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LECTURE EXAMINATIONS > HEAD, NECK, TMJ > Flashcards

HEAD, NECK, TMJ Flashcards

Ana, Kines,

1
Q

The hyoid bone is unique because it:
a. articulates with the mandible
b. has no direct boy articulation with other bones
c. is part of the TMJ
d. supports the base of the skull

A

b. has no direct boy articulation with other bones

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2
Q

Which muscle is responsible for depressing the mandible and opening the mouth?
a. temporalis
b. masseter
c. medial pterygoid
d. lateral pterygoid

A

d. lateral pterygoid

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3
Q

The jugular foramen is an important opening in the skull. Which cranial nerve passes through this foramen?
a. CN V, VI, and VII
b. CN VII, VIII, and IX
c. CN IX, X, and XI
d. CN XI, XII, and XIII

A

c. CN IX, X, and XI

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4
Q

Which of the following structures is found within the carotid triangle?
a. subclavian artery
b. internal jugular vein
c. vertebral artery
d. trapezius muscle

A

b. internal jugular vein

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5
Q

The submental triangle is bounded laterally by which muscle?
a. anterior belly of the digastric muscle
b. posterior belly of the digastric muscle
c. mylohyoid muscle
d. sternohyoid muscle

A

a. anterior belly of the digastric muscle

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6
Q

The submandibular triangle is bordered superiorly by the mandible and posteriorly by which muscle?
a. anterior belly of the digastric muscle
b. posterior belly of the digastric muscle
c. stylohyoid muscle
d. sternocleidomastoid muscle

A

b. posterior belly of the digastric muscle

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7
Q

Which muscle is responsible for moving the eye laterally?
a. lateral rectus
b. superior oblique
c. inferior rectus
d. superior rectus

A

a. lateral rectus

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8
Q

During the later phase of mouth opening, what type of movement occurs predominantly at the TMJ?
a. rotation
b. translation
c. retraction
d. compression

A

b. translation

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9
Q

Which muscle is involved in both the elevation and retration of the mandible?
a. medial pterygoid
b. lateral pterygoid
c. temporalis
d. digastric

A

c. temporalis

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10
Q

When the teeth of both the upper and lower portion of the mouth are tightly clenched, this is said to be the __ of the jaw.
a. open pack position
b. closed pack position
c. capsular pattern
d. dynamic stability

A

b. closed pack position

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11
Q

When the teeth of both the upper and lower portion of the mouth are tightly clenched, this is said to be the ___ of the jaw
a. open pack position
b. closed pack position
c. capsular pattern
d. dynamic stability

A

b. closed pack position

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12
Q

At the point where the two wuperior nuchal line of the right and left sides meet at the median line, there is a small eminence. This small eminence is termed as:
a. condyles of mandible
b. mastoid portion of temporal bone
c. external occipital protuberance
d. spinous process of C1

A

c. external occipital protuberance

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13
Q

Anterior boundary of digastric triangle?
a. anterior belly of the digastrics
b. posterior belly of the digastrics
c. inferior border of the mandible
d. none of the above

A

a. anterior belly of the digastrics

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14
Q

Capsular pattern of the TMJ?
a. mouth slightly open, lips together, teeth not in contact
b. teeth tightly clenched
c. limitation of mouth opening
d. mouth slightly closed

A

c. limitation of mouth opening

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15
Q

At which cervical joint does most of the rotation occur?
a. the atlanto-occipital joint
b. the atlantoaxial joint
c. both of these
d. none of these

A

b. the atlantoaxial joint

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16
Q

A patient complains of pain with mouth opening that makes if difficult for her to eat foods that require chewing. Examination revealed active mouth opening to be within normal limits of __ cm:
a. 35-55
b. 10-15
c. 18-25
d. 3-6
e. none of these

A

e. none of these

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17
Q

Refers to the bones of the head, face and mandible?
a. cranium
b. vault
c. skull
d. base

A

c. skull

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18
Q

Loose-packed position of TMJ?
a. mouth slightly open, lips not in contact, teeth together
b. limitation in mouth opening
c. mouth slightly open, lips together, teeth not in contact
d. mouth slightly open, lips sealed

A

c. mouth slightly open, lips together, teeth not in contact

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19
Q

A physical therapist instructs a patient to move her lower teeth forward in relation to the upper teeth. This motion is termed:
a. protrusion
b. retrusion
c. lateral deviation
d. occlusal position

A

a. protrusion

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20
Q

Layers of the S-C-A-L-P, except:
a. skin
b. none of these
c. loose areolar tissue
d. aponeurosis
e. perimysium

A

e. perimysium

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21
Q

A muscle responsible for eye closing, EXCEPT:
a. levator palpebrae
b. orbicularis oculi
c. Mueller’s muscle
d. A and B
e. A and C

A

e. A and C

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22
Q

The MOST appropriate therapeutic exercise to stretch the neck muscles for the patient with an acute right sided torticollis is:
a. right rotation and right lateral flexion
b. left rotation and right lateral flexion
c. left rotation and left lateral flexion
d. right rotation and left lateral flexion

A

d. right rotation and left lateral flexion

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23
Q

Squamosal suture:
a. between two parietal bones
b. between parietal and occipital bones
c. between parietal and frontal bones
d. between parietal and temporal bones

A

d. between parietal and temporal bones

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24
Q

The muscles of mastication are composed of the following, EXCEPT:
a. temporalis
b. digastrics
c. masseter
d. medial pterygoid

A

b. digastrics

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25
Q

A 64 year old woman is unable to open her mouth of jaw because of tetanus resulting from a penetrating wound from a rusty nail. Which of the following muscles would most likely be paralyzed?
a. masseter
b. medial pterygoid muscle
c. lateral pterygoid
d. buccinators

A

c. lateral pterygoid

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26
Q

This layer of scalp, specifically its fibrous septa unite the skin to the underlying sponeurosis of the occipitofrontalis muscle
a. aponeurosis
b. connective tissue
c. epicranium
d. loose areolar tissue

A

b. connective tissue

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27
Q

This ligament attaches the hyoid bone to the skull:
a. stylohyoid ligament
b. geniohyoid ligament
c. thyrohyoid ligament
d. sternohyoid ligament

A

a. stylohyoid ligament

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28
Q

This arthrokinematic motion occurs between the disc and the articular eminence and is performed by the upper joint:
a. translation
b. protrusion
c. rotation
d. retrusion

A

a. translation

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29
Q

You are about to measure the head circumference of a child with hydrocephalus. What will be your landmark to use to get the accurate measurement?
a. from the inion to the glabella
b. from the inion to the superior nuchal line
c. from the inion to the nasal bone
d. from the inion to the most anterior aspect of the frontal bone

A

a. from the inion to the glabella

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30
Q

You are assessing a patient who was diagnosed to have Bell’s palsy on the L. You should expect to have weakness on the following muscles, EXCEPT:
a. occipitofrontalis
b. levator palpebrae superioris
c. risorius
d. mentalis

A

b. levator palpebrae superioris

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31
Q

The anterior fontanelle closes at approximately __ years:
a. none of these
b. 12-18
c. 9-12
d. 3-6

A

a. none of these

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32
Q

After ingesting a toxic substance found in her friend’s home, a 12 year old girl is unable to close her lips. Which of the following muscles may be paralyzed?
a. levator labii superioris
b. zygomaticus minor
c. orbicularis oris
d. lateral pterygoid
e. depressor labii inferioris

A

c. orbicularis oris

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33
Q

The mandibular nerve leaves the cranium via the:
a. superior orbital fissure
b. inferior orbital fissure
c. foramen ovale
d. foramen rotundum
e. foramen spinosum

A

c. foramen ovale

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34
Q

The cricoid cartilage marks the level of:
a. C6
b. C4
c. C3
d. C%

A

a. C6

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35
Q

Which of the four primary muscle is innervated by the glossopharyngeal nerve:
a. palatohyoid
b. geniohyoid
c. none of these
d. stylohyoid
e. all of these

A

c. none of these

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36
Q

The following are muscles from the infrahyoid group, EXCEPT:
a. thyrohyoid
b. stylohyoid
c. sternohyoid
d. omohyoid

A

b. stylohyoid

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37
Q

You have seen a patient who is lying on the floor secondary to a cardiac arrest. At what triangle of the neck will you papitate in order for any sign of life?
a. posterior triangle at the occipital traingle
b. anterior triangle at the muscular triangle
c. anterior triangle at the carotid triangle
d. posterior triangle at the carotid triangle

A

c. anterior triangle at the carotid triangle

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38
Q

A patient who has TOS secondary to scalneus anticus syndrome on the R is for PT treatment. What is the direction of stretch to be promoted?
a. side flexion to the L and rotation to the L
b. side flexion to the L and rotation to the R
c. extension with side flexion to the L
d. extension with side flexion to the R

A

a. side flexion to the L and rotation to the L

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39
Q

Which CN pass through the external auditory meatus?
a. facial and abducens nerve
b. vestibulocochlear and glossopharyngeal
c. abducens and glossopharyngeal
d. facial and vestibulocochlear
e. none of these

A

e. none of these

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40
Q

The olfactory nerve exits at which of the following foramina:
a. cribriform plate of the ethmoid bone
b. cribriform palte of the sphenoid bone
c. superior orbital fissure of the ethmoid bone
d. superior orbital fissure of the sphenoid bone

A

a. cribriform plate of the ethmoid bone

41
Q

In assessing of a patient’s cardinal gaze, you ask your patient to look at his left shoulder, likewise you are assessing which pair of cranial nerves?
a. R oculomotor, L trochlear
b. L oculomotor, R trochlear
c. R oculomotor, L oculomotor
d. L trochelar, R abducens

A

b. L oculomotor, R trochlear

42
Q

All of the following statements describe the TMJ, except?
a. As the mouth is opened, the head of the mandible moves forward and the angle moves backwards.
b. The joint can be felt and its movement appreciated by inserting finger to the mouth.
c. As the mouth is closed, the head of the mandible moves bakcward and the angle moves forward.
d. The center of this movement is near the midpoint of the ramus and not at the joint..

A

b. The joint can be felt and its movement appreciated by inserting finger to the mouth.

43
Q

An oval hole in the back part of the floor of the middle cranial fossa and leading downwards to the masticatory region. It transmits the nerves of the muscles for mastication.
a. Foramen ovale
b. Foramen rotundum
c. Foramen magnum
d. Foramen lacrum

A

a. Foramen ovale

44
Q

This bone results from a broadening of the anterior part of the first pharyngeal arch that consists of 2 quadrangular plates, rami, continuous at their lower ends with U-shaped horizaontal portion body.
a. maxilla
b. mandible
c. zygomatic
d. mentalis

A

b. mandible

45
Q

A range of 10-15 mm is the normal value for what temporomandibular motion?
a. maxillary elevation
b. maxillary excursion
c, maxillary protrusion
d. maxillary retrusion
e. none of these

A

e. none of these

46
Q

This is a fan shaped extrinsic tongue muscle that forms the majority of the body of the tongue. It arises from the mental spine of the mandible and its insertions are the hyoid bone. This muscle protudes the tongue and deviate it towards the opposite side.
a. palatoglossus
b. genioglossus
c. styloglossus
d. hyoglossus

A

b. genioglossus

47
Q

This suture extends from the front of the head to the back down to the middle of the top of the head. It is where the 2 parietal bones meet.
a. sagittal
b. squamosal
c. metopic
d. A and C
e. lambdoidal

A

a. sagittal

48
Q

This part of the TMJ is formed by the articular eminence of the temporal bone and the superior surface of the disk. It is a gliding or amphiarthrodial type of joint
a. upper joint
b. lower joint
c. both
d. neither

A

a. upper joint

49
Q

This mandibular motion is obtained through bilateral action of the posterior fibers of the temporalis musle with assistance from the digastric and suprahyoid muscles.
a. protrusion
b. retrusion
c. elevation
d. depression

A

b. retrusion

50
Q

The odontoid process is a unique feature of which atypical cervical vertebra
a. C1
b. C2
c. C3
d. C4

A

b. C2

51
Q

Which of the following statements describe the temporomandibular joint?
I. As the mouth is opened, the head of the mandible moves forwards and the angle moves backwards.
II. The joint can be felt and its movement appreciated by the palpating finger.
III. As the mouth is closed, the head of the mandible moves forwards and the angle moves backwards.
IV. When the mouth is closed, the convex condyle rides forward on to the articular eminence.
V. The center of this movement is near the midpoint of the ramus and not at the joint.

a. II, III, and IV
b. I, II, and III
c. I, II, and V
d. II, III, and V

A

c. I, II, and V

52
Q

An oval hole in the back part of the floor of the middle cranial fossa and leading downwards to the masticatory region. It transmits the nerves of the muscles for mastication.
a. Foramen ovale
b. Foramen rotundum
c. Foramen magnum
d. Foramen lacrum

A

a. Foramen ovale

53
Q

True regarding the jugular foramen, except:
a. This foramen lies lateral to the foramen magnum and the foramen spinosum.
b. Cranial nerves that pass through this foramen are glossopharyngeal nerve, vagus nerve and the accessory nerve.
c. Approaching the foramen from the lateral side is a broad bony gutter in which lies the great vein that drains blood from the interior of the skull.
d. A and C
e. None of these

A

a. This foramen lies lateral to the foramen magnum and the foramen spinosum.

54
Q

This bone results from a broadening of the anterior part of the first pharyngeal arch that consists of 2 quadrangular plates, rami, continuous at their lower ends with U shaped horizontal portion body.
a. maxilla
b. mandible
c. zygomatic bone
d. mentalis

A

b. mandible

55
Q

Which is the correct arrangement of the layers of the scalp from deep to superficial?
a. skin, connective tissue, aponeurosis, loose connective tissue, periosteum
b. perimysium, loose areolar tissue, aponeurosis, connective tissue, skin
c. pericranium loose adipose tissue, aponeurosis, connective tissue, skin
d. periosteum, loose areolar tissue, aponeurosis, connective tissue, skin
e. none of these

A

d. periosteum, loose areolar tissue, aponeurosis, connective tissue, skin

56
Q

A range of 10-15mm is the normal value for what temporomandibular motion?
a. mandibular elevation
b. mandibular excursion
c. mandibular protrusion
d. mandibular retrusion

A

b. mandibular excursion

57
Q

This is a fan shaped extrinsic tongue muscle that forms the majority of the body of the tongue. It arises from the mental spine of the mandible and its insertions are the hyoid bone. This muscle protrudes the tongue and deviate it towards the opposite side.
a. Palatoglossus
b. Genioglossus
c. Styloglossus
d. Hyoglossus

A

b. Genioglossus

58
Q

This suture extends from the front of the head to the back, down to the middle of the top of the head. It is where the 2 parietal bones meet.
a. sagittal
b. squamosal
c. metopic
d. A and C
e. lambdoidal

A

a. sagittal

59
Q

This is the sphincter of the eye which by its contraction “screws up” the eye, draws the lids medially and gives the eye efficient protection.
a. orbicularis oris
b. orbicularis occuli
c. Meuller’s mm
d. inferior rectus

A

b. orbicularis occuli

60
Q

True regarding the masseter, except:
a. This muscle for mastication is being innervated by the trigeminal nerve.
b. It is a thick quadrangular muscle clothing the outer surface of the ramus of the maxilla.
c. Its fibers run downward and backward and becomes palpable with the finger when the teeth is clenched.
d. This is a powerful biting muscle and can protrude the jaw.

A

b. It is a thick quadrangular muscle clothing the outer surface of the ramus of the maxilla.

61
Q

All of the following extraocular muscles are being innervated by the optic nerve, except:
a. superior rectus
b. inferior rectus
c. medial rectus
d. all of these
e. none of these

A

d. all of these

62
Q

This part of the temporomandibular joint is formed by the articular eminence of the temporal bone and the superior surface of the disk. It is a gliding or amphiarthrodial type of joint.
a. upper joint
b. lower joint
c. both
d. neither

A

a. upper joint

63
Q

This mandibular motion is obtained through bilateral action of the posterior fibers of the temporalis muscle with assistance from the digastrics and suprahyoid muscles.
a. protrusion
b. retrusion
c. elevation
d. depression

A

b. retrusion

64
Q

This is a triangular soft membranous gap at the junction of the lambdoid and sagittal sutures. it can be used as an additional sonographic window for performing cranial ultrasound to improve visualization of dependently layering intraventricular hemorrhage.
a. anterior fontanelle
b. posterior fontanelle
c. bregma
d. lambda

A

b. posterior fontanelle

a: diamond

65
Q

This is a tough fibrous sheet of connective tissue that extends over the cranium and forms part of the third layer of the scalp?
a. glabella
b. occipitalis muscle
c. sagittal suture
d. galea aponeurotica/aponeurosis

A

d. galea aponeurotica/aponeurosis

66
Q

All of the following traingles can be found in the posterior triangle except:
a. omoclavicular triangle
b. supraclavicular triangle
c. occipital triangle
d. subclavian triangle
e. none of these

A

e. none of these

67
Q

The anterior and posterior borders of this triangle are the anterior and posterior bellies of the digastric muscle, respectively, and the base is the inferior border of the mandible.
a. submental
b. sublingual
c. digastric/submandibular
d. carotid
e. B and C

A

c. digastric/submandibular

68
Q

True about the submental triangle, except:
a. This is bounded by the anterior bellies of digastric muscle and body of the hyoid bone.
b. It contains submental lymph nodes that receive lymphatic drainage from the mental region.
c. The submental triangle can be distorted or absent.
d. A and C
e. none of these

A

e. none of these

69
Q

The Muller’s muscle is a structural muscle which function to maintain the elevation of the upper eyelid. It receives innervation from
a. sympathetic nervous system
b. parasympathetic nervous system
c. oculomotor nerve
d. trochlear nerve

A

a. sympathetic nervous system

70
Q

This structure serves as the inferior border of the submental triangle
a. anterior neck line
b. hyoid bone
c. inferior belly of digastric
d. sternocleidomastoid

A

b. hyoid bone

71
Q

Which among the following muscles is not innervated by the Ansa Cervicales?
a. sternohyoid
b. sternothyroid
c. stylohyoid
d. omohyoid

A

c. stylohyoid

72
Q

The playtysma is a broad sheet arising from the fascia covering the upper parts of the pectoralis major and deltoid. Which branch of facial never innervates this muscle?
a. temporal
b. orbital
c. maxillary
d. mandibular
e. cervical

A

e. cervical

73
Q

This layer serves as the nutrition of the scalp and separates it from the skull
a. connective tissue
b. aponeurosis
c. loose areolar tissue
d. peritoneum
e. none of these

A

e. none of these

74
Q

Close-packed position of the TMJ?
a. mouth slightly open, lips together, teeth not in contact
b. teeth tightly clenched
c. limitation of mouth opening
d. mouth slightly closed

A

b. teeth tightly clenched

75
Q

Capsular pattern of TMJ?
a. mouth slightly open, lips together, teeth not in contact
b. teeth tightly clenched
c. limitation of mouth opening
d. mouth slightly closed

A

c. limitation of mouth opening

76
Q

A patient complains of pain with mouth opening that makes it difficult for her to eat foods that require chewing. Examination revealed active mouth opening to be within normal limits of:
a. 35-55mm
b. 15-24mm
c. 50-64mm
d. 65-74mm

A

a. 35-55mm

77
Q

Loose-packed position o f TMJ?
a. mouth slightly open, lips together, teeth not in contact
b. teeth tightly clenched
c. limitation of mouth opening
d. mouth slightly closed

A

a. mouth slightly open, lips together, teeth not in contact

78
Q

A physical therapist instructs a patient to move her lower teeth forward in relation to the upper teeth. This motion is termed:
a. protrusion
b. retrusion
c. lateral deviation
d. occlusal position

A

a. protrusion

79
Q

Also known as the external occipital protuberance?
a. nasion
b. inion
c. glabella
d. fontanelles

A

b. inion

80
Q

A muscle responsible for about 80% of the eye opening?
a. levator palpebrae
b. Mueller’s muscle
c. orbicularis oculi
d. corrugator supercilli

A

a. levator palpebrae

b: 20%

81
Q

Lambdoidal suture:
a. between two parietal bones
b. between parietal and occipital bones
c. between parietal and frontal bones
d. between parietal and temporal bones

A

b. between parietal and occipital bones

82
Q

The muscles of mastication are composed of the following, EXCEPT:
a. temporalis
b. none of these
c. medial pterygoid
d. lateral pterygoid
e. masseter

A

b. none of these

83
Q

This ligament attaches the hyoid bone to the skull
a. stylohyoid ligament
b. thyrohyoid ligament
c. geniohyoid ligament
d. sternohyoid ligament

A

a. stylohyoid ligament

84
Q

This arthokinematic motion occurs between the disc and the articular eminence and is performed by the upper joint:
a. translation
b. rotation
c. protrusion
d. retrusion

A

a. translation

85
Q

This movement is being produced when there is bilateral action of the masseter, medial pterygoid, and the temporalis
a. protrusion
b. retrusion
c. elevation
d. depression

A

c. elevation

86
Q

You are assessing a patient who was diagnosed to have Bell’s Palsy on the L. You should expect to have weakness on the following muscles, EXCEPT:
a. occipitofrontalis
b. risorius
c. mentalis
d. sternocleidomastoid

A

d. sternocleidomastoid

87
Q

This fontanelle closes at approximately 18-24 months:
a. anterior fontanelle
b. posterior fontanelle
c. all of these
d. none of these

A

a. anterior fontanelle

88
Q

After ingesting a toxic substance found in her friend’s home, a 12 year old girl is unable to close her lips. Which of the following muscles may be paralyzed?
a. Levator labii superioris
b. Zygomaticus minor
c. Orbicularis oris
d. Lateral pterygoid
e. Depressor labii inferioris

A

c. Orbicularis oris

c: closing/kissing

89
Q

The mandibular nerve leaves the cranium via the
a. superior orbital fissure
b. inferior orbital fissure
c. foramen ovale
d. foramen rotundum
e. foramen spinosum

A

c. foramen ovale

90
Q

Which of the four primary muscle is innervated by the vestibocochlear nerve:
a. palatoglossus
b. genioglossus
c. none of these
d. styloglossus
e. all of these

A

c. none of these

CN9/10/12

91
Q

The emissary vein is considered to be the most dangerous vein in the body which can be a route of spread of infection to the brain. What layer is being described?
a. none of these
b. aponeurosis
c. periosteum
d. loose areolar tissue

A

d. loose areolar tissue

92
Q

The following are the structures that bound the carotid triangle, EXCEPT:
a. SCM (anterior border)
b. posterior belly of digastric
c. inferior omohyoid muscle
d. superior fibers of omohyoid

A

c. inferior omohyoid muscle

93
Q

Which cranial nerves pass through the internal acoustic meatus?
a. facial and abducens nerve
b. vestibocochlear and glossopharyngeal
c. abducens and glossopharyngeal
d. facial and vestibulocochlear
e. none of these

A

d. facial and vestibulocochlear

94
Q

Which is the muscle for distaste or disgust?
a. corrugator supercilli
b. procerus
c. levator anguli oris
d. buccinator

A

d. buccinator

95
Q

True about the TMJ except:
a. It is a diarthrodial joint due to the presence of synovial cavity.
b. The mandible is considered the lower jaw.
c. The gliding part in mandibular depression comes after rotation.
d. Its 2 joints namely the superior and inferior joint are being separated by the intercalated discs.
e. none of these

A

d. Its 2 joints namely the superior and inferior joint are being separated by the intercalated discs.

96
Q

Occipital triangle and supraclavicular triangle are located at the posterior triangle. They are separated by the SCM.
a. only the first statement is true
b. only the 2nd statement is true
c. both of the statements are correct
d. both are incorrect

A

a. only the first statement is true

97
Q

The following are actions created by the buccinator, except:
a. blowing
b. whistling
c. sucking
d. all of these
e. none of these

A

e. none of these

(all are created by the buccinator)

98
Q

Thinnest portion of the lateral skull:
a. asterion
b. inion
c. nasion
d. pterion

A

d. pterion

99
Q

Which cranial bones has no pair?
a. none of these
b. vomer and palatine
c. palatine and ethmoid
d. maxilla and vomer
e. mandible and vomer

A

a. none of these

(frontal, occipital, ethmoid, sphenoid)

LECTURE EXAMINATIONS (17 decks)

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