Block 5 Anat Phrnx Lrnx Nasal Oral Cav From Ta's W Expl Prt 2
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- 1.A coffee-lover purchases a venti mocha from Starbucks and tells the barista to make it 'extra hot.' During the first sip, he burns the very tip of his tongue. Which nerve carries the sensation that he felt?
- A.
Trigeminal nerve
- B.
Facial nerve
- C.
Glossopharyngeal nerve
- D.
Vagus nerve
- E.
Hypoglossal nerve
- 2.A 19 year old female came into the clinic after a tongue piercing resulted in an infection. Her piercing was in the middle part of her tongue. Where are you most likely to see swollen lymph nodes?
- A.
Submandibular lymph nodes
- B.
Submental lymph nodes
- C.
Inferior deep cervical lymph nodes
- D.
Superior deep cervical lymph nodes
- 3.A patient presents to your office complaining of her tongue feeling funny. On further examination you determine the patient has lost general sensation and taste to the posterior 1/3 of her tongue. Knowing your anatomy of the tongue, which nerve is most likely damaged?
- A.
Hypoglossal nerve
- B.
Chorda tympani nerve
- C.
Lingual nerve
- D.
Buccal nerve
- E.
Glossopharyngeal nerve
- 4.The patient comes into the ER with a hard blow to the neck. The patient states they only thing he can do with his tongue is raise the back part. Since you are a well trained ER doctor and remember your 2nd semester anatomy you realize he's damaged his hypoglossal nerve. All muscle of the tongue were damaged except for this one:
- A.
Hyoglossus muscle
- B.
Genioglossus muscle
- C.
Palatoglossus muscle
- D.
Styloglossus muscle
- 5.A tumor obstructing the petrotympanic fissure may produce what deficits?
- A.
Loss of taste to the anterior 2/3 of tongue
- B.
Loss of sensation to the greater palate
- C.
Loss of taste and sensation to the posterior 1/3 and root of tongue
- D.
Loss of sensation to the anterior 2/3 of the tongue.
- 6.A 26 year old man recently sustained head trauma after getting into an automobile accident. He was rushed to the Emergency Department where radiographic studies revealed a fractured jugular foramen. Which of the following clinical signs would the patient likely display?
- A.
Loss of taste from the posterior 1/3 of the tongue
- B.
Loss of taste from the anterior 2/3 of the tongue
- C.
Loss of general sensation from the anterior 2/3 of the tongue
- D.
Loss of motor function to the tongue
- 7.A young man complains of a numbness of the anterior tongue, while retaining the ability to taste food. Which of the following nerves is characterized correctly from the choices below?
- A.
The nerve synapses at the submandibular ganglion
- B.
The nerve is distal to the carotid nerve branch
- C.
The nerve is one of the modalities carried in the lingual nerve
- D.
The nerve is a branch of the maxillary nerve
- E.
The nerve is one of the modalities carried in the chorda tympani nerve
- 8.A 23 year old male came into the ED with an infected piercing on the right lateral lower lip. Where is the lymph going to drain first?
- A.
Submental nodes
- B.
Submandibular nodes
- C.
Sublingual nodes
- D.
Tonsilar nodes
- 9.A 32 year old patient presents to the emergency room after a car accident. He undergoes a full Cranial Nerve exam and is asked to stick his tongue out. The tongue deviates to the left. Which nerve is likely to be damaged?
- A.
Right Vagus
- B.
Left Hypoglossal
- C.
Left Glossopharygneal
- D.
Right Facial
- 10.A drunken sailor is dining on bonefish and the next day is surprised to discover that he has no problems rapidly downing his scalding coffee, singing a pirate song and setting sail. Supposing a rogue fish bone is to blame, which of the following locations is most likely?
- A.
Palatoglossal folds
- B.
Piriform recess
- C.
Vellecula
- D.
Phyaryngoglossal folds
- E.
Esophageotracheal groove
- 11.A patient is undergoing a radiographic examination of an enlarged swelling in his neck. The radiologist has administered radioactive iodine to circumscribe the lobes and isthumus of the thyroid. The patient is concerned and asks, "where is all this radioactive stuff going to go afterwards?" The doctors states that any excess will enter the veins and then eventually be excreted in the urine. Which structure does the inferior thyroid vein immediately drain its contents into in order to eventually makes its way to the heart and then kidneys?
- A.
Left internal jugular vein
- B.
Right internal jugular vein
- C.
Superior vena cava
- D.
Right brachiocephalic vein
- E.
Left brachiocephalic vein
- F.
Right atrium of the heart
- 12.Which of the following is the only intrinsic laryngeal muscle that abducts the vocal cords?
- A.
Thyroarytenoid
- B.
Lateral cricoarytenoid
- C.
Posterior cricoarytenoid
- D.
Cricothyroid
- E.
Transverse and oblique arytenoids
- 13.During a thyroidectomy a surgeon attempts to ligate the superior thyroid artery, which structure is most vulnerable?
- A.
Recurrent laryngeal nerve
- B.
External laryngeal nerve
- C.
Internal laryngeal nerve
- D.
Phrenic nerve
- E.
Glossopharyngeal nerve
- 14.A 38 year old female patient has had heart palpitations, heat intolerance, and is losing weight despite the fact that she also has a big increase in appetite. The Dr. notices a swelling in her throat and after imaging results agree with the patient she has hyperthyroidism and agrees to have the lower lobes of her thyroid removed. Which neurovasculature should the surgeon be careful with while in surgery?
- A.
Inferior thyroid artery and Inferior laryngeal
- B.
Common carotid artery and Phrenic Nerve
- C.
Inferior Thyroid artery and Recurrent laryngeal
- D.
Superior laryngeal artery and Internal branch of superior laryngeal
- 15.From superior to inferior the correct order of structures/spaces in the larynx are?
- A.
Ventricle, rima vestibule (vestibular fold), vestibule, rima glotidis (true vocal cord).
- B.
Vestibule, rima glotidis (true vocal cord), ventricle, rima vestibule (vestibular fold).
- C.
Ventricle, rima glotidis (true vocal cord), vestibule, rima vestibule (vestibular fold).
- D.
Vestibule, rima vestibule (vestibular fold), ventricle, rima glotidis (true vocal cord).
- 16.Where should an opening be made in performing a tracheostomy?
- A.
Inferior to the thyroid gland.
- B.
Between the 1st and 2nd tracheal rings
- C.
Between the 4th and 5th tracheal rings.
- D.
Superior to the thyroid cartilage.
- E.
Through the thyrohyoid membrane.
- 17.A patient complains to their doctor about a fatigued and hoarse voice. The patient particularly has trouble making a high pitch sound. Which nerve is mostly likely responsible for this patient's symptoms?
- A.
Internal laryngeal n.
- B.
Recurrent laryngeal n.
- C.
External laryngeal n.
- D.
Superior laryngeal n.
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