HEAD AND NECK JF CSLS MCQ MICHAELMAS 2O22 (ANSWERS)

1. WHICH MUSCLE IS ATTACHED TO THE LATERAL SURFACE OF THE MANDIBULAR

RAMUS?
A Lateral pterygoid
B Masseter
C Medial pterygoid
D Risorius
E Zygomaticus major

2. WHICH NERVE ASCENDS THROUGH THE FORAMEN MAGNUM?

A Ansa cervicalis
B Glossopharyngeal
C Hypoglossal
D Spinal accessory
E Vagus

3. WHICH ARTERY LIES DEEP TO THE BONY AREA NAMED PTERION?

A Artery of the pterygoid canal
B Anterior cerebral
C Interosseus artery
D Middle meningeal
E Posterior meningeal

4. WHICH IS THE LARGEST OF THE PARANASAL SINUSES IN AN ADULT?

A Ethmoid
B Frontal
C Maxillary
D Sphenoidal
E Transverse

5. WHICH BRANCH OF THE VAGUS NERVE SUPPLIES SENSATION ABOVE THE VOCAL
FOLDS?
A External laryngeal
B Inferior laryngeal
C Internal laryngeal
D Recurrent laryngeal
E Tympanic

6. WHERE IS THE CILIARY GANGLION LOCATED?

A Ethmoidal sinus
B Frontal sinus
C Maxillary sinus
D Nasal cavity
E Orbit
7. WHICH NERVE IS FOUND IN THE MANDIBULAR CANAL?
A Incisive nerve
B Inferior alveolar nerve
C Mental nerve
D Nerve to masseter
E Nerve to mylohyoid

8. ON ITS WAY TO THE TONGUE THE LINGUAL ARTERY IS CROSSED BY WHICH NERVE?
A Buccal nerve
B Facial nerve
C Hypoglossal nerve
D Nasopalatine nerve
E Sympathetic nerve

9. THE SUBLINGUAL SALIVARY GLAND RESTS ON WHICH MUSCLE?

A Genioglossus
B Inferior belly of omohyoid
C Mylohyoid
D Posterior belly of digastric
E Thyrohyoid

10. THE GLOSSOPHARYNGEAL NERVE SUPPLIES WHICH MUSCLE?

A Hyoglossus
B Mylohyoid
C Salpingopharyngeus
D Stylopharyngeus
E Tensor palatini

11. WHICH LARYNGEAL MUSCLE ONLY ABDUCTS THE VOCAL FOLDS?

A Aryepiglottic
B Lateral cricoarytenoid
C Oblique arytenoid
D Posterior cricoarytenoid
E Transverse arytenoid

12. WHAT GROUP OF MUSCLES ARE PARALYSED IN A PATIENT WITH BELL’S PALSY?
A Laryngeal muscles
B Masticatory muscles
C Muscles of facial expression
D Pharyngeal muscles
E Sub-occipital muscles
13. WHICH TWO SKULL BONES FORM THE ROOF OF THE ORAL CAVITY?
A Ethmoid and frontal
B Frontal and maxilla
C Maxilla and palatine
D Palatine and sphenoid
E Sphenoid and temporal.

14. WHICH CERVICAL VERTEBRA IS KNOWN AS THE VERTEBRA ‘PROMINENS’?

A C1
B C2
C C7
D C5
E C6

15. FROM WHICH SKULL FORAMEN DOES THE SOMATIC MOTOR COMPONENT OF THE
FACIAL NERVE EMERGE?
A Ovale
B Rotundum
C Spinosum
D Stylomastoid
E Supraorbital

16. FRACTURE OF WHAT PART OF THE SKULL IS MOST LIKLEY TO RESULT IN ANOSMIA
(LOSS OF SENSE OF SMELL)
A Cribriform plate of the ethmoid
B Greater wing of the sphenoid
C Orbital plate of the frontal
D Petrous part of the temporal
E Squamous part of the occipital

17. FROM WHAT ARTERY DOES THE SUPERIOR THYROID ARTERY ORIGINATE?
A Common carotid
B External carotid
C Internal carotid
D Opthalmic
E Thyrocervical trunk

18. WHAT NERVE SUPPLIES THE PLATYSMA MUSCLE?

A Buccal
B Cervical branch of the facial nerve
C Great auricular
D Lesser occipital
E Transverse cervical
19. THE ANTERIOR FONTANELLE OF THE NEW BORN TYPICALLY CLOSES AT WHAT AGE?
A 3 years
B 5 years
C 18 months
D 10 years
E 20 years

20. WHERE DOES THE SPHENOIDAL AIR SINUS DRAIN INTO THE NOSE?
A Inferior meatus
B Middle meatus
C Sphenoethmoidal recess
D Superior meatus
E Transverse meatus

21. INTO WHICH PART OF THE NASAL CAVITY DOES THE MAXILLARY SINUS DRAIN?
A Inferior meatus
B Middle meatus
D Superior meatus
E Supra- ethmoidal recess
C Vestibule

22. TO WHAT MUSCLE GROUP DOES THE LATERAL PTERYGOID MUSCLE BELONG?
A Muscles of facial expression
B Muscles of the floor of the mouth
C Muscles of mastication
D Muscles of the posterior triangle
E Muscles of the soft palate

23. THE FALSE VOCAL FOLD OF THE LARYNX IS THE LOWER MARGIN OF WHAT
STRUCTURE?
A Cricothyroid joint
B Cricothyroid membrane
C Lateral thyrohyoid ligament
D Median thyrohyoid ligament
E Quadrangular membrane

24. WHAT EXTROCULAR MUSCLE PULLS THE EYEBALL DOWN AND OUT?
A Inferior rectus
B Lateral rectus
C Medial rectus
D Superior oblique
E Superior rectus
25. WHAT NERVE PROVIDES THE MAIN SENSORY SUPPLY TO THE OROPHARYNX?
A Facial
B Glossopharyngeal
C Maxillary
D Trigeminal
E Vagus

26. FROM WHAT PHARYNGEAL ARCH ARE THE MUSCLES OF FACIAL EXPRESSION
DERIVED?
A 1st
B 2nd
C 3rd
D 4th
E 6th

27. THE LYMPHATICS OF THE POSTERIOR TONGUE DRAIN DISTALLY INTO WHICH
NODES?
A Deep cervical
B Palatine
C Parotid
D Submandibular
E Submental

28. IN WHAT FASCIAL SHEATH IS THE THYROID GLAND ENCLOSED?

A Buccopharyngeal
B Carotid
C Pretracheal
D Prevertebral
E Deep cervical

29. THROUGH WHAT SKULL FORAMEN DOES THE MANDIBULAR BRANCH OF THE
TRIGEMINAL NERVE PASS?
A Hypoglossal
B Jugular
C Ovale
D Rotundum
E Spinosum

30. WHAT JOINT TYPE IS FORMED BETWEEN THE PARIETAL BONE AND THE
SQUAMOUS PART OF THE TEMPORAL BONE?
A Condylar
B Fibrous
C Primary cartilaginous
D Secondary cartilage
E Synovial
31. WHAT IS THE MOST DISTINCTIVE FEATURE OF THE AXIS?
A Costal facets for the ribs
B Dens
C Small vertebral body
D Spinous process
E Transverse process

32. THE BLOOD SUPPLY TO THE EYEBALL IS FROM A BRANCH OF WHICH ARTERY?
A Common carotid
B External carotid
C Internal carotid
D Subclavian
E Thyrocervical trunk

33. WHAT CRANIAL NERVE ORIGINATES IN THE PHOTOSENSITIVE RETINA?

A Abducent
B Oculomotor
C Opthalmic
D Optic
E Trochlear

34. THE CORDA TYMPANI NERVE PASSES THROUGH WHICH CAVITY?

A Laryngeal
B Nasal
C Oral
D Orbital
E Middle ear

35. WHERE ARE THE CIRCUMVALLATE TASTE BUDS OF THE TONGUE LOCATED?
A At the tip of the tongue
B At the lateral border of the tongue
C Anterior to the sulcus terminalis
D Below the anterior lingual frenulum
E In the midline septum of the tongue

36. THE PALATOGLOSSUS MUSCLE IS INNERVATED BY WHAT NERVE?

A Buccal
B Facial
C Hypoglossal
D Trigeminal
E Pharyngeal plexus
37. WHAT STRUCTURE SEPARATES THE ANTERIOR 2/3 OF THE TONGUE FROM THE
POSTERIOR 1/3?
A Epiglottis
B Foliate taste buds
C Hyoglossus
D Sulcus terminalis
E Vallecula

38. WHAT IS THE ACTION OF THE LATERAL AND MEDIAL PTERYGOID MUSCLES WHEN
ACTING TOGETHER ?
A Closes the jaw
B Protracts the jaw
C Opens the jaw
D Retracts the jaw
E Side to side movements of the jaw

39. WHICH TWO NERVES INNERVATE THE MIDDLE EAR CAVITY?

A Auriculotemporal and masseteric
B Buccal nerve and deep temporal
C Deep temporal and nerve to medial pterygoid
D Nerve to medial pterygoid and buccal
E Nerve to masseter and buccal

40. WHAT MUSCLE CLOSES THE OSTIUM OF THE AUDITORY TUBE WHEN
SWALLOWING?
A Cricopharyngeus
B Masseter
C Palatoglossus
D Salpingopharyngeus
E Styloglossus

41. WHICH TONSIL LIES POSTERIOR TO THE PALATOGLOSSAL ARCH?

A lingual
B Occipital
C Palatine
D Pharyngeal
E Tubal

42. THE TENSOR VELI PALATINI MUSCLE IS SUPPLIED BY WHAT NERVE?

A Facial
B Hypoglossal
C Nerve to medial pterygoid
D Maxillary
E Opthalmic
43. THROUGH WHAT MUSCLE DOES THE PAROTID DUCT PIERCE TO ENTER THE
VESTIBULE OF THE MOUTH?
A Buccinator
B Levator labii superioris alaeque nasi
C Masseter
D Temporalis
E Zygomaticus major

44. WHAT IS THE MOTOR NERVE SUPPLY TO THE ORBICULARIS OCULI MUSCLE?
A Abducent
B Facial
C Mandibular
D Oculomotor
E Vagus

45. WHAT FORMS THE ONLY COMPLETE CARTILAGINOUS RING IN THE LARYNX?
A Arytenoid
B Cricoid
C Corniculate
D Cuneiform
E Thyroid

46. WHICH LARYNGEAL MUSCLE IS SUPPLIED BY THE EXTERNAL LARYNGEAL NERVE?

A Aryepiglottic
B Cricothyroid
C Lateral cricoarytenoid
D Posterior cricoarytenoid
E Vocalis

47. THE CRICOID AND THYROID CARTILAGES ARTICULATE BY WHAT JOINT TYPE?
A. Fibrous
B Ginglymus
C Primary cartilaginous
B Secondary cartilaginous
E Synovial

48. WHERE ON THE TONGUE ARE THE LINGUAL TONSILS LOCATED?

A At the posterior tongue base
B At the root of the tongue
C At the septum of the tongue
D At the tip of the tongue
E On the lateral border of the tongue
49. WHERE IS THE OPTIMUM SITE FOR PERFORMING AN EMERGENCY AIRWAY AS A
BYSTANDER?
A Cricotracheal membrane
B Cricothyroid membrane
C Lamina of the thyroid cartilage
D Laryngeal prominence
E Thyrohyoid membrane

50. THE PALATOPHARYNGEUS MUSCLE IS INNERVATED BY WHICH NERVE?

A Facial
B Hypoglossal
C Greater palatine
D Lesser palatine
E Vagus