Head & Neck Anatomy (first exam)

1) All of the following are true about skull except?

a- Inferior part of axial skeleton provide facial skeletonb- Mandible is the only movable bone in skullc- Mandible is not part of the craniumd- Cranial vault is a part of neurocranium

2) Orbital cavity is pyramidal in shape and has 4 walls and 2 bones made the lateral, superior and inferior wall while 4 bones made the medial wall. Superior orbital fissure communicate with?

a- anterior cranial fossab- posterior cranial fossac- lateral cranial fossad- middle cranial fossa

3) All of the following are part of temporal bone from inferior aspect of skull except?

a- mandibular fossab- styloid and mastoid processc- hypoglossal canald- carotid canale- stylomastoid foramen

4) Which is the wrong statement regarding curvature of cervical vertebrae?

a- primary curvature concave anteriorlyb- secondary curvature concave posteriorlyc- thoracic and sacral region are primary curvatured- cervical region curve forward

5) Which foramen is not located from posterior lesser wing of sphenoid to superior border of petrous temporal?

a- foramen ovaleb- foramen rotundumc- jugular foramend- superior orbital fissure

6) Which of the following make the floor of brain box?

I- squamous part of temporalII- orbital frontalIII- petrous temporalIV- lesser wing of sphenoid

a- I and IV b- II and IIIc- I,II and IVd- II,III and IV\

9) All of the following are air containing spaces within cranial bones and lined with columnar cell. Which sinus drains into middle meatus through infundibulum?

a- maxillary sinusesb- sphenoid sinusesc- frontal sinusesd- ethmoidal sinuses

10) Which muscle extends from tip of transverse process to 2nd rib?

a- scalenus anteriorb- scalenus posteriorc- scalenus mediusd- scalenus lateral

11) An abnormal curvature that happen during late pregnancy

a- kyphosisb- scoliosisc- lordosisd- lumdorsis

12) All of the following are enclosed in investing layer of deep fascia except

a- sublingual glandb- submandibular glandc- jugular venous archd- trapezius muscle

13) Which nerve arises from dorsal ramus of C2?

a- lesser occipital b- greater occipitalc- great auriculard- supraclavicular

14) Most medial in carotid sheath in deep cervical fascia

a- internal jugular veinb- deep cervical lymph nodec- common carotid arteryd- external carotid artery

15) Which muscle divides posterior triangle into occipital and omoclavicular triangle?

a- superior belly of omohyoidb- scalenus anteriorc- posterior belly of digastricd- inferior belly of omohyoid

16) Which vein of thyroid gland drains into left brachiocephalic?

a- superior thyroid veinb- posterior thyroid veinc- anterior thyroid veind- inferior thyroid vein

17) Which is part of medial wall of orbital cavity?

a- frontal process of maxillab- zygomatic process of maxillac- alveolar process of maxillad- palatine process of maxilla

18) All true regarding stylomandibular ligament except

a- connecting styloid process and mandibleb- part of pretracheal layerc- to limit the excessive protrusion of mandibled- covering the parotid gland

19) Which muscle formed the anteroinferior part of carotid triangle?

a- inferior belly of omohyoidb- superior belly of omohyoidc- sternoclenomastoidd- posterior belly of digastric

20) Which one is in the scalene hiatus?

a- root of brachial plexusb- 1st part of subclavian arteryc- 3rd part of subclavian arteryd- trunk of brachial plexus

21) All of the following muscle contribute to posterior triangle except

a- levator scapulaeb- scalenus anteriorc- splenius capitisd- sternoclenomastoid

22) Right and left thyroid gland located at the level

a- C2 – C3b- C3 – C4c- C4 – C5d- C5 – T1

23) Which is true regarding forehead of facial bone?

a- everyone must have metopic sutureb- every child must have frontal suturec- nasion is intersection of frontal and zygomatic boned- metopic suture usually fuse around 20 years old

24) Posterior cranial fossa is the largest and deepest fossa. Which one is wrong about it?

a- cilivus, internal occipital crest, internal occipital proturberence and jugular foramen located centrally

b- facial nerve and vestibulocochlear nerve pass through internal acoustic meatusc- transverse sinus goes horizontally to become sigmoid sinusd- it is made of petrous temporal, occipital bone and sphenoid body

25) All of the following are false about external jugular vein except

a- pass deep to sternoclenomastoidb- pass superficial to platysmac- formed by union of posterior auricular vein and posterior division of

retromandibular veind- formed by union of posterior auricular vein and anterior division of

retromandibular vein

26) All of the following are innervate by nerve from anterior rami of C3 – C4 except

a- skin over clavicleb- skin over posterior half of posterior trianglec- skin over upper half of shoulderd- skin over mandible

27) What is the roof of suboccipital triangle?

a- splenius capitisb- rectus capitis posterior majorc- semispinalis capitisd- rectus capitis posterior minor

28) Anterior branch of C2 innervates

a- lateral aspect over occipital behind auricle of earb- medial aspect over occipital behind auricle of earc- both surface of auricled- anterior neck from mandible to sternum

29) One of the following is not a content of submandibular triangle

a- deep part of submandibular glandb- facial veinc- hypoglossal nerved- submandibular lymph node

30) All of the following are true regarding facial artery except

a- located superficial to submandibular glandb- arises from anterior aspect of external carotid arteryc- passes deep to stylohyoid muscled- loops over inferior border of mandible

31) All true about thyroid relations except

a- cricoid cartilage form the upper part of medial thyroid b- external carotid artery located posteriorc- left recurrent laryngeal nerve loops around aortad- superior belly of omohyoid form the upper part of anterolateral thyroid

32) Wrong statement about muscle of facial expression

a- fleshy part onlyb- within superficial fasciac- innervate by facial nerved- all attach to the skin

33) Which muscle formed the infero-posterior part of muscular triangle?

a- sternoclenomastoidb- superior belly of omohyoidc- posterior belly of digastricd- mylohyoid

34) Which of the following artery located anterior to phrenic nerve in posterior triangle?

a- transverse cervical arteryb- occipital arteryc- 3rd part of subclavian arteryd- suprascapular artery

35) Which one is the termination of external carotid artery?

a- lingual arteryb- ascending pharyngeal arteryc- maxillary arteryd- superior thyroid artery

36) Transverse cervical artery originate from

a- C1 – C2b- C2c- C2 – C3d- C3 – C4

37) Where does the retromandibular vein divided into anterior and posterior division?

a- superior border of thyroid cartilageb- inferior border of thyroid cartilagec- inferior to both auricled- angle of mandible

38) The scalenus anterior muscle

a- innervate by phrenic nerveb- passes anterior to subclavian veinc- descends posterior to subclavian arteryd- runs anterior to the root of brachial plexus

39) The ligament of vertebral column that resists its extension is

a- ligamentum flavumb- anterior longitudinal ligamentc- posterior longitudinal ligamentd- interspinous ligament

40) The pituitary gland lies in sella turcica, immediately posterior and superior to

a- maxillary sinusb- frontal sinusc- sphenoid sinusd- mastoid air sinus

41) A tumor located in the optic canal most likely damaged which of the following structure?

a- ophthalmic nerveb- ophthalmic arteryc- trochlear nerved- facial artery

42) Intremembranous ossification is the source of

a- flat boneb- cancellous bonec- long boned- bone of diaphysis

43) Which nerve gives motor innervation to the muscle in posterior boundary of submandibular triangle?

a- nerve to mylohyoidb- cervical branch of facial nervec- spinal root of accessory d- great auricular nerve

44) Which muscle form the anteromedial part of submandibular triangle?

a- mylohyoidb- hyoglossusc- anterior belly of digastricd- posterior belly of digastric

45) What is the inferior attachment of platysma muscle?

a- anterior half of clavicleb- inferior border of mandiblec- posterior half of clavicled- delto-pectoral deep fascia

46) Which is wrong about retropharyngeal space?

a- minor pathway for spread of infection into thoraxb- base of the skull form the posterior partc- largest space in the neckd- between the buccopharyngeal fascia and prevertebral fascia

47) Which artery arises from medial part of external carotid artery?

a. superior thyroid arteryb. occipital arteryc. facial arteryd. ascending pharyngeal artery

48) Common carotid artery divided into internal and external at the level

a- C2b- C2 – C3c- C3 – C4d- C4 – C5

49) During surgery for malignant parotid tumor, the main trunk of facial nerve is lacerated, resulting in paralysis in which of the following muscle?

a- masseter muscleb- buccinator musclec- tensor tympanid- anterior belly of digastric muscle

50) Which layer of deep fascia forming the roof of posterior triangle?

a- prevertebral layerb- investing layerc- pretracheal layerd- carotid sheath

51) Epicranial aponeurosis provides attachment for which muscle?

a- Temporalis muscleb- Posterior auricularis musclec- Occipitofrontalis muscled- Inferior auricularis muscle

52) A 1 year old baby boy has been hit with hard object by his violent brother at the frontal part. Which of the following fracture most likely to happen?

a- Depressed fractureb- Linear fracturec- Nasal bone fractured- Comminuted fracture

53) Which layer of scalp allows free movement of scalp proper over bone?

a- Periosteumb- Aponeurosisc- Dens connective tissued- Loose connective tissue

54) The nerve that innervates anterior part of scalp arises from

a- maxillary nerveb- mandibular nervec- facial nerved- ophthalemic nerve

55) All of the following are the condition that happen because of anterior cranial fossa fracture except

a- Epidural hemorrhageb- Epistaxisc- Cerebrospinal rhinorrhead- Exophthalmus

56) Posterior cranial fossa fracture will cause injury to which level of cranial nerve?

a- 7th – 9th

b- 8th – 10th

c- 9th – 11th

d- 10th – 12th

57) All of the following will be innervate by motor branch of facial nerve except

a- platysma muscleb- zygomaticus minor musclec- temporalis muscled- occipitalis muscle

58) The region at angle of the mandible is innervated by

a- lesser occipital nerveb- great auricular nervec- auricotemporal nerved- mental nerve

59) Mandibular nerve will gives motor innervation to all of the following muscle except

a- mylohyoidb- posterior belly of digastricc- masseterd- lateral pterygoid

60) Which one is the termination of inferior alveolar artery?

a- Supraorbital arteryb- Facial arteryc- Transverse facial arteryd- Mental artery

61) Arteries that give blood supply to lateral part of scalp arise from external carotid artery at which part?

a- Medialb- Anteriorc- Posteriord- Termination

62) A dural reflection that located between two half of cerebellum and has sickle shaped

a- Falx cerebrib- Falx cerebellic- Tentorium cerebellid- Sellar diaphragm

63) All of the following are the characteristics oftypical cervical vertebrae except

a- Rectangular bodyb- Transverse foraminac- Short spinous processd- Large triangular vertebrae foramen

64) Pterion

a- Intersection of sagittal and coronal suturesb- Superior topmost point of the craniumc- Middle meningeal artery pass through itd- Intersection of sagittal and lambdoid sutures

65) Whiplash injuries

a- Injured at medulla oblongatab- Injured at upper cervical region of spinal cordc- Also called quadriplegiad- Dislocation of dens anteriorly

66) What is the type of median atlanto-axial joint?

a- Condyloid synovial jointb- Pivot synovial jointc- Hinge jointd- Ball and socket joint

67) All true about joint in cervicle vertebrae except

a- Atlanto-occipital joint is condyloid synovial jointb- Superior and inferior longitudinal ligament make the cruciate ligamentc- We didn’t move the skull when we say ‘no’d- Tectorial membrane is inferior continuation of posterior longitudinal ligament

68) The vagus nerve leaves the skull through the

a- Jugular foramenb- Occipital foramenc- Foramen rotundumd- Inferior orbital fissure

69) The foramen spinosum is located in the

a- Sphenoid boneb- Occipital bonec- Frontal boned- Parietal bone

70) Panoramic radiograph suitable for examines all of the following except

a- Cranial vault fractureb- Mandibular fracturec- Wisdom teethd- Orthondontics

ANSWERS

1)a 2)b 3)c 4)a 5)c 6)b 7)d 8)a 9)c 10)b 11)c 12)a13)b 14)c 15)d 16)d 17)a 18)b 19)b 20) 21)d 22)d 23)a 24)a25)c 26)d 27)c 28)a 29)a 30)a 31)b 32)d 33)a 34)a 35)c 36)c37)d 38)d 39)b 40)c 41)b 42)a 43)b 44)c 45)d 46)a 47)d 48)?49)b 50)b 51)c 52)a 53)d 54)d 55)a 56)c 57)c 58)b 59)b 60)d61)d 62)a 63)c 64)c 65)a 66)b 67)d 68)a 69)a 70)a

By: Atiqah Zalfakhar

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