Head & Neck An autonomic pathway from the central nervous system to the lacrimal gland includes a synapse

in the A. geniculate ganglion. B. ciliary ganglion. C. otic ganglion. D. submandibular ganglion. . pterygopalatine ganglion. Answer ! $he stapes A. is attached to the tympanic membrane. B. serves as an attachment for the tendon of the tensor tympani muscle. C. has an opening at its base for the chorda tympani nerve. D. is connected directly to the malleus. . is derived from second branchial arch artilage. Answer !

All of the following statements concerning the orbicularis oculi muscle are correct "C #$ that it A. is involved in the blink response to irritation of the cornea. B. has a smooth muscle component that assists in raising the eyelid. C. receives motor supply from the facial nerve. D. contains a deep portion that alters pressure in the lacrimal sac. . is necessary to prevent drying of the con%unctiva over the eyeball. Answer ! B

$he nasal cavity receives arterial supply from branches of all of the following "C #$ the A. sphenopalatine. B. anterior ethmoidal. C. posterior ethmoidal. D. facial. . ascending pharyngeal. Answer ! $he tentorium cerebelli

All of the following statements concerning the glossopharyngeal nerve are correct "C #$ that it A. contains preganglionic parasympathetic fibers B. contains fibers that conduct taste information from the posterior one third of the tongue. C. contains sensory information from the carotid sinus. D. has a branch that %oins the lingual nerve. . leaves the cranial cavity through the %ugular foramen. Answer ! D.

A. contains the sigmoid sinus. B. is attached to the crista gallis C. contains the facial nerve. D. is supplied by branches of the ophthalmic nerve. . separates the right and left lobes of the cerebellum. Answer ! D. All of the following nerves supply the skin or muscles of the e,ternal surface of the nose "C #$ the A. supraorbital. B. infraorbital. C. facial. D. nasociliary. . infratrochlear. Answer ! A

All of the following statements concerning the superior sagittal sinus are correct "C #$ that it A. &ost often empties into the right transverse sinus. B. receives emissary' diploic' and cerebral veins. C. is a vascular channel between two layers of dura mater. D. receives the superior opthalmic veins. . receives C() via arachnoid granulations. Answer ! D

$he bones that contribute to the orbit include all of the following "C #$ the A. ethmoid. B. ma,illa. C. greater wing of the sphenoid. D. frontal. . parietal. Answer ! All of the following regions have venous channels that communicate with or drain into the pterygoid venous ple,us "C #$ the A. orbit. B. nasal cavity. C. cranial cavity. D. pharyn,. . laryn,. Answer !

(ympathetic and parasympathetic fibers within the orbit. All of the following statements regarding fibers are correct "C #$ A. the ciliary ganglion contains postganglionic cell bodies. B. the short ciliary nerves contain both postganglionic sympathetic and parasympathetic fibers. C. the lacrimal nerve contains autonomic fibers that originate in the fifth cranial nerve. D. sympathetic fibers travel to the orbit on blood vessels. . postganglionic paraysympathetic fibers from the ciliary ganglion affect accomodation for near vision. Answer ! C

A patient is bleeding profusely from a knife wound to the scalp. *hat layer of the scalp contains the vessels that are the source of this bleeding+ $he facial nerve innervates all of the following muscles "C #$ the A. pericranium B. aponeurosis C. loose connective tissue D. dense connective tissue . skin Answer ! D A. orbicularis oris. B. emporalis. C. buccinator. D. levator labii superioris. . platysma. Answer ! B

Head & Neck All of the following statements about the posterior third of the tongue are correct "C #$ A. it is located posterior to the sulcus terminalis. B. it receives general sensory supply via the glossopharyngeal nerve. C. it is located in the oropharyn,. D. it is derived from the first branchial arch. . it contains muscle fibers that are innervated by the hypoglossal nerve. Answer ! D $he auriculotemporal nerve A. carries parasympathetic fibers for innervation of the submandibular gland. B. accompanies the posterior auricular artery. C. is the motor nerve to the frontalis muscle. D. carries sensory nerves to the inner surface of the tympanic membrane. . usually encircles the middle meningeal artery. Answer !

$he straight sinus A. is found in the fal, cerebelli. B. connects the two transverse sinuses. C. is connected to the pterydoid ple,us. D. drains the cavernous sinus. . receives the inferior sagittal sinus. Answer ! .

*hile preparing for surgery in the infratemporal fossa' you remind yourself that the chorda tympani nerve A. has fibers that synapse in the pterygopalatine ganglion. B. is a branch of the glossopharyngeal nerve. C. %oins the deep petrosal nerve. D. carries taste and preganglionic parasympathetic fibers to the lingual nerve. . e,its the cranial cavity through the stylomastoid foramen. Answer ! D

$he infratemporal fossa is related to all of the following "C #$ the A. foramen spinosum. B. otic ganglion. C. chorda tympani nerve. D. deep petrosal nerve. . lesser petrosal nerve. Answer ! D

All of the following statements concerning the retropharyngeal space are correct "C #$ that it A. is located posterior to the visceral compartment of the neck. B. e,tends superiorly to the base of the skull. C. is located anterior to the prevertebral fascia. D. permits spread of infection from the neck into the middle mediastinum. . is located posterior to the buccopharyngeal fascia. Answer ! D

$he facial artery crosses the mandible at the anterior border of the All of the following empty into the middle nasal meatus "C #$ the A. buccinator. B. parotid gland. D. sublingual gland. D. platysma. . masseter. Answer ! . A. frontal sinus. B. ma,illary sinus. C. sphenoid sinus. D. anterior ethmoid sinus. . middle ethmoid sinus. Answer ! C

$he si,th cranial nerve A. has a parasympathetic component. B. travels in the lateral wall of the cavernous sinus. C. if in%ured bilaterally' can result in .crossed eyes.. D. enters the orbit outside of the common tendinous ring. . innervates the muscle that adducts the eyeball. Answer ! C 2n the surgical removal of the palatine tonsils there may be hemorrhage of branches of any of the following arteries "C #$ the A. ascending pharyngeal. B. ma,illary. C. lingual. D. facial. . sphenopalatine. Answer ! *hich of the following muscles participates in elevation of the laryn, during swallowing+ A. cricopharyngeus B. levator veli palatini C. superior pharyngeal constrictor D. cricothyroid . palatophryngeus Answer ! $he carotid triangel in the neck contains all of the following structures "C #$ the A. superior thyroid artery. B. recurrent laryngeal nerve. C. carotid body. D. superior root of the ansa cervicalis. . lingual vein. Answer ! B

All of the following are found in the spenoid bone "C #$ the A. optic foramen. B. inferior orbital fissure. C. foramen ovale. D. superior orbial fissure. . foramen rotundum. Answer ! B.

A forceful blow to the face fractures the floor of the orbit and the eyeball drops inferiorly /blow0out fracture1. All of the following are likely correct "C #$ that A. the mi,allary bone is fractured. B. the periorbita could be torn. C. the infratrochlear nerve is damaged. D. there is hemorrhage of the infraorbital artery. . the upper incisive teeth may lose their sensory innervation. Answer ! C

Head & Neck All of the following statements concerning the thyroid gland are correct "C #$ that it A. has right and left lobes located posterior to the sternothyroid muscles. B. is derived from the third pharyngeal pouch. C. has right and left lobes located medial to the carotid sheaths. D. is usually drained by superior' middle' and inferior thyroid veins. . is supplied by superior and inferior thyroid arteries. Answer ! B 4penings into the pterygopalatine fossa include all of the following "C #$ the A. foramen rotundum. B. foramen ovale. C. pterygoma,illary fissure. D. greater palatine canal. . pterygoid canal. Answer ! B $he pharyngeal constrictor muscles A. are covered e,ternally by pharyngobasilar fascia. B. are innervated by the glossopharyngeal nerve. C. are drained by a ple,us of veins that fre5uently empty into the pterygoid ple,us. D. include a superior constrictor that originates from the greater and lesser horns of the hyoid bone. include a middle constrictor that terminates' in part' at the pharyngeal tubercle. Answer ! C (urgery to repair an aneurysm of the right subclavian artery medial to the anterior scalene muscle can result in all of the following "C #$ A. affect ad%acent structures and breathy voice. B. paralysis of the right side of the diaphragm. C. a drooping of the right eyelid. D. a constricted right pupil. . paralysis of the right cricothyroid muscle. Answer ! All of the following statements concerning the upper area of the nasal cavity are correct "C #$ it A. contains receptors for the sense of smell. B. is formed' in part' by the cribiform plate of the ethmoid bone. C. is part of the floor of the anterior cranial fossa. D. receives blood supply from branches of the facial artery. . receives blood supply from the posterior ethmoidal arteries. Answer ! D All of the following statements concerning the middle ear cavity are correct "C #$ that it A. contains the stapedius muscle that is innervated by the facial nerve. B. communicates with the nasopharyn, via the auditory tube. C. contains ear ossicles that are %oined by synovial %oints. D. contains a tympanic ple,us that includes fibers from the vagus nerve. . is located anterior to the mastoid air cells. Answer ! D *hich of the following lymph nodes is most likely to swell following a sore throat+ A. retromandibular B. superficial cervical C. %ugulo0omohyoid D. %ugulodigastric . retroauricular Answer ! D All of the following statements concerning the hard palate are correct "C #$ A. it forms a part of the floor of the nasal cavity. B. its ma%or blood supply is from the lesser palatine arteries. C. it is formed' in part' by the hori6ontal plate of the palatine bone. D. it is lined with mucosa that is innervated by the greater palatine nerve. . it contains a foramen for passage of the nasopalatine nerve. Answer ! B

#ain associated with a middle ear infection results from impulses carried along the A. chorda tympani nerve. B. vagus nerve. C. carotid ple,us. D. glossopharyngeal nerve. . ma,illary branch of the trigeminal nerve. Answer ! D

All of the following statements concerning the superior thyroid artery are correct "C #$ that it A. could receive blood flow from the inferior thyroid artery following occulusion of the common carotid artery. B. has a branch that pierces the thyrohyoid membrane. C. travels parallel to the e,ternal laryngeal nerve for part of its course. D. is a branch of the e,ternal carotid artery. . has a deep cervical branch that anastomoses with the occipital artery. Answer ! All of the following are found in the infratemporal fossa "C #$ the A. lingual nerve. B. otic ganglion. C. middle meningeal artery. D. pterygoid venous ple,us. . lingual artery. Answer !

All of the following statements concerning the pterygopalatine fossa are correct "C #$ it A. contains a parasympathetic ganglion associated with the facial nerve. B. communicates with the nasal cavity through the pterygoma,illary fissure. C. is traversed by venous channels that drain into the pterygoid ple,us. D. is located lateral to the posterior end of the nasal cavity. . is traversed by fibers whose cell bodies are located in the trigeminal ganglion. Answer ! B

A patient with a gradual occlusion of the bifurcation of the left common carotid artery may not present with any cerebral deficits because blood may be shunted to the brain via all of the following arteries "C #$ the $he nerve of the pterygoid canal A. right carotid. B. left vertebral. C. right vertebral. D. right ascending pharyngeal. Answer ! D A. is a branch of the glossopharyngeal nerve. B. contains preganglionic parasympathetic fibers. C. e,its the cranial cavity through foramen rotundum. D. contains preganglionic sympathetic fibers. . terminates in the otic ganglion. Answer ! B

Head & Neck All of the following statements concerning the hyoglossus muscle are correct "C #$ that A. it is an e,trinsic muscle of the tongue. B. the hypoglossal nerve isolatged on its lateral surface. C. is derived from is located pharyngeal arch mesoderm. D. the lingual nerve is located on its lateral surface. . it is innervated by the hypoglossal nerve. Answer ! C

All of the following statements about the thyroid gland are correct "C #$ that it A. is invested with pretracheal fascia. B. has an isthmus that is usually located on the cricoid cartilage. C. has lobes that are medial to the carotid sheath. D. is supplied by superior and inferior thyroid arteries. . moves in the act of swallowing. Answer ! B $he glossopharyngeal nerve has a branch that

All of the following are branches of the ma,illary artery "C #$ the A. anterior deep temporal. B. superficial temporal. C. sphenopalatine. D. middle meningeal. . posterior superior alveolar. Answer ! B

A. supplies the styloyoid muscle. B. supplies the mucosa of the middle ear. C. supplies the mucosa of the hard palate. D. is called the deep petrosal nerve. . supplies the superior constrictor. Answer ! B All of the following are usually branches of the subclavian artery "C #$ the

All of the following are branches of the facial nerve "C #$ the A. greater petrosal nerve. B. nerve to the stapedius muscle. C. chorda tympani nerve. D. nerve to the tensor tympani muscle. . nerve to the stylohyoid muscle. Answer ! D

A. vertebral artery. B. thyrocervical trunk. C. thoracoacromial artery. D. costocervical trunk. . internal thoracic artery. Answer ! C

All of the following are correct concerning the middle neningeal artery "C #$ that it All of the following statements concerning the inferior pharyngeal constrictor muscle are correct "C #$ that is A. consists of muscle fibers derived from branchial arches. B. includes fibers that function as the sphincter of the pharyn,. C. is located immediately lateral to the palatine tonsil. D. originates partly from the obli5ue line of the thyroid cartilage. . is innervated by motor fibers carried in the vagus nerve. Answer ! C All of the following statements concerning the middle ear are correct "C #$ that it A. is connected to the nasopharyn, by the auditory tube. B. is located superior to the %ugular foramen. C. is separated from the middle cranial fossa by the tegmen tympani. D. contains a bulge on its medial wall that is caused by the basal turn of the cochlea. . is traversed by the deep petrosal nerve. Answer ! All of the following are found in the dissection of the posterior triangle of the neck "C #$ the A. inferior /posterior1 belly of the omohyoid muscle. B. upper deep cervical lymph nodes. C. upper trunk of the brachial ple,us. D. suprascapular artery. medial supraclavicular nerve. Answer ! B A. is usually surroiunded by fibers of the auricultemporal nerve. B. is a branch of the ma,illary artery. C. passes through the foramen spinosum. D. supplies most of the dura mater of the fal, cerebri. . passes medial /deep1 to the lateral pterygoid muscle as it enters the cranial cavity. Answer ! D

All of the following are features of the petrous portion of the temporal bone "C #$ that it A. has a hiatus for passage of the greater petrosal nerve. B. has an eminence produced by a semicircular canal. C. houses the middle ear and inner ear. D. contains the foramen spinosum. . contains a canal for passage of the facial nerve. Answer ! D.

An autonomic pathway from the central nervous system to the mucous membrane of the inferior nasal concha would include a synapse in the A. geniculate ganglion. B. ciliary ganglion. C. otic ganglion. D. trigeminal ganglion. . pterygopalatine ganglion. Answer !

All of the following statements about the vagus nerve are correct "C #$ that it A. innervates part of the e,ternal auditory meatus. B. contributes to efferent limb of the gag refle,. C. has a parasympathetic component. D. has a motor ganglion near the %ugular foramen. . supplies the afferent limb of the cough refle,. Answer ! D

All of the following statements concerning the lacrimal gland are true "C #$ that it A. is located in a fossa in the frontal bone. B. secretes fluid into the superior forni, of the con%unctival sac. C. secretes fluid that drains into the lacrimal sac. D. receives blood supply from a branch of the ophthalmic artery. . receives parasympathetic innervation from the oculomotor nerve. Answer !

Head & Neck All of the following are true concerning the %ugular foramen "C #$ that it A. transmits cranial nerves 2"' " and "2. B. is anterior to the entry of the internal carotid artery into the carotid canal. C. is the location of termination of the sigmoid sinus. D. is the location of the origin of the internal %ugular vein. . is the foramen that transmits most intracranial venous blood. Answer ! B An important source of collateral circulation in the neck following ligation of the common carotid artery on one side is by means of the A. facial arteries. B. lingual arteries. C. thyroid arteries. D. suprascapular arteries. . ascending pharyngeal arteries. Answer ! C *hich statement/s1 describe/s1 the superior laryngeal nerve+ A. facial artery. B. internal %ugular vein. C. superificial tmeporal artery. D. retromandibular vein. . ma,illary artery. Answer ! C

#ulsations felt %ust above the 6ygomatic arch and in front of the ear are in the A. 2ts sensory branch can become activated and initiate the cough refle, if food or water enters the laryngeal inlet. B. 2ts e,ternal branch innervates the cricothyroid muscle' whose action is to alter the pitch of the voice. C. 2ts internal branch provides sensory innervation to the laryn, below the vocal cords. All of the above statements are correct. . (tatements A and B are correct. Answer !

$he floor of the sella turcica is also the A. diaphragma sella. B. roof of the sphenoid sinuses. C. medial wall of the temporal fossa. D. roof of the nasal cavity. . site of attachment of the superior pharyngeal constrictor muscle. Answer ! B

2mpaired function of which of the following muscles would result in difficulty in protruding the lower %aw+ A. digastric B. lateral pterygoid C. medial pterygoid D. masseter . temporalis Answer ! B

*hat accompanies the optic nerve in the optic canal+ A. cranial nerves 222' 29 and 92 B. ophthalmic nerve' artery and veins C. meninges and ophthalmic artery D. ophthalmic artery and ophthalmic veins none of the above Answer ! C

$he pharyngeal ple,us of nerves receives contributions from all the following "C #$ the A. sympathetic trunk. B. facial nerve. C. vagus nerve. D.spinal accessory nerve via the vagus. . glossopharyngeal nerve. Answer ! B

$he sensory supply to the skin over the lower eyelid comes from the A. mental nerve. B. ma,illary division of the trigeminal. C. auriculotemporal nerve. D. buccal branch of the trigeminal nerve. . ophthalmic division of the trigeminal. Answer ! B

During thyroid surgery A. a logical anatomic approach involves a skin incision in the posterior triangle of the neck. B. the pharyngobasilar fascia is usually incised in approaching the thyroid lobe. C. one e,plores for parathyroid tissue along the anterior surface of the lobes of the thyroid gland. D. the superior cervical ganglion can be in%ured during manipulation of the inferior thyroid artery. . the recurrent laryngeal nerve can be in%ured during manipulation of the inferior thyroid artery. Answer !

$he pterygomandibular raphe srves as a point of attachment for two important muscles. $hey are the A. superior constrictor and buccinator. B. masseter and inferior constrictor. C. medial pterygoid and lateral pterygoid. D. buccinator and medial pterygoid. . lateral pterygoid and superior constrictor. Answer ! A

$he palatopharyngeus muscle Nerves and vessels leave the pterygopalatine fossa to enter the nasal cavity by passing through the A. ptergoid canal. B. pterygoma,illary fissure. C. foramen rotundum. D. sphenopalatine foramen. . pharyngeal canal. Answer ! D A. forms the anterior pillar of the palatine tonsil. B. inserts into the posterior border of the cricoid caritlage. C. arises from the lower border of the auditory tube. D. functions in elevating the laryn, during swallowing. . consists of musculature derived from somites. Answer ! D

Head & Neck $he cell bodies for the sensory fibers that convey pain' touch' and temperature from the posterior one0third of the tongue are located in the A. geniculate ganglion. B. pterygopalatine ganglion. C. semilunar /trigeminal1 ganglion. D. otic ganglion. . none of the above Answer ! *hich nerve innervates the muscle necessary for tight closure of the eyelids+ $he nasopharyn, A. facial B. oculomotor C. sympathetics D. trigeminal . vagus Answer ! A A. is superior to the uvula and soft palate. B. contains the palatine tonsils. C. receives sensory innervation by the vagus nerve. D. is drained by superficial cervical lymph nodes. . receives the nasolacrimal duct. Answer ! A *hich statement is $;< of the palate and associated structures+ A. $he hard palate is properly within the pharyn,. B. $he palate receives palatine nerves and arteries via palatine canals. C. $he palate is innervated by cranial nerve 97. D. $he tensor veli palatini is innervated by cranial nerve 93. . $he musculus uvulae is innervated by cranial nerve 97. Answer ! B

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$he thyrohyoid membrane is ach of the following is characteristic of the ma,illary sinus "C #$ A. attached to the obli5ue line of the thyroid cartilage. B. pierced by the recurrent laryngeal nerve. C. located medial /deep1 to the piriform recess. D. attached to the obli5ue line of the thyroid cartilage. . covered laterally by the superior pharyngeal constrictor muscle. Answer ! D A. 2t is lined with mucous membrane. B. 2t drains through an opening under the superior concha /turbinate1. C. 2t may become infected from an abscessed tooth. D. 2t is below the orbital floor. . 2ts lining is innervated by the trigeminal nerve. Answer ! B

$he vocal ligaments are A. attached to the vocal process of the arytenoid cartilage. B. superior to the vestibular folds. C. brought together /adducted1 by the action of the posterior cricoarytenoid muscles. D. tensed by the thyroarytenoid muscles. . the same as the false vocal cords. Answer ! A All of the following structures are located within the walls or cavity of the cavernous sinus "C #$ the A. oculomotor nerve B. internal carotid artery C. ophthalmic division of the trigeminal nerve D. mandibular division of the trigeminal nerve . abducens nerve Answer ! D

)ollowing an in%ection of a local anesthetic agent around the mandibular division of the trigeminal nerve /CN 971 as it e,its the skull' all of the following would occur' "C #$ A. loss of sensation to the chin' mandible' and lower teeth. B. paralysis of the levator veli palatini. C. paralysis of the lateral and medial pterygoid muscles. D. loss of general sensation to the anterior two0thirds of the tongue. . paralysis of the tensor tympani muscle. Answer ! B $he infratemporal fossa communicates with the pterygopalatine fossa through the A. inferior orbital fissure. B. pterygoid canal. C. foramen rotundum. D. superior orbital fissure. . pterygoma,illary fissure. Answer !

$he lateral wall of the ethmoid sinus is also part of the medial wall of the A. nasal cavity B. orbit C. anterior cranial fossa D. oropharyn, . nasopharyn, Answer ! B $he facial nerve A. e,its the cranium through the foramen ovale B. provides the primary parasympathetic supply to the parotid gland C. supplies taste fibers to the posterior -=7 of the tongue D. supplies motor fibers to the medial pterygoid muscle. . supplies motor fibers to the stapedius muscle. Answer !

$he superior sagittal sinus A gag refle, overcomes your patient as you lightly swab the area posterior to the palatine tonsil. *hat nerve carries the sensory fibers which are part of this refle,+ A. mandibular B. ma,illary C. facial D. glossopharyngeal . vagus Answer ! D A. drains into the straight sinus B. is attached to the petrous temporal bone C. receives emissary veins D. communicates with the cavernous sinus . receives the superior petrosal sinus Answer ! C

Head & Neck $he tympanic ple,us is found on the A. floor of the middle ear B. pyramid of the middle ear C. medial surface of the tympanic membrane D. promontory of the middle ear . mucous membrane lining the vestibule of the inner ear Answer ! D All of the following statements about the orbicularis oculi muscle are true "C #$ A. 2t is derived from mesenchyme of the first brachial arch. B. 2t is involved in the blink response to irritation of the cornea. C. 2t is necessary to prevent drying of the con%unctiva over the eyeball. D. 2t receives motor supply from the facial nerve. . 2t contains a deep portion that alters pressure in the lacrimal sac. Answer ! A

$he chorda tympani nerve A. is part of the nerve of the pterygoid canal B. contains postganglionic parasympathetic fibers for the parotid gland C. contains sensory fibers from the tympanic membrane D. %oins the auriculotemporal nerve . carries parasympathetic fibers to the submandibular ganglion Answer ! $he superior cervical ganglion has branches that include all of the following "C #$ A. white rami to upper 8 cervical nerves B. gray rami to upper 8 cervical nerves C. fibers to the internal carotid ple,us D. fibers to an e,ternal carotid ple,us . a pharyngeal branch Answer ! A

$he foramen spinosum A. is closed by a cartilagenous disc in life B. is found in the petrous temporal bone C. usually transmits the ma,illary nerve D. is located in the posterior cranial fossa . transmits the middle meningeal artery Answer ! <pon e,amining a sick child you notice pus draining from the middle meatus of the nasal cavity. ?ou look for evidence of an infection originating in the A. nasolacrimal duct B. sphenoidal sinus C. ma,illary sinus. D. mastoid sinus . posterior ethmoidal air cells Answer ! C A structure that can easily be inured during ligation of the superior thyroid artery is the A. inferior laryngeal branch of the recurrent laryngeal nerve B. ascending pharyngeal artery C. superior parathyroid gland D. transverse colli nerve . e,ternal branch of the superior laryngeal nerve Answer !

$he lacrimal gland receives its parasympathetic nerve supply from A. the nasociliary nerve B. the greater petrosal nerve C. the supraorbital nerve D. the anterior ethmoid nerves . the lesser petrosal nerve Answer ! B

$he ma,illary artery A. has branches that vasculari6e the parotid gland B. has no muscular branches C. is found in the carotid triangel of the neck D. has branches that supply the dura mater . has branches that supply the brain stem Answer ! D $he middle ear is lined with mucosa that receives sensory supply from A. the glossopharyngeal nerve B. the trigeminal nerve C. the facial nerve D. cervical nerves -07 . the vagus nerve Answer ! A

$he auriculotemporal nerve A. supplies the temporalis muscle B. travels with the occipital artery C. is a branch of the ma,illary nerve D. surrounds the middle meningeal artery . conducts preganglionic parasympathetic fibers in a part of its course Answer ! D @ymphatic vessels draining the palatine tonsil terminate primarily in the A. pretracheal nodes B. paratracheal nodes C. prelaryngeal nodes D. %ugulodigastric node . submandibular nodes Answer ! D $he internal %ugular vein A. is located medial to the common and internal carotid arteries. B. originates at the %unction of the retromandibular and posterior auricular veins C. usually receives the superior and inferior thyroid veins D. is surrounded by visceral fascia . usually receives the middle thyroid vein Answer !

$he ciliary ganglion A. receives long ciliary nerves from the nasocilary branch of the ophthalmic division of the trigeminal nerve. B. is the site of synapse for fibers involved in pupillary dilation. C. is located ad%acent to the medial rectus muscle. D. supplies secretory fibers to the lacrimal gland. . is the site of synapse for parasympathetic fibers from the oculomotor nerve. Answer !

Head & Neck $he middle pharyngeal constrictor muscle A. originates from the hyoid bone B. receives its motor supply from the glossopharyngeal nerve C. terminates' in part' at the pharyngeal tubercle of the basiocciput D. receives its blood supply primarily from the vetebral artery functions in depression of the epiglottic cartilage Answer ! A A. sternothyroid B. superior belly of the omohyoid C. inferior belly of the omohyoid D. sternohyoid . cricothyroid Answer ! $he thyrohyoid membrane is pierced by the $he nasal cavity is closed off from the oropharyn, during swallowing by A. elevation of the tongue to the roof of the mouth B. contraction of the aryepiglottic muscles C. contraction of the tensor and levator veli palatini muscles D. rela,ation of the pharyngeal constrictors . bending the epiglottis Answer ! C A. hypoglossal nerve B. internal branch of the superior laryngeal nerve C. e,ternal branch of the recurrent laryngeal nerve D. ansa cervicalis . inferior laryngeal artery Answer ! B *hich of these muscles particullary attaches to the articular disc of the temporomandibular %oint+ $he posterior triangle of the neck A. allows access to the e,ternal carotid artery B. is bounded by the inferior belly of the omohyoid muscle C. contains the greater occipital nerve D. is located between the sternocleidomastoid muscle and the midline of the neck . allows access to the cervical ple,us Answer ! A. medial pterygoid B. anterior fibers of temporalis C. masseter D. buccinator . lateral pterygoid Answer !

&ost of the lateral surface of the cerebral hemisphere receives arterial supply from the @ymphatic drainage of the vestibule of the laryn, is by way of channels that drain into the A. superficial cervical nodes B. upper deep cervical nodes C. lower deep cervical nodes D. paratracheal nodes . pretracheal nodes Answer ! B A. vertebral artery B. internal carotid artery C. anterior cerebral artery D. middle cerebral artery . posterior cerebral artery Answer ! D $he glands located in the mucous membrane covering the uvula are nonfunctional in your patient. ?ou suspect that there may be a compression of the $he muscle that opens the rima glottidis A. is innervated by the internal laryngeal nerve B. is innervated by the e,ternal laryngeal nerve C. e,tends from the thyroid to the arytenoid cartilage D. e,tends from the cricoid to the arytenoid cartilage . e,tends from the arytenoid cartilage of one side to the arytenoid cartilage of the contralateral side Answer ! D A. pterygopalatine ganglion. B. geniculate ganglion. C. otic ganglion. D. submandibular ganglion. . trigeminal ganglion. Answer ! A

All of the following statements concerning the thyroid gland are true "C #$ $he nerve involved in the afferent limb of the cough refle, is the A. internal branch of the superior laryngeal nerve B. pharyngeal branch of the glossopharyngeal nerve C. pharyngeal branch of the vagus nerve D. tympanic branch of the glossopharyngeal nerve . e,ternal branch of the superior laryngeal nerve Answer ! A A. it develops as a median outgrowth of the pharyn,' marked after birth by the foramen caecum of the tongue. B. 2t is encased in prevertebral fascia. C. 2t receives arterial supply from vessels that are branches of the superior and inferior thyroid arteries. D. 2t includes an isthmus that usually covers the 7rd tracheal ring. . 2t fre5uently includes a pyramidal lobe that e,tends superiorly toward the hyoid bone. Answer ! B

A muscle that protrudes the tongue is the A. styloglossus B. hyoglossus C. genioglossus D. palatoglossus . mylohoid Answer ! C &uscles innervated by the ansa cervicalis include all of the following "C #$

$he cell bodies for pain fibers from the anterior 3=7 of the tongue are located in the A. pterygopalatine ganglion B. otic ganglion C. trigeminal ganglion D. geniculate ganglion . inferior ganglion of the glossopharyngeal nerve Answer ! C

Head & Neck $he glossopharyngeal nerve innervates which one of the following muscles+ A. tensor tympani B. superior constrictor of the pharyn, C. tensor veli palatini D. stylopharyngeus . palatopharyngeus Answer ! D All of the following arteries participate in the formation of the cerebral arterial circle /of *illis1 "C #$ the A. anterior cerebral B. middle cerebral C. anterior communicating D. posterior communicating . posterior cerebral Answer ! B All of the following open into the middle cranial fossa "C #$ the A. foramen lacerum B. foramen ovale C. foramen rotundum D. superior orbital fissure . inferior orbital fissure Answer ! 2n treating a small child with a safety pin lodged in the piriform recess' you remember that this recess is located A. superior to the pharyngeal tonsil. B. between the palatoglossal and palatopharyngeal folds. C. in the laryngopharyn,' on either side of the laryngeal inlet. D. in the nasopharyn,' posterior to the salpingopharyngeal fold. . lateral to the 3nd tracheal ring. Answer ! C 2n%ury to the facial nerve in the facial canal can result in A. loss of secretion of the parotid gland. B. lateral deviation of the protruded mandible. C. accumulation of food in the space between the teeth and the cheek. D. loss of taste to the posterior -=7 of the tongue. . loss of secretion of the ipsilateral lacrimal gland. Answer ! C

$he most e,tensive arterial supply to the cranial dura mater is derived from the A. anterior meningeal artery. B. middle meningeal artery. C. posterior meningeal artery. D. middle cerebral artery. . internal carotid artery. Answer ! B

$he pulse found immediately anterior to the upper part of the e,ternal ear is from the $he pterygoid venous ple,us drains directly into the A. transverse facial artery. B. facial artery. C. superficial temporal artery. D. deep auricular artery. . ma,illary artery. Answer ! C A. ma,illary vein. B. internal %ugular vein. C. posterior auricular vein. D. e,ternal %ugular vein. . superficial temporal vein. Answer ! A

After a car accident' cerebrospinal fluid escapes from the nose of the patient. $he most likely cause is fracture of the A. frontal bone. B. ethmoid bone. C. nasal bone. D. lacrimal bone. . temporal bone. Answer ! B

After administration of an anesthetic agent in the infratemporal fossa to anestheti6e the lower teeth' the ipsilateral tongue and skin of the lip become .numb. in addition to the lower teeth. $hese findings suggest a drug action on all of the following nerves "C #$ the A. auriculotemporal. B. mental. C. inferior alveolar. D. lingual. Answer ! A $he thyrohyoid membrane is pierced by the

During e,cessive lacrimation' as in crying' tears drain into the nasal cavity at the A. sphenoethmoidal recess. B. middle nasal meatus. C. superior nasal meatus. D. inferior nasal meatus. . hiatus semilunaris. Answer ! D A. vagus nerve and the superior thyroid artery. B. recurrent laryngeal nerve and the inferior thyroid artery. C. e,ternal branch of the superior laryngeal nerve and the superior thyroid artery. D. internal branch of the superior laryngeal nerve and the superior laryngeal artery. . hypoglossal nerve and the lingual artery. Answer ! D $he common cartoid artery bifurcates into its two terminal branches at the level of the A. lower border of the cricoid cartilage. B. lower border of the mandible. C. isthmus of the thyroid gland. D. upper border of the thyroid cartilage. . >th cervical vertebra. Answer ! D

Branches of the infratemporal portion of the ma,illary artery include all of the following "C #$ the A. middle meningeal artery. B. inferior alveolar artery. C. lingual artery. D. anterior deep temporal artery. . accessory meningeal artery. Answer ! C

Head & Neck $o enhance drainage of the ma,illary sinus' an otolaryngologist wishes to produce an opening in the inferior nasal meatus. $o anestheti6e the mucous membrane around this area' a local anesthetic is infused in the connective tissue around the A. posterior ethmoidal nerve. B. olfactory nerve. C. pterygopalatine ganglion. D. nasopalatine nerve. . anterior superior alveolar nerve. Answer ! C $he superior border of the conus elasticus is associated with the A. vocal ligament. B. vestibular fold. C. aryepiglottic fold. D. thyroepiglottic ligament. . thyrohyoid membrane. Answer ! A .(hingles. is a painful skin disorder that results from a viral infection in the cell bodies of sensory neurons. 2n a patient with skin blisters over the lower %aw' upper e,ternal ear and temporal reigion' the viral infection is located in the A. otic glanglion. B. trigeminal ganglion. C. submandibular ganglion. D. pterygopalatine ganglion. . geniculate ganglion. Answer ! B

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All of the following statements concerning the auditory /pharyngotympanic1 tube are correct "C #$ that it A. has a medial opening into the nasopharyn,. B. has a lateral opening into the antrior wall of the middle ear. C. is lined by mucous membrane that receives most of its sensory supply from the glossopharyngeal nerve. D. can be obstructed by englarged pharyngeal tonsils. . is located immediately posterior to the middle nasal concha. Answer !

$he nerve that is sensory to the mucosa of the laryn, below the level of the vocal cords is the A. glossopharyngeal. B. internal laryngeal. C. e,ternal laryngeal. D. nerve to the thyrohyoid muscle. . recurrent laryngeal. Answer !

All of the following statements concerning the thyroid gland are correct "C #$ that it A. is supplied by branches of the e,ternal carotid artery and the thyrocervical trunk. B. is drained by veins that enter the internal %ugular and brachiocephalic veins. C. often has a pyramidal lobe located anterior to the thyroid cartilage. D. develops from the third pharyngeal pouch. . is covered superficially by the sternothyroid muscle. Answer ! D

$he parotid duct reaches the vestibule of the oral cavity by piercing the A. masseter muscle. B. 6ygomaticus ma%or muscle. C. levator anguli oris muscle. D. superior pharyngeal constrictor muscle. . buccinator muscle. Answer !

$he laryn, is elevated during the process of swallowing by all of the following muscles "C #$ the A. stylopharyngeus. B. salpingopharyngeus. C. palatopharyngeus. D. omohyoid. . stylohyoid. Answer ! D

Choose the correct match of nerves of the orbit and their action. A. short ciliary nerve 0 entirely sensory from the eyeball B. lacrimal nerve 00 sensory from the medial part of the upper eyelid C. frontal nerve 00 sensory from the forehead D. superior division of the oculomotor nerve 00 contraction of the ciliary muscle. . nasociliary nerve 00 parasympathetic innervation of the superior tarsal muscle Answer ! C

9essels that travel for a part of their course in the carotid triangle include all of the following "C #$ the A. ascending pharyngeal artery. B. occipital artery. C. inferior thyroid artery. D. lingual artery. . facial artery. Answer ! C

2n the surgical removal of the thyroid gland' paralysis of the posterior cricoarytenoid muscle is usually the result of in%ury to the A. recurrent laryngeal nerve. B. e,ternal branch of the superior laryngeal nerve /e,ternal laryngeal nerve1. internal branch of superior C. laryngeal nerve /internal laryngeal nerve1. D. pharyngeal branches of the vagus nerve. . pharyngeal branches of the glossopharynmgeal nerve. Answer ! A

#osteriorly' the fal, cerebri is directly continuous with or attached to the A. diaphragma sellae. B. crista galli. C. tentorium cerebelli. D. posterior clinoid processes. . dura of the cavernous sinuses. Answer ! C

(elect the correct match of eye muscle and anatomical movement of the eyeball. A. superior rectus muscle 00 elevate and abduct B. inferior obli5ue muscle 00 depress and abduct C. superior obli5ue muscle 00 depress and adduct D. inferior rectus muscle 00 depress and adduct . medial rectus muscle 00 elevate and abduct Answer ! D

Head & Neck

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#ain associated with an infection of the middle ear cavity results from impulses carried along the A. chorda tympani nerve. B. great auricular nerve. C. internal carotid ple,us. D. glossopharyngeal nerve. . ma,illary division of the trigeminal nerve. Answer ! D

All of the following statements concerning the orbicularis oculi muscle are correct "C #$ that it A. is involved in the blink response to irritation of the cornea. B. has a smooth muscle component that assists in raising the eyelid. C. receives motor innervation from the facial nerve. D. includes a portion that is located in the eyelids. . has an action that assists in moistening the cornea. Answer ! B

$he facial nerve innervates all of the following muscles "C #$ the $wo muscles that elevate the eyeball are the A. inferior obli5ue and medial rectus. B. superior obli5ue and superior rectus. C. inferior obli5ue and superior rectus. D. inferior obli5ue and lateral rectus. . superior obli5ue and inferior obli5ue. Answer ! C A. posterior belly of the digastric. B. temporalis. C. buccinator. D. stapedius. . platysma. Answer ! B

$he lymph node/s1 most likely to swell as a result of an inflammation of the palatine tonsil is /are1 the A. parotid. B. superficial cervical. C. %ugulo0omohyoid. D. %ugulodigastric. . retroauricular. Answer ! D

$he cell bodies for pain fibers from the anterior portion of the tongue are located in the A. superior ganglion of the vagus nerve. B. otic ganglion. C. trigeminal ganglion. D. geniculate ganglion. . submandibular ganglion. Answer ! C

An autonomic pathway from the central nervous system to the mucous membrane of the inferior nasal concha would include a synapse in the A. geniculate ganglion. B. ciliary ganglion. C. otic ganglion. D. trigeminal ganglion. . pterygopalatine ganglion. Answer ! $he nasopharyn, A. has an outer layer named the pharyngobasilar fascia. B. has an inner mucosa that receives sensory innervation from the vagus nerve. C. contains the palatine tonsils. D. is drained by superficial cervical lymph nodes. . contains an orifice for the auditory /pharyngotympanic1 tube. Answer !

During surgical removal of the palatine tonsil' all of the following are vulnerable to in%ury "C #$ A. the glossopharyngeal nerve. B. the superior pharyngeal constrictor muscle. C. the hypoglossal nerve. D. branches of the facial artery. . branches of the ascending pharyngeal artery. Answer ! C

All of the following statements concerning the hard palate are correct "C #$ that A. it forms a part of the floor of the nasal cavity. B. its ma%or blood supply is from the lesser palatine arteries. C. it is formed' in part' by the hori6ontal plate of the palatine bones. D. it is lined with mucosa that is innervated by the greater palatine nerves. . it contains a foramen for passage of the nasopalatine nerves. Answer ! B

$he nerve of the pterygoid canal A. is a branch of the glossopharyngeal nerve. B. contains preganglionic parasympathetic fibers. C. e,its the cranial cavity through the foramen rotundum. D. contains preganglionic sympathetic fibers. . terminates in the otic ganglion. Answer ! B All of the following statements regarding components of the autonomic nervous system in the orbit are correct "C #$ that A. the ciliary ganglion contains postganglionic cell bodies. B. the short ciliary nerves contain both postganglionic sympathetic and parasympathetic fibers. C. the lacrimal nerve contains autonomic fibers that originate as a component of the fifth cranial nerve. D. sympathetic fibers travel to the orbit on blood vessels. . postganglionic parasympathetic fibers from the ciliary ganglion affect pupillary constriction. Answer ! C

$he medial wall of the ethmoidal sinuses is also a part of the lateral wall of the A. orbit. B. nasal cavity. C. oral cavity. D. infratemporal fossa. Answer ! B

Head & Neck $he afferent limb of the cough refle, is usually mediated by the A. e,ternal laryngeal nerve. B. internal laryngeal nerve. C. lingual nerve. D. glossopharyngeal nerve. . pharyngeal ple,us. Answer ! B

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A patient had an upper third molar tooth e,tracted. $wo days later he developed an infection that led to thrombosis of the cavernous sinus. $he most likely route for the infection to reach the cavernous sinus was via the A. angular vein. B. pterygoid venous ple,us. C. superior ophthalmic vein. D. inferior alveolar vein. . superior labial vein. Answer ! B A fracture of the sphenoid bone could in%ure all of the following "C #$ the

$he vocal ligaments are A. attached to the vocal processes of the arytenoid cartilage. B. superior to the vestibular folds. C. adducted by the action of the posterior cricoarytenoid muscles. D. tensed by the action of the thyroarytenoid muscles. . the same as the false vocal cords. Answer ! A A. mandibular division of 9. B. middle meningeal artery. C. auditory nerve. D. nerve of the pterygoid canal. . ma,illary division of 9. Answer ! C

@ymphatic drainage of the vestibule of the laryn, is primarily by way of channels that drain into the A. superficial cervical nodes. B. upper deep cervical nodes. C. lower deep cervical nodes. D. paratracheal nodes. . pretracheal nodes. Answer ! B

Narrowing of the %ugular foramen due to a tumor could result in all of the following "C #$ A. dry eye. B. parotid gland dysfunction. C. difficulty in swallowing. D. drooping of the shoulder on the same side. Answer ! A

$he e,ternal laryngeal nerve innervates the A. posterior crioarytenoid muscle. B. mucosa of the piriform recess. C. lateral cricoarytenoid muscle. D. cricothyroid muscle. . mucosa of the infraglottic cavity. Answer ! D

$he pterygomandibular raphe serves as a point of attachment for A. superior constrictor and buccinator muscles. B. masseter and medial pterygoid muscles. C. medial pterygoid and lateral pterygoid muscles. D. buccinator and medial pterygoid muscles. . lateral pterygoid superior constrictor muscles. Answer ! A

$he chorda tympani nerve A. has fibers that synapse in the pterygopalatine ganglion. B. is a branch of the glossopharyngeal nerve. C. %oins the deep petrosal nerve. D. carries taste and preganglionic parasympathetic fibers to the lingual nerve. . e,its the cranial cavity through the stylomastoid foramen. Answer ! D

An infection in the infratemporal fossa could reach the pterygopalatine fossa through the A. inferior orbital fissure. B. pterygoid canal. C. foramen rotundum. D. superior orbital fissure. . pterygoma,illary fissure. Answer !

All of the following structures are located within the walls or cavity of the cavernous sinus "C #$ the A. oculomotor nerve. B. internal carotid artery. C. ophthalmic division of the trigeminal nerve. D. mandibular division of the trigeminal nerve. . abducens nerve. Answer ! D

A muscle that attaches to the articular disc of the temporomandibular %oint is the A. medial pterygoid. B. temporalis. C. masseter. D. buccinator. . lateral pterygoid. Answer !

pidural hemorrhage usually results from rupture of A. superficial cerebral veins. B. emissary veins. C. the middle meningeal artery. D. diploic veins. . the middle cerebral artery. Answer ! C

During swallowing' food is prevented from entering the nasopharyn, from the oropharyn, by actions that include contraction of the A. palatoglossus muscles. B. hyoglossus muscles. C. posterior belly of the digastric muscles. D. levator veli palatini muscles. . mylohyoid muscles. Answer ! D

Head & Neck All of the following statements concerning the auditory ossicles are correct "C #$ that they A. are united by synovial %oints. B. are covered with mucous membrane. C. include a malleus on which is inserted the tendon of the tensor tympani muscle. D. transmit acoustic vibrations to the oval window. . include a stapes that has a process that attaches to the tympanic membrane. Answer ! All of the following statements concerning the submandibular gland are correct "C #$ that it

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A. receives postganglionic sympathetic fibers from the superior cervical ganglion. B. receives parasympathetic fibers whose preganglionic segments travel in the chorda tympani nerve. C. receives postganglionic sympathetic fibers that travel along branches of the e,ternal carotid artery. D. receives postganglionic parasympathetic fibers from the otic ganglion. . has a duct that empties into the sublingual region near the frenulum of the tongue. Answer ! D

All of the following statements concerning HornerEs syndrome are correct "C #$ that it can A. include ptosis of the upper eyelid. B. include pupillary constriction. C. be caused by in%ury to the superior cervical ganglion. D. be caused by a regional anesthetic block of the sympathetic chain at the level of the si,th cervical vertebra. . include pale' moist skin of the face. Answer ! )ollowing occulsion of the origin of the left e,ternal carotid artery' blood can reach the left occipital artery by way of substantial collateral paths involving all of the following se5uences "C #$F A. left inferior thyroid 0G left superior thyroid0G left e,ternal carotid 0G left occipital B. left internal carotid 0G left middle meningeal 0G left occipital C. left costocervical trunk 0G left deep cervical 0G lefft occipital D. right superior thyroid 0G left superior thyroid0G left e,ternal carotid 0G left occipital Answer ! B

$he inferior sagittal sinus normally drains directly into the A. superior sagittal sinus. B. sigmoid sinus. C. sphenoparietal sinus. D. left transverse sinus. . straight sinus. Answer ! 4ccasionally' severe infection of the middle ear /otitis media1 spreads through a thin inferior wall /floor1 into the A. ma,illary sinus. B. auditory tube. C. cochlea. D. internal %ugular vein /bulb1. . temporal lobe of a cerebral hemisphere. Answer ! D All of the following statements concerning the mylohyoid muscle are correct "C #$ that it A. is innervated by a branch of the inferior alveolar nerve. B. forms most of the floor of the oral cavity. C. protrudes the tongue. D. originates from the body of the mandible. . separates the superficial and deep parts of the submandibular gland. Answer ! C

#reganglionic parasympathetic fibers to the lacrimal gland travel in the A. mandibular nerve. B. lacrimal nerve. C. ophthalmic nerve. D. greater petrosal nerve. . chorda tympani nerve. Answer ! D

All of the following statements concerning the parotid gland are correct "C #$ that it A. is located' in part' lateral to the masseter muscle. B. receives parasympathetic innervation from fibers that travel along the lingual nerve. C. has a duct that penetrates the buccinator muscle. D. has a duct that terminates in the vestibule of the mouth' opposite the upper second molar tooth. . has a portion that is wedged between the ramus of the mandible and the mastoid process of the temporal bone. Answer ! B

$he infratemporal fossa contains all of the following "C #$ the As it leaves the brain stem' the oculomotor nerve contains all of the following "C #$ A. preganglionic parasympathetic fibers. B. motor fibers to the elevator of the eyelid. C. fibers that cause dilation of the pupil. D. fibers that terminate on the inferior obli5ue muscle. Answer ! C All of the following usually receive arterial supply from branches of the ma,illary artery "C #$ A. the temporalis muscle. B. a portion of the skin of the cheek. C. the lower teeth. D. the nasal septum. . the sublingual gland. Answer ! A. pterygoid ple,us of veins. B. ma,illary artery. C. lingual nerve. D. pterygopalatine ganglion. . inferior alveolar nerve. Answer ! D

All of the following statements concerning the tympanic membrane are true "C #$ that A. its inner surface has sensory fibers from the vagus nerve. B. the handle of the malleus is attached to its medial surface. C. it forms most of the lateral wall of the middle ear. D. its outer surface has sensory fibers from the trigeminal nerve. . it is lined medially with mucous membrane. Answer ! A

Head & Neck An infection of the upper area of the nasal cavity will probably first involve swelling of the A. lower deep cervical lymph nodes. B. superficial cervical lymph nodes. C. submandibular lymph nodes. D. upper deep cervical lymph nodes. . sublingual lymph nodes. Answer ! D $he vocal ligaments e,tend between the A. thyroid and cricoid cartilages. B. cricoid and arytenoid cartilages. C. thyroid and arytenoid cartilages. D. arytenoid and epiglottic cartilages. . cricoid and epiglottic cartilages. Answer ! C $he cell bodies of neurons conducting sensation from the upper molar teeth are located in the All of the following statements concerning the facial nerve are correct "C #$ that it A. innervates the posterior belly of the digastric muscle. B. contains fibers for taste from the anterior 3=7 of the tongue. C. passes through the internal auditory /acoustic1 meatus. D. has a branch whose fibers synapse in the pterygopalatine ganglion. . innervates the tensor veli palatini muscle. Answer ! A. superior cervical ganglia. B. otic ganglia. C. geniculate ganglia. D. trigeminal ganglia. . pterygopalatine ganglia. Answer ! D Correct statements concerning the laryn, include all of the following "C #$ that All of the following statements concerning the superior obli5ue muscle are correct "C #$ that it A. originates from the common tendinous ring /annulus tendineus1. B. has a tendon that passes through a fibrous ring. C. inserts into the posterior portion of the eyeball. D. is supplied by the trochlear nerve. Answer ! A A. the opening of the rima glottidis is usually accompanied by rotation of the arytenoid cartilages. B. the cricothyroid muscles are of importance in controlling vocal pitch. C. the recurrent laryngeal nerves are both motor and sensory to the laryn,. D. the e,ternal laryngeal nerves are motor to the cricothyroid muscles. . the internal laryngeal nerve supplies sensory fibers to the mucosa of the infraglottic cavity. Answer !

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$he temporalis muscle. A. is supplied by the auriculotemporal nerve. B. inserts into the neck of the condylar process of the mandible. C. has a tendon that passes medial to the 6ygomatic arch. D. is a protruder of the %aw. . originates only from the temporal bone. Answer ! C

All of the following statements concerning the middle ear are correct "C #$ that it A. is lined with mucous membrane. B. is located superior to the %ugular foramen. C. is separated from the middle cranial fossa by the tegmen tympani. D. contains a bulge on its medial wall that is caused by the basal turn of the cochlea. . is traversed by the deep petrosal nerve. Answer ! $o test for trochlear nerve damage' have your patient ga6e A. in and then down. B. in and then up. C. out and then down. D. out and then up. . up and then down. Answer ! A *hen cell bodies of the left trigeminal ganglion are destroyed by a viral infection' the signs and symptoms include A. weakness in chewing food on the left side. B. loss of taste from the anterior 3=7 of the left side of the tongue. C. drooping of the left eyelid. D. loss of sensation of pain from the anterior 3=7 of the left side of the tongue. . loss of parasympathetic innervation to the left sublingual gland. Answer ! D All of the following statements concerning the optic nerve are corrrect "C #$ that it A. enters the orbit through the optic canal. B. is encircled by the central artery of the retina. C. is surrounded by the origins of the four rectus muscles as it enters the orbit. D. is crossed inferiorly by the nasociliary nerve. . is surrounded by cerebrospinal fluid within a meningeal sheath. Answer ! D

All of the following statements concerning sternocleiodomastoid muscle are correct "C #$ that it is A. innervated by the spinal accessory nerve. B. crossed superfically by the internal %ugular vein. C. crossed superficially by the transverse cervical artery. D. crossed superficially by the transverse cervical artery. . covered by investing /deep cervical1 fascia. Answer ! B

All of the following statements concerning the temporomandibular %oint are true "C #$ that it A. contains an articular disc. B. allows both hinge and gliding movements. C. involves articulation of the mandible with both the mandibular fossa and articular tubercle of the temporal bone. D. has an area for the attachment of a part of the medial pterygoid muscle. Answer ! D $he lateral wall of the ethmoidal sinus is also part of the medial wall of the A. nasal cavity. B. orbit C. anterior cranial fossa. D. oropharyn,. . nasopharyn,. Answer ! B

Head & Neck All of the follwing statements concerning the ansa cervicalis are correct "C #$ that it A. contains fibers from upper cervical nerves. B. travels within the carotid sheath for a part of its course. C. contains fibers that innervate infrahyoid muscles. D. contains fibers that innervate the skin of the anterior surface of the neck. . has a superior root /limb1 that travels for a part of its course with the hypoglossal nerve. Answer ! D A transverse N&; slice of the neck through the isthmus of the thyroid gland should display the A. cricoid cartilage. B. carotid sinus. C. pharyn,. D. thyroid cartilage. . trachea. Answer !

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A bacterial infection in the mucous membrane covering the conus elasticus would most likely initially cause swelling of the A. superficial cervical nodes. B. submandibular nodes. C. lower deep cervical nodes. D. pretracheal nodes. . retropharyngeal nodes. Answer ! D

2n a patient with an aneurysm of the aortic arch' compression of the left recurrent laryngeal nerve could result in A. deviation of the uvula to the right side. B. paralysis of the left cricothyroid muscle. C. loss of sensory supply to the mucosa of the vestibule of the laryn,. D. inability to abduct the vocal fold on the side of the lesion. . complete closure of the rima glottidis. Answer ! D

(tructures located posterior to the anterior scalene muscle include the A tumor restricted to the inferior orbital fissure could compress vessels and nerves that supply all of the following "C #$ the A. skin of the upper lip. B. lacrimal gland. C. upper teeth. D. soft palate. . skin of the lower eyelid. Answer ! D A. subclavian vein. B. transverse cervical artery. C. phrenic nerve. D. ventral ramus of the C: spinal nerve. . thyrocervical trunk. Answer ! D

?ou have a patient with thrombophlebitis /venous inflammation with clot formation1 of the right cavernous isnus. ?ou are concerned because you know that the venous dural sinuses connect with one another and that the thrombophlebitis could spread directly to all of the following "C #$ the A. right superior petrosal sinus. B. right transverse sinue. C. right superior ophthalmic vein. D. anterior intercavernous sinus. . right inferior petrosal sinus. Answer ! B

A biopsy of a tumor that you removed surgically from the superior and middle conchae of the left nasal cavity of a ::0year0old female contained malignant cells. ?ou decide to remove lymph nodes that directly drain the tumor region and e,cise several A. submental nodes. B. submandibular nodes. C. upper deep cervical nodes. D. lower deep cervical nodes. . preauricular nodes. Answer ! C

As the result of an acute infection of the middle ear /otitis media1' bacteria can spread All of the follwing statements concerning the authority tube are correct "C #$ that it A. opens medially onto the orpharyn,. B. is lined by a mucous membrane that receives its sensory supply from the glossopharyngeal nerve. C. can be opened by contraction of the palatopharyngeus muscle. D. functions in e5uali6ation of pressure on both sides of the tympanic membrane. . can be compressed by enlarged pharyngeal tonsils. Answer ! C A. posteriorly' into the bony labyrinth of the inner ear. B. laterally' into the mastoid antrum. C. inferiorly' into the %ugular bulb. D. medially' through the tegmen tympani into the middle cranial fossa. . inferiorly' into the e,ternal auditory meatus. Answer ! C

$he patient has symptoms limited to loss of taste and general sensation from the tongue. All of the following statements concerning the inferior pharyngeal constrictor muscle are correct "C #$ that it A. originates' in part' from the cricoid cartilage. B. receives motor innervation from branches of the vagus nerve. C. is separated laterally from the middle constrictor by the stylopharyngeus muscle. D. inserts in the midline pharyngeal raphe. . is covered by the buccopharyngeal fascia. Answer ! C A. A lesion of the lingual nerve %ust distal to its %unction with the chorda tympani. B. A lesion of the facial nerve in the facial canal immediately pro,imal to the branching of the chorda tympani. C. A lesion of the chorda tympani as it e,its the petrotympanic fissure. D. A lesion of the facial nerve in the internal auditory meatus pro,imal to the geniculate ganglion. . A lesion of the lingual nerve %ust distal to the submandibular ganglion. Answer !

Head & Neck $he patient has symptoms limited to paralysis of the muscles of facial e,pression' loss of taste from the tongue' and decreased salivary gland secretion. A. A lesion of the lingual nerve %ust distal to its %unction with the chorda tympani. B. A lesion of the facial nerve in the facial canal immediately pro,imal to the branching of the chorda tympani. C. A lesion of the chorda tympani as it e,its the petrotympanic fissure. D. A lesion of the facial nerve in the internal auditory meatus pro,imal to the geniculate ganglion. . A lesion of the lingual nerve %ust distal to the submandibular ganglion. Answer ! B $he patient has symptoms limited to loss of taste from the tongue and decreased salivary gland secretion. A. A lesion of the lingual nerve %ust distal to its %unction with the chorda tympani. B. A lesion of the facial nerve in the facial canal immediately pro,imal to the branching of the chorda tympani. C. A lesion of the chorda tympani as it e,its the petrotympanic fissure. D. A lesion of the facial nerve in the internal auditory meatus pro,imal to the geniculate ganglion. . A lesion of the lingual nerve %ust distal to the submandibular ganglion. Answer ! C Branches of the ma,illary artery are distributed to all of the following areas "C #$ the A. ma,illary sinus. B. nasal cavity. C. middle ear cavity. D. middle ear cavity. . sublingual fossa. Answer !

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$he deep petrosal nerve contains A. preganglionic parasympathetic fibers. B. postganglionic parasympathetic fibers. C. preganglionic sympathetic fibers. D. postganglionic sympathetic fibers. . taste fibers. Answer ! D

$he vocal ligaments are A. the superior border of the conus elasticus /cricothyroid membrane1. B. superior to the vestibular folds. C. adducted by the action of the posterior cricoarytenoid muscles. D. tensed by the thyroarytenoid muscles. . the same as the false vocal cords. Answer ! A

All of the following statements concerning the submandibular gland are correct "C #$ that it A. receives postganglionic sympathetic fibers from the superior cervical ganglion. B. receives parasympathetic fibers whose preganglionic segments travel for part of their course in the chorda tympani nerve. C. receives postganglionic sympathetic fibers that travel along branches of the e,ternal carotid artery. D. is penetrated by and completely surrounds the lingual artery. . has a duct that empties into the sublingual region near the frenulum of the tongue. Answer ! D

During resection of the trigeminal ganglion for relief from trigeminal neuralgia the motor root of the trigeminal nerve was accidently lesioned. A muscle e,pected to be paraly6ed is the A. stylopharyngeus. B. superior pharyngeal constrictor. C. tensor veli palatini. D. posterior belly of the diagastric. . buccinator. Answer ! C

$he cell bodies for pain fibers from the posterior one0third of the tongue are located in the A. vagal ganglia. B. glossopharyngeal ganglia. C. trigeminal ganglia. D. geniculate ganglia. . submandibular ganglia. Answer ! B

A tumor in the superior orbital fissure could compress all of the following nerves "C #$ the

A. lacrimal. B. frontal. ?ou e,amine a patient who comes into your office complaining of a droopy C. 6ygomatic. eyelid. <pon e,amination' you observe that when you elevate the lid forcefully the D. oculomotor. pupil is directed down and laterally with no superior or medial movement possible. . abducens. $he pupil is dilated and unresponsive to light. ?ou suspect a lesion involving Answer ! C A. the trochlear and oculomotor nerves. B. the oculomotor nerve. C. the superior cervical ganglion. D. both the trochlear and abducens nerves. . the abducens nerve. Answer ! B All of the following statements concerning HornerEs syndrome are correct "C #$ that it can A. include ptosis of the eyelid due to loss of innervation to the superior trarsal muscle smooth muscle portion of the levator palpebrae superioris. B. include pupillary constriction due to loss of innervation to the dilator pupillae muscle. C. be caused by in%ury to the superior cervical ganglion. D. be caused by in%ury to the sympathetic chain /trunk1 at vertebral level C>. . result in vasoconstriction on the skin of the face. Answer !

During an attempt to anestheti6e the brachial ple,us' a first year anesthesiology resident penetrated the area anterior to the left anterior scalene muscle and damaged a nerve. A result of this nerve in%ury could be a decrease in A. sensation from the posterior area of the left auricle. B. tone of the left side of the diaphragm. pain sensation from the skin C. covering the body of the left side of the mandible. D. arterial pressure in the left subclavian artery. . tone of the left sternocleidomastoid muscle. Answer ! B

Head & Neck During your third year rotation in surgery you are going to assist on a parotidectomy. 2n a presurgical conference you are asked various 5uestions about the parotid gland. *hich of the following statements concerning the parotid gland is N4$ correct+ A. 2t is located' in part' lateral to the masseter muscle. B. 2t receives parasympathetic innervation from fibers that travel in the lingual nerve. C. 2t has a duct that penetrates the buccinator muscle. D. 2t has a duct that terminates in the vestibule of the mouth' opposite the upper second molar tooth. . 2t has a portion that is wedged between the ramus of the mandible and the mastoid process of the temporal bone. Answer ! B 2n order to test for the function of the hypoglossal nerve in a neurologic e,am' you ask the patient to perform an action that is accomplished primarily by the A. styloglossus muscle. B. hyoglossus muscle. C. genioglossus muscle D. palatoglossus muscle. . suprahyoid muscles. Answer ! C

-A

2n e,amining an &;2 of a transverse /cross1 section through the neck at the level of the cricoid cartilage' the radiologist e,pected to see the A. e,ternal carotid artery. B. vertebral artery. C. thyrohyoid membrane. D. isthmus of the thyroid gland. . vocal folds. Answer ! B A patient with a compression in%ury of a neural structure had numerous symptoms that included a loss of pain from the anterior part of the tongue. $he lesion may have been in the

2t is possible for a fracture line passing through the body of the sphenoid bone to damage the A. nasociliary nerve. B. nerve of the pterygoid canal. C. supraorbital nerve. D. anterior ethmoidal nerves. . lesser petrosal nerve. Answer ! B

A. stellate ganglion. B. otic ganglion. C. trigeminal ganglion. During a surgical procedure in the anterior triangle of the neck' a nerve bundle was D. geniculate ganglion. in%ured' resulting in paralysis of the sternohyoid muscle. $his structure was . inferior vagal ganglion. probably the Answer ! C A. vagus nerve. B. phrenic nerve. C. ansa cervicalis. D. middle trunk of the brachial ple,us. . superior laryngeal nerve. Answer ! C During surgery of the cavernous sinus' you are reminded that all of the following structures are located within the walls or cavity of the sinus "C #$ the A. oculomotor nerve. B. internal carotid artery. C. ophthalmic division of the trigeminal nerve. D. mandibular division of the trigeminal nerve. . abducens nerve. Answer ! D $he lymph node/s1 most likely to swell initially' following a .sore throat. /inflammation of the oropharyn,1' is=are the A. retromandibular. B. %uguloomohyoid. C. retroauricular. D. upper deep cervical. . superficial cervical. Answer ! D

At a clinical correlation conference' you are asked to discuss the blood supply to the face. ?ou begin your discussion by stating that the facial artery A. is a branch of the internal carotid artery. B. arises at the lower border of the thyroid cartilage. C. passes deep to the masseter muscle. D. supplies the muscles of the temporal area. . crosses the mandible deep to the skin and platysma muscle. Answer !

?ou are involved in a surgical procedure in which you enter the ethmoidal sinus through its medial wall. 2nadvertently' you drill through its lateral wall and enter the A. nasal cavity. B. orbit. C. anterior cranial fossa D. oropharyn,. . nasopharyn,. Answer ! B During your neurology rotation you are asked a series of 5uestions about the si,th cranial nerve. ?ou did well because you knew that the si,th cranial nerve A. has a parasympathetic component. B. travels in the lateral wall of the cavernous sinus. C. if in%ured bilaterally' can result in .crossed eyes.. D. enters the orbit outside of the common tendinous ring. . innervates a muscle that adducts the eyeball. Answer ! C

?ou and a classmate are having a contest in which one person finds a pulse and the other has to identify the vessel involved. ?ou identify the pulse found immediately During removal of the palatine tonsils' the surgeion attempted to avoid in%ury to anterior to the upper part of the e,ternal ear. *hich artery should your classmate the closely related structures' which included all of the following "C #$ the identify+ A. hypoglossal nerve. A. 4ccipital B. superior pharyngeal constrictor muscle. B. )acial C. styloglossus muscle. C. (uperficial temporal D. branches of the facial artery. D. Deep auricular . glossopharyngeal nerve. . &a,illary Answer ! A Answer ! C

Head & Neck During surgery to remove a voal fold containing a malignant tumor' you remove the attachments of the vocal ligaments from the A. thyroid and cricoid cartilages. B. cricoid and arytenoid cartilages. C. thyroid and arytenoid cartilages. D. arytenoid and epiglottic cartilages. . cricoid and epiglottic cartilages. Answer ! C

-B

An e,amination of a 8:0year0old man indicates that a large tumor is blocking the middle meatus of the nasal cavity. $he drainage from which of the following structures would be blocked in this situation+ A. )rontal sinus B. #osterior ethmoidal sinus /air cells1 C. (phenoidal sinus D. Nasolacrimal duct . Auditory tube Answer ! A

During surgery to remove a pla5ue in the internal carotid artery' the superior cervical ganglion was damaged. $his could result in all of the following "C #$ A. decreased facial sweating /anhydrosis1. B. pupillary constriction. C. constriction to the branches of the superficial temporarl artery. D. inability to maintain a fully raised upper eyelid. Answer ! C )ollowing an in%ection of a local anesthetic surrounding the mandibular division of the trigeminal nerve as it e,its the skull' all of the following would occur "C #$ A. loss of sensation to part of the cranial dura mater. B. paralysis of the levator veli palatini muscle. C. paralysis of the lateral and medial pterygoid muscles. D. loss of general sensation tothe anterior two0thirds of the tongue. . paralysis of the anterior belly of the digastric muscle. Answer ! B

A meningioma of the floor of the cranial cavity compressed structures in the intracranial opening of the foramen rotundum. #eripheral structures that would probably lose innervation from this lesion include A. secretory cells in the submandibular gland. B. pain receptors in the mucous membrane of the ethmoidal sinuses. C. pain receptors in the skin of the chin. D. secretory cells in the lacrimal gland. . pain receptors in the membrane of the lateral wall of the nasal cavity. Answer ! During a surgical procedure on a :>0year0old woman with otosclerosis' Dr. )riedman remembered that the stapes A. is attached to the tympanic membrane. B. serves as an attachment for the tendon of the tensor tympani muscle. C. has an opening at its base for the chorda tympani nerve. D. is connected directly to the malleus. . fits into the oval window. Answer !

An otolaryngologist was e,amining the tympanic membrane of a patient with a middle ear infection. (he recalled that the tympanic membrane A. is crossed on its lateral surface by the chorda tympani nerve. B. is attached to the malleus. C. is a partition between the e,ternal and internal auditory meatuses. D. forms most of the medial wall of the tympanic cavity. e. transmits air0born vibrations to the round window. Answer ! B During a physical e,amination on a A70year0old woman' you discover a large tumor blocking and limited to the sphenopalatine foramen. ?ou suspect that innervation has been disrupted to the A. floor of the orbit. B. lacrimal gland. C. upper teeth. D. nasal cavity. . oropharyn,. Answer ! D

*hile treating a patient with a fracture of the ramus of the mandible' the oral surgeon recalled that there was a large muscle located medial to the ramus which inserts on the angle of the mandible. He knew that this muscle A. retracts the mandible. B. is innervated by the ma,illary division of the trigeminal nerve. C. is a muscle of facila e,pression. D. passes medial to the inferior alveolar nerve. . arises' in part' from the medial pterygoid plate. Answer ! D

#ain associated with an infection limited to the middle ear cavity results from impulses carried along the A. chorda tympani nerve. B. great auricular nerve. C. vagus nerve. D. glossopharyngeal nerve. . mandibular division of the trigeminal nerve. Answer ! D

)ollowing a laceration of the scalp immediately anterior to the auricle' the emergency room physician observed a cutaneous nerve traveling with an artery. He knew that the nerve A. supplies the temporalis muscle. B. travels with the occipital artery. C. is a branch of the ma,illary nerve. D. surrounds the middle meningeal artery in a part of its course. conducts preganglionic . parasympathetic fibers in a part of its course. Answer ! D A A70year0old woman has difficulty elevating her tongue during swallowing. All of the following muscles are involved in this process "C #$ the A. anterior belly of the digastric. B. hyoglossus. C. intrinsic muscles of the tongue. D. styloglossus. . mylohyoid. Answer ! B

Head & Neck A dye used for tracing the flow of blood was placed into the superior petrosal sinus. ?ou would e,pect that following a normal drainage pattern' the dye would first be detectable in the A. cavernous sinus. B. inferior petrosal sinus. C. sphenoparietal sinus. D. sigmoid sinus. . basilar sinus. Answer ! D All of the following statements concerning the orbicularis oculi muscle are correct "C #$ that it A. is involved in the blink response to irritation of the cornea. B. has a smooth muscle component that assists in raising the eyelid. C. receives motor innervation from the facial nerve. D. includes a portion that is located in the eyelids. Answer ! B During a surgical procedure involving the carotid artery' the ansa cervicalis is damaged. $his would cause a disruption in the innervation to all of the following muscles "C #$ the A. sternothyroid. B. superior belly of the omohyoid. C. inferior belly of the omohyoid. D. sternohyoid. . geniohyoid. Answer ! *hile studying for your .head and neck. final' you finally relai6e why the petrous portion of the temporal bone is so important clincially. ?ou now appreciate that all of the following are features of the petrous portion of the temporal bone "C #$ that it A. has a hiatus for passage of the greater petrosal nerve. B. has an eminence produced by a semicircular canal. C. houses the inner ear. D. contains the foramen spinosum. . contains a canal for passage of the facial nerve. Answer ! D 2n the neck' the roots of the brachial ple,us are covered immediately anteriorly by the A. subclavian artery. B. anterior scalene muscle. C. phrenic nerve. D. ansa cervicalis. . subclavian vein. Answer ! B A tumor at the internal auditory meatus results in an ipsilateral /same side1 loss of all of the following "C #$ A. hearing. B. lacrimal secretion. C. facial e,pression. D. taste to the anterior part of the tongue. . parotid gland secretion. Answer ! $he tentorium cerebelli A. contains the sigmoid sinus. B. is attached to the crista galli. C. is formed by an infolding of the endosteal /periosteal1 layer of dura mater. D. contains the straight sinus. . separates the right and left lobes of the cerebellum. Answer ! D An B0year0old girl developed an infection and inflammation of tonsillar tissue superior to the opening of her auditory tube. Her pediatrician knew that the bacteria from the infection would spread into the A. submandibular lymph nodes. B. submental lymph nodes. C. posterior auricular lymph nodes. D. superficial cevical lymph nodes. . retropharyngeal lymph nodes. Answer ! During radical neck surgery' the e,ternal laryngeal nerve was accidentally cut. (ubse5uently' the patient lost innervation to the A. posterior cricoaytenoid muscle. B. thyroarytenoid muscle. C. lateral cricoarytenoid muscle. D. cricothyroid muscle. . mucosa of the infraglottic cavity. Answer ! D

-C

A fracture of the mastoid process that passes through the stylomastoid foramen may result in paralysis of the A. tensor tympani muscle. B. anterior belly of the digastric muscle. C. masseter muscle. D. buccinator muscle. . stapedius muscle. Answer ! D

A -:0year0old boy developed an infection of his ethmoidal sinuses. $he otolaryngologist knew that the infection could spread directly through the walls of these sinuses into all of the following "C #$ the A. orbit. B. anterior cranial fossa. C. nasal cavity. D. sphenoidal sinuses. . oropharyn,. Answer !

A :80year0old woman who took daily doses of coumedin suffered fre5uent nosebleeds. A likely source of the bleeding vessels is from the nasal septum which is supplied by branches of all of the following "C #$ the A. anterior ethmoidal artery. B. posterior ethmoidal artery. C. sphenopalatine artery. D. facial artery. . ascending pharyngeal artery. Answer !

A 780year0old mother stopped at &cDonalds to buy coffee after dropping her B0 year0old son off at morning soccer practice. (he 5uickly withdrew her tongue after touching its tip on the hot coffee. $he pain that she e,perienced was conducted by fibers whose cell bodies are located in the A. inferior ganglion of the vagus nerve. B. otic ganglion. C. trigeminal ganglion. D. geniculate ganglion. . submandibular ganglion. Answer ! C

Head & Neck 2n a patient with an aneurysm of the aortic arch' compression of the left recurrent laryngeal nerve could result in A. deviation of the uvula to the right side. B. paralysis of the left cricothyroid muscle. C. loss of sensory supply to the mucosa of the vestibule of the laryn,. D. inability to abduct the vocal fold on the left side. . complete closure of the rima glottidis. Answer ! D

3D

An automobile accident victim has fracture of the base of the skull that interrupts the tympanic branch of CN2". A structure affected by this in%ury is the A. stylopharyngeus muscle. B. parotid gland. C. mucosa of the hard palate. D. mucosa of the posterior one0third of the tongue. . superior pharyngeal constrictor muscle. Answer ! B

A C-0year0old college freshman contracted a severe staphylococcal infection which spread through the posterior wall of her oropharyn, into the retropharyngeal space which A >80year0old man developed calculi in the duct system of his right sublingual gland. $he e,amining internist knew that the sublingual gland A. is posterior to the prevertebral fascia. B. e,tends inferiorly into the anterior mediastinum. A. is an endocrine gland. C. lies anterior to the buccopharyngeal fascia. B. has a single duct that opens at the sublingual caruncle. D. e,tends superiorly to the level ofthe pharyngeal tubercle. C. receives postganglionic parasympathetic fibers from the submandibular Answer ! D ganglion. D. is located in the submandibular triangle. . empties saliva directly into the vestibule of the mouth. Answer ! C 2n%ury to the left hypoglossal nerve as it e,its the brain stem can result in A. deviation of the protruded tongue to the left. B. inability to depress the hyoid bone on the left side. C. accumulation of food in the space between the teeth and the cheek on the left side. D. deviation of the uvula to the right. . loss of taste from the anterio two0thirds of the tongue. Answer ! A During the e,amination of a patient that suffered a fracture of the greater wing of the sphenoid bone' the physician e,pected to identify deficits including all of the following "C #$ A. sensation to the posterior wall of the oropharyn,. B. sensation to the lateral nasal wall. C. sensation to the chin. D. movement of the %aw. Answer ! A

All of the following statements concerning the optic nerve are correct "C #$ that it A. enteres the orbit through the optic canal. B. is supplied by the central retinal artery. C. is usually encircled by the origins of the four rectus muscles as it enters the orbit. D. is usually crossed inferiorly by the nasociliary nerve. . is surrounded by crebrospinal fluid within a meningeal sheath. Answer ! D A violent spill from his horse hurled the ranch hand into a barbed wire fence' severely lacerating the vestibule of his oral cavity. $he plastic surgeon repaired the muscle immediately lateral to the mucosa of the vestibule' which is the A. masseter muscle. B. superior constrictor muscle. C. buccinator muscle. D. medial pterygoid muscle. . lateral pterygoid muscle. Answer ! C Cincinnati is known as the allergy capitol of the <(A. As the pollen level increases each year' the local allergist knows that as the occurrence of allergic agents increase they will violently trigger the afferent limb of the cough refle, which is mediated by the A. e,ternal laryngeal nerve. B. internal laryngeal nerve. C. lingual nerve. D. glossopharyngeal nerve. . pharyngeal ple,us. Answer ! B

Brett Butler developed a cancerous tumor in his oral cavity following years of chewing tobacco. (ome cancerous tissue was removed lateral to his hyoglossus muscle. (tructures lateral to the muscle could include all of the following "C #$ the A. sublingual gland. B. hypoglossal nerve. C. lingual nerve. D. submandibular duct. . lingual artery. Answer !

A :>0year0old man complains that he is unable to feel his lower eyelid when he touches it. *hat nerve supplying most of the lower eyelid has probably been damaged+ A. &ental nerve B. &a,illary division of the trigeminal nerve. C. Auriculotemporal nerve D. Buccal branch of the trigeminal nerve . 4phthalmic division of the trigeminal nerve Answer ! B

A cervical wound that in%ured the left superior cervical ganglion could result in all of the following "C #$ A. decreased sweating on the left side of the upper neck. B. increased blood flow through surface vessels of the left side of the face. C. a dilated left pupil in normal light. D. a decrease in sympathetic supply to the heart. . a modest drooping of the left eyelid. Answer ! C

Head & Neck A 3A0year0old medical student developed a ma,illary sinus infection si, days prior to his final e,amination in gross anatomy. 2n hopes of resolving this condition' he reviewed the characteristics of the ma,illary sinus and recalled that all of the following statements about the sinus are correct "C #$ that A. it is lined with mucous membrane. B. it drains through an opening under the inferior concha /turbinate1. C. it may become infected from an abscessed tooth. D. it is located below the floor of the orbit. . its lining is innervated by the trigeminal nerve. Answer ! B

3-

4n e,amination of an &;2 view of a cross /transverse1 section through the neck at the level of the third tracheal ring' a third year medical student observed all of the following "C #$ the A. recurrent laryngeal nerve. B. thyroid gland. C. sternohyoid muscle. D. inferior thyroid artery. . laryngopharyn,. Answer !

A tumor restricted to the inferior orbital fissure could compress vessels and nerves that supply all of the following "C #$ the A. skin of the upper lip. B. lacrimal gland. C. upper teeth. D. soft palate. . skin of the lower eye. Answer ! D