Sunday, November 22, 2020

Head and Neck MCQs

 1. The phrenic nerve 

a. is part of the cervical plexus

b. is derived from spinal segments C3, C4, and C5

c. lies on the belly of the anterior scalene muscle

d. a and b only

e. a, b, and c


2. The superior orbital fissure

a. lies directly inferior to the greater wing of the sphenoid

b. lies directly above the posterior portion of the maxilla

c. lies directly between the orbit and the infratemporal fossa

d. transmits the III, IV, and VI cranial nerves

e. transmits the maxillary nerve


3. The optic canal transmits the

a. optic n

b. ophthalmic artery

c. superior ophthalmic vein

d. a and b only

e. a, b, and c


4. The nerve of the pterygoid canal

a. recieves its contributions from a branch of the glossopharygeal nerve

b. contains only sympathetic fibers

c. enters the pterygopalatine fossa

d. is formed by the joining of the greater petrosal and lesser petrosal nerves


5. The posterior cranial fossa contains

a. the cerebellum

b. pons

c. only a and c

d. a, b, and c


6.  The bone forming the anterior part of the nasal septum is the

a. inferior conchae

b. sphenoid

c. vomer

d. palatine

e. maxilla


7. The first lymph node group receiving lymphatic drainage from the most posterior portion of the tongue is

a. submental

b. juguloomohyoid

c. parotid

d. buccal

e. jugulodigastric


8.  Which of the following muscles is (are) attached to the spinous process of the axis?

a. splenius capitus

b. semisplenius capitis

c. rectus capitis posterior major

d. all of the above

e. none of the above


9. The lesser occipital nerve is

a. derived from posterior rami of C2-C3

b. a motor nerve to part of the scalp

c. a part of the cervical plexus

d. a mixed nerve

e. all of the above


10. The suboccipital nerve

a. is sensory to the back of the neck

b. emerges between the rectus capitis major and minor muscles

c. supplies motor innervation to the splenius capitis

d. supplies motor innervation to the muscles forming the suboccipital triangle

e. none of the above


11. Which statement is incorrect

a. the zygomaticofacial nerve is a branch of the trigeminal nerve

b. the chorda tympani joins the lingual nerve within the infratemporal region

c. the maxillary artery is one of the 2 terminal branches of the external carotid artery

d. the otic ganglion is a sympathetic ganglion


12.  The following nerves are found in the posterior triangle of the neck

a. lesser occipital nerve

b. recurrent laryngeal nerve

c. spinal accessory nerve

d. all of the above

e. only a and c


13. The spinal nerve emerges between this part of adjacent vertebra

a. lamina

b. pedicle

c. articular process

d. body

e. spine


14. The articular facets of the superior articular processes of cervical vertebra face

a. superiorly and posteriorly

b. inferiorly and anteriorly

c. posteriorly and laterally

d. posteriorly and medially

e. anteriorly and medially


15. The intervertebral discs

a. form about one-fourth the length of the vertebral column

b. are found between all cervical vertebrae

c. are important for maintaining normal curvatures of the vertebral column

d. a, b, and c

e. only a and c


16. The ligament that is the most important for preventing posterior displacement of the odontoid process from the anterior arch of the atlas is the

a. posterior atlanto-occipital membrane

b. alar ligament

c. cruciate ligament

d. posterior longitudinal ligament

e. anterior longitudinal ligament


17. "Secondary curves” of the vertebral column are in these portions of the column

a. cervical

b. thoracic

c. lumbar

d. a, b, and c

e. a and c


18. Flexion and extension of the head occur mainly in these joints

a. atlanto-occipital

b. atlanto-axial

c. C2-C3 vertebral bodies

d. C2-C3 articular processes

e. C7-T1 articular processes


19. The superficial veins of the scalp are

a. connected to the dural venous sinuses by valveless emissary veins

b. found mainly in the subcutaneous connective tissue layer

c. named according to the nerve they accompany in the region above and behind the external ear

d. all of the above

e. only a and b


20. The auriculotemporal nerve of the scalp is a branch of the

a. glossopharyngeal nerve

b. ophthalmic division of V

c. maxillary division of V

d. mandibular division of V

e. cervical plexus


21. Which statement is incorrect?

a. two cranial nerves (VII and VIII) leave the posterior cranial fossa through the internal acoustic meatus

b. three cranial nerves pass through the jugular foramen

c. the trigeminal nerve is exclusively sensory

d. the abducens nerve is cranial nerve VI

e. the pterygomaxillary fissure serves as an aperture to permit the terminal part of the maxillary artery to leave the infra-temporal fossa


22.  The mucous membrane of the larynx below the vocal folds is supplied by this nerve

a. pharyngeal

b. recurrent laryngeal

c. internal laryngeal

d. external laryngeal

e. glossopharyngeal


23. The sensory nerve supply to the skin overlying the angle of the mandible is by the

a. greater occipital nerve (C2)

b. lesser occipital nerve (C2)

c. buccal branch of mandibular division of the trigeminal nerve

d. great auricular nerve (C2-C3)

e. mandibular ramus of the facial nerve


24.  The highest cervical spinous process that is easily felt is that of

a. C1

b. C2

c. C5

d. C7

e. C8


25. The parotid duct opens into the

a. floor of the mouth at the sublingual fold

b. floor of the mouth at the sublingual caruncle

c. vestibule of the mouth opposite the second maxillary molar tooth

d. vestibule of mouth opposite the second mandibular premolar tooth

e. foramen cecum


26. The foramen transversarium of the _____ cervical  vertebra does  not transmit the vertebral artery. 

a. 1st

b. 2nd

c. 4th

d. 6th

e. 7th 


27. What is the axis of the Atlantoaxial Joints during their movement?

a. Odontoid process

b. Occipital condyles

c. Lateral mass of C1.

d. Lateral mass of C2

e. Anterior arch of C1


28. The hyoid bone is connected to the scapula through ___ muscle: 

a. Omohyoid

b. Mylohyoid

c. Stylohyoid

d. Geniohyoid

e. Sternohyoid


29. Which one of the following vessels is located just deep to platysma? 

a. External jugular vein

b. External carotid artery

c. Common carotid artery

d. Internal carotid artery

e. Internal jugular vein


30. The platysma is innervated by the ____ nerve:

a. Facial

b. Accessory

c. Trigeminal

d. Glossopharyngeal

e. Transverse cervical


31. Which one of the following ligaments is a thickened part of investing layer of the deep cervical fascia?

a. Thyrohyoid

b. Supraspinous

c. Cricothyroid

d. Stylomandibular

e. Ligamentum flavum


32.  Sternocleidomastoid muscle is completely surrounded by the:

a. Carotid sheath.

b. Investing layer

c. Superficial fascia

d. Pretracheal fascia

e. Prevertebral fascia


33. Which statement below is correct:

a. cranial nerve VII emerges from the skull through the foramen spinosum

b. the superior cervical sympathetic ganglion receives white communicating rami from the first four cervical spinal nerves

c. the internal carotid artery enters the middle cranial fossa through the floor of the foramen lacerum

d. stylopharyngeus is the one muscle innervated by cranial nerve IX


34. Choose the correct statement

a. the right and left transverse sinuses lie wholly on the inner  surface of the temporal bone

b. blood from the superior petrosal sinuses drains directly into the jugular foramen

c. the sphenoidal sinuses lie below the sella tursica

d. the vomer articulates with the greater wing of the sphenoid

e. the foramen rotundum communicates directly with the infratemporal fossa


35. Which statement is incorrect?

a. the zygomatic bone articulates with 4 other bones of the skull

b. the nasal bones form portions of the medial margin of the orbits

c. the occipital condyles are inferior to the hypoglossal canals

d. the groove for the mylohyoid nerve lies inferior to the mylohyoid line


36. Choose the correct statement

a. the cribiform plate is a part of the frontal bone of the skull

b. the infraorbital foramen conveys motor nerve branches to the levator labii superioris

c. the deep cervical lymph nodes receive lymph from the neck only

d. some branches of the facial nerve occur within the facial canal


37. Choose the best statement

a. the clivus is a portion of the sphenoid bone

b. the frontal sinus lies deep to the floor of the sella turcica

c. cranial nerves X, XI, and XII all leave the skull through the jugular foramen

d. hiatus semilunaris is another name for the superior orbital fissure

e. the inferior petrosal sinus marks the attachment of part of the tentorium cerebelli


38. Choose the best response

a. the pterygoid processes of the sphenoid bone are located anterior to the palatine bone

b. the foramen rotundum passes through the root of the pterygoid process

c. the hamulus of the pterygoid process is a part of the medial plate of the pterygoid

d. the medial pterygoid muscle originates from the medial plate of the pterygoid process

e. the medial (internal) pterygoid muscle is inserted on the articular disk of the termporomandibular joint


39. The dura matter of the posterior cranial fossa is supplied by the meningeal branch of this nerve

a. mandibular

b. ophthalmic

c. maxillary

d. DPR of C2-C3

e. facial


40. The nerve supplying the carotid artery and sinus is a branch of cranial nerve

a. V

b. VII

c. IX

d. X

e. XI


41. If you rotate your head as in indicating a “no” response, most of the movement occurs at this joint:

a. atlanto-occipital (skull-C1)

b. atlanto-axial (C1-C2)

c. C2-C3

d. C3-C4

e. C7-T1


42. The carotid body and sinus are innervated by this cranial nerve

a. V

b. VII

c. IX

d. X

e. XI


43. The ligament that connects adjacent vertebral laminae is the

a. anterior longitudinal

b. posterior longitudinal

c. flavum

d. nuchae

e. tectorial


44. The normal curvature found in the young adult cervical vertebral column is

a. present at birth

b. scoliosis

c. spondylothesis

d. lordotic type

e. kyphotic type


45. The posterior belly of the digastric muscle is innervated by a branch of this cranial nerve:

a. V

b. VII

c. IX

d. X

e. XI


46. All Cervical Vertebra have a:

a. body

b. spine

c. bifid spinous process

d. carotid tubercle

e. transverse foramen


47. What is the nerve that passes through foramen rotundum? 

a. Olfactory

b. Maxillary

c. Mandibular

d. Ophthalmic

e. Vestibulocochlear


48. The mandibular division of the trigeminal nerve exits the skull through: 

a. Foramen ovale

b. Foramen lacerum

c. Foramen spinosum

d. Foramen rotundum.

e. Superior orbital fissure


49. The Axis is an atypical cervical vertebra because of the

a. Lack of body

b. Presence of longest spin

c. Presence of the odontoid process

d. Absence of foramen transversarium

e. Presence of lateral mass on each side


50. The absence of a body makes the  ___ vertebra atypical

a. 1st cervical

b. 2nd cervical

c. 3rd thoracic

d. 4th thoracic

e. 5th lumbar


51. Which part of sphenoid bone ossifies by intramembranous ossification? 

a. Body

b. Lesser wing

c. Sella turcica

d. Greater wing

e. Pterygoid plates


52. Scaphocephaly results from premature closure of the ___ suture:

a. Sagittal

b. Coronal

c. Lambdoid

d. Parietomastoid

e. Sphenosquamosal


53. The superior orbital fissure is a gap within the ___ bone: 

a. Frontal

b. Parietal

c. Occipital

d. Sphenoid

e. Temporal


54. What is the foramen located between the sphenoid bone and petrous part of temporal bone? 

a. Foramen ovale

b. Jugular foramen

c. Foramen lacerum.

d. Foramen rotundum

e. Foramen spinosum


55. The  internal carotid  artery  passes across  the  foramen _____  to  the cranium: 

a. Ovale

b. Lacerum

c. Magnum

d. Spinosum

e. Rotundum


56.  Foramen spinosum is located in the __ of sphenoidal bone: 

a. Body

b. Lesser wing.

c. Sella turcica

d. Greater wing

e. Pterygoid plates


57. The internal acoustic meatus is a canal within the ____ bone: 

a. Occipital

b. Maxillary

c. Temporal

d. Sphenoid

e. Zygomatic


58. The acoustic labyrinth is situated within the ___ part of temporal bone: 

a. Petrous

b. Squamous

c. Tympanic

d. Styloid process

e. Zygomatic process


59. The presence of the fontanelles is due to the delayed ossification of the four angels of the ___ bone:

a. Frontal

b. Parietal

c. Occipital

d. Sphenoid

e. Temporal


60. What is the foramen located between the occipital bone and petrous part of temporal bone?

a. Condylar canal.

b. Jugular foramen.

c. Mastoid foramen.

d. Foramen magnum.

e. Hypoglossal canal.


61. The nerve that provides motor supply to the tongue emerges from the cranium through a canal in the ___ bone: 

a. Nasal

b. Maxilla

c. Parietal

d. Lacrimal

e. Occipital


62. In the anterior view of the viscerocranium, which one of the following bones is single? 

a. Nasal.

b. Frontal.

c. Lacrimal.

d. Maxillary.

e. Zygomatic.


63. What is the strongest bone among the bones of the face?

a. Nasal.

b. Frontal.

c. Maxillary.

d. Zygomatic

e. Mandible


64. The superior orbital margin is formed by the ____ bone:

a. Frontal

b. Maxillary

c. Zygomatic

d. Ethmoidal

e. Sphenoidal


65. Which part of the frontal bone contributes to the floor of the anterior cranial fossa?

a. Nasal

b. Squamous

c. Orbital plate.

d. Maxillary process.

e. Zygomatic process.


66. Which part of the frontal bone articulates at the Pterion? 

a. Nasal

b. Squamous

c. Orbital plate.

d. Maxillary process.

e. Zygomatic process


67. The metopic suture of the frontal bone normally disappears at about: 

a. 2 months.

b. 4 months.

c. 5 years

d. 8 years.

e. 15 years


68. In the anterior cranial fossa, the cribriform plate is part of the ___ bone: 

a. Frontal

b. Maxillary

c. Zygomatic

d. Ethmoidal

e. Sphenoidal


69. In the walls of the orbit, the ethmoid bone contributes to the formation of the:

a. Medial orbital wall.

b. Inferior orbital wall.

c. Lateral orbital margin.

d. Superior orbital margin.

e. Floor of the orbital cavity.


70. The ___ artery exits the middle cranial fossa through the optic canal:

a. Buccal.

b. Pterygoid

c. Masseteric

d. Ophthalmic

e. Deep temporal.


71. The Posterolateral fontanelle is located at the: 

a. Inion

b. Pterion

c. Bregma

d. Lambda

e. Asterion


72. The branch of the external carotid artery that passes posterosuperiorly along the inferior (lower) border of the posterior belly of the digastric muscle is the

a. superior thyroid

b. lingual

c. maxillary

d. occipital

e. posterior auricular


73. The cricoid cartilage lies at this vertebral level

a. C2

b. C4

c. C6

d. C8

e. T2


74. The internal carotid nerve

a. arises from the superior cervical sympathetic ganglia

b. arises from the middle cervical sympathetic ganglia

c. arises from the inferior cervical sympathetic ganglia

d. is a branch of CN IX

e. is mainly a parsympathetic nerve


75. An artery that supplies the thyroid gland is sometimes found anterior to the trachea and is named the

a. superior thyroid artery

b. inferior thyroid artery

c. thyroidea ima

d. anterior ascending cervical artery

e. superficial ascending cervical artery


76. The isthmus of the thyroid gland

a. lies directly anterior to the thyroid cartilage

b. lies directly anterior to the cricoid cartilage

c. lies directly anterior to the 2nd, 3rd, and 4th tracheal rings

d. is the same as the pyramidal lobe

e. contains the superior pair of parathyroid glands


77. The layer of the scalp containing the ramifying arteries, veins, and nerves is the

a. epidermis

b. aponeurotic layer

c. loose areolar layer

d. pericranium

e. fibro-fatty connective tissue layer


78. The veins that directly connect the veins of the scalp to the dural venous sinuses are

a. emissary veins

b. cerebral veins

c. diplioc veins

d. subarachnoid veins

e. valved


79. The muscle which protrudes the tongue and its tip toward the opposite side

a. hyoglossus

b. genioglossus

c. palatoglossus

d. styloglossus

e. geniohyoid


80. The sublingual caruncle (papilla)

a. receives the parotid duct

b. receives the sublingual duct

c. receives the submandibular duct

d. is formed by the sublingual gland

e. is formed by the submandibular gland


81. The fold of dura separating the cerebrum from the cerebellum is the

a. falx cerebri

b. falx cerebelli

c. tentorium cerebelli

d. diaphragma sellae

e. incisura


82. The sites where cerebrospinal fluid passes from around the brain into the venous system is/are called

a. choroid plexuses

b. lateral apertures

c. median aperture

d. arachnoid villi

e. arachnoid cisterns


83. The dural venous sinus found on the floor of the middle cranial fossa is the

a. sigmoid

b. superior petrosal

c. straight

d. cavernous

e. occipital


84. Which is the correct statement concerning the carotid plexus:

a. contains parasympathetic fibers destined for the eyeball

b. is a system of small arteries surrounding and supplying the walls of the internal and external carotid arteries

c. contains synapses between pre- and post-ganglionic sympathetic neuron fibers

d. receives postganglionic fibers from the superior cervical ganglion

e. sends preganglionic fibers to sweat glands


85. Which of the following named foramina is interosseous?

a. foramen magnum

b. foramen rotundum

c. foramen ovale

d. jugular foramen

e. superior orbital fissure


86. Which of the following nerves is not a branch of cranial nerve VII?

a. temporal

b. mental

c. buccal

d. cervical

e. zygomatic


87. Which statement is correct?

a. the facial nerve (VII) being completely motor, possesses no ganglion

b. the trigeminal ganglion contains some parasympathetic cells supplying structures in the hand

c. a portion of the facial nerve has a ganglion containing cells whose fibers bring taste information from the anterior 2/3 of the tongue

d. the foramen rotundum is located in the posterior part of the frontal bone

e. none of the above are correct


88. Which statement is incorrect?

a. two cranial nerves (VII and VIII) leave the posterior cranial fossa through the internal acoustic meatus

b. three cranial nerves pass through the jugular foramen

c. the trigeminal nerve is exclusively sensory

d. the abducens nerve is cranial nerve VI

e. the pterygomaxillary fissure serves as an aperture to permit the terminal part of the maxillary artery to leave the infra-temporal fossa


89. The 2 important structures found in the suboccipital triangle are the vertebral artery and the

a. lesser occipital nerve

b. greater occipital nerve

c. suboccipital nerve

d. spinal accessory nerve

e. occipital artery


90. Choose the best statement concerning the pterygopalatine ganglion

a. it contains some sympathetic fibers from the lesser petrosal nerve

b. all fibers entering or leaving the ganglion have synapses within the ganglion

c. some fibers of V-2 pass through the ganglion without synapsing

d. the pterygopalatine ganglion lies immediately posterior to the pterygoid process of the sphenoid bone


91. Choose the best statement concerning the inferior nasal conchae

a. the inferior nasal conchae is the most inferior part of the ethmoid bone

b. the inferior conchae is part of the nasal septum

c. the inferior conchae is a separate bone, and it is attached to the medial side of the medial wall of the maxilla

d. none of the above is correct


92. The pterygoid process of what bone forms the posterior wall of the pterygopalatine fossa

a. palatine

b. maxilla

c. sphenoid

d. inferior nasal conchae

e. pterygoid


93.  The number of unpaired bones in the cranium is

a. 1

b. 2

c. 3

d. 4


94. The occipital condyles articulate with which bone

a. axis

b. clavicles

c. vertebra prominens

d. atlas


95. The number of unpaired bones in the skeleton of the adult human face is two.  They are the vomer and the

a. zygomatic

b. maxilla

c. palatine

d. lacrimal

e. mandible


96. Choose the correct statement concerning the palatine bones

a. they lie immediately posterior to the pterygoid processes of the sphenoid

b. they form part of the lateral wall of the oropharynx

c. they form part of the lateral wall of the nasopharynx

d. they form part of the lateral wall of the nasal cavity (nose)


97.   Which statement is correct

a. the internal acoustic meatus has 2 nerves passing through it

b. the facial artery is a branch of the internal carotid artery

c. the facial artery passes superficial to the submandibular gland

d. the chorda tympani, a branch of the facial nerve, enters the temporal bone through the sphenopalatine foramen


98. Name 2 bones which have parts that form the septum dividing the nose into right and left passages

a. palatine and sphenoid

b. maxilla and sphenoid

c. lacrimal and nasal

d. vomer and ethmoid


99. Hyoid bone in the neck corresponds to

a. C2 vertebra

b. C3 Vertebra

c. C4 vertebra

d. C5 vertebra


100. Cricoid cartilage in the neck corresponds to

a. C5

b. C5-C6

c. C6

d. C7


101. Upper border and notch of thyroid cartilage corresponds to

a. C2-C3

b. C3-C4

c. C4-C5

d. C5-C6


102. Thyroid cartilage in the neck corresponds to

a. C2-C3

b. C3-C4

c. C4-C5

d. C5-C6


103. Most projecting part of the face is

a. chin

b. nose

c. eyes

d. zygomas


104. Commonest site of laryngeal cancer is

a. glottis region

b. supraglottis region

c. inlet of larynx

d. all of the above


105. Modulator of voice is

a. vocalis

b. posterior cricoarytenoid

c. cricothyroid

d. transverse arytenoid


106. Safety muscle of larynx is

a. posterior cricoarytenoid

b. cricothyroid

c. transverse arytenoid

d. none of the above


107. Cartilage called as foundation stone of larynx is

a. thyroid

b. cricoid

c. epiglottis

d. none of the above


108. Cricothyroid is supplied by

a. recurrent laryngeal N

b. external laryngeal N

c. glossopharyngeal N

d. internal laryngeal N


109. Muscle lying on external surface of larynx is

a. cricothyroid

b. oblique arytenoid

c. transverse arytenoid

d. thyroarytenoids


110. Muscle that abducts the vocal cord is

a. transverse arytenoid

b. lateral cricoarytenoid

c. posterior cricoarytenoid

d. none of the above


111. Identify the combination set of anterior triangles of neck. 

a. Submental, occipital, carotid triangle.

b. Muscular, digastric and subclavian triangle.

c. Submental, supraclavicular and muscular triangle.

d. Submental, digastric, carotid triangle.


112. A middle aged woman had a deep cut in the middle of her right posterior triangle of neck. The bleeding was arrested and wound was sutured. The patient later felt difficulty in combing her hair. Which of the following statements regarding this clinical problem is not appropriate? 

a. The external jugular vein was severed in this case.

b. Paralysis of trapezius muscle is seen.

c. Only trapezius muscle causes overhead abduction required for combing hair.

d. The accessory nerve is also injured.


113. The thyroid gland weighs about 

a. 18g

b. 20g

c. 22g

d. 25g


114. Which of the following muscles of eye adducts the eyeball 

a. Medial rectus

b. Lateral rectus

c. Superior oblique

d. Inferior oblique


115. Which of the following statements regarding the tonsil is true? 

a. There are no afferent lymphatics to the tonsil.

b. The intratonsilar cleft represents the opening of third pharyngeal pouch.

c. Main arterial supply to the tonsil is the ascending pharyngeal branch of external carotid artery.

d. There are only one organ in the body where bleeding is checked by removal of clots and the organ is the tonsil.


116. Which of the following statements regarding scalp and face is true? 

a. In the loose areolar layer of the scalp, there is unidirectional blood flow by emissary veins.

b. Facial muscles are panniculus carnosus derivative.

c. Implants in scalp are placed subgaleal region.

d. More than one are true.


117. Which of the following structures passes through foramen ovale? 

a. Mandibular nerve

b. Accessory middle meningeal artery

c. Emissary veins

d. All of the above


118. Which of the following statements is false? 

a. The petrous part of temporal bone contains middle ear, inner ear and internal auditory meatus.

b. There are 3 compartments of jugular foramen.

c. Labyrinthine artery is a branch of anterior inferior cerebellar artery.

d. The posterior compartment of jugular foramen is related to vernet syndrome.


119. The branch of the external carotid artery that passes posterosuperiorly along the inferior (lower) border of the posterior belly of the digastric muscle is the

a. superior thyroid

b. lingual

c. maxillary

d. occipital

e. posterior auricular


120. Which of the following statements is INCORRECT ? The sphenoid bone forms a boundary(or boundaries) for the:

a. Anterior cranial fossa

b. Foramen spinosum

c. Posterior nares

d. Stylomastoid foramen

e. Posterior cranial fossa


121. The chief peculiarity of the first cervical vertebra is that it has:

a. Bifid spinous processes

b. No vertebrarterial foremen

c. No body

d. No transverse process

e. No posterior tubercle


122. Which of the following statements is INCORRECT ? The soft palate:

a. Has many salivary glands

b. Contains the tendinous part of tensor veli palatini

c. Has stratified squamous epithelium on its upper surface

d. Is devoid of lymphoid tissue

e. Receives branches of the glossopharyngeal nerve


123. Which of the following statements is INCORRECT ? The thyroid gland:

a. Enlarges during pregnancy

b. May have no isthmus

c. May include ultimobranchial tissue

d. May be entirely lingual

e. Is overlapped by thyrohyoid


124. Which of the following statements is INCORRECT ? The submandibular gland:

a. Is predominantly serous

b. Has a single duct opening into the vestibule of the mouth

c. Is partly superficial to mylohyoid

d. Has an autonomic nerve supply which arises in the superior salivary nucleus

e. Is intimately related to the facial artery


125. Which of the following statements is INCORRECT ? The parathyroid glands 

a. May vary from two to six in number

b. Have distinct lobules

c. Are essential to life

d. Are pinkish-yellow or brownish-yellow

e. Each measure about 6mm in greatest diameter


126. Which of the following statements is INCORRECT ? The vagus nerve:

a. Contains fibres which supply all the muscles of the soft palate

b. Conveys motor fibres for the larynx

c. Is predominantly afferent

d. Contains fibres which supply palatoglossus

e. Contains fibres from the accessory nerve


127. Which of the following statements is INCORRECT ? The facial nerve:

a. Supplies muscles of facial expression

b. Supplies buccinator

c. Gives off the greater petrosal nerve

d. Contains taste fibres

e. Contains fibres destined for the ciliary ganglion


128. In the infratemporal fossa may be found ALL BUT ONE of the following:

a. The otic ganglion

b. A plexus of veins

c. Part of the nervus spinosus

d. The two roots of the zygomatico-temporal nerve

e. Part of the middle meningeal artery


129. The mandibular nerve supplies ALL BUT ONE of the following :

a. Temporalis

b. Mylohyoid

c. Mucous membrane of the tongue

d. The tympanic membrane

e. Orbicularis oris


130. Which of the following statements about the ophthalmic nerve is INCORRECT ? The nerve:

a. supplies the conjunctiva

b. supplies the mucous membrane of the nasal cavity

c. Supplies levator palpebrae superioris

d. Has a frontal branch

e. Has a frontal branch


131. Which of the following statements is INCORRECT ? The middle cerebral artery:

a. Passes into the lateral sulcus of the cerebrum

b. Supplies auditory areas of the cerebral cortex

c. Supplies the main sensory-motor cortex

d. Is a terminal branch of the internal carotid artery

e. Is distributed on the medial surface of the cerebral hemisphere


132. Which of the following statements is INCORRECT? The external carotid artery gives off the 

a. Superior thyroid artery

b. Transverse cervical artery

c. Facial artery

d. Posterior auricular artery

e. Ascending pharyngeal artery


133. Which of the following statements is INCORRECT ? The parotid gland:

a. Has a duct which enters the oral cavity opposite the second upper premolar tooth

b. Is almost entirely serous in man

c. Receives autonomic nerve fibres via the otic ganglion

d. Lies deep to skin innervated by the great auricular nerve

e. Is traversed by branches of the facial nerve


134. All of the following are found in the carotid sheath EXCEPT the:

a. Common carotid artery

b. Internal carotid artery

c. Internal jugular vein

d. Vagus nerve

e. Hypoglossal nerve


135. The inferior belly of the omohyoid arises from the 

a. Sternum

b. Hyoid bone

c. Clavicle

d. Mandible

e. Scapula


136. The first part of the left subclavian artery is crossed directly by ALL BUT ONE of the following?

a. Ansa subclavia

b. Vertebral vein

c. Phrenic nerve

d. Thoracic duct

e. Vagus nerve


137. The cavernous sinus communicates directly with ALL BUT ONE of the following:

a. Sphenoparietal sinus

b. Veins in the orbit

c. Sigmoid sinus

d. Inferior petrosal sinus

e. Pterygoid venous plexus


138. The oculomotor nerve supplies ALL BUT ONE of the following;

a. Medial rectus

b. Superior oblique

c. Inferior rectus

d. Superior rectus

e. Inferior oblique


139. The upper group of deep cervical lymph nodes receives lymph directly from ALL BUT ONE of the following:

a. nasopharynx

b. scalp

c. supratentorial part of the brain

d. eyelids

e. tongue


140. Which of the following statements is INCORRECT? The tentorium cerebelli:

a. contains branches of the ophthalmic nerve

b. is related to the lateral sinus

c. lies close to the posterior inferior cerebellar artery

d. contains part of the trochlear nerve

e. is close to part of the posterior cerebral artery


141. Which of the following statements is INCORRECT? The middle meatus of the nasal cavity:

a. receives the nasolacrimal duct

b. receives the frontonasal duct

c. has part of the ethmoid bone related to it

d. has a mucosa supplied by branches of the maxillary nerve

e. contains the semilunar hiatus


142. Which of the following statements is INCORRECT? Flat bones of the skull vault:

a. contain red bone marrow

b. have a deep surface line by the endosteal layer of dura

c. develop by endochondral ossification

d. have diploic veins which are devoid of valves

e. have small apertures for emissary veins in which blood normally flows in a direction away from the brain


143. Which of the following statements is INCORRECT? The squamous part of the temporal bone:

a. Articulates with the sphenoid bone

b. Is grooved by the middle temporal vessels

c. Articulates with the disc of the temporomandibular joint

d. Is grooved by the middle meningeal vessels

e. Develops by endochondral ossification


144. Which of the following statements is INCORRECT? The inferior alveolar nerve:

a. Sends motor fibres to the anterior belly of digastric

b. Is lateral to the lateral pterygoid

c. Is medial to the ramus of the mandible

d. Receives sensory fibres from ipsilateral mandibular teeth

e. Is lateral to the medial pterygoid


145. Which of the following statements is INCORRECT? The greater occipital nerve:

a. Supplies skin of the scalp as far forward as the vertex

b. Is the medial branch of the dorsal ramus of a cervical nerve

c. Supplies muscles on the back of the neck

d. Emerges between the posterior arch of the atlas and the vertebral artery

e. Pierces semispinalis capitis and trapezius


146. Which of the following statements is INCORRECT? The tongue:

a. Is attached to the hyoid bone

b. Forms part of the pharyngeal wall

c. Has straited muscle fibres forming its bulk

d. Has a sulcus terminalis marking the junction between its posterior two thirds and anterior one third

e. Has lymphoid nodules in its posterior part


147.  Which of the following statements is INCORRECT? The mastoid process:

a. Of the adult contains air spaces

b. Is present at birth

c. Is separated from the tympanic plate by a fissure which transmits a branch of the vagus

d. Has inserted on it part of sternomastoid

e. Has spleniius capitis attached to it


148. The arteries of the cerebral circle (of Willis) include ALL BUT ONE of the following:

a. Internal carotid

b. Middle cerebral

c. Posterior communicating

d. Anterior cerebral

e. Posterior cerebral


149. Which of the following statements is INCORRECT? The thyroid cartilage:

a. Is hyaline

b. May ossify

c. Is attached to the epiglottis

d. Articulates with the cricoid cartilage

e. Gives origin to part of the middle constrictor


150. Which of the following statements is INCORRECT ? Deep to hyoglossus is the:

a. Middle constrictor

b. Lingual artery

c. Intermediate tendon of digastric

d. Genioglossus

e. Insertion of geniohyoid


Answers

1. e          26. e        51. b         76. c        101. b        126. a

2. d          27. a        52. a         77. e        102. c        127. e

3. d          28. a        53. d         78. a        103. b        128. d

4. c          29. a        54. c         79. b        104. a        129. e

5. d          30. a        55. b         80. c        105. a        130. c

6. c          31. d        56. d         81. c        106. a        131. e

7. e          32. b        57. c         82. d        107. c        132. b

8. c          33. d        58. a         83. d        108. b        133. a

9. c          34. c        59. b         84. d        109. a        134. e

10. d        35. b        60. b         85. d        110. c        135. e

11. d        36. d        61. e         86. b        111. d        136. e

12. e        37. a        62. b         87. c        112. c        137. c

13. b        38. c        63. e         88. c        113. d        138. b

14. a        39. d        64. a         89. c        114. a        139. c

15. e        40. c        65. c         90. c        115. a        140. c

16. c        41. b        66. b         91. c        116. d        141. a

17. e        42. c        67. d         92. c        117. d        142. c

18. a        43. c        68. d         93. d        118. d        143. e

19. e        44. d        69. a         94. d        119. d        144. b

20. d        45. b        70. d         95. e        120. d        145. d

21. c        46. e        71. e         96. d        121. c        146. d

22. b        47. b        72. d         97. a        122. d        147. b

23. d        48. a        73. c         98. d        123. e        148. b

24. d        49. c        74. a         99. b        124. b        149. e

25. c        50. a        75. c        100. c        125. b        150. c






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