Practice exam answers head & neck I. Multiple Choice



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PRACTICE EXAM ANSWERS - HEAD & NECK


I. Multiple Choice - Select the One best answer to complete the statement or answer the question. Fill in the blank space on the computer answer sheet that corresponds to the letter of your choice. Only one answer is acceptable.

1. __A___ The Anterior Fontanelle is located at

A. the midpoint of the coronal suture

B. the midpoint of the lambdoidal suture

C. the midpoint of the sagittal suture

D. between the parietal and occipital bones

E. between the parietal and temporal bones

2. __B___ Which of the following structures are derived from the second branchial arch?

A. Sphenomandibular ligament

B. Stylohyoid ligament

C. Malleus

D. Incus

E. Anterior ligament of the malleus

3. __B___ Which of the following muscles of the tongue make the tongue narrower?

A. Longitudinal muscles

B. Transverse muscles

C. Vertical muscles

D. Hyoglossus muscle

E. Genioglossus muscle

4. __D___ Which of the following nerves arise (at least in part) from vertebral level C2?

A. Lesser occipital nerve

B. Great Auricular nerve

C. Supraclavicular nerves

D. A and B

E. All of the above

5. __E___ Which of the following arteries arise from the first part of the Subclavian artery (as it courses medial to the Scalenus Anterior muscle)?

A. Vertebral artery

B. Internal Thoracic artery

C. Thyrocervical trunk

D. A and B

E. All of the above

6. __E___ Which of the following statements is (are) true of the calvarium?

A. The inner side of the calvarium is supplied by the meningeal arteries.

B. The pterion is the junction of the sphenoid, temporal, parietal and frontal bones.

C. The scalp overlying the posterior calvarium is innervated by the Greater Occipital nerve, which is derived from the dorsal ramus of C2.

D. A and B

E. All of the above.

7. __A___ Which of the following structures divides the Posterior triangle of the neck into 'careful' and 'carefree' zones?

A. Accessory nerve

B. Supraclavicular nerve

C. Superficial cervical artery

D. Subclavian artery

E. Lesser Occipital nerve

8. __D___ The three muscles originating from the styloid process are innervated by cranial nerves

A. V3, VII and X

B. VII, IX and X

C. VII, X and XII

D. VII, IX and XII

E. V3, IX and XII

9. __A___ The Alar ligaments extend from the

A. Dens to the occipital bone

B. Body of the axis to the occipital bone

C. Atlas to the occipital bone

D. Axis to the atlas

E. C3 to the Atlas

10. __E___ Which of the following muscles is formed from the fourth (and sixth) branchial arch?

A. Palatopharyngeus

B. Middle pharyngeal constrictor

C. Cricothyroid

D. A and C

E. All of the above

11. __A___ Which of the following bones does NOT form a part of the roof of the nasal cavity.

A. Maxillary

B. Ethmoid

C. Sphenoid

D. Nasal

E. Frontal

12. __B___ The Posterior division of the retromandibular vein unites with what vein to form the External Jugular vein?

A. Occipital vein

B. Posterior auricular vein

C. Maxillary vein

D. Superficial temporal vein

E. Facial vein

13. __E___ The glossopharyngeal nerve passes

A. lateral to the stylopharyngeus

B. lateral to the palatine tonsil

C. between the Superior and Middle constrictor muscles

D. A and C

E. All of the above

14. __C___ The Lateral Pterygoid muscle acts to

A. Elevate and protrude the mandible

B. Depress and retrude the mandible

C. Depress and protrude the mandible

D. Elevate and retrude the mandible

E. only Elevate the mandible

15. __E___ Which of the following structures is found in the Posterior triangle of the neck?

A. Roots and Trunks of the Brachial plexus

B. Phrenic nerve

C. Occipital artery

D. A and B

E. All of the above

16. __D___ The Maxillary sinus opens into the

A. Sphenoethmoidal recess

B. Superior meatus

C. Superior concha

D. Hiatus semilunaris of the middle meatus

E. Inferior meatus

17. __A___ The Salpingopharyngeus muscle develops from the

A. Fourth (and Sixth) branchial arch

B. Second branchial arch

C. Third branchial arch

D. First branchial arch

E. Occipital myotomes

18. __C___ Posterior cleft palate results from failure of fusion of the

A. Median palatine processes of the left and right sides.

B. Maxillary and Median palatine processes

C. Maxillary processes of the left and right sides

D. A and B

E. A and C

19. __B___ The Posterior Ethmoidal air sinus opens into the

A. Sphenoethmoidal recess

B. Superior meatus

C. Ethmoidal bulla of the Middle Meatus

D. Hiatus semilunaris of the Middle Meatus

E. Inferior meatus

20. __D___ Which of the following structures develop(s) from the third branchial pouch?

A. Inferior parathyroid gland

B. Superior parathyroid gland

C. Thymus

D. A and C

E. B and C

21. __T___ The nasal cavity

A. receives sensory innervation from branches derived from both the ophthalmic (V1) and maxillary (V2) divisions of the Trigeminal nerve.

B. has venous drainage to both the pterygoid venous plexus and the ophthalmic veins.

C. has lymphatics that drain to the retropharyngeal nodes.

D. A and B

E. All of the above

22. __B___ Innervation of the mucosa of the larynx superior to the

true vocal folds is

A. GVA and provided by the Recurrent Laryngeal nerve

B. GVA and provided by the Internal Laryngeal nerve

C. GSA and provided by the Recurrent Laryngeal nerve

D. GSA and provided by the Internal Laryngeal nerve

E. GVA and provided by the External Laryngeal nerve

23. __D___ The sublingual salivary glands

A. are located in the floor of the mouth between the mandible and genioglossus muscle.

B. found on either side of the lingual frenulum

C. have ducts which open into the Sublingual papilla

D. A and B

E. All of the above

24. __E___ Which of the following muscles is NOT innervated by the Facial nerve?

A. Zygomaticus major

B. Buccinator

C. Platysma

D. Orbicularis oculi

E. None of the above

25. __B___ The Arch of the aorta is formed from

A. artery of the third branchial arch on the left

B. artery of the fourth branchial arch on the left

C. artery of the fourth branchial arch on the right

D. artery of the sixth branchial arch

E. artery of the second branchial arch

26. __D___ The lymph vessels from the anterior two thirds of the tongue (not the tip) drain to the

A. Submental Nodes

B. Submandibular Nodes

C. Deep cervical nodes

D. B and C

E. A and B

27. __E___ Which of the following nerves is (are) normally branches of the Facial nerve?

A. Lesser petrosal nerve

B. Greater petrosal nerve

C. Nerve to Carotid body

D. Posterior Auricular nerve

E. B and D

28. __E___ Cutting which of the following cranial nerves INSIDE the cranial would COMPLETELY denervate the skin of the external auditory meatus?

A. V


B. V11

C. IX


D. X

E. All of the above

29. __A___ The Quadrangular membrane links the

A. Epiglottis and arytenoid cartilages

B. Cricoid and arytenoid cartilages

C. Thyroid and arytenoid cartilages

D. Epiglottis and thyroid cartilages

E. Thyroid and cricoid cartilages

30. __B___ A branchial cyst fistula is usually

A. An extension of the third branchial membrane

B. found passing between the Internal and External Carotid arteries

C. found exiting in the Posterior triangle of the neck

D. B and C

E. All of the above

31. __C___ The mucosa overlying the Piriform recesses is innervated by cranial nerve

A. VII


B. IX

C. X


D. V3

E. V2


32. __D___ The falx cerebri

A. is attached anteriorly to the ethmoid bone

B. is attached posteriorly to the tentorium cerebelli

C. contains the Transverse sinus

D. A and B

E. All of the above

33. __E___ Which of the following structures pass(es) in the gap between the Middle and Inferior constrictor muscles?

A. Glossopharyngeal nerve

B. Internal Laryngeal nerve

C. External Laryngeal nerve

D. Superior Laryngeal artery

E. B and D

34. __C___ The blood supply to the Submandibular salivary gland is normally derived from the

A. Lingual artery

B. Sublingual artery

C. Facial artery

D. Inferior alveolar artery

E. None of the above

35. __A___ Which of the following muscles act(s) to open the rima glottidis

A. Posterior cricoarytenoid

B. Lateral cricoarytenoid

C. Arytenoideus

D. Cricothyroid

E. B and C

36. __D___ Which of the following arteries are normally direct branches of the Internal Carotid artery?

A. Middle Cerebral artery

B. Posterior Cerebral artery

C. Anterior Cerebral artery

D. A and C

E. All of the above

37. __A___ The temporo-mandibular (lateral) ligament of the temporomandibular joint prevents movement of the mandible

A. posteriorly and inferiorly

B. posteriorly and superiorly

C. anteriorly and inferiorly

D. anteriorly and superiorly

E. laterally

38. __B___ Which of the following muscles inserts upon the neck of the mandible?

A. Temporalis

B. Lateral Pterygoid

C. Medial Pterygoid

D. Masseter

E. Buccinator

39. __D___ A subarachnoid hematoma

A. usually results from bleeding of a Cerebral artery

B. can be detected by the presence of blood in the Cerebrospinal fluid

C. usually results from bleeding of a venous sinus

D. A and B

E. C and B

40. __B___ Which of the following structures are not derived from the third branchial arch?

A. Stylopharyngeus muscle

B. Lesser horns (cornu) of the hyoid bone

C. Common Carotid artery

D. Lower half of the body of the hyoid bone

E. Proximal part of the Internal Carotid artery

41. __C___ When someone is scalped by a tribe of cannibals the usual plane of separation occurs between the

A. skin and the underlying connective tissue layer

B. the connective tissue layer and the epicranial aponeurosis

C. the epicranial aponeurosis and the loose areolar tissue

D. the loose areolar tissue and the pericranium

E. None of the above

42. __B___ Which of the following cranial nerves is derived from the embryonic diencephalon?

A. I


B. II

C. III


D. IV

E. C and D

43. __A___ Which of the following arises from the second part of the Maxillary artery (as it passes superficial to or within the Lateral pterygoid muscle)?

A. Buccal artery

B. Middle meningeal artery

C. Inferior alveolar artery

D. Descending Palatine artery

E. Deep Auricular artery

44. __C___ Which of the following extraocular muscles ADducts the eye?

A. Superior oblique, medial rectus and inferior rectus

B. Inferior oblique, lateral rectus and superior rectus

C. Superior rectus, medial rectus and inferior rectus

D. Superior rectus, inferior oblique and inferior rectus

E. Inferior oblique, lateral rectus and superior oblique

45. __D___ The Levator Palpebrae Superioris muscle is innervated by

A. cranial nerve III

B. parasympathetics from III

C. sympathetics

D. A and C

E. A and B

46. __C___ Arachnoid villi normally contain

A. branches of cerebral arteries

B. branches of cerebral veins

C. cerebrospinal fluid

D. meningeal veins

E. A and B

47. __D___ Which of the following structures pass(es) through the incisive foramen?

A. Sphenopalatine artery

B. Nasopalatine nerve

C. Descending palatine artery

D. A and B

E. All of the above

48. __D___ The chorda tympani

A. crosses the handle of the malleus in the tympanic cavity.

B. contains SVA taste fibers to the anterior 2/3 of the tongue.

C. provides touch and pressure sensation to the anterior 2/3 of the tongue.

D. A and B

E. All of the above

49. __E___ The nasolacrimal duct

A. forms embryologically first as a solid cord.

B. drains to the inferior meatus of the nasal cavity

C. drains from the lacrimal sac, which receives tears via the lacrimal puncta

D. B and C

E. All of the above

50. __B___ Which of the following extraocular muscles act to rotate the eye laterally?

A. Inferior oblique and Superior rectus

B. Inferior oblique and Inferior rectus

C. Superior oblique and Superior rectus

D. Superior oblique and Inferior rectus

E. Inferior oblique and Superior oblique

51. __E___ Which of the following result(s) from paralysis of the oculomotor nerve?

A. Lateral strabismus

B. Dilation of the pupil

C. Diplopia

D. B and C

E. All of the above

52. _____ Which of the following muscles is NOT innervated by the Trigeminal nerve?

A. Stapedius

B. Masseter

C. Tensor tympani

D. Lateral pterygoid

E. None of the above

53. __E___ Which of the following arteries gives off branches (directly or indirectly) which supply the pharynx?

A. Facial

B. Maxillary

C. Ascending Pharyngeal

D. B and C

E. All of the above

54. __A___ Cleft lip results from failure of fusion of the

A. Maxillary process (prominence) with the Medial nasal process

B. Maxillary processes of both sides.

C. Maxillary process with the Frontonasal process.

D. Frontonasal process with the Medial nasal process.

E. Medial nasal processes of both sides.

55. __C___ Which of the following is NOT normally a branch of the facial artery?

A. Superior labial artery

B. Inferior labial artery

C. Transverse Facial artery

D. Angular artery

E. Submental artery

56. __A___ The levator veli palatini (veli palati) muscle

A. takes origin from the auditory tube and temporal bone.

B. has a tendon which passes inferiorly and wraps around the hamulus of the medial pterygoid plate.

C. is composed of smooth muscle

D. A and C

E. All of the above

57. __E___ The parotid duct

A. passes superficial to the masseter muscle

B. enters the oral cavity opposite the maxillary second molar tooth.

C. makes a 90 degree turn when entering the buccinator that acts as a passive valve.

D. A and C

E. All of the above

58. __D___ Which of the following structures passes in the gap between the Superior Constrictor muscle of the pharynx and the base of the skull.

A. tensor veli palatini (tensor palati)

B. levator veli palatini (levator palati)

C. Auditory tube

D. B and C

E. A and C



III. Matching Questions (one point each)


Match the structure with the foramen through which it passes:

96. __E___ Anterior Tympanic artery A. Mastoid foramen

97. __B___ Facial nerve foramen

98. __D___ Maxillary artery (third part)

99. __C___ Glossopharyngeal nerve

100. __E___ Chorda tympani

101. __A___ Emissary vein


B. Stylomastoid

C. Jugular foramen

D. Pterygomaxillary fissure

E. Petrotympanic fissure





Match the nerve with the functional components it contains:

102. ______Ophthalmic division of

103. ______Oculomotor nerve

104. ______Greater Petrosal nerve

105. ______Accessory nerve

106. ______Nervus spinosus

107. ______Cervical branch of the Facial nerve


A. GSA the Trigeminal nerve (V11)

B. SVE


C. GVA

D. GVE


E. None of the above



Match the structure with the foramen through which it passes:

108. ______Accessory meningeal artery A. Foramen rotundum

109. ______Maxillary division of fissure the Trigeminal nerve (V2)

110. ______Ophthalmic veins

111. ______Infraorbital nerve

112. ______Middle meningeal artery

113. ______Zygomatic nerve

114. ______Trochlear nerve



B. Superior orbital

C. Inferior orbital fissure

D. Foramen ovale

E. Foramen spinosum





Match the foramen with the area it connects:

115. ______Inferior Orbital fissure

116. ______Anterior Ethmoidal foramen

117. ______Lesser palatine foramen

118.Sphenopalatine foramen

119. ______Internal auditory meatus

120. ______Infraorbital foramen


A. Posterior cranial fossa

B. Infratemporal fossa

C. Nasal cavity

D. Oral cavity

E. None of the above




IV. True or False: Mark A if the statement is true and B if it is false (one point each)

121. ______The nasolacrimal duct is located in the maxillary and lacrimal bones and the inferior nasal concha.

122. ______The floor of digastric triangle is formed by the mylohyoid and hyoglossus muscles.

123. ______The lacrimal gland has numerous ducts which open through the conjunctiva.



124. ______The abducens nerve innervates a muscle that is derived from the occipital myotomes.

125. ______Bleeding from an epidural hematoma is often slow and epidural hematomas often remain undetected.


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