Block 5 Anat Head Neck Mini Quest Prt 3

20 Questions | Total Attempts: 59

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Block 5 Anat Head Neck Mini Quest Prt 3

Questions and Answers
  • 1. 
    After a tonsillectomy a 14‑year‑old female patient has persistent bleeding from the tonsillar bed. Blood flow is slow but constant. The source of the blood is MOST LIKELY the:
    • A. 

      Superior thyroid vein

    • B. 

      Tonsillar branch of the facial artery

    • C. 

      External palatine vein

    • D. 

      Ascending palatine artery

    • E. 

      Ascending pharyngeal artery

  • 2. 
    An eighth grade boy was observed in the clinic because of a midline, fluid‑filled swelling just below the center of the hyoid bone. After palpating the soft mass, and suspecting its origin, you ask the boy to stick out his tongue. When he does this, you observed that the cervical mass also moves. It also moves when he swallows. This confirms your diagnosis that the lad has:
    • A. 

      A cervical branchial cyst

    • B. 

      A pharyngeal fistula

    • C. 

      Aberzant thymic tissue

    • D. 

      An internal branchial cyst

    • E. 

      A thyroglossal duct cyst

  • 3. 
    A 35‑year‑old man presented with aching pain in his right upper teeth and a sensation of fullness and pulsation in his right cheek. Examinations reveal pus in his right middle nasal meatus. These symptoms are MOST suggestive of:
    • A. 

      Inflammation of the nasolacrimal duct

    • B. 

      Sphenoidal sinusitis

    • C. 

      Superior ethmoidal sinusitis

    • D. 

      Maxillary sinusitis

    • E. 

      Frontonasal sinusitis

  • 4. 
    Which of the following statements is INCORRECT:
    • A. 

      Fracture of cribriform plate may give CSF leakage from nose

    • B. 

      Battles sign is indicative of basilar skull fracture

    • C. 

      On X ray, skull sutures have straight dark edges

    • D. 

      Pterion important landmark for middle meningeal artery

    • E. 

      Otitis media can lead to mastoiditis

  • 5. 
    A 16‑year‑old teenager presents to the doctor with high fever, severe headache, and a pus‑filled pimple on the upper lip. An infection from the superficial face, (danger zone of the face), had MOST LIKELY spread from the facial vein into the cavernous sinus within the cranial cavity via the:  
    • A. 

      Superior ophthalmic vein

    • B. 

      Diploic vein

    • C. 

      Retromandibular vein

    • D. 

      Maxillary vein

    • E. 

      Internal jugular vein

  • 6. 
    What nerve DOES the superior laryngeal artery accompany into the larynx?
    • A. 

      Recurrent laryngeal

    • B. 

      Vagus

    • C. 

      Descendens hypoglossal of ansa cervicalis

    • D. 

      The nerve to the cricothyroid muscle

    • E. 

      Internal laryngeal

  • 7. 
    The general sensory innervation of structures in the orbit is via the:
    • A. 

      Facial (VII) nerve

    • B. 

      Trigeminal (V) nerve

    • C. 

      Oculomotor (III) nerve

    • D. 

      Trochlear (IV) nerve

    • E. 

      Sympathetic system

  • 8. 
    Damage to the facial nerve will result in hyperacusis due to paralysis of which muscle?
    • A. 

      Auricularis posterior

    • B. 

      Tensor tympani

    • C. 

      Stapedius

    • D. 

      Tensor palatine

    • E. 

      Salpingopharyngeus

  • 9. 
    A 24‑year‑old man was diagnosed with Bell's (facial nerve) palsy. This is MOST LIKELY to cause:
    • A. 

      Inability to chew

    • B. 

      Atrophy and paralysis of tongue muscles

    • C. 

      Inability to close the eyelid and drooling of saliva out of the affected side of the mouth

    • D. 

      Visual impairment in the eye on the affected side

    • E. 

      Inability to turn the neck

  • 10. 
    Which of the following DOES NOT enter the orbit through the superior orbital fissure?
    • A. 

      Ophthalmic artery

    • B. 

      Abducens nerve

    • C. 

      Oculomotor nerve

    • D. 

      Frontal nerve

    • E. 

      Trochlear nerve

  • 11. 
    Which of the following DOES NOT get motor supply from the Pharyngeal Plexus?
    • A. 

      Palatoglossus

    • B. 

      Musculus uvulae

    • C. 

      Levator veli palatini

    • D. 

      Tensor veli palatini

    • E. 

      Palatopharyngeus

  • 12. 
    The path by which lymphatics normally drain the tongue include
    • A. 

      Tip to supraclavicular; body to submental nodes

    • B. 

      Tip to deep cervical nodes; body to submental nodes

    • C. 

      Tip to jugulodigastric nodes; root to infraclavicular

    • D. 

      Tip to submental nodes; body to deep cervical

    • E. 

      Tip to apical axillary; body to parotid nodes

  • 13. 
    Which of the following structures of the adult head and neck are derivatives of the third pharyngeal arch?
    • A. 

      Superior horn of the thyroid cartilage, aryepiglottic folds, and cuneiform cartilages

    • B. 

      Epiglottis, palatapharyngeus muscle, and superior pharyngeal constrictor muscles

    • C. 

      Pterygomandibular raphe, tensor veli palatini muscle, and anterior belly of the digastric

    • D. 

      Lesser horn of the hyoid bone, stapedius muscles, and stylohyoid ligament

    • E. 

      Greater horn of the hyoid bone, stylopharyngeus muscles, and lateral glossoepiglottic folds

  • 14. 
    One muscle is responsible both for protraction and retraction of the tongue. This muscle is:
    • A. 

      Mylohyoid

    • B. 

      Genioglossus

    • C. 

      Palatoglossus

    • D. 

      Hyoglossus

    • E. 

      Styloglossus

  • 15. 
    During swallowing which muscle exerts pull on the wall of the auditory tube, effecting equalization of pressure between nasopharynx and middle ear cavity?
    • A. 

      Superior pharyngeal constrictor

    • B. 

      Salpingopharyngeus

    • C. 

      Tensor tympani

    • D. 

      Stapedius

    • E. 

      Musculus uvulae

  • 16. 
    During the surgical removal of a cancerous thyroid gland in a 71‑year‑old female patient, her left recurrent laryngeal nerve is accidentally severed. The effect(s) will be:
    • A. 

      Need for artificial respiratory support because of the inability to abduct the vocal folds

    • B. 

      Hoarseness

    • C. 

      Loss of the cough reflex because of denervation of the larynx above the vocal folds

    • D. 

      Inability to speak because of paralysis of all the intrinsic laryngeal muscles (except cricothyroideus)

    • E. 

      Inability to swallow due to paralysis of the pharyngeal constrictors

  • 17. 
    During childbirth, an expectant mother is admonished to “push”.  What combination of muscles does the mother use to perform this Valsalva maneuver and increase her intra‑abdominal pressure?
    • A. 

      Pectoralis minor and major, stylopharyngeus, and scalenes

    • B. 

      Thyroarytenoid, cricothyroid, and trapezius

    • C. 

      Sternocleidomastoid, scalenes, and cricothyroid

    • D. 

      Serratus posterior superior and inferior, external intercostals, and posterior cricoarytenoid

    • E. 

      Lateral cricoarytenoid, arytenoids, and external oblique

  • 18. 
    An emergency cricothyroidostomy is performed
    • A. 

      Through the conus elasticus of the larynx

    • B. 

      Superior to the vocal folds but inferior to the vestibular folds

    • C. 

      In the midline through the median cricothyroid ligament

    • D. 

      Inferior to the cricoid cartilage

    • E. 

      Through the lamina of the thyroid cartilage

  • 19. 
    A 34‑year‑old female patient who had been prescribed eye drops for a seasonal allergy complains to her physician that she tastes the drops every time she uses them. Through which of the following mechanisms did the patient MOST LIKELY taste the eye drops?
    • A. 

      Drainage into the oropharynx via a pharyngeal fistula and sensation by taste buds on the posterior third of the tongue

    • B. 

      Drainage through the nasolacrimal duct to pharyngeal taste buds

    • C. 

      Drainage through the frontonasal duct to epiglottic taste buds

    • D. 

      Drainage into the nasal cavity and sensation via the vomeronasal organ

    • E. 

      Drainage into the oral cavity via the incisive foramen and sensation by taste buds on the anterior two thirds of the tongue

  • 20. 
    An 11‑year‑old female was brought into the Emergency Room complaining of a fish bone stuck in her throat. She was accompanied by her father who explained that the family had been at a fish barbeque when his daughter had suddenly grabbed her throat and started coughing violently. Coughing had not dislodged the bone, but she was able to breathe without difficulty. Any attempt to swallow, however, was painful because of the obstruction. Where is the bone likely to be lodged?
    • A. 

      The laryngeal ventricle

    • B. 

      The piriform recess

    • C. 

      The vallecula

    • D. 

      The laryngeal sinus

    • E. 

      The scaphoid fossa

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