Practice exam head & neck I. Multiple Choice



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PRACTICE EXAM - 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ The mucosa overlying the Piriform recesses is innervated by cranial nerve

A. VII


B. IX

C. X


D. V3

E. V2


32. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ 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. ______ Anterior Tympanic artery A. Mastoid foramen

97. ______ Facial nerve foramen

98. ______ Maxillary artery (third part)

99. ______ Glossopharyngeal nerve

100. ______ Chorda tympani

101. ______ 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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