Sarap Exam 1 Flashcards

1
Q
What is found in the Tympanic membrane?
A. Ectoderm
B. Endoderm
C.Mesoderm
D. All
A

D. All

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2
Q
Which of the following structures will develop first?
A. Inner ear
B. Ossicles
C. Middle ear and Eustachian tube
D. Ear canal
A

B. Ossicles

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3
Q
What opens the Eustachian tube?
A. tensor tympani
B. levator palatine
C.pharyngoglossus
D. tensor veli palatine
A

D. tensor veli palatine

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4
Q

What causes horizontal wrinkles above the root of the nose?
A. Procerus
B. corrugator supercilli: produces vertical wrinkles, draws eyebrow medially and inferiorly
C. occipitofrontalis: elevates the eyebrow; contracts and retracts the scalp
D. orbicularis oculi: closes eyelids; aids passage and drainage of tears; palpebral part closes eyelids lightly as in sleeping

A

A. Procerus

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5
Q
Related to scalavestibuli:
A. helicotrema
B. round window
C. oval window
D. cochlear duct
A

C. oval window

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6
Q

How to properly view the ear canal?

A

Pull upward and posteriorly (since it is situated laterally, antero-inferiorly)

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7
Q

When the right ear is exposed to prolonged loud noise, it will result to:
A. stiffening of the right ossicular chain and tympanic membrane
B. stiffening of the left ossicular chain and tympanic membrane
C. stiffening of the both the right and left ossicular chain and tympanic membrane
D. stiffening of the ossicular chain and tympanic membrane is pathologic response
E. hearing is loss

A

A. stiffening of the right ossicular chain and tympanic membrane

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8
Q
Which organ system is not used for balance?
A. Visual
B. Dorsal column
C. Cerebellum
D. Vestibular
E. None of the above
A

E. None of the above

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9
Q

If you put your tuning fork above your upper lip, the resulting sound sensation is detected via
A. vibration of tympanic membrane and ossicles(vibrations bypass external ear)
B. vibration of cerebrospinal fluid
C. vibration of the external auditory canal
D. all of the above

A

A. vibration of tympanic membrane and ossicles(vibrations bypass external ear)

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10
Q
When does the sense of hearing start?
A. fetal stage
B. 1 month old
C. 1 year old
D. 2 years old
A

A. fetal stage

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11
Q
What innervates the stapedius muscle?
A. CNIII
B.CNV
C.CNVII
D.CNVIII
A

C.CNVII

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12
Q
Connection of scala tympani and scalavestibuli
A. ductusreunien
B. Helicotrema (the apex)
C. Cochlear duct
D. Cochlear aqueduct
E. Vestibular duct
A

B. Helicotrema (the apex)

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13
Q

Which of the following does not belong to the group?
A. Zygomaticus Major
B. LLSAN(muscle around nose; all the rest muscle around mouth)
C. Zygomaticus Minor
D. LevatorAnguliOris

A

B. LLSAN(muscle around nose; all the rest muscle around mouth)

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14
Q

Which does not describe the Buccinator?
A. originates from the pterygomandibular raphe
B. medial to the cheek skin
C. inserts into the orbicularis oris
D. So sorry, I forgot but this letter was my answer D

A

So sorry, I forgot but this letter was my answer D

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15
Q
Innervation of the inferior ear and angle of the mandible 
A. greater auricular
B. auricotemporal nerve
C. mental nerve
D. inferior alveolar nerve
A

A. greater auricular

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16
Q
. Not true of V1
A. The frontal nerve is the largest T
B. The lacrimal is the smallest T
C. The external nasal innervates the lateral nose: FALSE
D. Supraorbital comes from frontal T
A

C. The external nasal innervates the lateral nose: FALSE

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17
Q

Which of the following is true about the facial nerve?
A. The cervical and marginal mandibular branch are typically one (this was the answer in the answer key)
B. Approach muscles superficially (runs deep)
C. Danger zone is just above the zygomaticus (above brow)
D. The branches do not anastomose (they do!)

A

A. The cervical and marginal mandibular branch are typically

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18
Q
Which vein drains to both sinus cavernous and pterygoid plexus?
A. superior ophthalmic
B. deep facial
C. inferior ophthalmic
D. common facial
A

C. inferior ophthalmic

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19
Q

Which is NOT TRUE regarding the anastomosis among the arteries of the face?
A. external and internal carotid artery via the ophthalmic artery
B. the right and left labial arteries
C. the superficial temporal artery and its opposite (False; anastomose with ICA and supraorbital a.)
D. the facial and internal maxillary artery via the buccal artery

A

C. the superficial temporal artery and its opposite (False; anastomose with ICA and supraorbital a.)

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20
Q

Which is correct regarding V3?
A. The inferior alveolar nerve is usually severed when you remove the mandible.
B. It exits the skull via foramen spinosum(foramen ovale)
C. The posterior branches are big and sensory (not all -mylohyoid n.)
D. The anterior branches are small and motor (not all -buccal n.)

A

A. The inferior alveolar nerve is usually severed when you remove the mandible.
The posterior trunk branches are: auriculotemporal, lingual, and the inferior alveolar
The anterior trunk branches are: buccal, masseteric, deep temporal nerves, and the nerve to the lateral pterygoid.

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21
Q

Not true of the stylomandibular tunnel
A. contains 20% of the parotid gland
B. Bounded anteriorly by the posterior border of the ramus
C. Bounded posteriorly by the stylomandibular ligament - (Posteriorly by SCM and posterior digastric; medially by stylomandibular ligament)
D. Contains the deep lobe of the parotid gland

A

C. Bounded posteriorly by the stylomandibular ligament - (Posteriorly by SCM and posterior digastric; medially by stylomandibular ligament)

22
Q
The parotid gland is encapsulated by
A. Superficial cervical fascia
B. Middle cervical fascia
C. Superficial layer of the deep cervical fascia (or investing layer)
D. Deep cervical fascia
A

C. Superficial layer of the deep cervical fascia (or investing layer)

23
Q

The retromandibular vein is formed by the union of
A. Posterior auricular & posterior facial veins
B. Superficial temporal & maxillary veins
C. Anterior and posterior facial
D. Common facial and maxillary

A

B. Superficial temporal & maxillary veins

24
Q
Which part of the Internal Maxillary Artery has Middle Meningeal Artery?
A. First
B. Second
C. Third
D. Fourth
A

A. First

25
Q

This muscle elevates the mandible and protracts it to a limited extent
A. Temporalis (elevate and retract)
B. Masseter (counterpart of MP but has LIMITED protraction)
C. Medial Pterygoid (elevate and protract)
D. Lateral Pterygoid (depress and swing)

A

B. Masseter (counterpart of MP but has LIMITED protraction)

26
Q
. Which does not belong to the group(recall: sinuses)?
A. frontal
B. sphenoidal
C. ethmoidal
D. temporal (maxillary dapat)
A

D. temporal (maxillary dapat)

27
Q

What is the Frankfurter line?

A

an imaginary line from the lower margins of the orbit and the upper margins of the EAM

28
Q

. These structures can be seen when doing an anterior rhinoscopy, except:
A. Inferior turbinate B. Superior turbinate(posterior rhinoscopy)
C.Pharynx D. Nasal septum

A

B. Superior turbinate(posterior rhinoscopy)

29
Q
The junction between the lower border of the nasal bones and the upper border of the upper lateral cartilage
A. Nasion
B. Rhinion
C. Inion
D. Nasal dome
A

B. Rhinion

30
Q
Not included in the pterion
A. Lesser wing of the sphenoid
B. Squamous part of temporal bone
C. Frontal
D. Parietal
A

A. Lesser wing of the sphenoid

31
Q
Ring-like structure of the temporal bone that surrounds the External Acoustic Meatus
A. Squama
B. Tympanic Plate
C. Petrous
D. Fallopian canal
A

B. Tympanic Plate

32
Q

Pharyngeal tubercle
A. Clivus
B. Basiocciput
C. Petrous part of the temporal bone

A

B. Basiocciput

33
Q

. Which is not true of the foramen lacerum
A. Artifact of dry boneT
B. Covered by cartilaginous plateT
C. Sympathetic nerve along with jugular vein passes through it
D. Apex of the petrous part of the skullT

A

C. Sympathetic nerve along with jugular vein passes through it (False; deep petrosal nerve, ICA)

34
Q

Hamulus?

A

Medial pterygoid plate

35
Q
What is the opening between the greater and lesser sphenoid wings?
	A. Foramen Ovale
	B. Foramen rotundum
	C. Superior Orbital Fissure
	D. Inferior Orbital Fissure
A

B. Foramen rotundum

36
Q

The mandibular fossa is located in

A

Temporal Bone

37
Q
What has hyperesthesia if the superior orbital fissure is affected?
A. Forehead
B. Cheeks
C. Temples
D. Chin
A

A. Forehead

Superior orbital fissure: Cranial nerves III, IV, VI and V1

38
Q

RUE of nasal valves
A. External valve is the narrowest part of the nose(False; internal valve narrowest)
B. Internal valve is bounded by the lower border of the upper lateral cartilage and nasal septum
C. Middle turbinate is found in the internal nasal valve (False)
D. Pulling the cheek laterally to open up the nasal valves is Hatzel’s sign (Cottles’s sign)

A

B. Internal valve is bounded by the lower border of the upper lateral cartilage and nasal septum

39
Q

Features of an aesthetically pleasing nose
A. Columellar show is visible on lateral view of the face
B. Columella-labial angle is more than 105 degrees (Female: 95-105; Male: 90-95)
C. Alar edges are wider than the vertical line limit of medial canthi (alar edges must not be flattened and should not extend beyond the midline canthus)
D. Greater than one third of the face (recall: one-third rule)

A

A. Columellar show is visible on lateral view of the face

40
Q
Which provide stability to the nasal bones
A. arch structure
B. nasal spine of frontal bone
C. internasal suture
D. AOTA
A

D. AOTA

41
Q
Erectile tissues are present in the following areas, EXCEPT
A. Inferior Turbinate
B. Middle Turbinate
C. Superior Turbinate
D. Adjacent Septum
A

C. Superior Turbinate

42
Q

Which is TRUE for the turbinates?
A. The middle and superior turbinates are almost symmetrical and have same length
B. The inferior turbinate is an independent bone
C. The fontanelles serve as ostia of the maxillary sinus
D. Erector tissues are found in all turbinates

A

B. The inferior turbinate is an independent bone

43
Q
Landmark structure in coronal CT that will indicate the anterior third of the nose
A. Middle turbinate
B. Planumsphenoidale
C. Crista galli
D. Ethmoid
A

C. Crista galli

44
Q

Which is true of the infundibulum?
A. 2D space behind uncinate process (3D space and infundibulum)
B. Receives ostia of ethmoidal, frontal, maxillary sinuses
C. largest of anteriorethmoidal cells (ethmoid bulla)
D. Hour glass structure of frontal sinus (diamond)

A

B. Receives ostia of ethmoidal, frontal, maxillary sinuses

45
Q
. Roof of the ethmoid is bounded by
	A cribriform plate
	B lateral lamina
	C fovea ethmoidalis
	D. crista galli
A

C fovea ethmoidalis

46
Q
When you pull the ala of the nose laterally and this results in better breathing, this is a sign of?
A.  Hatzel
B. Hasner
C. Tonybee
D.  Cottle
A

D. Cottle

47
Q
Molecular characteristic of odorants
	A. Low vapor pressure
	B. Lipophilicity
	C. Low water solubility
	D. High polarity
A

B. Lipophilicity

48
Q

How many days does it take for the olfactory epithelium to renew itself?

A

40 days

49
Q

Which produce the mucous membrane of the nasal cavity?

A

Bowman’s glands

50
Q

What demonstrates proper anterior rhinoscopy using a nasal speculum?
A. Placing the head mirror over the examiner’s dominant eye.
B. Place the examiner’s ring finger on the patient’s nose to stabilize the speculum.
C. Close the nasal speculum fully before taking it out of the patient’s nose.
D. The light can be placed lower than the patient’s head.

A

A. Placing the head mirror over the examiner’s dominant eye.

51
Q

Which of the following is NOT TRUE?

A. Posterior bleeding is due to the Little’s area
B. Anterior bleeding can easily be controlled by pinching the nose
C.Mucosal blanket is swept posteriorly to the pharynx
D.Posterior choanae are bigger than the nare

A

A. Posterior bleeding is due to the Little’s area

52
Q
  1. Which is not found in the parotid sheath?
    A. Lymph node
    B. Retromandibular Vein
    C. Posterior F…. Vein
A

C. Posterior F…. Vein
The lateral surface is superficial and contains lymph nodes.
The apex – overlaps posterior belly of digastric and part of carotid triangle. Structures through the apex:cervical branch of facial nerve and anterior division of retromandibular vein.