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HEAD AND NECK ANATOMY PRACTICE TEST 1. A patient presents with dysphagia and a midline neck mass just inferior to the hyoid bone. The mass moves when the individual swallows. This mass is most likely: (Anatomy/Embryo) a. a lateral cervical cyst b. a thyroglossal cyst c. an arachnoid cyst d. a Baker’s cyst e. a goiter 2. Derivatives of the 3rd pharyngeal arch include: (Embryo) a. the maxillary artery b. muscles of mastication c. the common carotid and internal carotid arteries d. laryngeal cartilage e. pulmonary artery and ductus arteriosus 3. a. b. c. d. Which of the following functions to drain the tonsils? (Anatomy) Jugulodigastric node Jugulo-omohyoid node Supramandibular nodes Submental nodes 4. a. b. c. d. The innervation of the Longus Coli muscle is: (Anatomy) C1-3 C1,2 C2-6 C4-5 5. a. b. c. d. Contraction of the orbicularis oculi muscle, innervated by the facial nerve, produces: (Anatomy) Closing of the mouth Blinking Biting Crossing of the eyes 6. a. b. c. d. e. Food will tend to lodge in the oral vestibule if this muscle is paralyzed: (Anatomy) Platysma Mylohyoid Masseter Buccinator Palatopharyngeus 7. a. b. c. d. What is the innervations of the laryngopharynx? (Anatomy) CN X via pharyngeal plexus CN III,IV, V- phrenic nerve CN V2 CN IX 8. Where does lymph always reach when draining from the pharynx? (Anatomy) a. b. c. d. Parasternal nodes Axillary nodes Deep cervical nodes Deep inguinal nodes 9. Much can be discerned about the state of the brain by observing how the eyes track a visual stimulus. All of the follows cranial nerves move the eyeball except: (Anatomy) a. III, b. IV c. V d. VI 10. A student doctor became concerned while observing a group of base jumpers on television, and made a horrified expression when a parachute didn't open and the jumper grasped a tree during free fall, damaging his upper brachial plexus. Which cranial nerve is related to expression? (Anatomy) a. III b. V c. VI d. IX 11. The trigeminal nerve exits from which location in the cranial region? (Anatomy) a. superior orbital fissure b. cribriform plate of ethymoid c. I.A.M. d. jugular foramen 12. What passes through the thyroid membrane? (Anatomy) a. superior laryngeal artery b. internal laryngeal nerve c. rima glottis d. recurrent laryngeal nerve e. both a and b 13. a. b. c. d. e. Of the following muscles, which is not innervated by the recurrent laryngeal nerve? (Anatomy) Posterior cricoarytenoid Lateral cricoarytenoid Cricothyroid Thyroarytenoid Transverse arytenoids 14. If an aneurism occurs within the internal carotid artery, which nerve is most likely to be injured first? (Anatomy) a. Abducens Nerve b. Trigeminal Nerve c. Occulomotor Nerve d. Vagus Nerve 15. This type of hematoma usually involves arterial blood and it is usually localized taking on a lenticular shape: (Anatomy) a. Sub-dural b. Sub-arachnoid c. Extra-dural d. Periosteal 16. A patient comes to the emergency room with an infection in the pterygoid fossa. What structure is responsible for the risk of spreading the infection to the nasopharynx? (Anatomy) A. pterygoid canal B. sphenopalatine fissure C. palatovaginal canal D. sphenopalatine foramen E. inferior orbital fissure 17. A medical student slips in the anatomy lap hitting their upper teeth and palate on the edge of an anatomy table. What structure is least at risk for mechanical damage due to the blunt force. (Anatomy) A. Incisive fossa B. Ascending palatine artery C. greater palatine nerve D. nasopalatine nerve E. greater palatine artery 18. The ear will begin to develop from what germ layer? (Embryo) a.Mesoderm b. Ectoderm c. Endoderm 19. An improper development of the channels that will drain the aqueous humor from the posterior compartment to the anterior compartment will result in (Anatomy) a. cyclopia b. heterochromatic irises c. congenital glaucoma d. persistent pupillary membrane 20. If an aneurism occurs within the internal carotid artery, which group of nerves is most likely to be injured? (Anatomy) a. CNs III, VII, IX, X b. Optic, Occulomotor, Trochlear Hypoglossal, c. CNs III, IV, V1, V2, VI d. Trigeminal, Abducens, Facial, Glossopharyngeal 21. a. b. c. d. If the middle meningeal artery was torn, which of the following can occur? (Anatomy) Sub-dural hematoma Sub-arachnoid hematoma Extra-dural hematoma Periosteal hematoma 22.The cell body of motor innervations of the cranial nerves is located in: (Anatomy) a. b. c. d. e. IML Cell Column of T1-T4 Dorsal Root ganglion Brain Stem Otic Ganglion Internal Carotid Plexus 26. What ganglion is not associated with parasympathetics? (Anatomy) a. Otic Ganglion b. Ciliary Ganglion c. Trigeminal Ganglion d. Pterygopalatine Ganglion e. Submandibular Ganglion 27. Which of the choices below best fits the following description: A 74 year old male, currently taking blood thinning medication, was walking down his basement stairs and knocked his head on a low-hanging pipe. He showed no signs of injury other than a slight headache right after the incident, which later subsided. About a week later, his wife noticed some her husband was acting ‘funny’ and later that night he lost consciousness. She immediately called 911 and he was taken to the ER to be diagnosed with…. (Anatomy) a. Extradural hematoma b. Cerebral Infarct c. Subdural hematoma d. Hemorrhagic stroke 28. a. b. c. d. 29. The test of choice to view the carotid arteries is: (Anatomy) Carotid arteriogram Ultrasound (w/Doppler) Basilar arteriogram Nuclear medicine Identify the following vessel marked with the red arrow: a. b. c. d. Superior cerebellar artery Vertebral artery Anterior cerebral artery Posterior cerebral artery 30. a. b. c. d. e. 31. a. b. c. d. e. 32. Which of the following is not a function of Cranial Nerve III (Anatomy) Elevation of the eyes Adduction of the eyes Dilation of the pupils Constriction of the pupils Changing the shape of the lens Cutaneous distribution of the maxillary nerve includes which of the following landmarks? (Anatomy) Elevation of the eyes Adduction of the eyes Dilation of the pupils Constriction of the pupils Changing the shape of the lens Dry eyes will not result from which nerve ligation? (Anatomy) A. N. of Pterygoid canal B. Zygomatic n. C. Maxillary n. (V2) D. Facial n. (CNVII) 33. The following Chorda tympani fact is false (Anatomy) A. It innervates sublingual gland B. It passes the pterotympanic fissure C. It bypasses the lingual n. D. It synapses at the submandibular ganglion 34. Which nerve is related to CN IX ? (Anatomy) A. Greater Petrosal n. B. Lesser Petrosal n. C. Deep Petroal n. D. Superficial Petrosal n. 35. Lesions in what two areas will most likely lead to ptosis? (Anatomy) a. CNIV and sympathetic chain b. CNVI and CNIII c. CN III and sympathetic chain d. CN VII and CNIII e. CNIII and CNIV 36.. What nerve does the ophthalmic artery parallel? (Anatomy) a. optic b. nasocilliary c. CNVI d. CN V e. optic branch of sympathetic chain