that innervate these structures are in the superior cervical ganglion

The IML contains presynaptic sympathetic neurons, but only at T1-L2. The other options don’t have sympathetic cell bodies.

Question 13

Serious pain between lower eyelid an dupper lip. To reach the nerve causing this, th eneedle will most likely need to be inserted through..

• Foramen ovale
• Foramen spinosum
• Infraorbital foramen
• Mandibular foramen
• Foramen magnum

Answer 13

Infraorbital foramen - this is a maxillary nerve problem, whose infraorbital branch exits the skull below the orbit through this foramen. Then, you can reach the foramen rotundum.

Question 14

Patient has a black eye from a street fight. What nerve should you target for anesthetic?

• Ophthalmic
• Infraorbital
• Anterior ethmoidal
• Frontal
• Optic

Answer 14

Ophthalmic nerve because it can then infiltrate its branches, including the nasociliary branch –> anesthesia of the area

Question 15

Pain from the region of the parotid gland (such as in mumps) is due to what nerve?

Answer 15

Auriculotemporal nerve

Question 16

In Eagle’s syndrome, the styloid process and stylohyoid ligament are elongated and calcified. Which nerve is most likely affected by the Eagle’s syndrome?

Vagus

Facial

Glossopharyngeal

Hypoglossal

Vestibulocochlear

Answer 16

The facial nerve innervates the stylohyoid muscle, but it’s the glossopharyngeal nerve that enters the posterior orpharynx by coursing between the stylohyoid ligament and the stylopharyngeus muscle.

Question 17

Sometimes cardiac pain is referred to the mandible and the region fo the temporomandibular joint. Cutaneous sensation over the angle of the mandible is normally supplied by which of the following nerves?

• Cervical branch of facial
• Great auricular nerve
• Mandibular branch of trigeminal nerve
• Mandibular branch of facial nerve
• Transverse cervical nerve

Answer 17

Great auricular nerve (from rami of C2-3) supplies the angle of the mandible up to the TMJ

Question 18

What is the only intrinsic muscle of the tongue that the hypoglossal n doesn’t innervate?

Answer 18

Palatoglossus

Question 19

A tumor close to the external acoustic meatus might result in..

• contrlateral deviation of the uvula during elevation of the soft palate
• ipsilaterla deviation on protraction of the tongue
• ipsilateral pupillary constriction and partial ptosis
• ipsilateral weakness in elevation of the mandible
• ipsilateral weakness in tight closure of the eyelids

Answer 19

ipsilateral weakness in tight closure of the eyelids

The tumor can compress the facial nerve as it exits teh stylomastoid foramen, which is responsible for the tight closure of the eyelids.

Question 20

A woman has swelling and pain over the left side of her face. There is tender, warm swelling over the lef tmandibel anterior to the ear. There’s a hyperechoic mass within the lumen of the parotid duct, which was distended. What else is likely present?

• Weak deviation of the mandibel to teh right
• Complete ptosis of the left eyelid
• Numbness of the skin over the left lower mandible
• Excesssive tearing
• Pain over the naterior auricle, tragus, and anterior helix

Answer 20

Pain over the anterior auricle, tragus, and anterior helix

Nerves passing through the distended parotid gland are affected. This includes the facial nerve, but also the auriculotemporal nerve, which gives rise to this pain.

Question 21

Laceration to teh left cheek and jaw. Glass is lodged between the two heads of the lateral pterygoid muscle. What else is most likely found in this patient?

• Weak elevation of the jaw
• Weak deviation of the jaw to the right side
• Numbness over the skin of the tragusand helix of the left ear
• Numbness over the skin and mucosa of the anterior cheek
• Decreased volume of saliva

Answer 21

Numbness over the skin and mucosa of the anterior cheek

The nerves involved are the lingual and bucal nerves, which are branches of V3. They provide sensation tot eh mucosa ofthe anterior 2/3 of tongue, adjacent gums, cheek mucosa, and overlying skin.

Question 22

“Danger zone” of the scalp- where is it and how is it dangerous?

Answer 22

In the loose connective tissue, because that’s where all the veins are.

Allows scalp infection to to be transmitted into the skull via emissary veins , then via diploic veins of the bone to the cranial cavity.

(SCALP, outer to inner- skin, connective tissue, aponeurosis, loose connective tissue, periosteum)

Question 23

A woman has mastoiditis. The infection can erode the thin layer of bone between the mastoid air cells and the posterior cranial fossa and spread msot commonly into which ?

• Superior sagittal sinus
• Inferior sagittal sinus
• Straight sinus
• Cavernous sinus
• Sigmoid sinus

Answer 23

The sigmoid sinus runs along the posterior cranial fossa just lateral to the mastoid air cell before draining into the itnernal jugular vein

Question 24

A patient fell. Has a small, depressed fractur eof the skull vertex and thrombosis of teh superior sagittal sinus. A day later he loses consciousness. What caused the loss of consciousness?

• Obstruction of CSF resorption
• Obstruction of the cerebral aqueduct (of Sylvius)
• Laceration of the middle meningeal artery
• Fracture of the cribriform plate with CSF rhinorrhea
• Aneurysm of the middle cerebral artery

190

Answer 24

CSF is mostly secreted from the choroid plexues of the latera, third, and fourth ventricles of the brain -> enters subarachnoid space from fourth ventricle via foramina of Luschka -> circulates in subarachnoid space until resorbed by arachnoid granulations into the superior sagittal sinus.

Thrombus of superior sagittal sinus -> obstruct CSF -> ventricles get enlarged and increased intracranial pressure

Question 25

A man cuts his scalp while shaving and gets infected. Weeks later, he gets headache and nausea because his superior sagittal sinus has become infected. What vein was mostly responsible for this?

• Intercavernous
• Inferio rsagittal
• Diploic
• Basilar
• Emissary

278

Answer 25

Emissary veins

The loose connective tissue layer of the scalp is teh danger area of the scalp because infections here can pass to the cranial cavity through small emissary veins and reach intracranial structures like the meninges.

Question 26

She has vertigo, fluctuating hearing loss, ringing in right ear, and feeling of fullness/pressure in the ear. Which strucutre is msot likely affected by the edema associated with Meniere’s disease?

• Midddle ear
• Endolymphatic sac
• Semicircular canals
• Cochlea
• Helicotrema

Answer 26

Endolymphatic sac

Hydrops (edema) results from excessive fluid in the endolymphatic sac. Labyrinthine or endolymphatic hydrops is known as Meniere’s disease.

Question 27

A man complains of progressive hearing loss and a continuous strange noise in his right ear that he noticed several months ago. On physical examination he has right-sided hearing loss, asymmetric smile, and decreased corneal reflex in his right eye. Which of the following will most likely be the location of the tumor?

• Between the medulla and cerebellar hemisphere
• Above the diaphragma sellae
• Over the lateral hemispheric fissure
• Between the cerebllum and the lateral pons
• Between the cerebellar peduncles

Answer 27

Between the cerebllum and the lateral pons

An acoustic neuroma arises form the Schwann cell sheath investing the vestibulocochlear nerve; it occupies a larger portion of the cerebellopontine angle as it grows. CN 7 and 5 are both affected because they’re close by. –> vertigo, impaired hearing and balance, paralysis of muscles of facial expression, hyperacuses, loss of taste to anterior 2/3 of tongue, loss of corneal reflex and sensation around the moutha nd nose, paralysis of muscle sof mastication.

Question 28

A boy has otitis media. He has a bulging and inflamed eardrum. What’s the best place to incise the tympanic membrane to relieve the painful pressure and allow drainage of the infectious fluid associated with the otitis media?

• Anterior superior quadrant of eardrum
• Posterior superior quadrant of the eardrum
• Directly through the site of the umbo
• Anterior inferior quadrant of the eardrum
• Vertical incision from the 12 o’clock to the 6 o’clock position of the rim of the eardrum

83

Answer 28

Anterior inferior quadrant of the eardrum

Incision of the anterior and posterior-superior quadrants will damage the malleus, which is immediately superior and medial to teh tympanic membrane. The umbo is close to the handle of the malleus. Damage to the malleus -> conductive hearing loss

Question 29

Tumor in the superior orbital fissure. Patient’s eyeball is fixed in an abducted position, slightly depressed, and the pupil is dilated. The upper lid is droopy. When the patient is asked to move the pupil toward the nose, the pupil rotates medially. Consensual corneal reflexes are normal. What nerve was affected?

• Trochlear
• Oculomotor
• Abducens n and sympathetic n plexus accompanying ophthalmic artery
• Superior division of oculomotor n and nasociliary n
• Ophthalmic n and short ciliary n

106

Answer 29

Oculomotor nerve

Paralyzed oculomotor n

–> lateral rectus & superior oblique unopposed

–> no parasympathetics going to the levator palpebrae

–> no parasympathetics goign to the constrictor pupillae

Question 30

Inferior blow-out fracture of the orbit. What nerves are particularly vulnerable in this type of injury?

• Infraorbital
• Supratrochlear
• Frontal
• Inferior alveolar
• Optic

156

Answer 30

Infraorbital n would be affected if that inferior wall was displaced, since it leaves the skull through the infraorbital foramen.

Question 31

Blow-out fracture of the medial wall of the orbit. Pupil of the affected eye can’t turn laterally. What muscle is most likely injured or trapped?

• Lateral rectus
• Medial and inferior recti
• Medial rectus
• Medial rectus and superior oblique
• Inferior rectus

161

Answer 31

Medial rectus is entrapped- there was no nerve damage here and the muscle is not paralyzed.

Responsible for adduction, but in this case, it acts as a tether/anchor on the eyeball, preventing abduction. Lateral rectus is responsibel for abduction, and damage to it would result in an inability to move the eye laterally.

Question 32

Blow-out fracture of the inferior wall of the orbit. Can’t turn eye upwards. What muscles are most likely injured?

• Inf rectus and inf oblique
• Medial and inferior recti
• Inferior oblique
• Medial rectus, inferior rectus, and inferior oblique
• Inferior rectus

Answer 32

Inferior rectus and inferior oblique are entrapped

The superior rectus and inferior oblique are responsible for upward movement, but in thsi case, the broken orbital plate of the maxilla entrapped the inferior rectus and inferior oblique muscles, causing them to act as anchors preventing upward movement.

162

Question 33

Absence of accommodation reflex. What was most likely involved?

• Superior salivatory nucleus
• superior cervical ganglion
• nervus intermedius
• edinger-westphal nucleus
• trigeminal ganglion

Answer 33

edinger-westphal nucleus

Accmmodation reflex: constriction of pupil when focusing on a near object, controlled by parasympathetics in the oculomotor nerve from the Edinger-Westphal nucleus that synapse in the ciliary ganglion.

Question 34

What duct drains into the inferior meatus of the nose?

Answer 34

Nasolacrimal duct

Question 35

A man’s eyes are unequally dilated. Which test can determine which eye had the problem and whether it was sympathetic or oculomotor n lesion?

• Startle reflex
• Blink reflex
• Pupillary light reflex
• H-test
• Vision test

Answer 35

Pupillary light reflex tests the ability to perceive light sensation.

Afferent: optic n

Efferent: oculomotor

Question 36

A neurologist strokes a wisp of cotton across a patient’s left cornea with no response. He does it across the right cornea and both eyes blink. What was damaged in the left eye?

• Optic
• oculomotor
• trigeminal
• abducens
• facial

Answer 36

Trigeminal

Both eyes blinked when the corneal reflex was elicited, so the facial nerve is fine. It has to be the afferent limb of the blink reflex that’s damaged

Question 37

A physician can see the macula lutea and optic disc. He also sees several branchign arteries emanating from the optic disc. These arteries are most likely derived from which?

• Centrla retinal artery
• Long posterior ciliary artery
• Short posterior ciliary artery
• Ophthalmic artery
• Anterior ciliary artery

Answer 37

Central retinal artery is the major blood supply to the intima of the eye and is a branch of the ophthalmic artery.

Question 38

Displaced fracture of the inferior margin and floor of the orbit. What best describes the patient’s symptoms?

• Partial ptosis of upper eyelid
• Complete ptosis of upper eyelid
• Inability to elevated abducted eyeball
• Inability to depress abudcted eyeball
• Inability to produce tears

Answer 38

Inability to elevated abducted eyeball

Damaged nerve or trapped muscle; inferior oblique is affected.

Question 39

Fracture near apex of orbit with narrowing of the opening to the orbit in the area. Which will most likely be spared?

• Secretions from lacrimal gland
• Ability to detect foreign body on cornea
• Sensation over the anterior scalp
• Sensation to th eupper eyelid
• Ability to abduct the eye

Answer 39

Secretions from right lacrimal gland

The nerves responsible for lacrimal secretion pass through the lateral part of the superior orbital fissure. Fracture at the base of the orbit would affect structures in the medial part of the fissure (sympathetics, superior ophthalmic vein, CN6, nasociliary n, and divisions of oculomotor), which is closer to the apex of the orbit.

294

Question 40

Bruising of the inferior skin of the eye. Pupillary light reflexes are nromal. Depressed fracture of the frontal process of the zygomatic bone involving the orbit. What is a likely consequence?

• Weak abduction
• Diplopia
• Blurred vision
• Decrased secretions from lacrimal gland
• Partial ptosis

Answer 40

Decreased secretions from lacrimal gland

Fracture to the zygomatic bone likely damaged structures in the superior orbital fissure, where nerves that transmit sensations from the lacrimal gland pass.

298

Question 41

Pain to the TMJ and the ear. What nerve is responsible?

Answer 41

Auriculotemporal n encircles the middle meningeal artery, then courses medially to the TMJ and ascends up the auricle

Question 42

A boy has swollen palatine tonsils, which are located between the anterior and posterior tonsillar pillars. Which of the following muscles form these pillars?

• Levator veli palatini and tensor veli palatini
• Palatoglossus and palatopharyngeus
• Styloglossus and stylopharyngeus
• Palatopharyngeus and salpingopharyngeus
• Superior and middle pharyngeal constrictors

Answer 42

Palatoglossus (anteriorly and palatopharyngeus (posteriorly)

Question 43

No gag reflex. Uvula deviated to teh right and left vocal cord drifted toward the midline. Which of the following structures will contain the neural cell bodies for the motor supply of the paralyzed muscles?

• Nucleus solitarius
• Trigeminal motor nucleus
• Dorsal motor nucleus
• Nucleus ambiguus
• Superior or inferior ganglia vagus

Answer 43

Nucleus ambiguus holds the efferent motor fibers of the vagus nerve, which supply the laryngeal pharyngeal muscles; without it, no swallowing, coughing, or gagging reflex.

• Superior ganglion of vagus is for general somatic afferents
• Inferior ganglion of vagus is visceral afferent
• Nucleus solitarius is for sensation & taste from glosspharyngeal, facial, and vagus nerves.

Question 44

Tumor in middle ear invades through the bony floor. Which will most likely be affected?

• Cochlea and lateral semicircular canal
• ICA
• Sigmoid venous sinus
• Internal jugular bulb
• Aditus ad antrum of the mastoid region and the facial nerve

135

Answer 44

Internal jugular bulb

The sigmoid sinus collects venous blood and empties it into the jugular bulb, the inferior portion of which is located beneath the bony floor of the middle ear.

Paraganglioma: middle ear tumor on jugular bulb blocks flow from that side of the brain, so the venous system of the other side gets swollen

Question 45

Palat eelevates asymmetrically, being pulled up toward the right. What muscle is paralyzed?

• Left elvator veli palatini
• Left tensor veli palatini
• Right levator veli palatini
• Right tensor veli palatini

Answer 45

Left levator veli palatini

Uvula moves toward the intact right side because the intact, right levator veli palatini is unopposed.

Question 46

Sublingual medications- what is the most likely route of absorption of this drug?

Deep lingual vein

Submandibular duct

Sublingual duct

Lingual vein

Sublingual vein

Answer 46

Deep lingual vein is most superficial on the underside of tongue

Question 47

What nerve is in the tonsillar bed and is at risk in tonsillectomy?

Answer 47

Glossopharyngeal n

It’s in the tonsillar bed as it runs with the stylopharyngeus muscle

Question 48

A woman’s jaw is deviating slightly to the left on elevation. Area around the lef tmandibular condyle is painful on palpation. Mandibular depression is difficult because of pain and elicits a clicking sound. There is tightness indicative of muscle spasm along the left mandibular ramus. Spasm of which of the following muscles are most likely associated with this condition?

• Buccinator
• Masseter
• Mylohyoid
• Posterior belly of the digastric
• Lateral pterygoid

Answer 48

Masseter originates on the zygomatic bone and inserts on the lateral surface of the ramus of the mandible. It is a powerful ELEVATOR OF THE MANDIBLE, so spasms will make it hard to depress

Question 49

Displaced, transverse fracture of the ramus jsut proximal to the angle of the mandible. Which of the following will most likely be affected?

• Elevation of the jaw
• Lateral deviation of the jaw to the left side
• Salivation; sensation and and taste from teh anterior the tongue
• Sensation from skin over anterior cheek and tongue
• Salivation; sensation from posterior temporal skin and tragus

Answer 49

Salivation; sensation and and taste from teh anterior the tongue

Lingual nerve (w/chorda tympani) passes between the medial pterygoid muscle and ramus of the mandible to get to the tongue

Question 50

Woman has clear fliud coming out of her nostrils. Nasal mucosa was erythematous with swelling of the conchae. Tenderness over the forehead above the root of the nsoe and areas on either side of the glabella. She has an upper respiratory tract infection. Which of the following is the most likely passage for the spread of infection in this patient?

• Pharyngotympanic tube
• Ethmoidal infundibulum
• Nasolacrimal duct
• Spheno-ethmoidal recess
• Superior nasal meatus

Answer 50

Ethmoidal infundibulum

Ethmoid sinuses have 3 groups (posterior drains into superior meatus, middle drains into middle meatus at ethmoid bullae, and anterior drains into middle meatus via ethmoid infundibulum in semilunar hiatus), leading to upper respiratory tract infections

Question 51

In an intubation, an endotracheal tube is passed through an opening between vocal folds. What is the name of this opening?

Answer 51

Rimaglottidis

Question 52

Ludwig’s angina

Answer 52

Dental infection in the mandibular molar area in teh floor of the mouth; can cause pharyngeal and submandibular swelling –> asphyxiation

Question 53

A tumor here can cause hoarseness but it won’t grow because there’s very limited lymphatic drainag ehere.

• Anteiror commissure of the vocal ligaments
• Interarytenoid fold
• Laryngeal ventricle
• Cricothyroid ligament
• Middle segment of the vocal cord

Answer 53

Middle segment of the vocal cord has no direct lymph drainage.

Above the vocal cords is drained by deep cervical; Below the vocal cords is drained by pretracheal ndoes, and then deep ccervical.

Question 54

What nerve gives sensation to the vestibule and piriform recess?

Answer 54

Internal branch of the superior laryngeal nerve supplies the mucosa of the larynx above the folds (including vestibule) and the piriform recess.

Question 55

What muscle is located immediately lateral to the vocalis muscle?

• Lateral cricoarytenoid muscle
• Aryepiglottic muscle
• Posterior cricoarytenoid
• Oblique arytenoids muscle
• Thyroarytenoid muscle

Answer 55

Thyroarytenoid muscles

The vocalis muscles are between the vocal ligaments (medial) and the thyroarytenoid muscles

Question 56

Spontaneous crying while eating. What nerve has a lesion?

• Facial nerve proximal to geniculate ganglion
• Greater petrosal nerve
• Lesser petrosal nerve
• Lacrimal nerve
• Chorda tympani

Answer 56

Facial neve proximal to the geniculate ganglion

196