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Block 3 Material
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  1. The vertebral artery normally
    A. Traverses the transverse foramina of all 7 cervical vertebrae
    B. is a branch of the thyrocervical trunk
    C. is the first branch of the subclavian artery
    D. has a branch which supplies the thyroid gland
    E. Passes from the transverse foramen of the 2nd cervical vertebrae into the foramen magnum of the skull
    is the first branch of the subclavian artery
  2. All of the following structures are closely related to or pass through the parotid gland, except the
    A. superficial temporal artery
    B. the maxillary artery
    C. Nerve supply to the orbicularis oculi muscle
    D. nerve supply to the orbicularis oris muscle
    E. the hypoglossal nerve
    the hypoglossal nerve
  3. The mental nerve is a terminal branch of which nerve?
    inferior alveolar n.
  4. Nodding (flexion and extension) of the head occurs mainly at the
    atlanto-occipital joints
  5. Which nerve is the principal source of parasympathetic fibers that synapse if the otic ganglion and supply the parotid gland?
    glossopharyngeal
  6. The superior thyroid artery
    A. Is a branch of the thyrocervical trunk
    B. accompanies the inferior (recurrent) laryngeal nerves
    C. is closely related to the external branch of the superiorlaryngeal nerve
    D. passes anterior to the 5th, 6th and 7th tracheal rings
    E. pierces the thyrohyoid membrane
    is closely related to the external branch of the superiorlaryngeal nerve
  7. During tracheotomy at the level just below the isthmus of the thyroid gland, the following is encountered and in danger of being severed:
    A. inferior thyroid arteries
    B. recurrent laryngeal nerves
    C. middle thyroid veins
    D. inferior thyroid veins
    E. vertebral arteries
    inferior thyroid veins
  8. The chorda tympani is a branch of the
    facial n.
  9. Because of their anatomical relations, all of the following structuresare endangered during thyroidectomy (removal of thyroid gland), except the
    A. recurrent laryngeal nerve
    B. superior parathyroid glands
    C. inferior parathyroid glands
    D. accessory nerve
    E. external branch of the superior laryngeal nerve
    accessory nerve
  10. The foramen rotundum, furamen ovale, and foramen spinosum are situated jn the same bone. Which bone?
    sphenoid
  11. Identify the incorrectly matched pair.
    A. palatine tonsils -oropharynx
    B. piriform recess -laryngopharynx
    C. pharyngeal tonsils -nasopharynx
    D. vallecula -nasopharynx
    E. ostium of auditory tube -nasopharynx
    vallecula -nasopharynx
  12. A patient is asked to protrude his tongue: "Stretch your tongue out straight"! The patient is unable to do so. Instead, the tip of the protruded tongue deviates from the midline and points to the patient's left side. You should conclude that the follo"li ng nerve is damaged:
    left hypoglossal nerve
  13. Identify the incorrectly matched pair of cranial nerve and parasympathetic ganglion (to which this cranial nerve makes a major functional contribution):
    vagus nerve -coeliac ganglion
  14. All of the following statements regarding the glossopharyngeal nerve are correct, except:
    A. sensory fibers to medial surface of eardrum
    B. secretory fibers to parotid gland
    C. sensory fibers to pharyngeal arches and palatine tonsil
    D. motor fibers to middle constrictor
    E. sensory fibers to mucosa overlying the middle constrictor
    motor fibers to middle constrictor
  15. An infection in the nasopharynx can easily spread to the middle ear via the
    auditory (Eustachian) tube
  16. All of the following statements concerning the sphenopalatine (pterygopalatine) ganglion are correct, except:
    A. is associated with innervation of the submandibular gland
    B. is suspended from the maxillary division of the trigeminal nerve
    C. is functionally associated with the facial nerve
    D. lies in the sphenopalatine (pterygopalatine) foramen
    E. is involved with the innervation of the nasal nucosa and lacrimal gland
    is associated with innervation of the submandibular gland
  17. Pulsations felt just above the zyomatic arch and in front of the ear are pulsations of the following artery:
    superficial temporal
  18. Identify the incorrectly matched pair:
    A. orening of parotid duct - opposite, upper second molar tooth
    B. opening of submandibular duct - just lateral to frenulum of tongue
    C. openings of sublingual gland - mostly on sublingual fold
    D. opening of auditory tube - nasopharynx
    E. opening of nasolacrimal canal - middle nasal meatus
    • E. opening of nasolacrimal canal - middle nasal meatus
    • The nasolacrimal canal drains to into the nasal cavity through the anterior portion of the inferior meatus which is between the inferior concha and the floor of the nasal cavity
  19. All of the following statements concerning the larynx are correct, except
    A. the true vocal folds are located inferior to the false vocal folds (or vestihular folds)
    B. the inferior constrictor muscle inserts partly into the thyroid cartilage
    C. the thyrohyoid membrane is a convenient and logical site for emergency tracheotomy
    D. the fibroelastic quadrangular membrane is thickened below to form the vestibular ligament or fold (false vocal fold)
    E. the fibroelastic cricothyroid membrane (or conus elasticus) ends above as the vocal ligament (true vocal fold)
    • the thyrohyoid membrane is a convenient and logical site for emergency tracheotomy
    • sion
  20. Openings (e.g. foramina)are matched with the the in which they occur.Identify the incorrectly matched pair:
    A.infraorbital foramen - maxilla
    B. mental foramen - mandible
    C. stylomastoid foramen - sphenoid bone
    D. external auditory meatus - temporal bone
    E. internal auditory meatus - temporal bone
    • stylomastoid foramen - sphenoid bone
    • stylomastoid foramen - temporal bone
  21. Cranial nerve I
    olfactory nerve
  22. Cranial nerve II
    Optic
  23. Cranial Nerve III
    Oculomotor
  24. Cranial Nerve IV
    Trochlear
  25. Cranial Nerve V
    Trigeminal
  26. Cranial Nerve VI
    Abducens
  27. Cranial Nerve VII
    Facial Nerve
  28. Cranial Nerve VIII
    vestibulocochlear
  29. Cranial Nerve IX
    Glossopharyngeal nerve
  30. Cranial nerve X
    Vagus
  31. Cranial nerve XI
    Accessory nerve
  32. Cranial Nerve XII
    Hypoglossal nerve
  33. All of the following statements concerning the eyeand orbital cavityarecorrect,except:
    A.the ciliary ganglion contains neuronal cell bodies of postganglionic sympathetic fibers to the dilator pupullae
    B. the inferior oblique muscle pulls the eyeball up and out (elevation and abduction)
    C. All motor nerves to the orbit enter via the superior orbital fissure the
    D. The ora serrata separates the photo-sensitive area and thelight insensitiveareaof the retina
    E. the optic nerve is surrounded by subarachnoid space
    the ciliary ganglion contains neuronal cell bodies of postganglionic sympathetic fibers to the dilator pupullae
  34. All of the following structures are correctly matched, except:
    A. ansa hypoglossi - infrahyoid muscles
    B.external laryngeal nerve - cricothyroid muscle
    C. trigeminal nervenerve (V3) - buccinator muscle (motor)
    D. facial nerve - posterior belly of digastric muscle
    E. spinal accessory - sternocleidomastoid muscle
    C. trigeminal nervenerve (V3) - buccinator muscle (motor)
    (this multiple choice question has been scrambled)
  35. 24. Identify the correct statement concerning nerves in the head and neck.
    A. the sympathetic trunk lies within the carotid sheath
    B. the hypoglossal nerve is motor to the infrahyoid muscles
    C. the stylopharyngeus muscle is the only muscle innervated by cranial nerve IX
    D. nerve VII is motor to the muscles of mastication
    E. the internal laryngeal nerve is motor to the crycothyroid muscle
    the stylopharyngeus muscle is the only muscle innervated by cranial nerve IX
  36. Mucosa and its sensory nerve supply are matched. Identify the incorrectly matched pair:
    A. upper conjunctival sac - V1
    B. upper lip - V2
    C. lower gums (gingiva) - V3
    D. hard palate - V2
    E. tympanic cavity - X
    tympanic cavity - X
  37. Bony openings and the blood vessels that pass through them are matched. Identify the incorrectly matched pair:
    A. transverse foramen of atlas - vertebral artery
    B. foramen lacerum - internal carotid artery
    C. optic foramen - ophthalmic artery
    D. superior orbital fissure - ophthalmic vein
    E. foramen spinosum - middle meningeal artery
    foramen lacerum - internal carotid artery
  38. The strong ligament which runs from the odontoid process of C2 to the occipital bone and limits excessive rotatory movements of the head, is the
    alar ligament
  39. An ~idural hematoma produced by a skull fracture in the region of the pterion is due to bleeding from which vessel?
    Middle meningeal artery
  40. The inability to produce tears may result if which of the following ganglia are damaged?
    sphenopalatine (pterygopalatine)
  41. An infection of the scalp will most readily spread in which layer?
    areolar space (sub-aponeurotic layer)
  42. The deep cervical lymph nodes form a chain along the course of the
    internal jugular vein
  43. On resecting the lower part of the ramus of the mandible in an approach to the infratemporal fossa, a surgeon sees two nerve on the exposed surface of the medial pterygoid muscle. He is confident that they are the
    lingual and inferior alveolar nerves
  44. A man developed a large boil on the upper lip. Soon after that, the thepatient became comatose because of brain involvement. It is reasonable to conclude that the infection spread from the facial vein to toecavernous sinus. Identify the communicating vein(s) involved in this spread
    ophthalmic veins
  45. Spasm of the left sternocleidomastoid muscle (tortiocollis or wry neck) results in
    elevation and rotation of the chin to the right
  46. All of the following arteries are branches of the external carotid except the

    A. inferior thyroid
    B. superior thyroid
    C. facial
    D. lingual
    E. occipital
    inferior thyroid
  47. If you create a hole in the tegmen tympani, you establish a communication between the middle ear cavity and the
    middle cranial fossa
  48. A surgeon injected local anesthetic into the mandibular division (V3) of the trigeminal nerve as it emerges from the foramen ovale. The following sensory and/or taste loss resulted:
    loss of sensation only from the anterior 2/3 of the same side of the tongue
  49. All of the following statements concerning the palate are correct, except:
    A. the hard palate consists principally of the palatine processes of the maxillary bones and the horizontal processes of the palatine bones.
    B. the major arterial supply consists of the greater palatine branch of the maxillary artery along with palatine branches of the facial and ascending pharyngeal arteries
    C. the hard and soft palate contain large numbers of mucous glands
    D. sensory information from the soft palate is carried by the nasopalatine nerves which course through the greater palatine foramina
    E. The hard palate is approximately 2/3 of the entire palate
    sensory information from the soft palate is carried by the nasopalatine nerves which course through the greater palatine foramina
  50. Which of the following is NOT an infrahyoid muscle?
    A. sternohyoid
    B. sternothyroid
    C. thyrohyoid
    D. mylohyoid
    E. superior belly of omohyoid
    mylohyoid
  51. All of the followj ng statements concerning the lymphatic drainage of the head and neck are correct, EXCEPT:
    A. all of the lymphatic vessels from the head and neck drain either directly or indirectly into the deep cervical nodes
    B. the jugulodigastric and jugulo-omohyoid nodes are easily palpated in the neck
    C. the middle ear and paranasal sinuses drain into the retropharyngeal nodes
    D. the superficial cervical nodes(occipital, parotid, buccal, etc.) form "That is referred to as a "pericervical collar"
    E. usually, the lymphatic drainage from the head and neck on the right side empties directly into the thoracic duct
    usually, the lymphatic drainage from the head and neck on the right side empties directly into the thoracic duct

    from left side directly into the thoracic duct
  52. Concerning the cervical part if the sympathetic trunk, which one of the following is NOT true?
    A. the superior cervical ganglion is the most cranial ganglion
    B. it connects to cervical nerves via gray (postganglionic) and white (preganglionic) rami communicantes
    C. the inferior cervical ganglion may be fused with the first thoracic ganglion and called the stellate ganglion
    D. postganglionic fibers leave the trunk and follow blood vessels to structures in the head
    E. it is located posterior to the carotid sheath
    it connects to cervical nerves via gray (postganglionic) and white (preganglionic) rami communicantes
  53. All of the following muscles are innervated by motor neurons from the pharyngeal plexus (vagal pharyngeal nerves), EXCEPT:
    A. superior constrictor
    B. tensor palati
    C. levator palati
    D. musculus uvalae
    E. inferior constrictor
    tensor palati
  54. All of the following ststements concerning the face are correct, EXCEPT:
    A. the facial muscles of expression and muscles of the scalp originate from the second branchial arch
    B. the facial muscles are subcutaneous
    C. the nerve associated with the second arch is the trigeminal nerve (CN V)
    D. Each of the three divisions of the trigeminal nerve (V1, V2 and V3) supplies an area of skin in the facial region
    E. most of the facial muscle fibers are inserted into the skin
    the nerve associated with the second arch is the trigeminal nerve (CN V)
  55. Activation of the sympathetic fivers leading to the eye promotes:
    pupillary dilation
  56. A distinguished pianist is unable to meet his concert commitments because of eye pain and vesicles over the right half of his forehead and nose. You suspect herpes zoster of the right
    opthalmic division of the trigeminal nerve
  57. All of the following statements regarding the cavernous sinus are correct EXCEPT:
    A. in part, the sinus is drained by the petrosal sinuses
    B. it is traversed by the internal carotid artery
    C. it is connected to the facial vein via the ophthalmic veins
    D. the abducent nerve (VI) runs through the cavernous sinus
    E. it is an unpaired structure
    it is an unpaired structure
  58. All of the following statements concerning the blood vessels of the face are correct, except:
    A. the facial artery arises from the external carotid artery
    B. the facial vein anastomoses with the superior opthalmic vein
    C. the facial artery is more tortuous than the facial vein
    D. veins in the face contain numerous valves
    E. the superficial temporal artery is a terminal branch of the external carotid artery
    veins in the face contain numerous valves
  59. Which two bones are united by the lamboid suture?
    occipital and parietal
  60. Which dural sinus is located in the lower free margin of the falx cerebri?
    inferior sagittal sinus
  61. This sunus is enclosed in the margin of the tentorium cerebelli that is attached to the superior margin of the petrous part of the temporal bone. It begins just lateral to the posterior clinoid process, where it receives blood from the cavernous sinus and ends up by joining the transverse sinus. The sinus in question is the
    superior petrosal sinus
  62. Which structures pass anterior to the scalenus anterior muscle?
    • phrenic nerve
    • transverse cervical artery
    • subclavian vein
  63. At the point of emergence from the brainstem, which of the following cranial nerve(s) contain preganglionic parasympathetic fibers?
    Facial, vagus and glossopharyngeal

    trigeminal does NOT contain preganglionic parasympathetic fibers
  64. Which nerves contribute to the sensory innervation of the tongue?
    • Lingual nerve
    • Facial nerve
    • Glossopharyngeal nerve
    • Vagus nerve
  65. The adductor muscles of the true vocal cords are
    • lateral cricoarytenoids
    • transverse arytenoids
    • oblique arytenoids
  66. In suicidal or homicidal cut-throat the wound is usually through the thyrohyoid membrane with likely concomitant damage to the
    • superior thyroid and superior laryngeal arteries
    • internal laryngeal nerve
  67. The palatine tonsils are
    • completely surrounded by a fibrous capsule
    • within the oropharynx
    • located between the levator and tensor muscles of the palate
    • closely associated with the glossopharyngeal nerve
  68. Branches of the maxillary artery include
    • inferior alveolar a.
    • middle meningeal a.
  69. Branches of the mandibular division of the trigeminal nerve supply
    • motor to the muscles of mastication
    • sensory to the teeth of mandible
    • sensory to the mucosa of the cheek
    • sensory to the mental region of the mandible
  70. The thyroid gland develops from
    the floor of the pharynx between the 1st and 2nd pharyngeal pouches
  71. Closure of the jaws is an action produced by which muscles?
    • medial pterygoid
    • masseter
    • temporalis
  72. Removal of the superior cervical sympathetic ganglion would result in
    • loss of sweating on the same side
    • loss of the dilation of the pupil on the same side
    • vasodilation on the same side
    • mild ptosis on the same side
  73. What structures are related to the anterior border of the parotid gland
    • parotid duct
    • zygomatic branch of the facial nerve
    • transverse facial artery
  74. Which of the structures are found in the infratemporal fossa?
    • medial pterygoid muscle
    • otic ganglion
    • maxillary artery
  75. The lateral pterygoid muscles may cause which of the following movements of the mandible:
    depression and retraction
  76. The chief abductor of the vocal chords is
    posterior cricoarytenoids
  77. The nasopharynx contains
    • the opening of the auditory tube
    • the pharyngeal tonsils
  78. Concerning the innervation within the tympanic cavity:
    • -the tympanic plexus, supplying the mucosal lining of the tympanic cavity, is derived from the glossopharyngeal nerve
    • -the tensor tympani muscle is innervated by a branch of the mandibular division of the trigeminal nerve
  79. The pharyngeal constricors are associated with structures that are found between them, or between them and adjacent structures. Correct statements include:
    1.the internal laryngeal nerve
    2.the recurrent laryngeal nerve
    3.the glossopharyngeal nerve
    • 1.the internal laryngeal nerve between the middle constrictor and inferior constrictor
    • 2.the recurrent laryngeal nerve between the inferior constrictor (esophagus) and trachea
    • 3.the glossopharyngeal nerve and the stylopharyngeus muscle between the superior constrictor and middle constrictor
  80. Fibers running in the oculomotor nerve (III) innervate the
    • sphincter muscle of the pupil
    • ciliary muscle
  81. Removal of the ciliary ganglion results in
    1.loss of function of extra-ocular muscles supplied by cranial nerve III
    2.inability of the lens to become more round (inability to accomodate)
    3.ptosis of the upper lid
    4.dilated pupil on the affected side
    ???????
  82. The pharynx
    • is divided into 3 subdivisions
    • its sensory innervation is via cranial nerves IX and X
    • the majority of motor innervation is via the vagus
    • it becomes continuous with the esophagus inferiorly
  83. The external carotid artery
    • terminates as the superficial temporal and maxillary veins
    • is located within the carotid sheath
  84. The constrictors of the pharynx are
    innervated by
    insert into
    are "deficient"
    are closely related to
    • innervated by the vagus nerve
    • insert into the posterior median raphe
    • are "deficient" anteriorly
    • are closely related to the retropharyngeal space
  85. In the nasal cavity, the middle meatus contains the opening of the ______ sinuses.
    the maxillary and the frontal sinuses
  86. The nerves associated with the nasal cavity are the
    • maxillary division of trigeminal nerve (V2)
    • opthalmic division of trigeminal nerve (V1)
    • olfactory nerve
    • mandibular division of trigeminal nerve (V3)
  87. A patient complains of loss of sensation over the tip of the nose. With your knowledge in anatomy, you conclude that the following nerve is involved.
    the frontal nerve
  88. The temporomandibular joint
    • is both a gliding and hinge joint
    • is connected and closely related to the lateral pterygoid muscle
  89. The facial nerve
    • -is associated with taste sensation from the anterior 2/3 of the tongue
    • -is motor to muscles of facial expression
    • -contains parasympathetic fibers which are ultimately destined for the lacrimal, submandibular and sublingual glands
    • -at the base of the skull, exits through the stylomastoid foramen
  90. Regarding the tympanic cavity
    • -it is continuous with the mastoid air cells via the epitympanic recess, aditus, and antrum
    • -its roof is formed by the tegmen tympani
    • -normally, the air pressure within the cavity is equal to the outside pressure
  91. the mulohyoid nerve
    • gives motor supply to the anterior belly of the digastric muscle
    • travels in a groove on the medial surface of the mandible
  92. In permanent dentition each half of the mandible and maxilla carries
    • 8 teeth
    • 2 premolar teeth
    • 1 canine tooth
    • 2 incisor teeth
  93. A man was stabbed in the neck, and his right facial nerve was severed completely at the level of the stylomasoid foramen. The examining physician must expect to find:
    • loss of blink reflex (inability of eye closure) on the right
    • paralysis of the right buccinator (with possible food accumulation in the right vestibule of the mouth)
  94. Regarding the three cranial fossae and their contents
    • the frontal pole of the brain is located in the anterior cranial fossa
    • the occipital pole is located in the posterior cranial fossa
  95. Identify the correct statement(s) regarding the calvaria
    • the parietal bone participate in its formation
    • the frontal bone participates in its formation
    • it contains the coronal suture
    • its spongy bony part (between inner and outer table) contains diploic veins
  96. The internal carotid artery
    • is located within the carotid sheath
    • does not give off branches in the neck
    • has a sensory nerve supply from IX (glossopharyngeal n.)
    • gives off the opthalmic branch as it emerges from the cavernous sinus
  97. Regarding the prevertebral muscles
    • the longus capitis and longus colli are topographically related to the cervical sympathetic trunk
    • the prevertebral muscle group includes the longus colli, longus capitis, rectus capitis anterior, and rectus capitis lateralis
  98. Identify the CORRECT statement(s):
    1. The strength of the transverse ligament of the atlas is so great that the dens may often break away from the body of the axis before the transverse ligaments tears away from the atlas
    2. the ligaments are also known as "check ligaments" because they limit rotation of the cranium
    3. the posterior atlanto-occipital membrane attaches to the posterior margin of the foramen magnum
    4.the vertebral artery, after exiting the foramen transversarium of the atlas, pierces the anterior atlanto-occipital membrane in order to enter the vertebral canal.
    • All are correct:
    • 1. The strength of the transverse ligament of the atlas is so great that the dens may often break away from the body of the axis before the transverse ligaments tears away from the atlas
    • 2. the ligaments are also known as "check ligaments" because they limit rotation of the cranium
    • 3. the posterior atlanto-occipital membrane attaches to the posterior margin of the foramen magnum
    • 4.the vertebral artery, after exiting the foramen transversarium of the atlas, pierces the anterior atlanto-occipital membrane in order to enter the vertebral canal.
  99. When you look at the retina through an opthalmoscope, one of the conspicuous features which you see is an artery branching over its surface. This artery
    • is a branch of the opthalmic artery
    • reached the retina within the optic nerve
  100. The middle constrictor of the pharynx attaches "anteriorly" on the
    hyoid bone
  101. Identify the CORRECT statement(s) concerning parasympathetic ganglia in the head
    • 1. each is ANATOMICALLY associated with a branch of the trigeminal nerve
    • 2. the sphenopalatine (pterygopalatine) ganglion is functionally associated with the facial nerve
    • 3. postganglionic parasympathetic fibers, which innervate the parotid gland, originate in the otic ganglion
  102. The arachnoid granulations
    • 1. permit excess amounts of cerebrospinal fluid to enter thevenous system
    • 2. are not visible to the naked eye
    • 3. are most numerous along the superior sagittal sinus
    • 4. but DO NOT allow nutrients from the bloodstream to enter the cerebrospinal fluid
  103. Cutaneous branches of the opthalmic nerve (V1) include the
    1.supraorbital nerve
    2.supratrochlear nerve
    3.lacrimal nerve
    4.infraorbital nerve
    • 1.supraorbital nerve
    • 2.supratrochlear nerve
    • 3.lacrimal nerve

    NOT the infraorbital nerve!
  104. Which structure(s) are contained within the carotid sheath?
    • Vagus nerve
    • Common carotid artery
    • Internal jugular vein
  105. The dural sinuses
    • 1.receive blood from veins of the brain
    • 2.directly or indirectly drain mainly into the internal jugular vein
    • 3. have connections with the veins of the scalp via emissary veins
    • 4. are present in the falx cerebri
  106. Which of the following herves originate from cervical nerves?
    phrenic nerve
    supraclavicular nerves
    great auricular nerve
    ansa cervicalis
    • All originate from cervicl nerves:
    • phrenic nerve
    • supraclavicular nerves
    • great auricular nerve
    • ansa cervicalis

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