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PAST QUESTIONS (ANATOMY) > Head And Neck Pq > Flashcards

Head And Neck Pq Flashcards

1
Q

What is the hard palate formed by?

A

palatal process of the maxillae anteriorly and the horizontal plates of the palatine bone posteriorly

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2
Q

Which layer of the scalp has the richest blood supply

A

Connective tissue layer

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3
Q

The aponeurosis of the scalp is fibrous over the dome of the skull but muscular in ………… and……….

A

Occipital and frontal regions

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4
Q

What layer of the scalp accounts for mobility of the scalp o the underlying bone

A

Loose connective tissue

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5
Q

The muscles that depress the eye include

Mnemonic: Ir So

A

Inferior Rectus

Superior Oblique

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6
Q

The extent of the cavernous sinus is from:

  1. Anteriorly:
  2. Posteorly:
A
  1. medial end of superior orbital fissure;

2. apex of petrous temporal bone

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7
Q

On the innervation of tongue, complete the following:

  1. General visceral efferent: _______
  2. Special visceral afferent: _______
  3. Special visceral efferent: _______
A
  1. General visceral efferent: Chorda tymani
  2. Special visceral afferent: Chorda tympani
  3. Special visceral efferent: Facial
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8
Q

The roof of the orbit is formed by:

  3. 4.
A
  1. Orbital plate of frontal bone
  2. Lesser wing of sphenoid
  3. Lacrimal gland (content)
  4. Fovea trochlearis
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9
Q

List the structures passing through the following:

  1. Superior orbital fissure
  2. Foramen rotundum
  3. Foramen spinosum
A
  1. CN III (Occulomotor n.), CN IV (Trochlear n.), CN V1 (Ophthalamic n.), CN VI (Abducens n.)
  2. CN V2 (Maxillary n.)
  3. Meningeal branch of V3 (Mandibular n.), middle meningeal artery
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10
Q

13) Cross match the following extraocular muscles with their corresponding action
I. Medial rectus Medial rotation
II. Superior oblique Elevation
III. Superior rectus Elevation
IV. Inferior oblique Extortion
V. Inferior rectus Adduction/medial rotation or intorsion

A

I. Medial rectus (Adduction or median deviation)

II. Superior oblique (Depresses, Abduction or lateral deviation/medial rotation or intorsion)

III. Superior rectus (Elevation, Adduct or medial deviation, Medial rotation or intorsion)

IV. Inferior oblique (Elevation and lateral rotation or extorsion)

V. Inferior rectus (Depress and lateral rotation or extorsion)

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11
Q

14) Cross match the following dura folds with the venous channel(s) contained within their folds
I. Tentorium cerebelli Occipital sinus
II. Falx cerebelli Superior sagittal sinus
III. Falx cerebri Inferior sagittal sinus
IV. Diaphragma sellae Superior petrosal sinus

A

I. Tentorium cerebelli (Superior Petrosal and Transverse)

II. Falx cerebelli (Occipital Sinus)

III. Falx cerebri (Superior and Inferior sagittal sinus)

IV. Diaphragma sellae (Anterior and Posterior intercavernous sinus)

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12
Q

TRUE OR FALSE SECTION

Concerning the neurovascular structures of the scalp:
a. Supraorbital artery is a branch of the external carotid
artery
b. Superficial temporal vein joins the maxillary vein to form retromandibular vein
c. The posterior auricular vein is united with the posterior division of the retromandibular vein to form the internal jugular vein
d. Zygomaticotemporal nerve is a branch of maxillary nerve

A

a. Supraorbital artery is a branch of the external carotid artery (False)
b. Superficial temporal vein joins the maxillary vein to form retromandibular vein (True)
c. The posterior auricular vein is united with the posterior division of the retromandibular vein to form the internal jugular vein (False)
d. Zygomaticotemporal nerve is a branch of maxillary nerve (True)

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13
Q

TRUE OR FALSE SECTION

The facial nerve:
a. Passes into the internal acoustic meatus

b. In an upper motor nerve lesion of the facial nerve, the patient is unable to raise his contralateral eyebrow

c. Leaves the skull through the foramen spinosum
d. Is deep to the external carotid artery in the parotid gland

e. Carries most of the parasympathetic nerve fibers to the parotid gland

A

a. Passes into the internal acoustic meatus (True)
b. In an upper motor nerve lesion of the facial nerve, the patient is unable to raise his contralateral eyebrow (False)
c. Leaves the skull through the foramen spinosum (False)
d. Is deep to the external carotid artery in the parotid gland (False)
e. Carries most of the parasympathetic nerve fibers to the parotid gland (True)

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14
Q

TRUE OR FALSE SECTION

The parotid gland:
a. The parotid duct pierces the buccinator muscle opposite the upper third molar tooth

b. Contains almost entirely serous acini
c. Is innervated by the auriculotemporal nerve
d. Has a duct which opens into the mouth opposite the second molar tooth
e. Has the (anterior) facial vein running through it

A

a. The parotid duct pierces the buccinator muscle opposite the upper third molar tooth (False)
b. Contains almost entirely serous acini (True)
c. Is innervated by the auriculotemporal nerve (True)
d. Has a duct which opens into the mouth opposite the second molar tooth (False)
e. Has the (anterior) facial vein running through it (False)

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15
Q

TRUE OR FALSE SECTION

Concerning the eyeball,

a. Its nervous coat is made up of the iris and retina
b. The cornea is supplied by ciliary arteries
c. The pupil is innervated by the long ciliary nerve from CN V1
d. Lamina cribrosa is the area of the sclera pierced by the nerve fibers of the optic nerve
e. Macula lutea is the area for the most distinct vision on the retina

A

a. Its nervous coat is made up of the iris and retina (False)
b. The cornea is supplied by ciliary arteries (True)
c. The pupil is innervated by the long ciliary nerve from CN V1 (True)
d. Lamina cribrosa is the area of the sclera pierced by the nerve fibers of the optic nerve (True)
e. Macula lutea is the area for the most distinct vision on the retina (True)

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16
Q

TRUE OR FALSE SECTION

Concerning the skull,

a. Occipital bone meets with the parietal bone at the lambdoid suture
b. The body of the sphenoid bone occupies a midline position
c. The petrous part of the temporal bone is the hardest part of the skull
d. The coronal suture closes before the lambdoid suture
e. The greater wing of sphenoid bone forms the roof of the nasal cavity

A

a. Occipital bone meets with the parietal bone at the lambdoid suture (True)
b. The body of the sphenoid bone occupies a midline position (True)
c. The petrous part of the temporal bone is the hardest part of the skull (False)
d. The coronal suture closes before the lambdoid suture (False)
e. The greater wing of sphenoid bone forms the roof of the nasal cavity (False)

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17
Q

TRUE OR FALSE SECTION

Foramina/canal related to the middle cranial fossa include:
a. Carotid canal

b. Foramen spinosum
c. Hypoglossal
d. Foramen ovale
e. Jugular foramen

A

a. Carotid canal (True)
b. Foramen spinosum (True)
c. Hypoglossal (False)
d. Foramen ovale (True)
e. Jugular foramen (False)

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18
Q

TRUE OR FALSE SECTION

Foramen ovale transmits the following structures:

a. Mandibular nerve
b. Middle meningeal artery
c. Accessory meningeal artery
d. Occulomotor nerve
e. Sigmoid sinus

A

a. Mandibular nerve (True)
b. Middle meningeal artery (True)
c. Accessory meningeal artery (True)
d. Occulomotor nerve (False)
e. Sigmoid sinus (False)

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19
Q

TRUE OR FALSE SECTION

The orbital margin is formed by the following bones:

a. Maxilla
b. Lesser wing of sphenoid
c. Zygomatic
d. Ethmoid
e. Frontal

A

a. Maxilla (True)
b. Lesser wing of sphenoid (True)
c. Zygomatic (True)
d. Ethmoid (True)
e. Frontal (True)

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20
Q

TRUE OR FALSE SECTION

The following muscles are supplied by the third cranial nerve

a. Superior oblique
b. Lateral rectus
c. Medial rectus
d. Inferior rectus
e. Medial rectus

A

a. Superior oblique (False)
b. Lateral rectus (False)
c. Medial rectus (True)
d. Inferior rectus (True)
e. Medial rectus (True)

21
Q

TRUE OR FALSE SECTION

Cranial nerve that may be involved in cavernous sinus thrombosis are:

a. 3rd cranial nerve
b. 4th cranial nerve
c. Mandibular division of 5th cranial nerve
d. 6th cranial nerve
e. 7th cranial nerve

A

a. 3rd cranial nerve (True)
b. 4th cranial nerve (True)
c. Mandibular division of 5th cranial nerve (False)
d. 6th cranial nerve (True)
e. 7th cranial nerve (True)

22
Q

Which of the following is not an intracranial branch of facial nerve?

a. Chorda tympani
b. Great petrosal nerve
c. Posterior auricular nerve
d. Nerve to stapedius
e. All of the above

A

c. Posterior auricular nerve

23
Q

One of these is not a content of infratemporal fossa

a. Otic ganglion
b. Chorda tympani
c. Posterior superior alveolar nerve
d. Medial pterygoid muscle
e. Accessory meningeal artery

A

e. Accessory meningeal artery

24
Q

The muscle which protrudes the tongue and its tip towards the opposite side

a. Hypoglossus
b. Genioglossus
c. Palatoglossus
d. Styloglossus

A

b. Genioglossus

25
Q

Taste sensation from the anterior 2/3rd of the tongue travels through a branch of the

a. 7th cranial nerve
b. Glossopharyngeal nerve
c. 2nd division of CN V
d. CN II
e. Mental nerve

A

a. 7th cranial nerve

26
Q

If the facial nerve (VII) is injures just proximal to the origin of the chorda tympani nerve, the patient would experience which of the following symptoms?

a. Loss of taste sensation to the anterior 2/3rd of the tongue
b. Decreased saliva from the submandibular salivary gland
c. Loss of lacrimation (tearing) from the lacrimal gland
d. Both a and b
e. Both a, b and c

A

d. Both a and b

27
Q

Which of the following anatomic landmarks is the site of the anterior fontanelle in infants

a. Bregma
b. Lambda
c. Pterion
d. Inion
e. Sagittal suture

A

a. Bregma

28
Q

Which of the following is not a nerve supply of the scalp

a. 3rd occipital nerve
b. Greater auricular
c. Auriculotemporal nerve
d. Infra‐trochlear nerve
e. Greater occipital nerve

A

a. 3rd occipital nerve

29
Q

Which bone makes up part of the roof of the orbit?

a. Sphenoid
b. Maxilla
c. Lacrimal
d. Ethmoid
e. Temporal

A

a. Sphenoid

30
Q

The buccal branch of the facial nerve supply all of the following muscles of facial expression except

a. Buccinators
b. Nasalis
c. Depressor anguli oris
d. Levator labii superioris alaque nasi
e. Zygomaticus minor

A

e. Zygomaticus minor

31
Q

When a physician asks a patient to say “ah”, the movement of the soft palate indicates that which of the following cranial nerve is functioning

a. Trigeminal
b. Facial
c. Glossopharyngeal
d. Vagus
e. Hypoglossus

A

a. Trigeminal

32
Q

The oral region includes all the following except

a. Oral cavity
b. Teeth and gingivae
c. Lips and tongue
d. Palate and palatine tonsils
e. None of the above

A

e. None of the above

33
Q

With regards to the surface of the tongue

a. The top surface is the dorsum
b. Inferior surface is the underside
c. It is involved in articulation, swallowing, mastication, taste and oral cleansing
d. It is covered by mucous membrane

A

d. It is covered by mucous membrane

34
Q

The parotid gland overlaps masseter ________________

a. Posteriorly
b. Anteriorly
c. Superiorly
d. Inferiorly

A

b. Anteriorly

35
Q

The great auricular nerve supplies the ____________

a. Superficial layer
b. Deep cervical layer
c. Mandibular layer
d. Anterior medial layer

A

b. Deep cervical layer

36
Q

Which of the following does not form the anterior medial surface of the parotid gland

a. Posterior border of mandibular ramus
b. Medial pterygoid
c. Capsule of temporomandibular joint
d. Posterior belly of digastric muscle

A

d. Posterior belly of digastric muscle

37
Q

The following separates the carotid gland from Carotid sheath except

a. Stylophayrngeus
b. Myolohyoid
c. Styloglossus
d. Stylohyoid

A

b. Myolohyoid

38
Q

The retromandibular vein is formed by

a. External jugular vein and superficial temporal vein
b. Maxillary vein and superficial temporal vein
c. Facial vein and posterior auricular vein
d. Internal jugular vein and external jugular vein

A

b. Maxillary vein and superficial temporal vein

39
Q

The parotid duct opens on the

a. Anterior surface of the jaw
b. Epithelial lining of the the 2nd molar tooth
c. Mucous membrane of the cheek opposite the 2nd molar tooth
d. Mucous membrane

A

c. Mucous membrane of the cheek opposite the 2nd molar tooth

40
Q

________________ lies between the parotid duct and the zygomatic arch

a. Parotid duct
b. Parotid gland
c. Accessory parotid duct
d. Accessory parotid gland

A

c. Accessory parotid duct

41
Q

The Pre-auricular group of lymphnodes drain into the ______________

a. Lower group of cervical lymph nodes
b. Upper group of cervical lymph nodes
c. Lateral group of cervical lymph nodes
d. Anterior group of cervical lymph nodes

A

b. Upper group of cervical lymph nodes

42
Q

The parasympathetic (secretomotor) innervation of the parotid gland is from the

a. Superficial temporal nerve
b. Zygomaticotemporal nerve
c. Auriculotemporal nerve
d. Secretomotor nerve

A

c. Auriculotemporal nerve

43
Q

The deep lobe tumours of the parotid gland would appear as swellings in the

a. Lateral wall of the pharynx
b. Medial wall of the pharynx
c. Medial face
d. Lateral face

A

a. Lateral wall of the pharynx

44
Q

Which of the following is not a branch of the ophthalmic nerve

a. Nasociliary
b. Lacrimal
c. Frontal
d. Supratrochlear

A

d. Supratrochlear

45
Q

Medial and lateral rotation of the eye is done by the following nerves respectively

a. Inferior rectus and superior rectus
b. Lateral and medial rectus
c. Superior and inferior rectus
d. Superior and lateral rectus

A

c. Superior and inferior rectus

46
Q

Which of the following extra-occular muscles originate from the orbital plate of the maxilla

a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Lateral rectus

A

b. Inferior oblique

47
Q

Which of the following is not a structure in the cavernous sinus

a. CNIII
b. CNV1
c. CNV3
d. CNIV

A

c. CNV3

48
Q

Which of the following is not a posterior relation of the temporomandibular joint

a. The parotid gland separates the joint from the external auditory meatus
b. Superficial temporal vessels
c. Auriculotemporal nerve
d. Medial pterygoid

A

d. Medial pterygoid

49
Q

The buccal branch of the facial nerve supply all the following muscles of facial expression except

a. Buccinators
b. Nasalis
c. Depressor anguli oris
d. Levator labii superioris alaque nasi
e. Zygomaticus major

A

e. Zygomaticus major

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