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Anatomy MCQs collection, done by Rasha

1. The posterior belly of the digastric muscle is innervated by a branch of this


cranial nerve:
aV
bVII
cIX
dX
eXI

2. Which statement is correct?


a. the facial nerve (VII) being completely motor, possesses no ganglion
b. the trigeminal ganglion contains some parasympathetic cells supplying structures in
the hand
c. a portion of the facial nerve has a ganglion containing cells whose fibers bring taste
information from the anterior 2/3 of the tongue
d. the foramen rotundum is located in the posterior part of the frontal bone
e. none of the above are correct

3. Choose the best response


a. the pterygoid processes of the sphenoid bone are located anterior to the palatine
bone
b. the foramen rotundum passes through the root of the pterygoid process
c. the hamulus of the pterygoid process is a part of the medial plate of the pterygoid
d. the medial pterygoid muscle originates from the medial plate of the pterygoid process
e. the medial (internal) pterygoid muscle is inserted on the articular disk of the
termporomandibular joint
Answer Could be D

4. The number of unpaired bones in the skeleton of the adult human face is two.
They are the vomer and the
a. zygomatic
b. maxilla
c. palatine
d. lacrimal
e. mandible

5. Name the structures 3, 4 , 16 on the picture


5 3- Vomer , 4- Occipital condyle, 16- mastoid process

8.The role of the myoepithelial cells in the salivary glands is:


a- Defensive mechanism.
b- Contraction of the acinus.
c- Prevention of collapse of the acini.
d- Prevention of extravasation of saliva into the glandular stroma

9. Which of the following glands has a purely serous secretion?


a- Labial.
b- Anterior lingual.
c- Submandibular.
d- Von Ebner's.

10. Pure mucous salivary gland is:


a- Parotid gland. Pure serous
b- Major sublingual glands. Predominantly mcous
c- Glossopalatine gland pure mucous
d- Submandibular gland. mixed
11.Stenson's duct opens opposite the?
A. Upper 2nd molar
B. Upper 3rd molar
C. Lower 2nd molar
D. Lower 3rd molar

12. Maxillary sinus is usually involved in fractures?


A. Le fort 1
B. Zygomatic arch fracture
C. Le fort 3
D. Naseothmiodal fracture

13. Which one of the following complications may result from injury to
auriculotemporal nerve during removal of parotid tumor is?
A. Facial palsy
B. Gustatory sweating
C. Anorexia
D. Deafness

14. Major duct of submandibular gland is?


A. Bartholin's duct
B. Minor salivary gland's duct
C. Stenson's duct
D. Wharton's duct
E. Lacrimal duct

15.You notice that your patient's submandibular lymph nodes are enlarged. You
would look for potential infection sites in the
• a) hard palate.
• b) hard palate and upper lip.
• c) hard palate, upper lip and upper central incisor.
• d) hard palate, upper lip, upper central incisor and lower first molar.

16.The regional lymphatic drainage of the left side of the tip of the tongue is to
the
• a) left submental lymph node.
• b) left and right submental lymph nodes.
• c) left submandibular lymph node.
• d) left and right submandibular lymph nodes.

17. Which of the following adult gland is incorrectly paired with its secretion?
a- Parotid - pure serous.
b- Palatal salivary glands - pure mucous.
c- Submandibular - mixed salivary gland.
d- Sublingual - pure serous.

18

1. Which nerve passes through the optic canal?


2. Which structure gives guidance to the placement of maxillary incisors?
3. What type of secretion is the parotid gland?
4. Where does the duct of the parotid gland open?
5. Which nerve passes through the parotid gland?
6. Which artery passes through the parotid gland?
7. Which vein passes near the base of the parotid gland?
8. What area is present behind the mandibular third molars?
9. Which is the branch of superficial temporal artery?
10. Which muscle is required to close the oro-pharyngeal isthmus?

1. Optic nerve
2. Incisive papilla
3. serous
4. buccal - maxillary second molar
5. facial nerve
6. external carotid artery
7. retromandibular vein
8. retromolar area
9. Transverse facial artery
10. Palatoglossus
19. 46. D 47. D 48. E 49. D
20. 13. 5 14. 3 15. 2
21. 23. 2 24. C 25. C
22. B D

23. B
24. Answer:
1. F
2. G
3. D
4. E
5. A
25. 46. BE
47. ADE
48. A

26. The muscles make up the bulk of the tongue


A. Four extrinsic muscles
B. Four intrinsic muscles
C. Both A&B

27.The muscles change the position of the tongue


A. Extrinsic muscles
B. Intrinsic muscles
C. Both
D. None of the above

28. The muscles responsible for the modifications of the shape of the tongue
A. Extrinsic muscles
B. Intrinsic muscles
C. Both

29. The sensory sensation and Taste sensation of the anterior two-thirds of the
tongue innervated by ......... and ........... respectively.The sensory and Taste
sensation of the posterior third of the tongue innervated by .............. and ..............
A. chorda tympani
B. glossopharyngeal
C. Lingual
D. hypoglossal

10. C A B B

30. All muscles of tongue innervated by hypoglossal nerve except


a. palatoglossus
b. genioglossus
C. hyoglossus
D. styloglossus
31. Extrinsic muscles of tongue origins from palatine aponeurosis of the soft
palate and insertion into side of the tongue
A. palatoglossus
B. genioglossus
C. hyoglossus
D. styloglossus
32. Extrinsic muscles of the tongue originate from superior mental spine of
mandible and insertion into dorsum of tongue and body of hyoid bone
A. palatoglossus
B. genioglossus
C. hyoglossus
D. styloglossus
33. Extrinsic muscles of the tongue originates from greater horn of hyoid bone
and insertion into side and inferior of tongue
A. hyoglossus
B. styloglossus
C. genioglossus
D. palatoglossus
34. Extrinsic muscles the tongue originates from the styloid process and
stylohyoid ligament and insertion into Lateral tongue is
A. hyoglossus
B. styloglossus
C. Genioglossus
D. palatoglossus
35. EMQs-The main action of the muscles of the tongue which
A. elevates the posterior tongue
B. depresses and protrudes the tongue
C. retracts and elevates sides of the tongue
D. depresses and retracts tongue
E. shortens tongue and turns apex downwards
F. shortens tongue and turns apex & sides upwards
G. Flattens and broadens tongue
H. narrows and elongates tongue

i. Hyoglossus
ii. Styloglossus
iii. Palatoglossus
iv.Genioglossus
v.Transverse
vi.Vertical
vii. Inferior longitudinal
viii. Superior longitudinal

Answers:
A. iii B. iv C. ii D. i E. vii F. viii G. vi H. v
36 Answer:
80. D
81. C
82. C
37. Answer:
83. B
84. C
85. C
38. Answer:
108. A D E ( Model answer =b )
109. A
110. B
39. 106. E
40. Answer:
A3
B1
C6
D9
E 13
F 12
G2
H4
I5
J7
K 10
L 15
M8
N 11
O 14

41. Answer:
A7
B5
C1
D6
E2
F4
G8
H9
I3
J 10
K 11
L 13
M 12
42. Answer:
6C
7C
8A
9E
10 D
11 E

43- 35.Which of the following arteries terminate in the parotid gland?


a. Common carotid artery
b. External carotid artery
c. Lingual artery
d. Facial artery
44- A patient came with complains of pain behind the last tooth of lower jaw.
Which area is the patient specifying?
a. Floor of the mouth
b. Retromolar area
c. Pharyngeal isthmus
d. None of the above
45- Which of the following arteries is the branch of external carotid artery?
a. Superficial thyroid artery
b. Anterior cerebral artery
c. Sub-clavian artery
d. Axillary artery
46- Which division of trigeminal cranial nerve has motor fibers in it?
a. Ophthalmic division
b. Maxillary division
c. Mandibular division
d. All the three components
47-Which of the following is the sensory component of mandibular division of
trigeminal nerve?
a. Nerve to mylohyoid
b. Masseteric nerve
c. Auriculo-temporal nerve
a. Lateral pterygoid nerve
48-The anterior two thirds of the tongue is innervated by the following?
a. Lingual branch and glossopharyngeal nerve
b. Lingual branch and chorda tympani
c. Glossopharyngeal nerve and hypoglossal nerve
d. Hypoglossal and lingual nerve
49- The taste sensation in the tongue is carried by which of the following nerves?
a. Chorda tympani alone
b. Chorda tympani and glossopharyngeal
c. Lingual and chorda tympani
d. Hypoglossal alone
50- Which of the following structures carry general sensations and taste
sensations from the posterior 1/3rd of the tongue?
a. Glossopharyngeal and lingual nerves
b. Chorda tympani and lingual
c. Glossopharyngeal alone
d. None
51- All except one is the muscle for mastication?
a. Temporalis
b. Sterno-hyoid
c. Omohyoid
c. Stylohyoid
52- Which nerve supplies muscles of mastication?
a. Mandibular nerve
b. Facial nerve
c. Abducens nerve
d. Maxillary nerve

53. Loss of sensation from the temporal region and loss of secretory function of
the parotid gland would be caused by interruption of which nerve?
a Auriculotemporal
b Chorda tympani
c Deep temporal, posterior
d Facial
e Great auricular
54. Which nerve provides motor innervation to the buccinator muscle?
a Auriculotemporal nerve
b Buccal branches of VII
c Buccal nerve
d Mandibular division of V
e Marginal mandibular nerve
55. The lymph drainage of the upper central incisor teeth goes first to this group
of nodes
a. submental
b. submandibular
c. jugulo-digastric
d. jugulo-omohyoid
e. parotid node
56. The cell bodies of postganglionic parasympathetic axons supplying the
lacrimal gland are in the
a. geniculate ganglion
b. pterygopalatine ganglion
c. otic ganglion
d. trigeminal ganglion
e. ciliary ganglion

57. Structures passing through the stylomastoid foramen include


1. the chorda typani
2. the lesser petrosal nerve
3. the hypoglossal nerve
4. the main motor portion of the facial nerve

58-The path of condyle during mandibular movements depends on:


A. Auricular eminence,meniscuss/capsule of TMJ & muscle attachment
B. Articular disc is only component involved in movement.
C. Mandible and articular disc are not coordinated during movement.
D. None of above.

59- On inspection of lateral border of tongue which structure is expected to be


found at base:
A. Filiform Papillae
B. Fungiform Papillae
C. Taste Buds
D. Lymph Nodes
E. Circumvallate papillae

60- Dilatation of pupil is caused by damage to which nerve:


A. Oculomotor Nerve
B. Ansa Cervicalis
C. Abducent
D. Optic nerve

61- Which of following are non calcified areas in child's cranium:


A. Fontanellea
B. Occiput
C. Parietal
D. Bregma
62- The zygomatic process serves which of following function:
A. Origin of masseter muscle
B. Origin of Temporalis
C. Protects Parotid gland
D. Insertion of Lateral pterygoid

63- Pterygoid raphe serves insertion of which of following muscles:


A. Superior constrictor of Pharynx
B. Middle constrictor of Pharynx
C. Inferior constrictor of Pharynx
D. All of above

64- Which of following muscles is responsible for elevation of Lower Lip:


A. Orbicularis Oris
B. Masseter
C. Mentalis
D. Buccinator

65- Which statement regarding composition of Frenum is true:


A. A fold of mucous memebrane
B. A cartilaginous structure
C. Is a ligament
D. Is composed of Muscles

66- Which of following nerve supplies upper first molars:


A. Posterior & mid superior alveolar nerve
B. Infraorbital nerve
C. Inferior dental plexsus
D. All of above

67- Bone is characterized by which of following features:


A. Haversian canal around bony canal
B. Irregularly arrayed tabullae
C. Cartilaginous framework
D. All of above

68. The nerve of the pterygoid canal


a. receieves its contributions from a branch of the glossopharygeal nerve
b. contains only sympathetic fibers
c. enters the pterygopalatine fossa
d. is formed by the joining of the greater petrosal and lesser petrosal nerves
69. The superior orbital fissure
a. lies directly inferior to the greater wing of the sphenoid
b. lies directly above the posterior portion of the maxilla
c. lies directly between the orbit and the infratemporal fossa
d. transmits the III, IV, and VI cranial nerves
e. transmits the maxillary nerve

70. The optic canal transmits the


a. optic n
b. ophthalmic artery
c. superior ophthalmic vein
d. a and b only
e. a, b, and c

71. The mandibular nerve leaves the cranium via the


a. superior orbital fissure
b. inferior orbital fissure
c. foramen ovale
d. foramen rotundum
e. foramen spinosum

72. The sinus that direcly connects the cavernous sinus to the internal jugular
vein is the
a. occipital
b. inferior sagittal
c. inferior petrosal
d. transverse
e. sigmoid

73. Sensation (heat, cold, touch) of the gingiva of the hard palate is carried to the
brain through
a. the nerve of the pterygoid canal
b. nerves in the greater palatine canals
c. the nasociliary branch of V-1
d. the greater superficial branch of the vagus n
e. the lesser superficial petrosal nerve

74. The nerve which carries sensations of taste from the area of the tongue
posterior to the row of vallate papillae is
a. chorda tympani (from VII)
b. branches of vagus (X)
c. glossopharyngeal nerve (IX)
d. the buccal branh of V-3

75. The following cranial nerve(s) are considered to have a parasympathetic


function
a. III, IV, and V
b. III, V, and VI
c. III, V, and VII
d. III, V, and IX
e. III, VII, and IX

76. This portion of this muscle retracts the mandible


a. superficial head of medial pterygoid muscle
b. posterior portion of temporalis
c. upper head of the lateral pterygoid
d. anterior portion of temporalis
e. buccinator-posterior portion

77. The mandibular division of the trigeminal nerve (V3)


a. provides general cutaneous fibers to the forehead above the orbit
b. provides motor fibers to the masseter and temporalis muscle
c. provides general sensation to the posterior 1/3 of the mouth
d. provides general cutaneous sensory fibers to that portion of the neck that develops
from the second pharyngeal (hyoid) arch in the embryo
e. contains only muscle motor fibers

78 The internal carotid nerve


A arises from the superior cervical sympathetic ganglia
B arises from the middle cervical sympathetic ganglia
C arises from the inferior cervical sympathetic ganglia
D is a branch of CN IX
E is mainly a parsympathetic nerve

79 The muscle which protrudes the tongue and its tip toward the opposite side
A hyoglossus
B genioglossus
C palatoglossus
D styoglossus
E geniohyoid

80 Which of the following nerves is not a branch of cranial nerve VII?


A temporal
B mental
C buccal
Dcervical
E zygomatic

81. Which statement is correct?


a the facial nerve (VII) being completely motor, possesses no ganglion
b. the trigeminal ganglion contains some parasympathetic cells supplying structures in
the hand
c. a portion of the facial nerve has a ganglion containing cells whose fibers bring taste
information from the anterior 2/3 of the tongue
d. the foramen rotundum is located in the posterior part of the frontal bone
e. none of the above are correct

82 Which statement is incorrect?


a. two cranial nerves (VII and VIII) leave the posterior cranial fossa through the internal
acoustic meatus
b. three cranial nerves pass through the jugular foramen
c. the trigeminal nerve is exclusively sensory
d. the abducens nerve is cranial nerve VI
e. the pterygomaxillary fissure serves as an aperture to permit the terminal part of the
maxillary artery to leave the infra-temporal fossa

83 The nerve supplying the carotid artery and sinus is a branch of cranial nerve
a. V
b. VII
c. IX
d. X
e. XI

84 The sensory nerve supply to the skin overlying the angle of the mandible is by
the
a. greater occipital nerve (C2)
b. lesser occipital nerve (C2)
c. buccal branch of mandibular division of the trigeminal nerve
d. great auricular nerve (C2-C3)
e. mandibular ramus of the facial nerve
85 The pterygoid process of what bone forms the posterior wall of the
pterygopalatine fossa
a. palatine
b. maxilla
c. sphenoid
d. inferior nasal conchae
e. pterygoid

86 Choose the correct statement concerning the palatine bones


a. they lie immediately posterior to the pterygoid processes of the sphenoid
b. they form part of the lateral wall of the oropharynx
c. they form part of the lateral wall of the nasopharynx
d. they form part of the lateral wall of the nasal cavity (nose)

87 Which statement is incorrect


a. the zygomaticofacial nerve is a branch of the trigeminal nerve
b. the chorda tympani joins the lingual nerve within the infratemporal region
c. the maxillary artery is one of the 2 terminal branches of the external carotid artery
d. the otic ganglion is a sympathetic ganglion

88. EMQ-Match the following functions to the responsible Cranial Nerve/s:


1. Balance and hearing
2. Taste of post. 1/3 of tongue, salivation and swallowing
3. Taste deep in throat, swallowing, Parasympathetic- Supply to smooth muscles of
heart, trachea, bronchi, alimentary canal of foregut and midgut, kidneys, viscera
4. Swallowing, supplies to muscles of sternocleidomastoid and trapezius
5. Intrinsic tongue muscles - shape tongue and Extrinsic tongue muscles - moves
tongue
6. (Sensory) taste of anterior 2/3rd of tongue, (Motor) facial expressions and (Motor)
glands-lacrimal, submandibular and sublingual.
7. (S) sensation of face and (M) muscles of mastication
8. 1 of 6 eye muscles -Lateral rectus-helps with lateral movement of eyeball
9. 1 of 6 eye muscles -superior oblique
10. 4 of 6 eye muscles-inferior oblique, superior rectus, medial rectus, inferior rectus.
Constriction of iris (PS) and Upper eyelid
11. Sight
12. Smell

A.CN I
B.CN II
C. CN III
D.CN IV
E. CN V
F. CN VI
G. CN VII
H. CN VIII
I. CN IX
J. CN X
K. CN XI
L. CN XII

1H
2I
3J
4K
5L
6G
7E
8F
9D
10 C
11 B
12 A

89. This (these) structure(s) is (are) found in the jugular foramen


a. internal jugular vein
b. vagus nerve
c. hypoglossal nerve
d. all of the above
e. only a and b
90. The cranial nerve that is sensory to the carotid body and sinus is the
a. trigeminal
b. facial
c. hypoglossal
d. glossopharyngeal
e. vagus

91. The common carotid artery usually divides into the external carotid and
internal carotid arteries within this cervical triangle
a. digastric
b. occipital
c. carotid
d. muscular
e. supraclavicular

92. The muscles forming the floor of the submandibular (digastric) triangle are
the hyoglossus and the
a. sternohyoid
b. thyrohyoid
c. mylohyoid
d. stylohyoid
e. omohyoid

93. This muscle receives its motor supply by 2 cranial nerves


a. buccinator
b. trapezius
c. digastric
d. omohyoid
e. thyrohyoid
94. The nerve supplies TMJ is:
a- Auricula Temporal Nerve
b- Nerve to masseter
c- Facial nerve

95.The muscle responsible for maintaining the bolus of food while chewing is:
a- Buccinator
b- Orbicularis oris

96. Which muscle contracts during the tongue protrudes:


a- Mylohyoid
b- Genioglossus
c- Digastric

97. What is Not correct about Long Buccal Nerve:


a- Passes trough two heads of pterygoids muscles
b- Supplies mucusa over lower and upper molars
c- Supplies the buccinator muscle
d- Supplies skin over buccinators

98. The maxillary and mandibular teeth get their blood supply from:
a- Separate branches of S. Palatina artery
b- Separate branches of maxillary artery
c- Branches of maxillary and mandibular arteries

99. The submandibular gland:


a- Is the largest of the salivary glands
b- Empties via Stensen's duct
c- Has a duct that is closely related to the lingual nerve
d- Is the gland most commonly affected by salivary gland calculi
e- Is a mixed salivary gland

100. Structure passing trough superior orbital fissure except?


a- CN IV
b- CN III
c- CN VI
d- CN VII

101. Which artery pass through partiod ?


a- External carotid artery
b- internal carotid artery
c- vertebral artery
d- subclavian artery

102. Which of the following is NOT CHARACTERISTIC of trigeminal neuralgia


A. The pain usually last for few seconds up to a minute in the early stages of the
disease
B. The pain is usually unilateral
C. Patient characteristically have sites on the skin that when stimulated precipitate an
attack of pain
D. An attack of pain is usually preceded by sweating in the region of the forehead
E. It is a paroxysmal in nature and may respond to the treatment with Carbamazepine
103. The nerve supplies TMJ is
A. Auriculo Temporal Nerve
B. Nerve to masseter
C. Facial nerve

104. The articular surface of the normal temporomandibular joint are lined with
A. A specially adapted, highly fibrous tissue
B. Hyaline cartilage
C. Chondroitin-6-phosphate
D. Highly vesiculated tissues

105. What is not correct about Long Buccal Nerve


A. Passes through two heads of pterygoids muscles
B. Supplies mucosa over lower and upper molars
C. Supplies the buccinator muscle
D. Supplies skin over buccinators

106. On inspection of lateral boarder of the tongue at the base, which structure
would you expect to find
A. Filiform papillae
B. Fungiform papillae
C. Taste buds
D. Lymph nodes
E. Circumvallate papillae
107. Damage/injury to which nerve causes dilation of pupils
A. Oculomotor
B. Ansa cervicalis
C. Abducens

108. The papillae that are few in numbers, associated with MOST taste buds,
associated with Von Ebner’s glands are
A. Fungiform
B. Circumvallate
C. Foliate
D. Filiform

109. The maxillary and mandibular teeth get their blood supply from
A. Separate branches of S. Palatina artery
B. Separate branches of maxillary artery
C. Branches of maxillary and mandibular arteries

110. The zygomatic process serves as


A. Origin of masseter muscle
B. Origin of temporalis
C. Protects parotid gland
D. Insertion of lateral pterygoid

111. Which muscle has insertion in the pterygoid raphe


A. Superior constrictor of the pharynx
B. Middle constrictor of the pharynx
C. Inferior constrictor of the pharynx

112. The tonsillar lymph nodes are located at the level of


A angle of mandible
B C6 vertebrae
C jugulodigastric crossing
D jugulo omohyoid crossing

113. The principle muscle responsible for opening of the mouth is


A Mylohyoid
B anterior temporal
C posterior temporal
D anterior belly of digastrics
114. Which nerve supplies TMJ
A auriculo temporal nerve
B nerve to masseter
C facial nerve
D trigeminal nerve

115. The auricular surface of the normal temporomandibular joint is lined with
A a specifically adapted highly fibrous tissue
B hyaline cartilage
C chondroitin 6 phosphate
D highly vesiculated tissues

116. Posterior superior alveolar nerve supplies


A 8, 7 and 8 tooth except mesico buccal root of 6
B 8, 7, and 6 tooth
C 7and 6 tooth
D none of above

117. Which of the following structures are not supplied by mandibular division of
trigeminal nerve
A anterior part of digastric
B masseter muscle
C buccinator
D all the above

118. Gagging reflex is caused by


A trigeminal nerve
B glossopharyngeal nerve
C facial nerve
D recurrent laryngeal nerve

119. Which muscle is responsible for maintaining the bonus of food while
chewing
A buccinator
B orbicularis Otis
C mentalist
D zygomatous major

120. Which muscle contract while tongue protrusion


A mylohyoid
B genioglossus
C digastric
D all of above

121. Dilatation of pupil is caused by damage to which nerve


A oculomotor nerve
B ansa cervicalis
C abducent
D optic nerve

122.Which of the following glands has a purely serous secretion?


a- Labial.
b- Anterior lingual.
c- Submandibular.
d- Von Ebner's.

123.Which of the following adult gland is incorrectly paired with its secretion?
a- Parotid - pure serous.
b- Palatal salivary glands - pure mucous.
c- Submandibular - mixed salivary gland.
d- Sublingual - pure serous.
124. The excretory ducts of the major salivary glands are lined with:
a- Simple cubiodal epithelium with goblet cells.
b- Simple columnar without goblet cells.
c- Stratified squamous epithelium with goblet cells.
d- Pseudostratified columnar epithelium with goblet cells.

125. Pure mucous salivary gland is:


a- Parotid gland.
b- Major sublingual glands.
c- Glossipalatine gland
d- Submandibular gland.

126. The secretory canaliculi in salivary gland is found in:


a- mucous acini.
b- Striated ducts.
c- Serous acini.
d- Main duct.

127- Mucous cells of salivary glands have:


a- Rounded nuclei.
b- Flattened nuclei.
c- Form the cap of the demilunes.
d- Have zymogen granules.
128. Answer:
1G
2E
3L
4C
5M
129. Answer:
E
C
F
I
B

130.The concentration of sodium and chloride in saliva is controlled by:


a- Highly differentiated serous cells.
b- Well developed mucous cells.
c- Striated ducts.
d- Intercalated ducts.

131. Which of the following is false about sublingual glands:


a- The excretory duct opens at the sublingual caruncle.
b- It is a predominantly mucous gland.
c- They have poorly developed striated ducts.
d- They have a long branching intercalated duct structure.

132- Which of the following is not characteristic of serous cells of a salivary


gland?
a- The cells are pyramidal in shape.
b- Its secretory granules are called zymogen granules.
c- They are capped by mucous cells in a mixed salivary acinus.
d- There is junctional complexes between the secretory cells.

133. bone which ossifies purely intramembraneous? Mandible


134. special sensory to anterior two thirds of tongue? Lingual V3 and chorda
tympani VII

135. structure formed purely from meckels cartilage? Bones of Mandibular arch

136. parasympathetic to lacrimal gland? Facial


137.Questions on muscles in the floor of the mouth? Digastric Mylohyoid
Geniohyoid Styloid Genioglossus Hyoglossus, Styloglossus Palatoglossus
138.Questions on tongue musculature, their nerve supply and movements?
Intrinsic : Inferior longitudinal Superior longitudinal Vertical Transverse
Extrisic: Genioglossus Hyoglossus Styloglossus Palatoglossus
All muscles supplied by XII except palatoglossus
139. Muscles involved in snoring? Pharyngeal Laryngeal Tongue Soft palate
muscles
140. Eye muscle supplied by Trochlear nerve? Superior oblique
141. Muscles attached to the auditory tube? Levator veli palatini
,Salpingopharingeus ,Tensor tympani Tensor veli palatini
142. Nerve which supplies stylopharyngeus? Glossopharyngeal

143- Which statement is Not correct?


a- CNS is made up of neurons and neuroglia cells
b-cranial nerves are part of Peripheral Nervous Systems
c-Gray matter is composed of only cell bodies
d-White matter is composed of both nerve cell processes and neuroglial cells

144- Which nerve does NOT pass through superior orbital Fissure?
trochlear
Ophthalmic division of Trigeminal
Oculomotor
Optic
Abducent

145- Which nerves pass through FORAMEN OVALE and FORAMEN ROTUNDUM:
Mandibular(V3)-Maxillary(V2)
Ophthalmic(V1) -Maxillary(V2)
Abducent-Mandibular(V3)
Maxillary(V2)-Maxillary(V2)

146- Which nerve does NOT have special sensory:


Facial
Vestibulocochlear
Trigeminal
olfactory

147- Which nerve does NOT pass through Jugular foramen?


IX
X
XI
XII

148- Which muscle of eyeball is NOT innervated by Oculomotor?


Inferior oblique
Superior medial
Superior oblique
Inferior recti
149- Which nerve does not provide motor nerve for eyeball muscles:
III
IV
V1(OPHTHALMIC)
VI(Abducent)

150- Sensory nerve for paranasal sinuses is…


Ophthalmic
Abducent
Trochlear
Maxillary division(V2)

151- Which muscle is NOT innervated by motor part of Mandibular nerve(V3):


Post.belly of digastric
Ant. belly of digastric
Mylohyoid
Tensor tympani
Tensor veli palatine

152- Special sensory of anterior two third of the tongue is by……. And special
sensory of posterior third of the tongue is by……
Facial-glossopharyngeal
glossopharyngeal-Facial
Facial-hypoglossal
glossopharyngeal-hypoglossal

153- Which statement is correct?


A-sensory innervation of Buccinator muscle is by Mandibular nerve
B-motor innervation of buccinator muscle is by Facial nerve
C- motor innervation of orbicularis oculi is by Zygomatic branch of Facial nerve
D- motor innervation of orbicularis oris is by Buccal branch of Facial nerve
E- all above are correct

154- All pharyngeal muscles are innervated by vagus nerve except:


A-stylopharyngeus
B-palatopharyngeus
C-cricopharyngeus
E-levator veli palatine

155- Which muscle is innervated by Mandibular nerve(V3)?


a-Tensor tympani
b-Uvula
c-Stylohyoid
d-Stylopharyngeus

156- which one is NOT Extrinsic muscle of the tongue?


A-genioglossus
B- Hyoglossus
C- styloglossus
D- Palatoglossus
E-None

157- Which one of tongue muscles do not receive innervation from Hypoglossal
nerve?
A- palatoglossus
B- Genioglossus
C- Hyoglossus
D- styloglossus
158- Regarding extrinsic muscles of the tongue:
………...depresses and protrudes the tongue and……… depresses and retracts the
tongue.
A- hyoglossus-genioglossus
B- genioglossus-hyoglossus
C- genioglossus-styloglossus
D- hyoglossus-palatoglossus
AB

159
A. Parotid glands
B. Submandibular glands
C. Sublingual glands
D. Lingual glands
E.Labial glands
F. Buccal glands
G. Palatal glands
Match the following with the above glands, answers could be one or more than
one.

1. arterial supply is branches of superficial temporal and transverse facial artery.


2. branches of facial and lingual artery
3.glossopharyngeal nerve innervation
4. Facial nerve innervation
5.accessory gland found on the lateral surface of the masseter
6.purely serous
7. Purely mucous
8.both serous and mucous
9.minor salivary glands
10. Major salivary glands

1 A Parotid gland
2 B submandibular gland
3 A D
4BCG
5A
6A D
7CG
8B
9DEFG
10 A B C

160- Which nerve passes through naso-palatine canal?


a. Ophthalmic nerve
b. Naso-palatine nerve
c. Lingual nerve
d. Facial nerve

161- Which of the following are muscles of mastication except?


a. Masseter
b. Omohyoid
c. Temporalis
d. Medial and lateral pterygoids

162- Which nerve carries sensation from the forehead?


a. Maxillary division of trigeminal nerve
b. Facial nerve
c. Ophthalmic division of trigeminal nerve
d. Oculomotor nerve

163- What are braches with which superficial temporal artery anastomose?
a. Supra-orbital artery of internal carotid artery
b. Posterior auricular & occipital branches
c. Frontal arteries
d. All the above
164- Which nerve arises from inscicive foramen?
a. Nasopalatine nerve
b. Nerve to mylohyoid nerve
c. Ophthalmic nerve
d. Radial nerve

165- What is the origin and insertion of masseter muscle?


a. Temporal fossa & mandibular angle
b. Zygomatic arch & mandibular angle, ramus
c. Zygomatic arch & temporal fossa
d. Temporal fossa & coronoid process of mandible

166- What is the origin and insertion of temporalis muscle?


a. Temporal fossa & mandibular angle
b. Zygomatic arch & mandibular angle, ramus
c. Zygomatic arch & temporal fossa
d. Temporal fossa & coronoid process of mandible

167- Which nerve supplies stapedius muscle and which cranial nerve does it
belong to?
a. Masseteric nerve of mandibular division of trigeminal nerve
b. Nerve to stapedius of facial nerve
c. Auriculo-temporal nerve of mandibular division of trigeminal nerve
d. None of the above

168- Which nerve is affected when the tongue is deviated to the right side when
protruded?
a. Right hypoglossal
b. Left hypoglossal
c. Right glossopharyngeal
d. Left glossopharyngeal

169- While doing a third molar surgery the lingual nerve is damaged. What will
this cause?
a. The taste sensation over the anterior 2/3rd of the tongue is lost
b. The general sensation over the anterior 2/3rd of the tongue is lost
c. The general sensation over the posterior 2/3rd of the tongue is lost
d. The taste sensation over the posterior 1/3rd of the tongue
170.The infraorbital nerve
a) is a terminal branch of the maxillary division of the trigeminal nerve.
b) is a terminal branch of the maxillary branch of the facial nerve.
c) carries parasympathetic secretomotor neurons to the lacrimal gland.
d) innervates the inferior part of the orbicularis oculi muscle.

171. The lateral pterygoid muscle


a) is attached to the coronoid process and elevates the mandible.
b) is attached to the condylar process and elevates the mandible.
c) is attached to the coronoid process and protrudes the mandible.
d) is attached to the condylar process and protrudes the mandible.

172. Which of the following statements is true of the temporomandibular joint?


a) It has an articular disc of hyaline cartilage
b) Its articular surfaces are covered by hyaline cartilage
c) Proprioceptive information is carried by the chorda tympani and deep temporal
nerves
d) Proprioceptive information is carried by the masseteric and auriculotemporal nerves.

173. The major concentrations of proprioceptive receptors providing information


about position of the TMJ are located in
a) the capsule and ligaments of the TMJ and the medial pterygoid muscle.
b) the capsule and ligaments of the TMJ and the lateral pterygoid muscle.
c) the articular disc of the TMJ and the medial pterygoid muscle.
d) the articular disc of the TMJ and the lateral pterygoid muscle.

174. Which muscle is the most active during a right lateral excursion of the
mandible?
a) Left lateral pterygoid muscle
b) Right lateral pterygoid muscle
c) Left medial pterygoid muscle
d) Right medial pterygoid muscle

175. When you examine a patient who has suffered an unfavourable fracture of
the body of the mandible, you would expect the
a) anterior fragment to be displaced downwards by the action of the digastric muscle.
b) posterior fragment to be displaced anteriorly by the action of the lateral pterygoid
muscle.
c) anterior fragment to be displaced backwards by action of the temporalis muscle.
d) posterior fragment to be displaced medially by action of the medial pterygoid muscle

176. Food is prevented from entering the larynx during the pharyngeal phase of
swallowing by
a) constriction of the laryngeal entrance.
b) upward movement of the epiglottis.
c) downward movement of the larynx.
d) increase in respiratory rate.

177 During swallowing the


a) auditory tube opens.
b) cricopharyngeus muscle contracts.
c) rima glottis opens.
d) gag reflex is suspended.

178. Which of the following muscles initiates elevation of the mandible?


a) Masseter
b) Temporalis
c) Lateral pterygoid
d) Medial pterygoid.

179. In Angle's Class II Div 2 occlusion there is


a) excess overbite of the upper lateral incisors.
b) negative overjet of the upper central incisors.
c) excess overjet of the upper lateral incisors.
d) excess overjet of the upper central incisors.

180. Regarding to auditory system innervations answer the questions below(1-4)


1-sensory innervation of Tympanic membrane is provided by nerves:
2-sensory innervation of external acoustic meatus is by nerves:
3-sensory innervation of middle ear is provided by:
4-nerve provides motor nerve to stapedius muscle ?
Regarding the symptomatology of cranial nerves defects write which nerve is
damage in these situations:
5-inability to move eyeball out and upward
6-ptosis
7-eyelid fall
8- trouble going downstairs(looking downward)
9-loss of blink reflex
10-unable to move eyeball outside
11-drop corner of the mouth
12-loss of GAG reflex(name 2 nerves)

Answers:
1-Glossopharyngeal and Vagus
2-Mandibular(V3)and Vagus)
3-Glossopharyngeal
4-Facial Nerve
5-Occulomotor
6-occulomotor
7-Occulomotor
8-trochler
9-Ophthalmic(V1)
10-abduscent
11-Facial
12-Glossopharyngeal and Vagus

181- Which statement is not correct?


Stylohyoid muscle innervation is by Facial nerve
Stylopharyngeus muscle innervation is by Glossopharyngeal nerve
Anterior belly of Digastric is innervated by Facial nerve
Posterior belly of digastric is innervated by Facial Nerve

182- Which cranial Nerve does not have parasympathetic component?


III
V
VII
IX
X

183- Regarding to parasympathetic component of cranial nerves which statement


is NOT correct?
Parasympathetic part of occolomotor’s nerve target organ is ciliary muscle
Parasympathetic part of Facial’s nerve target organ is parotid gland
Parasympathetic part of Glossopharyngeal’s nerve target organ is parotid gland
Parasympathetic part of Facial’s nerve target organ is submandibular &sublingual gland
All are correct
184- Regarding to spinal nerves, which statement is correct?
Apart from C1,all spinal nerves are mixed sensory and motor
Nerve cell bodies of parasympathetic nerve fibers are located in Gray matter of
Brainstem and sacral spinal cord
Nerve cell bodies of sympathetic nerve fibers are located inlateral Gray horns Brainstem
and sacral spinal cord between T1-L3
All above are correct

185- Which cranial nerve does not pass through Jugular Foramen?
IX
X
XI
XII

186- Regarding operating on the submandibular gland:


A- Damage to the lingual nerve will cause loss of sensation to the posterior third of the
tongue
B- The submandibular gland wraps around the posterior border of mylohyoid
C- The buccal branch of the facial nerve is at risk of surgical trauma
D- The hypoglossal nerve is seen to loop under the submandibular duct
E- The safest site for an incision is on the lower border of the mandible to prevent
damage to the facial nerve

187- Branches of the external carotid artery


A- Maxillary and lingual
B- Mental and vertebral
C- Superior thyroid and facial
D- A&C

188- Styloglossus innervation?


A- CN XII
B- CN VII
C- Pharyngeal plexus
D- CN V

189- Which of the following statements are correct with respect to the salivary
glands and calculi?
A- Meal time syndrome only occurs if a patient has a blockage in salivary flow due to a
salivary calculus
B- Salivary calculi form more commonly in the parotid gland than the submandibular
gland
C- Encouraging salivary flow by chewing may help small salivary calculi to pass out
through the salivary duct
D- Salivary calculi are more common in males than in females
E- Salivary calculi are always radiopaque due to calcium deposits, and hence are visible
on radiographs
Answer: A C D ??

190- The parotid gland. Blood and lymphatic supply?


A- Branches of the facial vein and the juguloomohyoid node
B- External jugular and parotid node
C- Lingual vein and submental nodes

191. The sublingual salivary gland is located


A. Anterior to the submandibular gland
B. Inferior to the mylohyoid muscle
C. Lateral to the body of mandible
D. In the mandibular vestibule area

192. Which of the following glands has both a superficial and deep lobe
A. Thymus gland
B. Parotid gland
C. Thyroid gland
D. Sublingual gland
E. Lacrimal gland

193. Which of the following nerves innervates both the submandibular and
sublingual salivary glands
A. Trigeminal
B. Chorda tympany
C. Hypoglossal nerve
D. Vagus nerve

194. Which of the following glands shrinks as a person matures


A. Thymus gland
B. Parotid gland
C. Thyroid gland
D. Sublingual gland
E. Submandibular gland

195. Which of the following is a significant feature of the thymus gland


A. Maturation of immune system T cells
B. Regulation of calcium and phosphorus levels
C. Stimulation of metabolic rate
D. Cleansing of oral cavity and helping in digestion
196. Which of the following lesions is due to an enlarged thyroid gland
A. Mucocele
B. Ranula.
C. Goiter
D. Mumps

197. Into which structure does the lacrimal fluid initially drain into after passing
over the eyelid
A. Nasolacrimal duct
B. Sublingual caruncle
C. Nasolacrimal sac
D. Parathyroid gland

198. Which of the following statements concerning minor salivary glands is


correct
A. Minor glands are smaller and less numerous that the major glands
B. Minor glands secrete only mucous saliva
C. Minor glands have longer ducts than major glands
D. Minor glands are located in the buccal,labial and lingual mucosa

199. Tha Lacrimal gland ultimately drains into the


A. Lacrimal fossa
B. Inferior nasal meatus
C. Parotid salivary gland
D. Internal carotid artery

200. The thyroid gland is located


A. Anterior to the larynx
B. Superior to the hyoid bone
C. Posterior to the surrounding pharynx
D. In the posterior and medial neck region

201.notice a lesion on the labial alveolar mucosa of the lower right lateral incisor
tooth of one of your patients and decide to take a biopsy to send for oral
pathology report Which nerve would require local anaesthesia in order to carry
out a pain-free biopsy?
a) The incisive nerve
b) The mental nerve
c) The buccal nerve
d) The lingual nerve
202. The regional lymphatic drainage of the left side of the tip of the tongue is to
the
a) leftsubmental lymph node.
b) left and right submental lymph nodes.
c) left submandibular lymph node.
d) left and right submandibular lymph nodes.

203. A successful inferior alveolar nerve block will produce anaesthesia of the
lower lip.
b) lower lip and mandibular teeth.
c) lower lip, mandibular teeth and labial gingivae of the anterior mandibular teeth.
d) lower lip, mandibular teeth and labial gingivae of the anterior and buccal gingivae of
the posterior mandibular teeth

204. Mucosa of the hard palate is


a) keratinised and has submucosa and minor salivary glands posterolaterally.
b) non-keratinised and has submucosa and minor salivary glands posteromedially.
c) keratinised and lacks submucosa and minor salivary glands.
d) non-keratinised and lacks submucosa and minor salivary glands.

205. Successful infraorbital nerve block will produce anaesthesia of the a)


maxillary anterior teeth.
b) maxillary anterior teeth and their labial gingivae.
c) maxillary anterior teeth, their labial gingivae and the upper lip.
d)maxillary anterior teeth, their labial gingivae, the upper lip and anterior hard palate.

206. In a patient with a normal healthy mouth, you would expect the mucosa
covering the alveolar process supporting the mandibular teeth to be
a) light pink in colour on both sides of the mucogingigival junction.
b) light pink below the mucogingival junction and red above it.
c) red below the mucogingival junction and light pink above it.
d) red on both sides of the mucogingival junction.

207. During eruption of permanent teeth , alveolar bone is


a-resorbed
b- deposited
c-resorbed and deposited intermittently
d-neither resorbed nor deposited

208. bifurcation of the root of the mandibular first molar lingually start at what
distance from the cervical line?
a- 2 mm
b-3mm
c-4mm
d-5mm

209. which of the following fibres are not the periodontal ligament fibres?
a-apical
b-oblique
c-transseptal
d-principal

210. The periosteum of the skull is called


a. arachnoid
b. leptomeninx
c. pia matter
d. pericranium

211. Loss of sensation from temporal region & loss of secretory function of
parotid gland would be caused by interruption of which nerve?
A. Auriculotemporal
B. chorda tympani
C. deep temporal, posterior
D. Facial
E. Great auricular

212. An elderly man presented with severe pain beneath the left eye, radiating
into lower eyelid, lateral side of nose and upper lip. What nerve was involved?
A. Buccal
B. Infraorbital
C. Mental
D. Supratrochlear
E. Zygomatic

213. Freys syndrome is marked by profuse sweating over one cheek, temple, and
surrounding areas of the face, precipitated by eating. Often follows parotid
surgery. The condition is attributable to abberant reinnervation, the redirection of
autonomic fibers normally going to salivary glands being redirected to sweat
glands. What is source of nerve fibers involved?
A. Facial
B. Glossopharyngeal
C. Oculomotor
D. Trigeminal
E. Vagus
Answer: A or D ??
214. While recovering from multiple dental extractions, pt experienced a radiating
pain affecting the lower eyelid, lateral side of nose, upper lip, and over zygomatic
and temporal areas on left side. Which n is involved?
A. Facial
B. V1
C. Glossopharyngeal
D. V3
E. V2

215. In which of the following bones are the foramina rotundum, ovale, and
spinosum located?
A. Frontal
B. Ethmoid
C. Maxillary
D. Temporal
E. Sphenoid

216. T/F. Sensory branches of the mandibular n. provide sensation to upper lip.
False
217. Sensory innervation to the skin inferior to the eye is provided by: V2

218. If you rotate your head as in indicating a “no” response, most of the
movement occurs at this joint:
1. atlanto-occipital (skull-C1)
2. atlanto-axial (C1-C2)
3. C2-C3
4. C3-C4
5. C7-T1

219. The sublingual caruncle (papilla)


1. receives the parotid duct
2. receives the sublingual duct
3. receives the submandibular duct
4. is formed by the sublingual gland
5. is formed by the submandibular gland
Answer 2 or 3 ??

220.The auriculotemporal nerve of the scalp is a branch of the


a. glossopharyngeal nerve
b. ophthalmic division of V
c. maxillary division of V
d. mandibular division of V

221. This muscle receives its motor supply by 2 cranial nerves


a. buccinator
b. trapezius
c. digastric
d. omohyoid

222. The muscles forming the floor of the submandibular (digastric) triangle are
the hyoglossus and the
a. sternohyoid
b. thyrohyoid
c. mylohyoid
d. stylohyoid

223.The common carotid artery usually divides into the external carotid and
internal carotid arteries within this cervical triangle
a. digastric
b. occipital
c. carotid
d. muscular

224. This (these) structure(s) is (are) found in the jugular foramen


a. internal jugular vein
b. vagus nerve
C.hypoglossal nerve
d. all of the above

225. The largest structure passing through the cavernous sinus is the
a. internal carotid artery
b. internal jugular vein
c. abducens nerve
d. trigeminal (mandibular division)
226. Which of the following structures leaves or enters the middle cranial fossa
by way of the foramen spinosum?
a. middle meningeal artery
b. internal carotid artery
c. the motor division of V-3
d. the auriculotemporal nerve

227. Choose the name of the opening if the skull through which a continuation or
branch of the maxillary artery reaches the inside of the nasopharynx (or nose)
a. pterygopalatine fossa
b. pterygoid canal
c. nasopalatine canal
d. sphenopalatine foramen

228. The greater superficial petrosal nerve contains autonomic fibers from which
of the following nerves?
a. V-3
b. V-2
c. VII
d. IX
ANSWER C

229. The pterygopalatine ganglion is suspended from which of the following


nerves?
a. the nerve of the pterygoid canal
b. the main trunk of V-1
c. the main trunk of V-2
d. the main trunk of V-3
230. You suspect that your patient has an enlarged submandibular salivary gland.
You expect the enlarged gland
a) to be palpable intraorally..
b) to be palpable extraorally.
c) to be palpable both intra- and extraorally.
d) only to be detectable by radiographical examination.

231- Which nerves give the tongue the perception of taste? Chorda tympani fibres
from the facial nerve
232- The anterior part of the tongue is supplied by which nerve? The lingual branch
of the mandibular division of the trigeminal nerve.
233- The posterior part of the tongue including the circumvallate papillae is
supplied by which nerve? Glossopharyngeal nerve
234- Glossopharyngeal nerve is a sensory nerve only? False, sensation and taste.
235- The temporalis muscle is innervated by a branch of the facial nerved
temporal branch)?
True or false . anterior devision of the mandibular nerve
236- Tubercle of carabelli is found on the distopalatal cusp of the upper first
maxillary molar?
True or false (the mesiopalatal cusp)
237- The mandibular canine may be supplied dirctly from the inferior alveolar
nerve?
True or false
238- The maxillary division of the trigeminal nerve contains sensory and motor
fibres?
True or false

239

13. 5
14. 1
15. 2
240. Answer:
46 D
47 D
48 E
49 D
241. Select all CN applies to each group:
1. Sensory nerves
2. Motor Nerves
3. Both Sensory and Motor
4. Visceromotor (parasympathetic component)
A.CN I
B.CN II
C. CN III
D.CN IV
E. CN V
F. CN VI
G. CN VII
H. CN VIII
I. CN IX
J. CN X
K. CN XI
L. CN XII

A. 1
B. 1
C. 2 4
D. 2
E. 3
F. 2
G. 3 4
H. 1
I. 3 4
J. 3 4
K. 2
L. 2

242. Which muscle of the tongue helps in retraction.


a. genioglossus
b. styloglossus and hyoglossus
c. hyoglossus
d. styloglossus and palatoglossus

243. Pain elicited from infected facial wound is primarily conveyed by what n.?
A. Facial
B. Great auricular
C. Hypoglossal
D. Transverse cervical
E. Trigeminal
244. Which muscle will not be affected when V3 is anesthetized?
A. Anterior belly of digastric
B. Buccinator
C. Medial pterygoid
D. Mylohyoid
E. Temporalis

245. Parotid space contains all EXCEPT:


A. External carotid a.
B. Facial n.
C. Intraparotid lymph nodes
D. Medial terygoid m.
E. Retromandibular v.

246. Facial muscle most responsible for moving lips both upward & laterally to
produce a smile is
A. Buccinator
B. Levator anguli oris
C. Levator labii superioris
D. Platysma
E. Zygomaticus major

247. In which of the following bones are the foramina rotundum, ovale, and
spinosum located?
A. Frontal
B. Ethmoid
C. Maxillary
D. Temporal
E. Sphenoid

248. Sensory innervation to the skin inferior to the eye is provided by: Maxillary
division of Trigeminal n. (CN V2)
249. The posterior ethmoid air cells drain into the: Superior meatus
250. Mandibular division of the trigeminal n. leaves through which opening?
Foramen Ovale
251. Abducens n. leaves through which opening? Superior orbital fissure

252. OCCULOMOTOR NERVE


1. A. Sensory B. Motor C . Mixed
2. A. CN I B. CN III C. CN V 1(1st div of Trigeminal nerve)

3. Supplies eye muscles except


A. Inferior oblique muscles of eyeball
B. Superior oblique muscles of eyeball
C. Superior medial inferior recti muscles of eyeball
D. Lateral rectus muscle
E. Levator palpabrae superioris muscle

4. Nerve damages causes the following signs and symptoms except:


A. Double vision
B. Fixed dilated pupil
C. Paralysis of eye
D. Outward deviation of eye
E. Drooping eyelid

5. Opening for passage from skull


A. optic canal
B. Superior orbital fissure
C. Inferior orbital fissure

253. Choose the name of the opening of the skull through which a continuation or
branch of the maxillary artery reaches the inside of the nasopharynx (or nose)
a. pterygopalatine fossa
b. pterygoid canal
c. nasopalatine canal
d. sphenopalatine foramen

254. Which of the following structures leaves or enters the middle cranial fossa
by way of the foramen spinosum?
a. middle meningeal artery
b. internal carotid artery
c. the motor division of V-3
d. the auriculotemporal nerve

255. The supraorbital foramen of the skull provides an exit from the orbit for
which of the following
a. the oculomotor nerve
b. a branch of V-2
c. the supratrochlear branch of V-1
d. a continuation of the ophthalmic nerve fibers
256. The largest structure passing through the cavernous sinus is the
a. internal carotid artery
b. internal jugular vein
c. abducens nerve
d. trigeminal (mandibular division)
e. greater petrosal nerve

257. The cranial nerve that supplies the sensory innervation to the dura above the
level of the tentorium cerebelli is the
a. trigeminal
b. facial
c. glossopharyngeal
d. vagus
e. hypoglossal

258. TRIGEMINAL NERVE


1. A. CN III B. CN V C. CN VII
2. A. Sensory B. Motor C. Mixed
3. Select all that applies:
A. Supplies 2 of 6 Muscles of eyeball
B. Sensation of face includes Scalp, eyelids, cornea and paranasal sinuses
C. Maxillary sinuses, upper and lower lip, hard and soft palate
D. Muscles of Facial expression
E. Muscles of mastication
4. Opening for passages from skull
A. Internal acoustic meatus
B. V2-Foramen ovale
C. V1-Foramen Rotundum
D. V3-Superior orbital fissure
E. V1-Superior orbital fissure
5. Nerve damages causes the following:
A. Facial weakness
B. Bell`s Palsey
C. Numbness of face (dyasthesia)
D. Paralysis and deviation of the jaw to the side of the lesion
E. May impair swallowing

259. TROCHLEAR NERVE (Could be more than 1 answer if you finds)


1. A. Sensory B. Motor C. Mixed
2. A. CN V B.CN III C. CN IV
3. Opening for passage from skull
A. Internal acoustic Meatus
B. Foramen ovale
C. Jugular foramen
D. Foramen magnum
E. Superior orbital fissure

4. Supplies and distribution to


A. Sensory supplies to cornea and eyelids
B. Motor -superior oblique muscles of eyeball
C. Motor-Inferior oblique muscles of eyeball
D. Motor-Lateral rectus of eyeball
E. Sensory-superior oblique muscles of eyeball

5. Nerve damage causes


A. Blindness in eye on affected side
B. outward deviation of eye
C. weak down head tilt
D. Double vision
E. Eye deviates medially

260. FACIAL NERVE


1. A. Sensory B. Motor C. Mixed
2. A. CN VIII B.CN VII C. CN V
3. Opening for passage from skull
A. Enters external auditory meatus
B. Enters Internal auditory meatus
C. Leaves via stylomastoid foramen
D. Leaves via jugular foramen

4. Supplies and distribution to


A. Motor - Taste from anterior 2/3rd of tongue
B. Sensory- taste from posterior 1/3rd of tongue
C. Sensory- Taste from anterior 2/3rd of tongue
D. Muscles of facial expression
E. Muscles of mastication
F. Stylohyoid and posterior belly of digastric
G. Stapedius and anterior belly of digastric

5. Nerve damages causes the following:


A. Facial weakness
B. Emotion is not voluntary so face may move with surprise
C. Lack of taste in ant. 2/3 of tongue
D. Xerostomia (Dry mouth )
E. Bell’s Palsey
F. Dyasthesia (numbness of face)

6. Parasympathetic component of Facial Nerve


A. Branches- Greater petrosal, chorda tympani
B. Ganglion- Pterygopalatine and submandibular
C. Target glands are lacrimal, submandibular, sublingual salivary glands
D. Target glands- Parotid and sublingual
E. Target organs- smooth muscles of trachea, bronchi and heart

Answers: 1.C, 2.B, 3.BC, 4.CDF, 5.ABCDE, 6.ABC

261- The Tonsillar Lymph Nodes are Located at the level of:
A. Angle of mandible
B. C6 Vertebrae
C. Jugulodigastric Crossing
D. Jugulo Omohyoid crossing

262- The principle muscle responsible for opening of the mouth is:
A. Mylohoid
B. Anterior Temporal
C. Posterior Temporal
D. Anterior belly of digastrics
263- Which nerve supplies TMJ:
A. Auricula Temporal nerve
B. Nerve to Masseter
C. Facial nerve
D. Trigeminal nerve

264-The articular surface of the normal temporomandibular joint is lined with


A. A specifically adapted highly fibrous tissue
B. Hyaline cartilage
C. Chondroitin 6 phosphate
D. Highly vesiculated tissues
265- Pposterior Superior alveolar nerve supplies:
A. 8,7 & 6 tooth except mesico buccal root of 6.
B. 8,7 & 6 tooth
C. 7& 6 tooth
D. None of above.

266. Loss of sensation from the temporal region and loss of secretory function of
the parotid gland would be caused by interruption of which nerve?
Auriculotemporal
Chorda tympani
Deep temporal, posterior
Facial
Great auricular

267. An elderly man presented with severe pain beneath the left eye, radiating
into the lower eyelid, lateral side of the nose and upper lip. What nerve was
involved?
Buccal
Infraorbital
Mental
Supratrochlear
Zygomatic
268

1 epiglottis
2 palatopharyngeal fold
3 palatine tonsil
4 lingual tonsil
5 palatoglossus fold
6 sulcus terminalis
7 filiate papille
8 circumvallite papille
9 dorsum of tongue, ant 2/3
10 fungiform papille
11 filiform papille
12 foramen cecum
13 median lingual sulcus
269

A ant 2/3 of tongue


B post 1/3 of tongue
C circumvallate papille
D fungiform papille
E foliate papille
F filiform papille
G median lingual sulcus , tip of tongue
H foramen cecum

270.Which is the shortest, smallest, longest and largest branch on cranial nerve?
Shortest: olfactory
Smallest: tochlear
Largest: trigeminal
Longest: vagus
271. On average, how many;
1- Fungiform papillae on human tongue?
2- Folliate papillea on tongue?
3- Circumvallate papillea on tongue?
How many taste buds within each;
5- Fungiform papilla?
6- Folliate papilla?
7- Circumvallate papilla?
Answers:
1- 200
2- 9 pairs = 9 on each side
3- 10-15

4- 3 buds
5- 600 buds
6- 250 buds
272

Answers:
1d
2c
3b
4b
5c
6 vagus ( not in option )
7a
273. What is not correct about Long Buccal Nerve**

A. Passes through two heads of pterygoids muscles

B. Supplies mucosa over lower and upper molars

C. Supplies the buccinator muscle

D. Supplies skin over buccinator

274. What is TRUE in regards to branchial cyst

A. Located in the floor of the mouth


B. Situated on the anterior boarder of sternocleidomastoid muscle
C. It is an odontogenic cyst
D. Situated in the anterior midline of the neck

275. Damage/injury to which nerve causes dilation of pupils

A. Oculomotor

B. Ansa cervicalis

C. Abducens

276. Which is NOT CORRECT in regards to lingual nerve

A. B. It passes close to the mandibular 3rd molar


B. It may be anaesthetised by the mandibular nerve block
C. It provides supply to the lingual gingiva
D. It is posterior and medial to the inferior alveolar nerve
E. Supplies anterior 2/3 of the tongue

277. The maxillary and mandibular teeth get their blood supply from**

A. Separate branches of S. Palatina artery

B. Separate branches of maxillary artery

C. Branches of maxillary and mandibular arteries

278. The zygomatic process serves as


A. B. Origin of temporalis
B. Protects parotid gland
C. Origin of masseter muscle
D. Insertion of lateral pterygoid

279. Which muscle has insertion in the pterygoid raphe**


A. Superior constrictor of the pharynx
B. Middle constrictor of the pharynx
C. Inferior constrictor of the pharynx

280. When there is a fracture on condyle, the muscle responsible for elevation of
condyle is
A. B. Medial pterygoid muscle
B. Lateral pterygoid muscle
C. Masseter muscle

281. Which of the following muscles elevates the lower lip


A. Orbicularis oris

282. Which of the following DOES NOT cause depression of the mandible
A. Contraction of lateral pterygoid
B. Contraction of temporalis
C. Contraction of the suprahyoid muscles
D. Contraction of the infrahyoid muscles
E. Relaxation of all muscles so that the only forces on the mandible are
the forces against the gravity

283. The major cause of mentalis muscle hyperactivity is

A. Class II Division I

B. Tongue thrust
284. The MOST stable area to evaluate the craniofacial growth is
A. Nasal floor
B. Cranial vault
C. Occlusal plane
D. Naso maxillary complex
E. Anterior cranial base
285. What nerve supplies upper first molars

A. Posterior and mid superior alveolar nerve:

286

287. Nerve supplying TMJ


Auriculotemporal and masseteric branches of mandibular nerve

288. The external carotid artery supplies to the following structures except :
(a) Neck
(b) pharynx
(c) Esophagus
(d) Face
(e) Maxilla
289. The external carotid artery terminates into the temporal artery and :
(a) internal carotid artery
(b) maxillary artery
(c) posterior auricular artery
(d) brachiocephailc artery

290. The most valuable radiographic investigation for identifying Carotid


calcification :
(a) Intraoral periapical
(b) Lateral Cephalogram
(c) Panoramic Radiograph
(d) Submentovertex view

291. Uvular Deviation to the opposite side of the lesion is caused by damage to
(a) VIII
(b) IX
(c) V
(d) VII
(e) X

292. Fill in the blanks :-


(a) Parasympathetic ganglion of III is located in ___________________
(b) Parasympathetic ganglion of VII is located in ___________________
(c) Parasympathetic ganglion of X is located in _________________
a - ciliary ganglion
b- pterugoplalatine and submadibular ganglion
c-

293. How many excretory ducts of sublingual salivary gland open at the floor of
mouth?
a, 6 to 10
b, 8 to 10
c, 8 to 20
d, 8 to 30
294. All of the following are branches of facial nerve except?
A, occipital
B, temporal
C, mandibular
D, buccal
295. Reteromandibular vein is formed by combining of maxillary and superficial
temporal vein?
True /false
296. Lateral rectus muscle of eye is supplied by
A, occulomotor nerve
B, trigeminal nerve
C, Abducent nerve
D, Trochlear nerve

297. All of the following are branches of external carotid artery except??
A, ascending pharyngeal artery
B, lingual artery
C, facial artery
D, mandibular artery
E, maxillary temporal artery

298

299. All intrinsic and extrinsic muscles of the tongue innervation by hypoglossal
nerve (CN Xll ) except one. Which muscle isn’t? Palatoglossus
300- Which nerve if paralyzed pt looks downward and out ward? oculomotor
301- Special sensory to ant2/3 of the tongue? Chorda tympany of V by the lingual
nerve
302-parasympathatic to lacrimal gland? VII via the greater pertrosal nerve to the
zygomaticofacial through the pterygoid ganglion

303. The reflex in gagging patients is caused by?


A. Trigeminal nerve
B. Glossopharyngeal
C. Facial nerve
D. Recurrent laryngeal

304. Salivary gland that release the least mucous secretion:


labial glands,
palatal glands,
parotids,
submandibular,
submaxilar
305. Cranial nerve affected in a man with carcinoma in parotid salivary gland? VII
306. Muscle that opens Eustachian tube? tensor veli palatine
307. Insertion of masseter muscle? lateral surface of the ramus
308.The portion of the medial pterigoid that arises from Maxillary Tuberosity is
considered:
A .Deep
B.Superficial,
C. Bulk,
D. Upper
309

1 Superior thyroid artery


2 ascending pharyngeal artery
3 lingual A.
4 Facial A.
5 Occipital A
6 maxillary a.
7 transverse facial a.
8 superficial temporal a.
9 posterior auricular a.

310. Which nerve makes the patient look upwards and downwards?
upward : superior rectus III + inferior oblique III
downward : inferior rectus III + superior oblique IV
311. The posterior belly of the digastric muscle is innervated by a branch of this
cranial nerve:
A. V
B. VII
C. IX
D. X
E. XI

312. The muscle which protrudes the tongue and its tip toward the opposite side
A. hyoglossus
B. genioglossus
C. palatoglossus
D. styoglossus
E. geniohyoid

313. The sublingual caruncle (papilla)


A. receives the parotid duct
B. receives the sublingual duct
C. receives the submandibular duct
D. is formed by the sublingual glandis
E. formed by the submandibular gland

314. Which statement is correct?


a. the facial nerve (VII) being completely motor, possesses no ganglion
b. the trigeminal ganglion contains some parasympathetic cells supplying structures in
the hand
c. a portion of the facial nerve has a ganglion containing cells whose fibers bring taste
information from the anterior 2/3 of the tongue
d. the foramen rotundum is located in the posterior part of the frontal bone
e. none of the above are correct

315. Which statement is incorrect?


a. two cranial nerves (VII and VIII) leave the posterior cranial fossa through the internal
acoustic meatus
b. three cranial nerves pass through the jugular foramen
c. the trigeminal nerve is exclusively sensory
d. the abducens nerve is cranial nerve VI
e. the pterygomaxillary fissure serves as an aperture to permit the terminal part of the
maxillary artery to leave the infra-temporal fossa
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316
317

318. Following problems are linked to which cranial nerves


1. Anosmia
2. Deviation of toungue from midline on protrusion
3.hearing deficit
4. inability to shrug the shoulders evenly and reduced power in
sternocledomastoid muscle
5. weakness of lateral rectus muscle
Answers:
1I
2 XII
3 VIII
4 XI
5 VI
319
1) Nerve passing through optic canal?
2) Muscles in the floor of the mouth?
3) Muscles involved in snoring?
4) Muscle attached to the auditory tube?
5) Muscle involved in closing the oropharyngeal isthmus?
Answer:
1. OPTIC N. II
2. Mylohyoid, genohyoid, , stylohyoid, ant and post belly of digastric
3. Uvula
4. Tesor veli palatine , Tesor tympani, levator veli palatine, salphengopharengious
5. Palatoglosus + palatopharyngeous

320. Nerve supplying TMJ? Auriculotemporal and masseteric branches of


mandibular nerve
321. Remanant of Mekel cartilage?
a. Temporomandibular ligament
b. Sphenomandibular ligament
c. Stylomandibular ligament
322. Ptosis is caused by? Damage III
323. Stylopharyngeus is supplied by? IX
324. styloglossus muscle is attached to which part of tongue? What is its
function? Side of the tongue .. elevate posterior tongue

325.The carotid body and sinus are innervated by this cranial nerve:
AV
B VII
C IX
DX
E XI

326. The medial pterygoid muscle


a. originates from the medial pterygoid plate of the sphenoid bone
b. inserts to the medial surface of the neck of the mandible
c. has the lingual nerve passing forward on its deep surface
d. elevates the mandible
e. is innervated by the anterior division of the mandibular nerve
327. The order in which the three branches of the facial nerve come off within the
petrous portion of the temporal bone is as follows:
A lesser petrosal, greater petrosal, nerve to the stapedius muscle
B greater petrosal, chorda tympani, nerve to the stapedius muscle
C greater petrosal, nerve to the stapedius muscle, chorda tympani
D nerve to the stapedius, chorda tympani, greater petrosal
E tympanic nerve (of Jacobsen), greater petrosal, chorda tympani

328. This portion of this muscle retracts the mandible


a. superficial head of medial pterygoid muscle
b. posterior portion of temporalis
c. upper head of the lateral pterygoid
d. anterior portion of temporalis
e. buccinator-posterior portion

329. Sensation (heat, cold, touch) of the gingiva of the hard palate is carried to
the brain through
a. the nerve of the pterygoid canal
b. nerves in the greater palatine canals
c. the nasociliary branch of V-1
d. the greater superficial branch of the vagus n
e. the lesser superficial petrosal nerve

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330

A
C
A
B
D

331. Angle of mandible is supplied by -


A. Greater auricular nerve
B. Lesser occipiatal nerve
C. Auriculo temporal nerve
D. None of the above
332. Which muscle is supplied by the mylohyoid nerve?
a) Only Mylohyoid muscle
b). Mylohyoid and anterior belly of digastric
c). Mylohyoid and posterior belly of digastric
d). Only digastric muscle

333. True statement about parotid gland -


a) Duct opens opposite to upper 2nd molar tooth
b) Duct pierces masseter
c) Develops from ectoderm
d) Develops from mesoderm

334. What are the muscles that help in the elevation of mandible??
A) Masseter
C)medial pterygoid
D)Temporalis
E) all of the above

335. What is the nerve innervation of tongue??


A) glossopharyngeal
B) lingual
C)chorda tympani
D) V3
E) all of the above
336

Answers
tongue
genioglossus
mandibular symphysis
genoihyoid
thyroid cartilage

styloid process
styloglossus
hyoglossus
stylohyoid
hyoid bone
tyrohyoid

337. The muscle which protrudes the tongue and its tip toward the opposite
A.sidehyoglossus
B.genioglossus
C.palatoglossus
D.styoglossus
E.geniohyoid
338. The sublingual caruncle (papilla)
A.receives the parotid duct
B.receives the sublingual duct
C.receives the submandibular duct
D. is formed by the sublingual gland
E. is formed by the submandibular gland

339. Which of the following nerves is not a branch of cranial nerve VII?
A. temporal
B. mental
C. buccal
D cervical
E. zygomatic

340. Please name the branches of external carotid artery? Ascending pharyngeal A,
superior thyroid A, lingual A, facial A, maxillary A, superficial temporal A, occipital A,
posterior auricular A
341. There are two unique joints in the cervical region? True /false
342. All of the following are paired cranial bones except?
A, frontal
B, parietal
C, temporal
D, lacrimal
343. Temporalis muscle insert on coronoid process? Ture /false
344. Please label the following diagram

Epiglottis
lingual tonsil
palatine tonsile
circumvallite papilla
foliate papilla
fungiform papilla
345. Salivary gland that releases the least mucous secretion
a.labial
b.palatal
c.parotid
d. submandibular
e.sublingual
346. Muscles attached to auditory tube? tensor tympani, tensor veli palatine, levator
veli palatine, salpingiopharyngeous
347.Muscle that opens Eustachian tube? Tensor veli palatine
348. The portion of the medial pterygoid muscle that arises from maxillary
tuberosity is
a. bulk
b.upper
c.lower
d.superficial
e.deep
349. Muscles that closes oropharyngeal isthmus? palatoglossal

350. Patient with deviation of the corner of his mouth when he smiles but
wrinkling of his forehead is normal?
A.upper motor neuron lesion
B. Lower motor neuron lesion

351. Patient with bell’s palsy?


A.upper motor neuron lesion
B. Lower motor neuron lesion

352. Patient with deviation of the corner of his mouth when he smiles and cannot
wrinkle his forehead?
A.upper motor neuron lesion
B. Lower motor neuron lesion

353. Damage to the facial nerve following superficial parotidectomy?


A.upper motor neuron lesion
B. Lower motor neuron lesion
354. Which muscle is responsible for moving food from the buccal sulcus in
between the teeth during mastication?
BUCCINATOR
355. Trochlear is passing though Superior orbital fissure? True /false.

356. Which nerve provides balance and equilibrium?


A, vestibulocochlear
B, Vagus
C, facial

357. All are the following are the parasympathetic components of cranial nerve
except??
A, trigeminal
B, occulomotor
C, facial
D, Glossopharyngeal

358 leptomeninges are formed by combining arachnoid mater and pia mater?
Ture /false

359. Which is the ligament that limits the movement of mandible in a posterior
direction and protects the external auditory meatus??
A) stylomandibular ligament
B) temporomandibular ligament
C) sphenomandibular ligament

360. What is the parasympathetic supply to salivary gland?


A . Glosspharyngeal and facial nerve.
B. hypoglossal and facial
C.Glosspharyngeal and trigeminal
D. Facial and trigeminal

361. A 72-year-old female presents with hoarseness and dysphagia


(difficulty when swallowing). The cranial nerve examination is unremarkable
however, the physician detects that the uvula of the soft palate
deviates to the left side when the patient opens her mouth.
Based upon this information, which specific nerve is most likely damaged?
a] Left glossopharyngeal nerve
b] Right hypoglossal nerve
c] Left hypoglossal nerve
d] Left vagus nerve
e] Right vagus nerve

362. The muscle of mastication that helps retract the mandible is:
A) temporalis
B) masseter
C) medial pterygoid
D) lateral pterygoid

363. Cranial Nerve VIII exits through which of the following?


a]. Foramen ovale
b]. Foramen rotundum
c]. Internal acoustic meatus
d). Stylomastoid foramen

364. This portion of this muscle retracts the mandible


a. superficial head of medial pterygoid muscle
b. posterior portion of temporalis
c. upper head of the lateral pterygoid
d. anterior portion of temporalis
e. buccinator-posterior portion

365. The chorda tympani


a. contains taste fibers to the anterior 2/3 of the tongue
b. are preganglionic parasympathetic fibers to the pterygopalatine ganglion
c. are secreto-motor to the lacrimal gland
d. innervates the platysma
e. all of the above

366. Which of the following is NOT formed from the cervical plexus
a. greater occipital nerve
b. ansa cervicalis
c. supraclavicular nerves
d. transverse cervical nerve

367. This muscle of the tongue is innervated by the vagus nerve


a. palatopharyngeus
b. palatoglossus
c. styloglossus
d. genioglossus
e. hyoglossus

368. The only muscle of the soft palate that is not supplied by the vagus nerve’s
pharyngeal branch is the
a. musculus uvulae
b. palatoglossus
c. palatopharygeus
d. tensor veli palatini
e. levator veli palatini
369. A large mass in the posterior portion of the tongue which is not a tumor
might be the
a. thyroid gland
b. submandibular gland
c. sublingual gland
d. parotid gland
e. parathyroid gland

370. Retraction of the tongue is produced mainly be contraction of these two


muscles
a. right and left genioglossus
b. styloglossus and hyoglossus
c. palatoglossus and genioglossus
d. palatoglossus and stylopharyngeus
e. palatoglossus and palatopharyngeus

371. Name of the duct which emerges from the Sublingual Salivary gland?
Bartholin
372. Sympathetic nerve supply of Parotid Gland? glossopharyngeal nerve via otic
ganglion
373. Sympathetic nerve supply of Sublingual Gland? chorda tympani ( VII) via
submandibular ganglion
374. Major Differences between Primary and Secondary Saliva? primary isotonic,
secondary hypotonic
375. Most common problem associated with Salivary Glands? Calculous ?

376. Origin of masseter muscles?


A, mandibular arch
B, zygomatic arch
C, temporal arch

377. TMJ is synovial joint?


True /false

378. Muscles of mastication are supplied by?


A, Opthalmic branch of trigeminal
B, maxillary branch of trigeminal
C, mandibular branch of trigeminal

379. Scalp infections are potentially very dangerous and must be treated as such
if it’s in?
A, cavernous sinus
B, diploic vein
C, occipital vein
D, frontal vein
380. Superior oblique muscle is supplied by Trochlear nerve? True /false

381. Cranial Nerve VIII exits through which of the following?


a]. Foramen ovale
b]. Foramen rotundum
c]. Internal acoustic meatus
d). Stylomastoid foramen

382. Which structure gives guidance to the placement of maxillary


incisors? Incisive papilla

383. What type of secretion is the parotid gland?


a) serous b) mucous C). Both

384. All Cervical Vertebra have a:


a.body
b.spine
c.bifid spinous process
d.carotid tubercle
e.transverse foraman

385. If you rotate your head as in indicating a “no” response, most of the
movement occurs at this joint:
a.atlanto-occipital (skull-C1)
b.atlanto-axial (C1-C2)
c.C2-C3
d.C3-C4
e.C7-T1

386 .The carotid body and sinus are innervated by this cranial nerve:
a. V .
b.VII
c.IX
d.X
e.XI

387. The posterior belly of the digastric muscle is innervated by a branch of this
cranial nerve:
V
VII
IX
X
XI

388. Name all branches of maxillary artery


389

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