Anatomy
Anatomy
Anatomy
One of the following nerves passes in the lateral wall of the cavernous sinus:
a. the ophthalmic division of the trigeminal nerve.
b. the sixth cranial nerve.
e. the anterior ethmoidal nerve.
d. the optic nerve.
e. the vagus.
Regarding the muscles in the soft palate, all are true except:
a.tensor veli palntini has the part of its muscle fibers running outside the pharyngeal
wall
b.tevator veli palatini acts inpart to open the pharyngotympanic (Eustachean tube)
c. palatopharyngeus muscle has fibers running both above and below levator veli
palatini in the palate
d. palatopharyngeus is innervated from the nucleus ambiguus via the cranial
accessory nerve
e. some of the fibers of the superior constrictor of the pharynx gain attachment
to the palate
The following structures form the medial wall of the orbit EXCEPT:
a. Sphenoid bone.
b. Ethmoidal bone.
c. Maxillary bone.
d. Lacrimal bone.
e. Zygomatic bone
Which of the following veins does not drain into the internal jugular vein :
a. Facial vein.
b. Lingual vein.
c. pharyngeal
d. Superior thyroid vein.
e. Retromandibular vein.
Which of the following structures is a branch of the mandibular division of the trigeminal
nerve ?
A- Infraorbital
B- Lingual
C- Nasopalatine
D- PSA
E- Posterior Superior Nasal
Patients with paralysis of the trigeminal nerve have loss of function of which of the following
muscles ?
A. Levator veli palatini
B. Palatopharyngeus
C. Stylohyoid
D. Stylopharyngeaus
E. Tensor veli palatini
All true about muscles of facial expression except : Inserted in deep fascia
The nerve that supply the hard palate up to the first molar : Greater Palatine N.
Which is false in scalp: deep temporal innervates the lateral part of the scalp
Which is false about LN: upper centrals drain in to parotid lymph nodes
Which is false regarding middle meningeal artery: leaves from foramen ovale
NOTE:
The lesser palatine nerve is responsible for providing innervation to the soft palate, uvula, and tonsil.
The only muscle of the palate not innervated by the pharyngeal plexus, which is
formed by the vagal and glossopharyngeal nerves:
The tensor veli palatini
NOTE:
The tensor veli palatini is supplied by the medial pterygoid nerve, a branch of mandibular nerve, the third
branch of the trigeminal nerve
All about C1 vertebra is true except:
it has a vertebral body and spinous process
NOTE:
The atlas (C1) is the topmost vertebra, and along with the axis forms the joint connecting the skull and spine.
It lacks a vertebral body, spinous process, and has no discs either superior or inferior to it. It is ring-like and
consists of an anterior arch, posterior arch, and two lateral masses
The crista galli is the upper part of the perpendicular plate of the ethmoid bone,
which rises above the cribriform plate. The falx cerebri attaches to the crista galli
Injury to palatine tonsil area the patient can’t say ‘ah’ what nerve is injured:
Glossopharyngeal nerve
Patient cant taste sugar in the anterior tongue what nerve is injured :
Facial nerve
Carotid canal is a bony passage for the internal carotid artery located in:
the temporal bone.
Lingual artery ligation near the hyoid bone carries the risk of injury to:
Hypoglossal nerve
NOTE: The annulus of Zinn, also known as the annular tendon or common tendinous ring, is a ring of fibrous
tissue surrounding the optic nerve at its entrance at the apex of the orbit
NOTE:
The posterior fontanelle generally closes 2 to 3 months after birth; The sphenoidal fontanelle is the next to
close around 6 months after birth; The mastoid fontanelle closes next from 6 to 18 months after birth; The
anterior fontanelle is generally the last to close between 12-18 months.
Note: Cavernous sinus thrombosis is associated with palsies of cranial nerves III, IV, V and VI, producing loss
of corneal reflexes, ophthalmoplegia and hypesthesia over the upper part of the face. Papilledema
and visual loss may result from obstruction of retinal venous return
Note: The main contents of the carotid triangle are the: Important vascular structures are found within
this triangle. It contains the bifurcation of the common carotid artery into internal and external carotid
arteries. The internal carotid artery initially lies postero-laterally to the external carotid artery. It then
becomes posterior to it. Branches of the external carotid artery are found in the triangle including:
superior thyroid artery, lingual artery, facial artery, occipital artery & ascending pharyngeal artery.
Corresponding veins to these branches drain into the internal jugular vein. Crossing both the internal
and external carotid artery is the hypoglossal nerve. Nerves: hypoglossal nerve: nerve to thyrohyoid
from the C1 ventral ramus of the cervical plexus, superior root of ansa cervicalis, internal laryngeal
nerve & external laryngeal nerve.
Note:
The hard palate is composed of:
1. Primary palate 🡪 anterior to the incisive foramen. (from the Medial Nasal Process)
2. Secondary palate 🡪 posterior to the incisive foramen.(from the maxillary process) 1 st Arch
NOTE:
• Ophthalmic nerve
Frontal nerve: Supraorbital & Supratochlear n.
Lacrimal nerve: zygomaticotemporal nerve
Nasociliary nerve‐ Branches:
short ciliary n., Long ciliary n., Posterior ethmoidal n., Anterior ethmoidal n., Infratrochlear n.
• Maxillary nerve
- Zygomaticotemporal n.
‐ Zygomaticofacial n.
‐ Posterior superior alveolar n.
- Infraorbital nerve
- Middle superior alveolar n.
- Anterior superior alveolar n.
- Greater &lesser palatine n.
- Posterior superior lateral, posterior superior medial, & nasopalatine n.
• Mandibular nerve
• Masseteric n.
• Deep temporal n.
• Nerve to lateral pterygoid
• Buccal nerve
• Auriculotemporal n.
• Lingual n.
• Inferior alveolar n.
• Mylohyoid n.
• Mental n.
False about facial muscles:
a. Corrugator supercili muscle wrinkle the nose
b. Lucrimal parte of orbiccolurs ocli help in tear drange
NOTE:
The corrugator draws the eyebrow downward and medially, producing the vertical wrinkles of the
forehead. It is the "frowning" muscle, and may be regarded as the principal muscle in the expression
of suffering. It also contracts to prevent high sun glare, pulling the eyebrows toward the bridge of the
nose, making a roof over the area above the middle corner of the eye and typical forehead furrows.
Note:
Muscles attached to the mastoid process
∙ sternocleidomastoid
∙ splenius capitis
∙ the posterior belly of the digastric muscle
∙ longissimus capitis muscles
If you want to give anesthesia for upper right and left 123:
a. anterior superior nerve block
b. Posterior superior nerve block
c. Second division Regional nerve block
It is located between the maxilla, sphenoid and palatine bones, and communicates with
other regions of the skull and facial skeleton via several canals and foramina. Its small
volume combined with the numerous structures that pass through makes this a complex
region for anatomy students.
In a very atrophied mandible, the nerve that is most likely to be exposed on the mandibular
alveolar crest is:
a. the mental.
b. the buccal.
c. the lingual.
d. the inferior alveolar.
e. the posterior superior alveolar artery
Taste from the posterior one third of tongue is provided by which of the following nerve?
A- glossoparyngeal
B- facial
C- vagus
D- hypoglossal
E- lingual
The following structures are derived from the first pharyngeal arch:
a. muscle of facial expression
b. stapes
c. malleus
d. stylohyoid muscle
e. external auditory meatus
The following normally drain into the middle meatus of the nose:
a. frontal sinus
b. maxillary sinus
c. middle ethmoidal air cells
d. all of the above
e. none of the above
All of the following structures are derivatives of the second branchial arch Except:
A- Stapedius.
B- Muscles of facial expression.
C- Incus.
D- Styloid process.
E- Stapes.
All of the following muscles of the soft palate are innervated by the pharyngeal plexus
except:
A- Tensor veli palatine.
B- Levator veli palatine.
C- Palatoglossus.
D- Palatopharyngeus.
E- Muscularis uvulae.
All of the following structures are contents of infratemporal fossa except:
A- Maxillary artery.
B- Chorda tympani.
C- Pterygoid venous plexus.
D- Superficial temporal artery.
E- Otic ganglion.
The muscle which has motor supply from both the mandibular and facial nerves is:
A- Mylohyoid.
B- Stylohyoid.
C- Digastric
D- Geniohyoid
E- Masseter.
Which nerve / nerves contribute sensory supply to the mucous membrane of the tongue:
A- Lingual nerve.
B- Glossopharyngeal nerve.
C- Internal laryngeal nerve.
D- All of the above.
E- A and B only.
All of the following structures are contents of the superior orbital fissure except:
A- Lacrimal nerve.
B- Superior ophthalmic vein.
C- Trochlear nerve.
D- Inferior ophthalmic vein.
E- Abducent nerve.
Which of the following arteries is the main vascular supply for the temporalis myofascial
flap?
A- Deep temporal
B- Masseteric
C- Occipital
D- Superficial temporal
E- none of the above
Plagiocephaly describes the shape of the skull that may result from fusion of which of the
following sutures?
A- Coronal
B- Metopic
C- Sagittal
D- Squamosal
E- none of the above
Which of the following glandular structures receives innervation from the auriculotemporal
nerve?
A- Lacrimal
B- Meibomian
C- Parotid
D- Sublingual
E- Submandibular
Which of the following structures drains into the inferior meatus beneath the inferior
concha?
A- Auditory tube
B- Nasofrontal duct
C- Nasolacrimal duct
D- Maxillary sinus
E- Sphenoid sinus
A 35-year-old man has an ulcerative lesion in the right retromolar trigone. A biopsy
specimen shows squamous cell carcinoma. Which of the following nodal groups in the
neck is most likely involved?
A- Submandibular (level I)
B- Jugular digastric (level II)
C- Midjugular (level III)
D- Lower jugular (level IV)
E- Posterior cervical triangle (level V)
The optic nerve passes through which of the following bones of the orbit?
A- Ethmoid
B- Frontal
C- Lacrimal
D- Maxilla
E- Sphenoid
A 40-year-old woman develops Frey syndrome after undergoing parotidectomy. The most
likely cause is injury to branches of which of the following nerves?
A- Auriculotemporal
B- Facial (VII)
C- Great auricular
D- Posterior auricular
E- Vagus (X)
A 58-year-old man has a squamous cell carcinoma of the anterior third of the tongue.
Which of the following nodal groups is most likely involved in metastasis?
A- Jugular digastric
B- Postcervical
C- Preparotid
D- Submental
E- Superior cervical
Which of the following sites contains the primary blood supply of the tongue?
A- Dorsal third of the tongue
B- Median septum of the tongue body
C- Middle third of the tongue
D- Multiple segments of the tongue
E- Ventral third of the tongue
Patients with paralysis of the trigeminal nerve have loss of function of which of the following
muscles?
A- Levator veli palatini
B- Palatopharyngeus
C- Stylohyoid
D- Stylopharyngeus
E- Tensor veli palatine
All of the following are branches of the trigeminal nerve except the:
A- Chorda tympani
B-Superior alveolar nerve
C- Inferior alveolar nerve
D- Mental nerve
E- Nerve to myelohyoid
At about the third month of intrauterine life the head takes up almost
A- 60 % of the total body length
B- 50 % of the total body length
C- 40 % of the total body length
D- 30 % of the total body length
E- 20 % of the total body length
If the needle of LA come sinto contact with the parotid gland, it will cause;
A- Paralysis of buccinator
B- Paralysis of Temporalis
C- Parasthesia of Tongue
False is:
Tensor velli palatini innervated by nerve to lateral pterygoid
False ?
Posterior belly of digastric is attached to the styloid process
IANB followed by surgical removal of lower third molar, trismus is due to:
a- Injury to the nerve
b- Cellulitis
c- Infection
d- NONE
When you do IANB and the needle is inserted deep into the parotid gland and loss of
tongue sensation in the anterior two thirds have occurred. This is due to:
a- Mandibular nerve injury
b- Auricular nerve injury
c- Chorda tympani inury
d- Otic ganglion injury
The posterior part of the nose receives a great portion of its arterial supply by:
sphenopalatine a.
The cerebral artery supplies most of the lateral surface of the cerebrum in the
middle cerebral.
The dural venous sinus found on the floor of the cranial fossa is : the cavernous
sinus
The muscle which protrude the tongue tip towards the opposite side is :
genioglossus
The vein that directly connects the veins of the scalp to the dural venous sinuses is : the
emissary vein
The internal carotid nerve arise from superior cervical sympathetic ganglia
Lingual artery ligation near the hyoid bone carries risk of injury of : CN XII
When you move your mandible in lateral excursive movement, what muscles are
active : Contralateral LP, Ipsilateral Temporalis
In vagus nerve , you test it by asking your patient to say “AH” then:
The patient raises the uvula and it will deviate to the normal side in unilateral vagus
weakness