Block 3 Material

The vertebral artery normally
A. Traverses the transverse foramina of all 7 cervical vertebrae
B. is a branch of the thyrocervical trunk
C. is the first branch of the subclavian artery
D. has a branch which supplies the thyroid gland
E. Passes from the transverse foramen of the 2nd cervical vertebrae into the foramen magnum of the skull

All of the following structures are closely related to or pass through the parotid gland, except the
A. superficial temporal artery
B. the maxillary artery
C. Nerve supply to the orbicularis oculi muscle
D. nerve supply to the orbicularis oris muscle
E. the hypoglossal nerve

The mental nerve is a terminal branch of which nerve?

Nodding (flexion and extension) of the head occurs mainly at the

Which nerve is the principal source of parasympathetic fibers that synapse if the otic ganglion and supply the parotid gland?

The superior thyroid artery
A. Is a branch of the thyrocervical trunk
B. accompanies the inferior (recurrent) laryngeal nerves
C. is closely related to the external branch of the superiorlaryngeal nerve
D. passes anterior to the 5th, 6th and 7th tracheal rings
E. pierces the thyrohyoid membrane

During tracheotomy at the level just below the isthmus of the thyroid gland, the following is encountered and in danger of being severed:
A. inferior thyroid arteries
B. recurrent laryngeal nerves
C. middle thyroid veins
D. inferior thyroid veins
E. vertebral arteries

The chorda tympani is a branch of the

Because of their anatomical relations, all of the following structuresare endangered during thyroidectomy (removal of thyroid gland), except the
A. recurrent laryngeal nerve
B. superior parathyroid glands
C. inferior parathyroid glands
D. accessory nerve
E. external branch of the superior laryngeal nerve

The foramen rotundum, furamen ovale, and foramen spinosum are situated jn the same bone. Which bone?

Identify the incorrectly matched pair.
A. palatine tonsils -oropharynx
B. piriform recess -laryngopharynx
C. pharyngeal tonsils -nasopharynx
D. vallecula -nasopharynx
E. ostium of auditory tube -nasopharynx

A patient is asked to protrude his tongue: "Stretch your tongue out straight"! The patient is unable to do so. Instead, the tip of the protruded tongue deviates from the midline and points to the patient's left side. You should conclude that the follo"li ng nerve is damaged:

Identify the incorrectly matched pair of cranial nerve and parasympathetic ganglion (to which this cranial nerve makes a major functional contribution):

All of the following statements regarding the glossopharyngeal nerve are correct, except:
A. sensory fibers to medial surface of eardrum
B. secretory fibers to parotid gland
C. sensory fibers to pharyngeal arches and palatine tonsil
D. motor fibers to middle constrictor
E. sensory fibers to mucosa overlying the middle constrictor

An infection in the nasopharynx can easily spread to the middle ear via the

All of the following statements concerning the sphenopalatine (pterygopalatine) ganglion are correct, except:
A. is associated with innervation of the submandibular gland
B. is suspended from the maxillary division of the trigeminal nerve
C. is functionally associated with the facial nerve
D. lies in the sphenopalatine (pterygopalatine) foramen
E. is involved with the innervation of the nasal nucosa and lacrimal gland

Pulsations felt just above the zyomatic arch and in front of the ear are pulsations of the following artery:

Identify the incorrectly matched pair:
A. orening of parotid duct - opposite, upper second molar tooth
B. openings of sublingual gland - mostly on sublingual fold
C. opening of submandibular duct - just lateral to frenulum of tongue
D. opening of nasolacrimal canal - middle nasal meatus
E. opening of auditory tube - nasopharynx

All of the following statements concerning the larynx are correct, except
A. the true vocal folds are located inferior to the false vocal folds (or vestihular folds)
B. the inferior constrictor muscle inserts partly into the thyroid cartilage
C. the thyrohyoid membrane is a convenient and logical site for emergency tracheotomy
D. the fibroelastic quadrangular membrane is thickened below to form the vestibular ligament or fold (false vocal fold)
E. the fibroelastic cricothyroid membrane (or conus elasticus) ends above as the vocal ligament (true vocal fold)

Openings (e.g. foramina)are matched with the the in which they occur.Identify the incorrectly matched pair:
A.infraorbital foramen - maxilla
B. mental foramen - mandible
C. stylomastoid foramen - sphenoid bone
D. external auditory meatus - temporal bone
E. internal auditory meatus - temporal bone

Cranial nerve I

Cranial nerve II

Cranial Nerve III

Cranial Nerve IV

Cranial Nerve V

Cranial Nerve VI

Cranial Nerve VII

Cranial Nerve VIII

Cranial Nerve IX

Cranial nerve X

Cranial nerve XI

Cranial Nerve XII

All of the following statements concerning the eyeand orbital cavityarecorrect,except:
A.the ciliary ganglion contains neuronal cell bodies of postganglionic sympathetic fibers to the dilator pupullae
B. the inferior oblique muscle pulls the eyeball up and out (elevation and abduction)
C. All motor nerves to the orbit enter via the superior orbital fissure the
D. The ora serrata separates the photo-sensitive area and thelight insensitiveareaof the retina
E. the optic nerve is surrounded by subarachnoid space

All of the following structures are correctly matched, except:
A. facial nerve - posterior belly of digastric muscle
B. spinal accessory - sternocleidomastoid muscle
C. external laryngeal nerve - cricothyroid muscle
D. trigeminal nervenerve (V3) - buccinator muscle (motor)
E. ansa hypoglossi - infrahyoid muscles

24. Identify the correct statement concerning nerves in the head and neck.
A. the sympathetic trunk lies within the carotid sheath
B. the hypoglossal nerve is motor to the infrahyoid muscles
C. the stylopharyngeus muscle is the only muscle innervated by cranial nerve IX
D. nerve VII is motor to the muscles of mastication
E. the internal laryngeal nerve is motor to the crycothyroid muscle

Mucosa and its sensory nerve supply are matched. Identify the incorrectly matched pair:
A. upper conjunctival sac - V1
B. upper lip - V2
C. lower gums (gingiva) - V3
D. hard palate - V2
E. tympanic cavity - X

Bony openings and the blood vessels that pass through them are matched. Identify the incorrectly matched pair:
A. transverse foramen of atlas - vertebral artery
B. foramen lacerum - internal carotid artery
C. optic foramen - ophthalmic artery
D. superior orbital fissure - ophthalmic vein
E. foramen spinosum - middle meningeal artery

The strong ligament which runs from the odontoid process of C2 to the occipital bone and limits excessive rotatory movements of the head, is the

An ~idural hematoma produced by a skull fracture in the region of the pterion is due to bleeding from which vessel?

The inability to produce tears may result if which of the following ganglia are damaged?

An infection of the scalp will most readily spread in which layer?

The deep cervical lymph nodes form a chain along the course of the

On resecting the lower part of the ramus of the mandible in an approach to the infratemporal fossa, a surgeon sees two nerve on the exposed surface of the medial pterygoid muscle. He is confident that they are the

A man developed a large boil on the upper lip. Soon after that, the thepatient became comatose because of brain involvement. It is reasonable to conclude that the infection spread from the facial vein to toecavernous sinus. Identify the communicating vein(s) involved in this spread

Spasm of the left sternocleidomastoid muscle (tortiocollis or wry neck) results in

All of the following arteries are branches of the external carotid except the

A. inferior thyroid
B. superior thyroid
C. facial
D. lingual
E. occipital

If you create a hole in the tegmen tympani, you establish a communication between the middle ear cavity and the

A surgeon injected local anesthetic into the mandibular division (V3) of the trigeminal nerve as it emerges from the foramen ovale. The following sensory and/or taste loss resulted:

All of the following statements concerning the palate are correct, except:
A. the hard palate consists principally of the palatine processes of the maxillary bones and the horizontal processes of the palatine bones.
B. the major arterial supply consists of the greater palatine branch of the maxillary artery along with palatine branches of the facial and ascending pharyngeal arteries
C. the hard and soft palate contain large numbers of mucous glands
D. sensory information from the soft palate is carried by the nasopalatine nerves which course through the greater palatine foramina
E. The hard palate is approximately 2/3 of the entire palate

Which of the following is NOT an infrahyoid muscle?
A. sternohyoid
B. sternothyroid
C. thyrohyoid
D. mylohyoid
E. superior belly of omohyoid

All of the followj ng statements concerning the lymphatic drainage of the head and neck are correct, EXCEPT:
A. all of the lymphatic vessels from the head and neck drain either directly or indirectly into the deep cervical nodes
B. the jugulodigastric and jugulo-omohyoid nodes are easily palpated in the neck
C. the middle ear and paranasal sinuses drain into the retropharyngeal nodes
D. the superficial cervical nodes(occipital, parotid, buccal, etc.) form "That is referred to as a "pericervical collar"
E. usually, the lymphatic drainage from the head and neck on the right side empties directly into the thoracic duct

Concerning the cervical part if the sympathetic trunk, which one of the following is NOT true?
A. the superior cervical ganglion is the most cranial ganglion
B. it connects to cervical nerves via gray (postganglionic) and white (preganglionic) rami communicantes
C. the inferior cervical ganglion may be fused with the first thoracic ganglion and called the stellate ganglion
D. postganglionic fibers leave the trunk and follow blood vessels to structures in the head
E. it is located posterior to the carotid sheath

All of the following muscles are innervated by motor neurons from the pharyngeal plexus (vagal pharyngeal nerves), EXCEPT:
A. superior constrictor
B. tensor palati
C. levator palati
D. musculus uvalae
E. inferior constrictor

All of the following ststements concerning the face are correct, EXCEPT:
A. the facial muscles of expression and muscles of the scalp originate from the second branchial arch
B. the facial muscles are subcutaneous
C. the nerve associated with the second arch is the trigeminal nerve (CN V)
D. Each of the three divisions of the trigeminal nerve (V1, V2 and V3) supplies an area of skin in the facial region
E. most of the facial muscle fibers are inserted into the skin

Activation of the sympathetic fivers leading to the eye promotes:

A distinguished pianist is unable to meet his concert commitments because of eye pain and vesicles over the right half of his forehead and nose. You suspect herpes zoster of the right

All of the following statements regarding the cavernous sinus are correct EXCEPT:
A. in part, the sinus is drained by the petrosal sinuses
B. it is traversed by the internal carotid artery
C. it is connected to the facial vein via the ophthalmic veins
D. the abducent nerve (VI) runs through the cavernous sinus
E. it is an unpaired structure

All of the following statements concerning the blood vessels of the face are correct, except:
A. the facial artery arises from the external carotid artery
B. the facial vein anastomoses with the superior opthalmic vein
C. the facial artery is more tortuous than the facial vein
D. veins in the face contain numerous valves
E. the superficial temporal artery is a terminal branch of the external carotid artery

Which two bones are united by the lamboid suture?

Which dural sinus is located in the lower free margin of the falx cerebri?

This sunus is enclosed in the margin of the tentorium cerebelli that is attached to the superior margin of the petrous part of the temporal bone. It begins just lateral to the posterior clinoid process, where it receives blood from the cavernous sinus and ends up by joining the transverse sinus. The sinus in question is the

Which structures pass anterior to the scalenus anterior muscle?

At the point of emergence from the brainstem, which of the following cranial nerve(s) contain preganglionic parasympathetic fibers?

Which nerves contribute to the sensory innervation of the tongue?

The adductor muscles of the true vocal cords are

In suicidal or homicidal cut-throat the wound is usually through the thyrohyoid membrane with likely concomitant damage to the

The palatine tonsils are

Branches of the maxillary artery include

Branches of the mandibular division of the trigeminal nerve supply

The thyroid gland develops from

Closure of the jaws is an action produced by which muscles?

Removal of the superior cervical sympathetic ganglion would result in

What structures are related to the anterior border of the parotid gland

Which of the structures are found in the infratemporal fossa?

The lateral pterygoid muscles may cause which of the following movements of the mandible:

The chief abductor of the vocal chords is

The nasopharynx contains

Concerning the innervation within the tympanic cavity:

The pharyngeal constricors are associated with structures that are found between them, or between them and adjacent structures. Correct statements include:
1.the internal laryngeal nerve
2.the recurrent laryngeal nerve
3.the glossopharyngeal nerve

Fibers running in the oculomotor nerve (III) innervate the

Removal of the ciliary ganglion results in
1.loss of function of extra-ocular muscles supplied by cranial nerve III
2.inability of the lens to become more round (inability to accomodate)
3.ptosis of the upper lid
4.dilated pupil on the affected side

The pharynx

The external carotid artery

The constrictors of the pharynx are
innervated by
insert into
are "deficient"
are closely related to

In the nasal cavity, the middle meatus contains the opening of the ______ sinuses.

The nerves associated with the nasal cavity are the

A patient complains of loss of sensation over the tip of the nose. With your knowledge in anatomy, you conclude that the following nerve is involved.

The temporomandibular joint

The facial nerve

Regarding the tympanic cavity

the mulohyoid nerve

In permanent dentition each half of the mandible and maxilla carries

A man was stabbed in the neck, and his right facial nerve was severed completely at the level of the stylomasoid foramen. The examining physician must expect to find:

Regarding the three cranial fossae and their contents

Identify the correct statement(s) regarding the calvaria

The internal carotid artery

Regarding the prevertebral muscles

Identify the CORRECT statement(s):
1. The strength of the transverse ligament of the atlas is so great that the dens may often break away from the body of the axis before the transverse ligaments tears away from the atlas
2. the ligaments are also known as "check ligaments" because they limit rotation of the cranium
3. the posterior atlanto-occipital membrane attaches to the posterior margin of the foramen magnum
4.the vertebral artery, after exiting the foramen transversarium of the atlas, pierces the anterior atlanto-occipital membrane in order to enter the vertebral canal.

When you look at the retina through an opthalmoscope, one of the conspicuous features which you see is an artery branching over its surface. This artery

The middle constrictor of the pharynx attaches "anteriorly" on the

Identify the CORRECT statement(s) concerning parasympathetic ganglia in the head

The arachnoid granulations

Cutaneous branches of the opthalmic nerve (V1) include the
1.supraorbital nerve
2.supratrochlear nerve
3.lacrimal nerve
4.infraorbital nerve

Which structure(s) are contained within the carotid sheath?

The dural sinuses

Which of the following herves originate from cervical nerves?
phrenic nerve
supraclavicular nerves
great auricular nerve
ansa cervicalis