123
95.7k
Chapter:

80+ Head and Neck Solved MCQs

in Anatomy

These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .

Chapters

Take a Test
Chapter: Head and Neck
1.

Regarding the superior orbital fissure, which is INCORRECT?

A. its common tendinous ring binds the SOF content of nerves and muscles to the contents of the optic canal
B. the origin of levator palpebrae superioris is its bony upper margin
C. lacrimal, frontal and trochlear nerves pass through it
D. the oculomotor, abducens and nasociliary nerves lie within the cone of the extraocular muscles
Answer» A. its common tendinous ring binds the SOF content of nerves and muscles to the contents of the optic canal
discuss
2.

Regarding the extraocular muscles:

A. they all arise from a common tendinous ring around the superior orbital fissure
B. the rectus muscles all pass laterally to their point of insertion because of the angle of the orbital apex within the skull
C. the superior oblique muscle passes through the trochlear, a fibrocartilage loop attached to the frontal bone lateral margin, just behind the orbital margin
D. except for superior oblique, all nerve supply to muscles enter from their optic side
Answer» D. except for superior oblique, all nerve supply to muscles enter from their optic side
discuss
3.

With regards to eye movement, which is INCORRECT?

A. the medial and lateral rectus evoke simple horizontal movement only
B. the inferior oblique turns the eye down and out
C. the superior rectus turns the eye up and in
D. the inferior rectors and superior oblique together produce vertical down gaze
Answer» B. the inferior oblique turns the eye down and out
discuss
4.

Which is INCORRECT?

A. in a 4th cranial nerve paralysis, the affected eye lies slightly inturned
B. in a 6th cranial nerve palsy, the lateral rectus is affected
C. in a 3rd nerve palsy, levator palpebrae is affected
D. in an oculomotor nerve palsy the eye looks down and out
Answer» A. in a 4th cranial nerve paralysis, the affected eye lies slightly inturned
discuss
5.

With regards to the retina, which is CORRECT?

A. the retina covers the inner surface of the choroids and is light sensitive everywhere except at the corneal area
B. the optic disc contains retina that is completely free of blood vessels and is yellowish in colour
C. the optic disc and fovea are of similar size
D. the fovea contains no blood vessels or cones, but a high concentration or rods
Answer» C. the optic disc and fovea are of similar size
discuss
6.

The nasal septum consists of:

A. the maxilla
B. the vomer and ethmoid bones
C. the sphenoid and ethmoid bones
D. the frontal, zygoma and maxilla
E. the vomer and palatine bones
Answer» B. the vomer and ethmoid bones
discuss
7.

The ophthalmic artery:

A. is a branch of the ECA
B. enters through the superior orbital fissure
C. does not penetrate the meninges of the optic nerve
D. forms an anastomoses between ECA and ICA
E. is an end artery
Answer» D. forms an anastomoses between ECA and ICA
discuss
8.

Regarding the carotid sheath:

A. arisa cervicalis lies behind the IJV
B. is free to move in the neck
C. contains the vagus and phrenic ????
D. the sympathetic trunk lies outside the sheath
E. the CCA lies lateral to the IJV
Answer» D. the sympathetic trunk lies outside the sheath
discuss
9.

The contents of the jugular foramen include:

A. superior petrosal sinus
B. internal jugular vein
C. vagus nerve
D. hypoglossal nerve
E. all of the above
Answer» C. vagus nerve
discuss
10.

The sensory innervation of the auricle of the ear includes:

A. auricolotermporal nerve (V3)
B. great auricular nerve (C2)
C. facial nerve via tympanic plexus (VII)
D. auricular branch of vagus (X)
E. all of the above
Answer» E. all of the above
discuss
11.

Regarding the abducent nerve (CN V1):

A. the nucleus lies in the medulla
B. supplies superior oblique muscle
C. enters the orbit ???? superior orbital fissure
D. has no relation to the cavernous sinus
E. carries autonomic fibres from Edinger-Westphal node
Answer» C. enters the orbit ???? superior orbital fissure
discuss
12.

Regarding the face, which is INCORRECT?

A. there is no deep fascia on the face
B. the bulk of orbicularis oris muscle comes from buccinator
C. the eyelid muscles are completely supplied by CNVII
D. the parotid duct pierces buccinator opposite the third upper molar tooth
E. the facial nerve supplies the occipital belly of occipitofrontalis
Answer» C. the eyelid muscles are completely supplied by CNVII
discuss (2)
13.

Regarding the trigeminal nerve:

A. branches emerge from the parotid gland
B. the mandibular nerve has three cutaneous branches
C. the supratrochlear nerve supplies midline forehead and scalp
D. the infratrochlear nerve is a branch of the maxillary nerve
E. the bridge of the nose is supplied by the external nasal nerve
Answer» B. the mandibular nerve has three cutaneous branches
discuss
14.

Which structure does NOT pass through the parotid gland?

A. retromandibular vein
B. temporozygomatic branch of facial nerve
C. cervicofacial branch of facial nerve
D. internal jugular vein
E. external carotid artery
Answer» D. internal jugular vein
discuss
15.

Which structure is NOT in the carotid sheath?

A. internal jugular vein
B. hypoglossal nerve
C. glossopharyngeal nerve
D. external jugular vein
E. internal carotid artery
Answer» D. external jugular vein
discuss
16.

Which is an intrinsic muscle of the tongue?

A. superior longitudinal muscle
B. genioglossus muscle
C. hyoglossus muscle
D. styloglossus muscle
E. palatoglossus muscle
Answer» A. superior longitudinal muscle
discuss
17.

Which muscle abducts the vocal cords?

A. cricothyroid
B. oblique arytenoid
C. posterior cricoarytenoid
D. lateral cricoarytenoid
E. thyroepiglottic
Answer» C. posterior cricoarytenoid
discuss
18.

Which laryngeal muscle is NOT supplied by the recurrent laryngeal nerve?

A. thyroarytenoid
B. cricothyroid
C. aryepiglottic
D. oblique arytenoid
E. posterior cricoarytenoid
Answer» B. cricothyroid
discuss
19.

The internal laryngeal nerve supplies:

A. sensation to the vocal folds
B. cricothyroid muscle
C. sensation above the vocal folds
D. transverse arytenoid muscle
E. sensation below the vocal folds
Answer» C. sensation above the vocal folds
discuss
20.

Which nerve does NOT supply skin to the upper eyelid?

A. lacrimal
B. supraorbital
C. supratrochlear
D. infratrochlear
E. infraorbital
Answer» E. infraorbital
discuss
21.

Which extraocular muscle does NOT arise from the tendinous ring of the orbit?

A. superior rectus
B. superior oblique
C. inferior rectus
D. medial rectus
E. lateral rectus
Answer» B. superior oblique
discuss
22.

Which structure passes through the tendinous ring of the orbit?

A. ophthalmic artery
B. inferior rectus muscle
C. lacrimal nerve
D. trochlear nerve
E. superior oblique muscle
Answer» A. ophthalmic artery
discuss
23.

Which bone is not part of the medial wall of the orbit?

A. maxilla
B. lacrimal bone
C. sphenoid
D. palatine bone
E. ethmoid
Answer» D. palatine bone
discuss
24.

Which muscle helps to open the jaw?

A. medial pterygoid
B. lateral pterygoid
C. masseter
D. temporalis
E. buccinator
Answer» B. lateral pterygoid
discuss
25.

Regarding the vertebral column:

A. ligamentum flava attach adjacent pedicles
B. lumbar vertebrae have foramen in their transverse process
C. the intervertebral disc is a primary cartilaginous joint
D. rotation is greatest in the thoracic region
E. the cruciform ligament holds the dens in place
Answer» E. the cruciform ligament holds the dens in place
discuss
26.

The middle meningeal artery is a branch of the:

A. internal carotid artery
B. middle cerebral artery
C. maxillary artery
D. deep temporal artery
E. facial artery
Answer» C. maxillary artery
discuss
27.

They hyoid bone is at what level?

A. C2 vertebra
B. C3 vertebra
C. C4 vertebra
D. C5 vertebra
E. C6 vertebra
Answer» B. C3 vertebra
discuss
28.

Regarding the bones of the skull:

A. the middle cranial fossa does not extend to the posterior cranial vault
B. the temporal lobe rests on the bony rather than the membranous part of the middle cranial fossa
C. the posterior cranial fossa contains the cerebella and lies superior to the tentorium cerebelli
D. the floor of the anterior cranial fossa is formed from the orbital plate of the parietal bone
E. the cribriform plate lies in the midline and is formed from the roof of the sphenoid bone
Answer» B. the temporal lobe rests on the bony rather than the membranous part of the middle cranial fossa
discuss
29.

Regarding the bones of the skull:

A. the anterior clinoid processes are formed by the lesser wings of the sphenoid
B. the posterior clinoid processes are formed from the occipital bone
C. the dorsum sellae is formed from the anterior part of the occipital bone
D. the petious temporal bone forms the floor of the middle cranial fossa, but not the wall of the posterior cranial fossa
E. the inferior orbital fissure separates the lesser and greater wings of the sphenoid
Answer» A. the anterior clinoid processes are formed by the lesser wings of the sphenoid
discuss
30.

Regarding the cervical spine:

A. all seven cervical vertebrae have spinous processes
B. rotatory movements of the head occur mostly at the atlanto-occipital joints
C. the odontoid process (peg) is encased by a bony canal in the axis
D. all seven cervical vertebrae have foramina transversaria for the vertebral artery to pass through it
E. spinous processes, where present, are all bifid except for C7
Answer» E. spinous processes, where present, are all bifid except for C7
discuss
31.

Regarding the triangles of the neck:

A. the posterior triangle is bound by trapezius, sternocleidomastoid and the middle quarter of clavicle
B. the anterior triangle is further divided into two smaller triangles, the carotid and submandibular triangles
C. the posterior belly of digastric (and stylohyoid) separates the carotid and submandibular triangles
D. the accessory nerve (CNXI) divides the posterior triangle into approximately two halves, and of these the lower contains little of importance
E. the investing fascia splits to enclose the sternomastoid and trapezius, but the parotia and submandibular glands lie deep to the fascia, in the anterior triangle
Answer» C. the posterior belly of digastric (and stylohyoid) separates the carotid and submandibular triangles
discuss
32.

Regarding anatomy of the neck, landmarks:

A. the arch of the cricoid cartilage is palpable as it protrudes forward of the trachea
B. the cricoid cartilage marks the level of C5
C. the transverse process of the axis is the most prominent of the cervical transverse processes, and is palpable between angle of mandible and mastoid
D. the body of hyoid is not palpable because it is hidden behind the thyroid cartilage
E. the coracoid process of scapula is palpable within the deltopectoral triangle
Answer» A. the arch of the cricoid cartilage is palpable as it protrudes forward of the trachea
discuss
33.

Regarding fascia and sheaths in the neck:

A. the pretracheal fascia contains both trachea and oesophagus, and also splits to envelop the lobes of the thyroid gland
B. the prevertebral fascia encloses vertebrae and muscles acting on the vertebrae, but does not contribute to the investment over the brachial plexus as it passes between scalene muscles
C. the investing fascia encloses trapezius sternomastoid and platysma muscles
D. the structures contained within the carotid sheath include carotid artery, sympathetic chain and jugular vein, but not phrenic nerve or vagus
E. infection may track in the pretracheal space to mediastinum
Answer» A. the pretracheal fascia contains both trachea and oesophagus, and also splits to envelop the lobes of the thyroid gland
discuss
34.

For sternocleidomastoid, which is TRUE?

A. contraction of one muscle rotates the head to the ipsilateral shoulder
B. it is crossed superficially by the external jugular vein
C. it is supplied by the transverse cervical nerve
D. its clavicular fibres mainly insert into the superior nucal line
E. it is superficial to the deep cervical fascia
Answer» B. it is crossed superficially by the external jugular vein
discuss
35.

Which is not considered a content of the posterior triangle of the neck?

A. subclavian artery
B. trunks of the brachial plexus
C. internal jugular vein
D. branches of the cervical plexus
E. accessory nerve
Answer» C. internal jugular vein
discuss
36.

For the thyroid, which is TRUE?

A. the thyroid isthmus crosses the thyroid cartilage
B. the superior thyroid arteries are branches off the internal carotid arteries
C. the posterior surface lies on the carotid sheaths
D. the inferior thyroid arteries are branches off the external carotid arteries
E. the recurrent laryngeal nerves pass anteriorly to each lateral lobe
Answer» C. the posterior surface lies on the carotid sheaths
discuss
37.

For the great neck vessels, which is TRUE?

A. the carotid sheath contains the ansor cervicalis, vagus and recurrent laryngeal nerves
B. the external carotid artery has three branches
C. the internal carotid artery has six branches
D. the internal jugular vein lies lateral to the carotid artery throughout its course
E. the carotid sinus lies at the commencement of the common carotid artery
Answer» D. the internal jugular vein lies lateral to the carotid artery throughout its course
discuss
38.

the septum of the nasal cavity is innervated by

A. nasopalatine nerve from cranial nerve V2
B. posterior ethmoidal nerve from V1
C. greater palatine nerve from V2
D. lesser palatine nerve from V2
E. none of the above
Answer» A. nasopalatine nerve from cranial nerve V2
discuss
39.

The posterior cricoarytenoid muscles

A. Abduct the vocal cords
B. Adduct the vocal cords
C. Tensor of the vocal cords
D. Relaxors of the vocal cords
E. Act as a sphincter
Answer» A. Abduct the vocal cords
discuss
40.

The superior laryngeal nerve

A. Divides into internal and recurrent laryngeal nerves
B. Supplies the crocothyroid muscle via an external laryngeal branch
C. Supplies all the intrinsic muscles of the larynx
D. Is sensory to larynx below the vocal cords
E. None of the above
Answer» B. Supplies the crocothyroid muscle via an external laryngeal branch
discuss
41.

The surface markings of the trachea include

A. Origin at lower end of the cricoid at C4 vertebra
B. Origin at C6 vertebra level
C. Termination at T2 at expiration
D. Termination at T4 level at maximal inspiration
E. 3rd to 5th rings covered anteriorly by isthmus of the thyroid
Answer» B. Origin at C6 vertebra level
discuss
42.

What runs through the foramen spinosum?

A. Internal carotid artery
B. Maxillary branch of the trigeminal nerve
C. Mandibular branch of the trigeminal nerve
D. Middle meningeal artery
E. Meningeal nerve
Answer» D. Middle meningeal artery
discuss
43.

The internal jugular vein

A. Drains into the subclavian vein on the left
B. Lies in the carotid sheath with the carotid artery and the sympathetic trunk
C. Lies lateral to the internal carotid artery at the base of the skull
D. Lies lateral to the carotid artery in the lower neck
E. Lies anterior to the sternocleidomastoid
Answer» D. Lies lateral to the carotid artery in the lower neck
discuss
44.

The seventh cervical vertebra

A. Is typical
B. Has a bifid spinous process
C. Transmits the vertebral artery through the foramen in the transverse process
D. Has the supra-pleural membrane attached to the anterior tubercle
E. Has a short spinous process
Answer» D. Has the supra-pleural membrane attached to the anterior tubercle
discuss
45.

The atlas

A. Has no foramen in the transverse process
B. Is the narrowest cervical vertebra
C. Has a body
D. Has a posterior arch grooved by the vertebral artery
E. Has a short spinous process
Answer» D. Has a posterior arch grooved by the vertebral artery
discuss
46.

Branches of the carotid artery include

A. Inferior thyroid artery
B. Ascending pharyngeal artery
C. Internal thoracic
D. Superficial cervical
E. Thymic artery
Answer» B. Ascending pharyngeal artery
discuss
47.

The blood supply to the nasal cavity

A. Is only from the external carotid
B. Mainly enters through the nostril
C. Does not communicate with intracranial vessels
D. Mainly enters the sphenopalatine foramen
E. Arrives to Little’s area from ophthalmic artery branches
Answer» D. Mainly enters the sphenopalatine foramen
discuss
48.

Protection of the airway during swallowing is not facilitated by

A. The sphincteric action of the ariepiglottic muscles
B. closure of the glottis
C. Elevation of the larynx
D. Contraction of the cricothyroid muscle
E. Posterior bulging of the tongue assisting closure of the larynx
Answer» D. Contraction of the cricothyroid muscle
discuss
49.

Structure of the larynx includes

A. The inlet being bounded posteriorly by the epiglottis
B. The posterior cricoarytenoid being an adductor of the vocal cords
C. The aryepiglottic fold contains the cuneiform cartilage
D. The rima of the vestibule being the fissure between the two vocal cords
E. The cricoid cartilage not being circumferential
Answer» D. The rima of the vestibule being the fissure between the two vocal cords
discuss
50.

The trachea

A. Commences below the cricoid at the level of C5
B. Enters the thoracic inlet slightly to the left
C. Is marked at its lower end by the level of the sternal angle
D. Is supplied by the glossopharyngeal nerve
E. Drains to axillary lymph nodes
Answer» C. Is marked at its lower end by the level of the sternal angle
discuss

Done Studing? Take A Test.

Great job completing your study session! Now it's time to put your knowledge to the test. Challenge yourself, see how much you've learned, and identify areas for improvement. Don’t worry, this is all part of the journey to mastery. Ready for the next step? Take a quiz to solidify what you've just studied.

Take a Test