Skull And Cranial Fossa - Face And Scalp

16 Questions | Total Attempts: 653

SettingsSettingsSettings
Please wait...
Skull And Cranial Fossa - Face And Scalp

Questions and Answers
  • 1. 
    ________  exits the skull through the internal acoustic meatus ; however, only _______ exits the skull through the stylomastoid foramen .
    • A. 

      Facial nerve only , Facial nerve only

    • B. 

      Vestibulocochlear nerve only , vestibulocochlear nerve only

    • C. 

      Both facial and vestibulocochlear nerves , Both facial and vestibulocochlear nerves

    • D. 

      Both facial and vestibulocochlear nerves, Only facial nerve

    • E. 

      Both facial and vestibulocochlear nerves , Only vestubulocochlear nerve

  • 2. 
    A patient arrives at your office following a disastrous work injury at the metal factory. A sharp object is seen piercing the patient's left eye and radiological imaging demonstrates complete damage to the structures found within the left optic canal. Which of the following have most likely been damaged?
    • A. 

      Superior ophthalmic vein

    • B. 

      Inferior ophthalmic vein

    • C. 

      Cavernous sinus

    • D. 

      Ophthalmic artery

    • E. 

      CN I

    • F. 

      CN V: V2 Branch

    • G. 

      Ophthalmic nerve

  • 3. 
    A 65 year old woman had optic nerve damage. An MRI revealed that the foramen that Cranial Nerve II goes through is damaged. Which one of the following is also most likely damaged?
    • A. 

      Facial Nerve

    • B. 

      Ophthalmic Division of Trigeminal Nerve

    • C. 

      Mandibular Division of Trigeminal Nerve

    • D. 

      Ophthalmic Artery

    • E. 

      Facial Artery

  • 4. 
    What structures pass through the superior orbital fissure?
    • A. 

      Cranial nerves III, IV, VI , VI, and Middle Meningeal artery

    • B. 

      Cranial nerves III, IV, VI , VI, and Ophthalmic artery

    • C. 

      Cranial nerves III, IV, VI,2,3 , VI

    • D. 

      Cranial nerves III, IV, VI , VI, and Ophthalmic vein

  • 5. 
    Mr. Balkaran, 16-year-old boy with severe acne, develops an upper eyelid infection. As a good physician, you are very concerned about spread of the infection to the dural venous sinus. With which of the following dural venous sinuses does the superior ophthalmic vein directly communicate?  
    • A. 

      Occipital sinus

    • B. 

      Sigmoid sinus

    • C. 

      Straight sinus

    • D. 

      Cavernous sinus

    • E. 

      Superior petrosal sinus

  • 6. 
    Mr. Ringmy, a 34 year old salesman, presents with a drooping face and forehead consistent with Bell’s palsy.  It is found on radiological examination that there is a tumor that compresses the cranial nerve responsible for these finding at the location it exits the skull.  What is the location of the tumor?
    • A. 

      Foramen rotundum

    • B. 

      Foramen ovale

    • C. 

      Jugular foramen

    • D. 

      External acoustic foramen

    • E. 

      Stylomastoid foramen

  • 7. 
    A 33 year old female presents to her physician complaining that she is not able to feel touch sensation along her chin just below her lower lip.  MRI reveals a small basal tumor compressing structures that are exiting what landmark?
    • A. 

      Foramen Rotundum

    • B. 

      Foramen Ovale

    • C. 

      Foramen Spinosum

    • D. 

      Jugular Foramen

  • 8. 
    A 25-year-old man riding his motorcycle at 20 mph suddenly hits a pothole in the road and was ejected through the air landing headfirst on the left, lateral side of his skull. The man was taken to the emergency department and subsequent radiographic studies were undertaken that revealed damage to structure at the arrow (see below). Which of the following clinical manifestations will most likely be observed in this patient?
    • A. 

      Loss of taste and general sensation to the anterior 2/3 of the tongue

    • B. 

      Obstructive hydrocephalus

    • C. 

      Non-obstructive hydrocephalus

    • D. 

      Epidural hematoma

    • E. 

      Trigeminal neuralgia

  • 9. 
    Which of the following provides the surface atop which rests the basilar artery?
    • A. 

      Lesser wing of sphenoid

    • B. 

      Optic canal

    • C. 

      Cribiform plate

    • D. 

      Clivus

    • E. 

      Anterior clinoid process

  • 10. 
    A 25-year-old man is brought into the emergency room following a motorcycle-versus-tree MVA with confusion, unilateral pupillary dilation, and altered level of consciousness. A CT of the head reveals a hematoma crossing the midline. The artery most likely to have been ruptured is a branch of which of the following?  
    • A. 

      Posterior auricular artery

    • B. 

      Maxillary artery

    • C. 

      Lateral nasal artery

    • D. 

      Transverse facial artery

    • E. 

      Angular artery

  • 11. 
    Face and Scalp Sensation to the lower lip is supplied what branch of which cranial nerve?
    • A. 

      Cervical branch of CN VII‬‬‬‬‬‬‬‬‬‬‬‬

    • B. 

      Marginal mandibular branch of CN VII

    • C. 

      Marginal mandibular branch of CN V‬‬‬‬‬‬‬‬‬‬‬‬

    • D. 

      Maxillary branch of CN V‬‬‬‬‬‬‬‬‬‬‬‬

    • E. 

      Buccal branch of CN VII

  • 12. 
    A middle-aged patient arrives at your office complaining of loss of sensation over the face. You examine different regions of the face. During your inspection, you examine the skin over the angle of the mandible and notice a lack of sensation in this area. Which nerve supplies this region?  
    • A. 

      V1 of the Trigeminal nerve

    • B. 

      V2 of the Trigeminal nerve

    • C. 

      V3 of the Trigeminal nerve

    • D. 

      Marginal mandibular

    • E. 

      Posterior rami of C2-C3

    • F. 

      Greater auricular nerve

    • G. 

      Lesser occipital nerve

  • 13. 
    A 43 year old man presents with Bell's Palsy. Which one of the following is LEAST likely damaged?
    • A. 

      Zygomaticus Minor

    • B. 

      Orbicularis Oris

    • C. 

      Risorius

    • D. 

      Masseter

    • E. 

      Orbicularis Oculi

  • 14. 
    If CN VII were ligated bilaterally which muscle on the face would still function properly?
    • A. 

      Risorius

    • B. 

      Masseter

    • C. 

      Buccinator

    • D. 

      Zygomaticus Minor

  • 15. 
    Following surgery to remove a parotid tumor, a 45 year old female presents to her physician stating that whenever she sits down at the dinner table to ear, she begins to sweat profusely.  What is the most likely explanation for her development of Frey Syndrome?
    • A. 

      Regrowth of severed presynaptic parasympathetic fibers from CN IX to sweat glands

    • B. 

      Regrowth of severed postsynaptic parasympathetic fibers from CN IX to sweat glands

    • C. 

      Regrowth of severed presynaptic sympathetic fibers from CN V1 to sweat glands

    • D. 

      Regrowth of severed postsynaptic parasympathetic fibers from CN V3 to sweat glands

  • 16. 
    A 30-year-old female is giving birth vaginally, the obstetrician uses forceps to pull the baby’s head out by the mastoid processes. What is most at risk and possible result?
    • A. 

      Vestibular n. and Battle signs

    • B. 

      Glossopharyngeal n. and Ear sensory loss

    • C. 

      Internal carotid n. and Horner’s syndrome

    • D. 

      Facial n. and Bell’s palsy

    • E. 

      Ophthalmic n. and maxillary sensory loss

Back to Top Back to top