Head and Neck Questions

For each question, select the one BEST answer. Hold mouse cursor over the button to see the correct answer.
1. When trying to locate the parotid duct, a physician would consider each of the following relationships EXCEPT:
  1. its opening can be seen in the vestibule of the mouth opposite the upper 2nd premolar tooth
  2. it extends from the anterior border of the parotid gland
  3. it can be palpated as it crosses the face, superficial to the masseter muscle
  4. it is inferior to the zygomatic arch
  5. it is superior to the zygomatic arch
2. Which of the following statements best describes the facial vein?
  1. it is located within the substance of the parotid gland
  2. it communicates superiorly with the ophthalmic vein
  3. it is more tortuous than the facial artery
  4. it lies anterior to the facial artery as it passes through the face
  5. it usually empties into the external jugular vein
3. The tickling sensation felt in the nasal cavity, just prior to a sneeze is probably carried in which of the following nerves?
  1. facial
  2. maxillary division of trigeminal
  3. mandibular division of the trigeminal
  4. glossopharyngeal
  5. none of the above
4. Which muscle is innervated by the external branch of the superior laryngeal nerve?
  1. lateral cricoarytenoid
  2. cricothyroid
  3. posterior cricoarytenoid
  4. transverse arytenoid
  5. thyroarytenoid
5. Tumors of the head may grow from one region of the head to another by passing through fissures and foramina. Knowing this, if you found a tumor in the pterygopalatine fossa, it may have developed there primarily or it may have grown into the fossa from any of the following EXCEPT:
  1. infratemporal fossa
  2. cranial cavity by way of the foramen ovale
  3. cranial cavity by way of the foramen rotundum
  4. nasal cavity
  5. oral cavity by way of the greater palatine canal
6. The 4th cranial nerve (trochlear) innervates:
  1. the lacrimal caruncle
  2. a muscle that turns the eyeball superiorly and laterally
  3. the lacrimal gland
  4. the medial part of the lower eyelid
  5. a muscle that turns the eyeball inferiorly and laterally
7. During a physical examination, you have a patient stick out his/her tongue and say AAH. The muscle that is responsible for this movement is the:
  1. geniohyoid
  2. styloglossus
  3. palatoglossus
  4. genioglossus
  5. hyoglossus
8. The coronoid process belongs to which bone in the head?
  1. maxillary
  2. mandible
  3. sphenoid
  4. occipital
  5. temporal
9. In order to locate the approximate position of the bifurcation of the common carotid artery, you would feel for its pulse at or above which of the following?
  1. at the level of the cricothyoid membrane
  2. at the level of the hyoid bone
  3. at the level of the upper border of the cricoid cartilage
  4. at the level of the upper border of the thyroid cartilage
  5. at the level of the first tracheal ring
10. The muscles of mastication, their nerves and their vessels are located primarily in which part of the head?
  1. pterygopalatine fossa
  2. jugular fossa
  3. incisive fossa
  4. infratemporal fossa
  5. temporal fossa
11. The thyroid gland can be examined in which of the following triangles of the neck?
  1. submental
  2. glandular
  3. carotid
  4. submandibular (or digastric)
  5. muscular (or visceral)
12. During a sinus attack, painful sensation from the ethmoid cells is carried in which nerve?
  1. meningeal
  2. greater petrosal
  3. pterygoid
  4. nasociliary
  5. frontal
13. The pharyngeal plexus of nerves contains both motor and sensory components. The motor nerves are believed to come from which of the following?
  1. hypoglossal nerve
  2. glossopharyngeal nerve
  3. vagus nerve
  4. trigeminal nerve
  5. spinal accessory nerve
14. The facial artery gives rise to branches that supply each of the regions listed below EXCEPT for the:
  1. medial angle of the orbit
  2. lateral nose
  3. region of the eyebrow
  4. upper lip
  5. lower lip
15. Which of the following meningeal structures is located between the cerebral hemispheres?
  1. diaphragma selli
  2. falx cerebelli
  3. tentorium cerebelli
  4. falx cerebri
  5. none of the above
16. The cough reflex, as do all reflexes, has a sensory and a motor part to it. What nerve carries the sensory part of the cough reflex?
  1. internal laryngeal nerve
  2. external laryngeal nerve
  3. trigeminal nerve
  4. facial nerve
  5. maxillary nerve
17. All of the following structures are located within the walls or cavity of the cavernous sinus EXCEPT for the:
  1. oculomotor nerve
  2. internal carotid artery
  3. ophthalmic division of the trigeminal nerve
  4. mandibular division of the trigeminal nerve
  5. abducens nerve
18. The lateral wall of the ethmoid sinus is also part of the medial wall of the:
  1. nasal cavity
  2. orbit
  3. anterior cranial fossa
  4. oropharynx
  5. nasopharynx
19. The facial nerve:
  1. exits the cranium through the foramen ovale
  2. provides the primary parasympathetic supply to the parotid gland
  3. supplies taste fibers to the posterior 1/3 of the tongue
  4. supplies motor fibers to the medial pterygoid muscle
  5. supplies motor fibers to the stapedius muscle
20. The superior sagittal sinus:
  1. drains into the straight sinus
  2. is attached to the petrous temporal bone
  3. receives emissary veins from the scalp
  4. communicates with the cavernous sinus
  5. receives the superior petrosal sinus
21. The tympanic plexus of nerves is found on the:
  1. floor of the middle ear cavity
  2. pyramid of the middle ear
  3. medial surface of the tympanic membrane
  4. promontory of the middle ear cavity
  5. mucous membrane lining the vestibule of the inner ear
22. The chorda tympani nerve:
  1. is part of the nerve of the pterygoid canal
  2. contains postganglionic parasympathetic fibers for the parotid gland
  3. contains sensory fibers from the tympanic membrane
  4. joins the auriculotemporal nerve
  5. carries parasympathetic fibers to the submandibular ganglion
23. The foramen spinosum:
  1. is closed by a cartilaginous disc in life
  2. is found in the petrous temporal bone
  3. usually transmits the maxillary nerve
  4. is located in the posterior cranial fossa
  5. transmits the middle meningeal artery
24. Loss of lacrimation (dry eye) can be due to an injury to which nerve?
  1. nasociliary
  2. greater petrosal
  3. supraorbital
  4. anterior ethmoid
  5. lesser petrosal
25. Upon examining a sick child, you notice pus draining from the middle meatus of the nose. You might suspect and look for further evidence of an infection originating from the:
  1. nasolacrimal duct
  2. sphenoid sinus
  3. maxillary sinus
  4. mastoid sinus
  5. posterior ethmoidal air cells
26. A structure that can easily be injured during ligation of the superior thyroid artery is the:
  1. inferior laryngeal branch of the recurrent laryngeal nerve
  2. ascending pharyngeal artery
  3. superior parathyroid gland
  4. transverse colli nerve
  5. external branch of the superior laryngeal
27. The thyrohyoid membrane is pierced by the:
  1. hypoglossal nerve
  2. internal branch of the superior laryngeal nerve
  3. external branch of the recurrent laryngeal nerve
  4. ansa cervicalis
  5. inferior larygneal artery
28. Destruction of which of the following would result in loss of pain from the anterior 2/3 of the tongue?
  1. pterygopalatine ganglion
  2. otic ganglion
  3. trigeminal ganglion
  4. geniculate ganglion
  5. inferior ganglion of the glossopharyngeal nerve
29. Which of the following muscles is innervated by the glossopharyngeal nerve?
  1. tensor tympani
  2. superior constrictor of the pharynx
  3. tensor veli palatine
  4. stylopharyngeus
  5. palatopharyngeus
30. Which of the following does not open into the middle cranial fossa?
  1. foramen lacerum
  2. foramen ovale
  3. foramen rotundum
  4. superior orbital fissure
  5. inferior orbital fissure
Match the most appropriate opening on the right with the numbered description on the left:

31. It is located within the petrous part of the temporal bone. C

32. It allows for the exit of the spinal accessory nerve from the cranial cavity. E

33. The vertebral artery enters the cranial cavity through it. D

34. The lesser petrosal nerve usually leaves the cranial cavity through it. A

35. The abducens nerve enters the orbit by passing through it. B
  1. foramen ovale
  2. superior orbital fissure
  3. internal acoustic meatus
  4. foramen magnum
  5. jugular foramen
Below are a list of numbered symptoms that occur after a particular nerve lesion. Select the lettered item that corresponds to the lesioned nerve. A letter may be used more than once.

36. An upper eyelid that droops (ptosis)  B

37. Loss of tears over the eyeball (dry eye)  C

38. A pupil that is small in diameter with no light reflex  E

39. On protrusion, the tongue deviates to one side.  D
  1. trochlear nerve
  2. oculomotor nerve
  3. facial nerve
  4. hypoglossal nerve
  5. none of the above
40. Pulsations felt just above the zygomatic arch and in front of the ear are from which vessel?
  1. facial
  2. internal jugular vein
  3. superficial temporal artery
  4. retromandibular vein
  5. maxillary artery
41. The floor of the sella turcica is also the:
  1. diaphragma sella
  2. roof of the sphenoid sinus
  3. medial wall of the temporal fossa
  4. roof of the nasal cavity
  5. site of attachment of the superior pharyngeal constrictor muscle
42. Which of the following accompanies the optic nerve through the optic canal?
  1. cranial nerves III, IV and VI
  2. ophthalmic nerve
  3. meninges and opthalmic artery
  4. ophthalmic veins
  5. none of the above
43. The sensory supply to the skin over the lower eyelid comes from the:
  1. mental nerve
  2. maxillary division of the trigeminal
  3. auriculotemporal nerve
  4. buccal branch of the trigeminal nerve
  5. ophthalmic division of the trigeminal
44. The pterygomandibular raphe serves as a point of attachment for two important muscles. They are:
  1. superior constrictor and buccinator
  2. masseter and inferior constrictor
  3. medial pterygoid and lateral pterygoid
  4. lateral pterygoid and superior constrictor
45. The opening from the pterygopalatine fossa to the nasal cavity is the:
  1. pterygoid canal
  2. pterygomaxillary fissure
  3. foramen rotundum
  4. sphenopalatine foramen
  5. pharyngeal canal
46. Impaired function of which of the following muscles would result in difficulty in protruding the lower jaw?
  1. digastric
  2. lateral pterygoid
  3. medial pterygoid
  4. masseter
  5. temporalis
47. Which nerve innervates the muscle for tight closure of the eyelids?
  1. facial
  2. oculomotor
  3. sympathetic
  4. trigeminal
  5. vagus
48. An acoustic neuroma is a tumor involving the vestibulocochlear nerve as it exits the cranial cavity. Because this tumor compresses surrounding structures or invades nearby tissues, in addition to hearing loss and equilibrium problems, a patient would most likely also demonstrate ipsilateral (same sided):
  1. loss of general sensation to the face
  2. facial paralysis
  3. paralysis of the lateral rectus muscle
  4. tongue paralysis
  5. ptosis
49. A gag reflex overcomes your patient as you lightly swab an area of the oropharynx. What nerve carries the sensory fibers of this reflex?
  1. mandibular
  2. maxillary
  3. facial
  4. glossopharyngeal
  5. vagus
50. Each of the following is characteristic of the maxillary sinus EXCEPT that:
  1. it is lined with mucous membrane.
  2. it drains through an opening under the superior concha (turbinate).
  3. it may become infected from an abscessed tooth.
  4. its roof is the floor of the orbit.
  5. its lining is innervated by the trigeminal nerve.
51. All of the following paranasal sinuses drain into the middle meatus, EXCEPT the:
  1. frontal
  2. maxillary
  3. sphenoid
  4. anterior ethmoid
  5. middle ethmoid
52. The submandibular ganglion contains preganglionic parasympathetic axons from which cranial nerve?
  1. III (oculomotor)
  2. V (trigeminal)
  3. VII (facial)
  4. IX (glossopharyngeal)
  5. X (vagus)
53. A nosebleed (epistaxis) frequently occurs because of picking of the nose with the finger at the anterior inferior portion of the nasal septum. Branches of which arteries may be involved?
  1. maxillary
  2. facial
  3. ophthalmic
  4. A and B
  5. B and C
54. A lesion of the facial nerve just after it exits from stylomastoid foramen would result in:
  1. an ipsilateral (same side) loss of taste to the anterior tongue
  2. a decrease in saliva production in the floor of the mouth
  3. a sensory loss to the tongue
  4. an ipsilateral paralysis of facial muscles
  5. a contralateral (opposite side) paralysis of facial muscles
55. The vertical depression in the midline of the upper lip is called the:
  1. uvula
  2. frenulum
  3. philtrum
  4. torus
  5. mentum
56. The sella turcica (turks saddle) is a part of which bone:
  1. temporal
  2. sphenoid
  3. ethmoid
  4. occipital
  5. lacrimal
57. Arrange the following foramina from anterior to posterior:

  1. internal auditory meatus
  2. jugular foramen
  3. foramen ovale
  4. foramen rotundum
  5. foramen spinosum
  1. 4 5 3 1 2
  2. 4 3 5 1 2
  3. 3 4 5 1 2
  4. 5 4 3 2 1
  5. 4 3 5 2 1

58. Depression of the jaw (opening the mouth) is accomplished by contraction of which of the following muscles and gravity?
  1. lateral pterygoids
  2. geniohyoids
  3. mylohyoid
  4. digastrics
  5. all of the above
59. Arrange the following from lateral to medial:
  1. infratemporal fossa
  2. nasal cavity
  3. pterygo-maxillary fissure
  4. pterygo-palatine fossa
  5. sphenopalatine foramen
  1. 1 4 5 2 3
  2. 4 1 5 3 2
  3. 1 3 4 5 2
  4. 5 a 3 2 4
  5. 1 3 5 4 2

60. Herniation of the intervertebral disc between the fifth and sixth cervical vertebrae will compress the:
  1. 4th cervical nerve root
  2. 5th cervical nerve root
  3. 6th cervical nerve root
  4. 7th and 8th cervical nerve roots
  5. 7th cervical nerve root


cadaver dissection This is copyrighted©1999 by Wesley Norman, PhD