Block 5 Anatomy The Larynx & Neck

19 Questions | By Rossstudent | Last updated: Mar 21, 2022 | Total Attempts: 896

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Block 5 Anatomy The Larynx & Neck - Quiz

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1.

A patient suffers from the aneurysm of the arch of aorta and the left recurrent laryngeal nerve is damaged. Which of the following muscles is first to be involved?
- A.
  
  Cricothyroid
- B.
  
  Lateral cricoarytenoid
- C.
  
  Posterior cricoarytenoid
- D.
  
  Thyroarytenoid
- E.
  
  Thyroepiglottis
2.

A student was shot by a bullet in the left side of the neck. The wound left him bleeding peofusely and paralyzed the sternocleidomastoid, trapezius and stylopharyngeus muscles on the same side. The posterior third of the tongue lost taste sensation. The left recurrent laryngeal nerve was damaged and left him with a hoarse throat. The bullet had pierced which of the following sites?
- A.
  
  Carotid canal
- B.
  
  Foramen magnum
- C.
  
  Jugular foramen
- D.
  
  Foramen lacerum
- E.
  
  Superior orbital fissure
3.

A 10-year old boy was taken to a doctor because his mother noticed that he held his head inclined to the right. On examination, the cervical vertebral column was held in a position of slight flexion and right ear was held nearer his right shoulder. Contraction of which of the following muscles is MOST LIKELY responsible for this condition.
- A.
  
  Right trapezius
- B.
  
  Left spleneus capitis
- C.
  
  Right sternocleidomastoid
- D.
  
  Right levator scapulae
- E.
  
  Left trapezius
4.

A 60-year old man was operated for the removal of the lymph nodes in the carotid triangle. The operation was successful. After about a month the same patient came back to the surgeon and complained of a weak voice. Which of the following structures was damaged during the operation?
- A.
  
  Ansa cervicalis
- B.
  
  External laryngeal nerve
- C.
  
  Internal laryngeal nerve
- D.
  
  Hypoglossal nerve
- E.
  
  Sympathetic trunk
5.

A patient was brought to the ER with upper chest wound. After careful examination it was found a knife wound to the chest wall above the clavicle and the following structures were damaged except:
- A.
  
  Subclavian artery
- B.
  
  Lower trunk of the brachial plexus
- C.
  
  Sympathetic trunk
- D.
  
  Cervical pleura
- E.
  
  Apex of the lung
6.

In closing the inlet of the larynx during the swallowing, which of the following muscles is acting MOST?
- A.
  
  Thyroarytenoid
- B.
  
  Aryepiglottis
- C.
  
  Lateral cricoarytenoid
- D.
  
  Posterior cricoarytenoid
- E.
  
  Thyroepiglottis
7.

Which of the following muscles is supplied by the external laryngeal nerve?
- A.
  
  Posterior cricoarytenoid
- B.
  
  Lateral cricoarytenoid
- C.
  
  Thyroarytenoid
- D.
  
  Cricothyroid
- E.
  
  Thyroepiglottis
8.

During the removal a foreign body from the piriform recess, the internal laryngeal nerve was damaged. Which of the following structures will lose the general sensation?
- A.
  
  Posterior third of the tongue
- B.
  
  Larynx, above the vocal cords
- C.
  
  Larynx below the vocal cords
- D.
  
  The ventricles of the larynx only
- E.
  
  The saccule of the larynx only
9.

After the vocal cords are fully adducted, they are opened by which of the following muscles?
- A.
  
  Lateral cricoarytenoid
- B.
  
  Posterior cricoarytenoid
- C.
  
  Thyroarytenoid
- D.
  
  Cricothyroid
- E.
  
  Thyroepigllotis
10.

A 30-year-old man visited his physician complaining of a swelling on the front of the neck and breathlessness. On examination, a swelling of firm consistency was found to left of the midline of the neck. The swelling moved up and down on swallowing. The swelling is related to one of the following structures.
- A.
  
  Trachea
- B.
  
  Esophagus
- C.
  
  Thyroid gland
- D.
  
  Pharynx
- E.
  
  Larynx
11.

Following a road accident, a patient sustained an injury to the right subclavian artery with the formation of a compressing haematoma around the artery. Such a compression could be associated with following symptoms except
- A.
  
  Hoarse throat
- B.
  
  Palsy of the posterior cricoarytenoid
- C.
  
  Palsy of the lateral cricoarytenoid
- D.
  
  Palsy of the thyroarytenoid
- E.
  
  Palsy of the cricothyroid
12.

The vocal folds are found within the space enclosed by the:
- A.
  
  Hyoid bone
- B.
  
  Cricoid cartilage
- C.
  
  Thyroid cartilage
- D.
  
  Piriform recess
- E.
  
  Arytenoid cartilage
13.

Paralysis of what muscle require emergency opening of the airway?
- A.
  
  Cricothyroid
- B.
  
  Posterior cricoarytenoid
- C.
  
  Lateral cricoarytenoid
- D.
  
  Arytenoids
- E.
  
  Vocalis
14.

At which two joints does the laryngeal skeleton move?
- A.
  
  Arytenothyroid and epiglottis-thyroid
- B.
  
  Corniculoarytenoid and cuneiform-arytenoid
- C.
  
  Cricothyroid and cricoarytenoid
- D.
  
  Arytenothyroids
- E.
  
  Cricotracheal and thyroepiglottic
15.

In an emergency operation for opening of the airway, which of the following location will be chosen for the incision?
- A.
  
  Just above the hyoid bone
- B.
  
  Thyrohyoid membrane
- C.
  
  Cricothyroid membrane
- D.
  
  Thyroid cartilage
- E.
  
  Just below the cricoid cartilage
16.

The lateral surface of the thyrohyoid membrane is pierced by one of the following nerves:
- A.
  
  External laryngeal nerve
- B.
  
  Glossopharyngeal nerve
- C.
  
  Recurrent laryngeal nerve
- D.
  
  Internal laryngeal nerve
- E.
  
  Inferior laryngeal nerve
17.

A 50-year old man presents to the physician only minutes after having suffered a punctured carotid artery. Compression of this artery is most effective against which of the following bony points?
- A.
  
  Pedicle of C5
- B.
  
  Transverse process of C7
- C.
  
  Pedicle of C6
- D.
  
  Transverse process of C6
- E.
  
  Costal facet of T1
18.

An ENT surgeon performed tonsillectomy on 17-yearold boy. The operation was uneventful. After few weeks the boy complained of the loss of sensation over posterior third of the tongue. Which of the following nerves was damaged during the operation?
- A.
  
  Lingual nerve
- B.
  
  Internal laryngeal nerve
- C.
  
  Glossopharyngeal nerve
- D.
  
  External laryngeal nerve
- E.
  
  External laryngeal nerve
19.

A surgeon performed partial thyroidectomy on 60-year old man. The operation was uneventful and the patient was sent home. After few weeks the patient complained of the monotonus speech of low pitch. Which of the following nerves was damaged during the operation?
- A.
  
  Lingual nerve
- B.
  
  Glossopharyngeal nerve
- C.
  
  Internal laryngeal nerve
- D.
  
  External laryngeal nerve
- E.
  
  Hypoglossal nerve