PRACTICE EXAM ANSWERS - HEAD & NECK

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

1. __A___ The Anterior Fontanelle is located at

A. the midpoint of the coronal suture

B. the midpoint of the lambdoidal suture

C. the midpoint of the sagittal suture

D. between the parietal and occipital bones

E. between the parietal and temporal bones

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

A. Sphenomandibular ligament

B. Stylohyoid ligament

C. Malleus

D. Incus

E. Anterior ligament of the malleus

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

A. Longitudinal muscles

B. Transverse muscles

C. Vertical muscles

D. Hyoglossus muscle

E. Genioglossus muscle

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

A. Lesser occipital nerve

B. Great Auricular nerve

C. Supraclavicular nerves

D. A and B

E. All of the above

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

A. Vertebral artery

B. Internal Thoracic artery

C. Thyrocervical trunk

D. A and B

E. All of the above

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

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

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

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

D. A and B

E. All of the above.

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

A. Accessory nerve

B. Supraclavicular nerve

C. Superficial cervical artery

D. Subclavian artery

E. Lesser Occipital nerve

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

A. V3, VII and X

B. VII, IX and X

C. VII, X and XII

D. VII, IX and XII

E. V3, IX and XII

9. __A___ The Alar ligaments extend from the

A. Dens to the occipital bone

B. Body of the axis to the occipital bone

C. Atlas to the occipital bone

D. Axis to the atlas

E. C3 to the Atlas

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

A. Palatopharyngeus

B. Middle pharyngeal constrictor

C. Cricothyroid

D. A and C

E. All of the above

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

A. Maxillary

B. Ethmoid

C. Sphenoid

D. Nasal

E. Frontal

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

A. Occipital vein

B. Posterior auricular vein

C. Maxillary vein

D. Superficial temporal vein

E. Facial vein

13. __E___ The glossopharyngeal nerve passes

A. lateral to the stylopharyngeus

B. lateral to the palatine tonsil

C. between the Superior and Middle constrictor muscles

D. A and C

E. All of the above

14. __C___ The Lateral Pterygoid muscle acts to

A. Elevate and protrude the mandible

B. Depress and retrude the mandible

C. Depress and protrude the mandible

D. Elevate and retrude the mandible

E. only Elevate the mandible

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

A. Roots and Trunks of the Brachial plexus

B. Phrenic nerve

C. Occipital artery

D. A and B

E. All of the above

16. __D___ The Maxillary sinus opens into the

A. Sphenoethmoidal recess

B. Superior meatus

C. Superior concha

D. Hiatus semilunaris of the middle meatus

E. Inferior meatus

17. __A___ The Salpingopharyngeus muscle develops from the

A. Fourth (and Sixth) branchial arch

B. Second branchial arch

C. Third branchial arch

D. First branchial arch

E. Occipital myotomes

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

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

B. Maxillary and Median palatine processes

C. Maxillary processes of the left and right sides

D. A and B

E. A and C

19. __B___ The Posterior Ethmoidal air sinus opens into the

A. Sphenoethmoidal recess

B. Superior meatus

C. Ethmoidal bulla of the Middle Meatus

D. Hiatus semilunaris of the Middle Meatus

E. Inferior meatus

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

A. Inferior parathyroid gland

B. Superior parathyroid gland

C. Thymus

D. A and C

E. B and C

21. __T___ The nasal cavity

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

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

C. has lymphatics that drain to the retropharyngeal nodes.

D. A and B

E. All of the above

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

true vocal folds is

A. GVA and provided by the Recurrent Laryngeal nerve

B. GVA and provided by the Internal Laryngeal nerve

C. GSA and provided by the Recurrent Laryngeal nerve

D. GSA and provided by the Internal Laryngeal nerve

E. GVA and provided by the External Laryngeal nerve

23. __D___ The sublingual salivary glands

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

B. found on either side of the lingual frenulum

C. have ducts which open into the Sublingual papilla

D. A and B

E. All of the above

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

A. Zygomaticus major

B. Buccinator

C. Platysma

D. Orbicularis oculi

E. None of the above

25. __B___ The Arch of the aorta is formed from

A. artery of the third branchial arch on the left

B. artery of the fourth branchial arch on the left

C. artery of the fourth branchial arch on the right

D. artery of the sixth branchial arch

E. artery of the second branchial arch

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

A. Submental Nodes

B. Submandibular Nodes

C. Deep cervical nodes

D. B and C

E. A and B

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

A. Lesser petrosal nerve

B. Greater petrosal nerve

C. Nerve to Carotid body

D. Posterior Auricular nerve

E. B and D

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

A. V

B. V11

C. IX

D. X

E. All of the above

29. __A___ The Quadrangular membrane links the

A. Epiglottis and arytenoid cartilages

B. Cricoid and arytenoid cartilages

C. Thyroid and arytenoid cartilages

D. Epiglottis and thyroid cartilages

E. Thyroid and cricoid cartilages

30. __B___ A branchial cyst fistula is usually

A. An extension of the third branchial membrane

B. found passing between the Internal and External Carotid arteries

C. found exiting in the Posterior triangle of the neck

D. B and C

E. All of the above

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

A. VII

B. IX

C. X

D. V3

E. V2

32. __D___ The falx cerebri

A. is attached anteriorly to the ethmoid bone

B. is attached posteriorly to the tentorium cerebelli

C. contains the Transverse sinus

D. A and B

E. All of the above

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

A. Glossopharyngeal nerve

B. Internal Laryngeal nerve

C. External Laryngeal nerve

D. Superior Laryngeal artery

E. B and D

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

A. Lingual artery

B. Sublingual artery

C. Facial artery

D. Inferior alveolar artery

E. None of the above

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

A. Posterior cricoarytenoid

B. Lateral cricoarytenoid

C. Arytenoideus

D. Cricothyroid

E. B and C

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

A. Middle Cerebral artery

B. Posterior Cerebral artery

C. Anterior Cerebral artery

D. A and C

E. All of the above

37. __A___ The temporo-mandibular (lateral) ligament of the temporomandibular

joint prevents movement of the mandible

A. posteriorly and inferiorly

B. posteriorly and superiorly

C. anteriorly and inferiorly

D. anteriorly and superiorly

E. laterally

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

A. Temporalis

B. Lateral Pterygoid

C. Medial Pterygoid

D. Masseter

E. Buccinator

39. __D___ A subarachnoid hematoma

A. usually results from bleeding of a Cerebral artery

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

C. usually results from bleeding of a venous sinus

D. A and B

E. C and B

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

A. Stylopharyngeus muscle

B. Lesser horns (cornu) of the hyoid bone

C. Common Carotid artery

D. Lower half of the body of the hyoid bone

E. Proximal part of the Internal Carotid artery

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

A. skin and the underlying connective tissue layer

B. the connective tissue layer and the epicranial aponeurosis

C. the epicranial aponeurosis and the loose areolar tissue

D. the loose areolar tissue and the pericranium

E. None of the above

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

A. I

B. II

C. III

D. IV

E. C and D

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

A. Buccal artery

B. Middle meningeal artery

C. Inferior alveolar artery

D. Descending Palatine artery

E. Deep Auricular artery

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

A. Superior oblique, medial rectus and inferior rectus

B. Inferior oblique, lateral rectus and superior rectus

C. Superior rectus, medial rectus and inferior rectus

D. Superior rectus, inferior oblique and inferior rectus

E. Inferior oblique, lateral rectus and superior oblique

45. __D___ The Levator Palpebrae Superioris muscle is innervated by

A. cranial nerve III

B. parasympathetics from III

C. sympathetics

D. A and C

E. A and B

46. __C___ Arachnoid villi normally contain

A. branches of cerebral arteries

B. branches of cerebral veins

C. cerebrospinal fluid

D. meningeal veins

E. A and B

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

A. Sphenopalatine artery

B. Nasopalatine nerve

C. Descending palatine artery

D. A and B

E. All of the above

48. __D___ The chorda tympani

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

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

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

D. A and B

E. All of the above

49. __E___ The nasolacrimal duct

A. forms embryologically first as a solid cord.

B. drains to the inferior meatus of the nasal cavity

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

D. B and C

E. All of the above

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

A. Inferior oblique and Superior rectus

B. Inferior oblique and Inferior rectus

C. Superior oblique and Superior rectus

D. Superior oblique and Inferior rectus

E. Inferior oblique and Superior oblique

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

A. Lateral strabismus

B. Dilation of the pupil

C. Diplopia

D. B and C

E. All of the above

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

A. Stapedius

B. Masseter

C. Tensor tympani

D. Lateral pterygoid

E. None of the above

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

A. Facial

B. Maxillary

C. Ascending Pharyngeal

D. B and C

E. All of the above

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

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

B. Maxillary processes of both sides.

C. Maxillary process with the Frontonasal process.

D. Frontonasal process with the Medial nasal process.

E. Medial nasal processes of both sides.

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

A. Superior labial artery

B. Inferior labial artery

C. Transverse Facial artery

D. Angular artery

E. Submental artery

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

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

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

C. is composed of smooth muscle

D. A and C

E. All of the above

57. __E___ The parotid duct

A. passes superficial to the masseter muscle

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

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

D. A and C

E. All of the above

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

A. tensor veli palatini (tensor palati)

B. levator veli palatini (levator palati)

C. Auditory tube

D. B and C

E. A and C

II. Multiple completion. Under the initial statement of each question are four (4)
statements that complete it or pertain to it. Read ALL statements carefully and then
choose the appropriate answer.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

59. __E___ Which of the following bones forms the medial wall of the orbit?

1. Sphenoid

2. Lacrimal

3. Ethmoid

4. Maxillary

60. __A___ Which of the following statements is (are) true of the oral cavity?

1. The lingual artery passes deep to the hyoglossus muscle.

2. The lingual nerve enters the floor of the mouth medial to the root of the third
molar tooth.

3. The mylohyoid muscle acts to raise the floor of the mouth.

4. The lingual frenulum extends from the tongue to the epiglottis.

61. __A___ Which of the following statements is (are) true of the larynx?

1. The Arytenoideus muscle is innervated by the recurrent laryngeal nerve.

2. The vestibule of the larynx lies between the true and false vocal folds.

3. The Thyroarytenoid muscle acts to lower the pitch of sound produced by the
larynx.

4. Lymphatics from all of the larynx drain to the Superior deep cervical lymph
nodes.

62. __A___ Which of the following muscles develop(s) from myotomes?

1. Omohyoid

2. Levator palpebrae superioris (skeletal part)

3. Genioglossus

4. Palatoglossus

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

63. __A___ The Greater Petrosal nerve

1. contains pre-ganglionic parasympathetic fibers that synapse in the

pterygopalatine ganglion.

2. courses through a canal that is located in the Sphenoid bone.

3. is part of a pathway that ultimately provides innervation to the mucous glands of

the nose and the palate.

4. sends fibers to the Auriculotemporal nerve.

64. __E___ The thyroid gland

1. can have a central pyramidal lobe which is often connected to the hyoid bone.

2. develops as an endodermal thickening at the junction of the future anterior 2/3

and posterior 1/3 of the tongue.

3. contains C-cells which are derived from the fourth branchial pouch.

4. receives part of its arterial supply from an artery which courses near the
Recurrent Laryngeal nerve.

65. __B___ Which of the following pre-vertebral muscles takes origin from the Atlas
and inserts onto the Occipital bone?

1. Rectus capitis anterior

2. Longus capitis

3. Rectus capitis lateralis

4. Longus colli

66. __E___ Which of the following statements is (are) true of the ear?

1. Both the Stapedius muscle and the Tensor tympani muscle act to dampen sounds
and prevent damage to the inner ear.

2. The posterior one third of the auditory tube is formed by bone while the anterior
two thirds are formed of cartilage.

3. The Tympanic branch of the Glossopharyngeal nerve innervates the auditory

tube.

4. The outer one third of the External auditory meatus is composed of cartilage
while the inner two thirds are composed of bone.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

67. __C___ Which of the following statements is (are) true of the fascial
compartments of the head neck?

1. The sympathetic chain is contained within the Carotid sheath.

2. The Buccopharyngeal fascia of the pharynx is continuous with and part of the
Pretracheal fascia.

3. The Pretracheal fascia splits to surround the Thyrohyoid muscle.

4. The Investing layer (Superficial layer of the Deep Cervical fascia splits to surround
the Sternocleidomastoid muscle.

68. __B___ Which of the following nerves is normally a branch of the Maxillary
division of the Trigeminal nerve (V2)?

1. Posterior Superior Alveolar nerve

2. Infratrochlear nerve

3. Infraorbital nerve

4. Buccal branch of the Trigeminal nerve

69. __E___ Which of the following statements is (are) true of the pharynx?

1. The pharynx extends from the base of the skull superiorly to the level of the
cricoid cartilage inferiorly.

2. The Pharyngobasilar fascia corresponds to the Submucosa of the GI tract.

3. The Middle constrictor muscle inserts onto the hyoid bone.

4. The Pterygomandibular raphe (origin of the Superior constrictor muscle) extends

from the medial pterygoid plate to the mandible.

70. __B___ Which of the following structures is found in the posterior cranial fossa?

1. Cerebellum

2. Cavernous sinus

3. Falx cerebelli

4. Inferior Sagittal sinus

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

71. __C___ The soft palate

1. is tensed by the tensor veli palatini muscle, which takes origin from the temporal
bone.

2. has lymphatics which drain to the retropharyngeal nodes.

3. is innervated by branches derived from the ophthalmic (V1) and maxillary (V2)
divisions of the Trigeminal nerve.

4. receives arterial blood from the Ascending palatine artery, which is a direct
branch of the External Carotid Artery.

72. __E___ Which of the following open into the Pterygopalatine fossa?

1. Foramen rotundum

2. Inferior orbital fissure

3. Pterygoid canal

4. Sphenopalatine foramen

73. __A___ Which of the following statements is (are) true of the venous sinuses of
the head?

1. The Inferior Petrosal sinus drains directly to the Sigmoid sinus (where it is forming
the Internal Jugular vein).

2. The Ophthalmic veins drain directly to the Cavernous sinus.

3. The Internal Carotid artery passes through the Cavernous sinus.

4. The Inferior Sagittal sinus drains directly to the Superior Sagittal sinus.

74. __E___ Which of the following statements is (are) true of the sphenoid bone?

1. The Superior orbital fissure is located between the greater and lesser wings of the
sphenoid bone.

2. Both the foramen ovale and the foramen spinosum are located in the sphenoid
bone.

3. The sphenoid bone forms part of the anterior cranial fossa.

4. The pterygomaxillary fissure is located between the sphenoid and maxillary

bones.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

75. __A___ The palatine tonsils are

1. located medial to Superior constrictor muscle of the pharynx and the Styloglossus
muscle.

2. receives arterial blood from branches of the Facial artery.

3. have lymphatic drainage to the Jugulodigastric node of the Deep Cervical Chain
of nodes.

4. are located in the oral cavity.

76. __E___ Which of the following statements is (are) true of the veins of the head
and neck?

1. The pterygoid venous plexus has anastomoses both with the Cavernous sinus and
the Facial vein.

2. The Inferior Thyroid veins usually unite and course anterior to the trachea and
enter the Left Brachiocephalic vein.

3. The Common Facial vein drains to the Internal Jugular vein.

4. The Facial vein has no valves.

77. __C___ Which of the following statements is (are) true of the craniovertebral
joints?

1. The Cruciate ligament extends inferiorly to the body of the third cervical
vertebra.

2. The Membrana tectoria is an extension of the Posterior longitudinal ligament of

the spinal column.

3. The Transverse band of the Cruciate ligament extends to the occipital bone.

4. When the cruciate ligament is torn, death can result from the dens being driven
posteriorly into the medulla.

78. __A___ Which of the following statements is (are) true of the development of the
branchial arches?

. Branchial grooves are external ectodermal clefts between adjacent branchial

arches.

2. The first branchial groove forms the external auditory meatus.

3. The second, third and fourth branchial grooves lie in the Cervical sinus, which is
normally obliterated.

4. The second pharyngeal pouch forms both the palatine tonsil and the lining of its
crypt.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

79. __B___ Which of the following statements is (are) true of the larynx?

1. The valleculae are depressions that are located anterior to the epiglottis.

2. The conus elasticus is only attached to the thyroid and arytenoid cartilages.

3. The joints between the cricoid and arytenoid cartilages are synovial joints that
permit rotation and sliding movements.

4. More muscles abduct the vocal ligaments than adduct the vocal ligaments.

80. __E___ Which of the following statements is (are) true of the orbit?

1. The ciliary muscles act to produce relaxation of the suspensory ligament of the
lens.

2. The cornea is avascular and is continuous posteriorly with the sclera.

3. Occlusion of the Central Artery of the retina results in blindness.

4. The dilator of the pupil is innervated by sympathetic fibers derived from the
Superior Cervical ganglion.

81. __C___ Which of the following statements is (are) true of the innervation of the
head and neck?

1. All muscles of the palate are innervated by the vagus nerve.

2. The glossopharyngeal nerve provides touch and pressure sensation to the

posterior 1/3 of the tongue.

3. The inferior part of the platysma muscle is innervated by upper cervical spinal
nerves.

4. The cell bodies of sensory neurons of cranial nerves are contained in sensory
ganglia that are attached to the nerves as they enter the central nervous system.

82. __A___ Which of the following statements is (are) true of the pharynx?

1. The palatopharyngeus muscle fuses to the pharyngeal constrictors and inserts to

the thyroid cartilage.

2. The nasopharynx is located anterior to the occipital bone.

3. The palatoglossal arch forms the boundary between the oral cavity and
oropharynx.

4. The Middle pharyngeal constrictor extends anteriorly to the hyoid bone and
thyroid cartilage.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

83. __B___ Which of the following statements is (are) true of the Auriculotemporal
nerve?

1. It innervates the tympanic membrane, temporo-mandibular joint and skin of the

temple and lateral scalp.

2. It is normally a branch of the Anterior division of the Mandibular division of the

Trigeminal nerve (V3).

3. It receives post-ganglionic fibers from the otic ganglion.

4. It courses medial to the Parotid gland.

84. __C___ Which of the following statements is (are) true of the cranial nerves?

1. Four cranial nerves contain SVE fibers.

2. Four cranial nerves contain SVA fibers.

3. The GVA components of the facial nerve provide sensory innervation to the
posterior part of the soft palate.

4. Four cranial nerves contain GVE fibers.

85. __E___ Which of the following bones forms part of the wall of the posterior
cranial fossa?

1. Temporal

2. Sphenoid

3. Occipital

4. Parietal

86. __E___ Which of the following structures are found in the Carotid triangle?

1. Accessory nerve

4. Superior laryngeal nerve

2. Vagus nerve

3. Descending branch of the Ansa Cervicalis

87. __A___ The Infraorbital nerve

1. passes into the orbit via the Inferior orbital fissure

2. gives rise to the Anterior and Middle Superior Alveolar nerves.

3. innervates the skin of the cheek below the orbit

4. contains GSA and SVE fibers.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

88. __E___ Which of the following statements is (are) true of the orbit?

1. The orbital septum is continuous with the periorbita (periosteum of the orbit).

2. Obstruction of a tarsal gland is known as a chalazion

3. Paralysis of the orbicularis oculi muscle can result in damage to the cornea

4. The Levator Palpebrae Superioris muscle and the Superior Rectus muscle take
origin from the same tendinous ring.

89. __D___ Which of the following statements is (are) true of the innervation of the
head and neck?

1. No post-ganglionic sympathetic fibers travel with the Internal Carotid artery.

2. All pre-ganglionic sympathetic fibers that synapse in the superior cervical

ganglion exit the spinal cord at levels T1-T3.

3. GVA fibers provide innervation to the temporo-mandibular joint.

4. Severing the Facial nerve at the stylomastoid foramen would not eliminate taste
to the anterior 2/3 of the tongue.

90. __E___ Which of the following structures is (are) found in the muscular triangle?

1. Trachea

2. Esophagus

3. Thyroid gland

4. Larynx

91. __A___ Which of the following statements is (are) true of the muscles of the
neck?

1. The scalenus anterior muscle acts to flex the cervical vertebrae and elevate the
first rib.

2. The inferior belly of the omohyoid muscle takes origin from the upper margin of
the scapula, medial to the suprascapular notch.

3. The digastric muscle takes origin from the mastoid notch.

4. The tendon of the digastric muscle splits to surround the sternohyoid muscle.

CHOOSE:

A = 1, 2, and 3 are correct

B = 1 and 3 are correct

C = 2 and 4 are correct

D = only 4 is correct

E = all are correct

92. __C___ Which of the following muscles are innervated directly by fibers of C1
(not via the ansa cervicalis)?

1. Sternothyroid

2. Geniohyoid

3. Sternohyoid

4. Thyrohyoid

93. __A___ Which of the following forms a boundary of the submental triangle?

1. Body of hyoid bone

2. Midline of the neck

3. Anterior belly of Digastric

4. Superior belly of Omohyoid

94. __A___ Which of the following structures passes through the parotid gland?

1. Facial nerve

2. Retromandibular vein

3. Auriculotemporal nerve

4. Buccal branch of the Trigeminal nerve

95. __B___ Which of the following forms a border of the infratemporal fossa?

1. anteriorly by the posterior side of the maxillary bone.

2. medially by the medial pterygoid plate.

3. superiorly by the greater wing of the sphenoid bone.

4. inferiorly by the zygomatic arch.

III. Matching Questions (one point each)

Match the structure with the foramen through which it passes:

96. __E___ Anterior Tympanic artery A. Mastoid foramen

97. __B___ Facial nerve foramen

98. __D___ Maxillary artery (third part)

99. __C___ Glossopharyngeal nerve

100. __E___ Chorda tympani

101. __A___ Emissary vein

B. Stylomastoid

C. Jugular foramen

D. Pterygomaxillary fissure

E. Petrotympanic fissure

Match the nerve with the functional components it contains:

102. ______Ophthalmic division of

103. ______Oculomotor nerve

104. ______Greater Petrosal nerve

105. ______Accessory nerve

106. ______Nervus spinosus

107. ______Cervical branch of the Facial nerve

A. GSA the Trigeminal nerve (V11)

B. SVE

C. GVA

D. GVE

E. None of the above

Match the structure with the foramen through which it passes:

108. ______Accessory meningeal artery A. Foramen rotundum

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

110. ______Ophthalmic veins

111. ______Infraorbital nerve

112. ______Middle meningeal artery

113. ______Zygomatic nerve

114. ______Trochlear nerve

B. Superior orbital

C. Inferior orbital fissure

D. Foramen ovale

E. Foramen spinosum

Match the foramen with the area it connects:

115. ______Inferior Orbital fissure

116. ______Anterior Ethmoidal foramen

117. ______Lesser palatine foramen

118.Sphenopalatine foramen

119. ______Internal auditory meatus

120. ______Infraorbital foramen

A. Posterior cranial fossa

B. Infratemporal fossa

C. Nasal cavity

D. Oral cavity

E. None of the above

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

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

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

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

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

125. ______Bleeding from an epidural hematoma is often slow and epidural

hematomas often remain undetected.
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