Head & Neck Test Bank Flash Cards

Front 1

Which of the following structures pass between the middle and anterior scalene structures of the neck?
a. phrenic nerve
b. sympathetic trunk
c. subclavian vein
d. subclavian artery

Back 1

Subclavian artery passes between the middle and anterior scalene structures of the neck

Front 2

Which of the following cranio vertebral ligaments is primarily responsible for holding the dens of the axis against the anterior arch of the atlas?
a. ligamentum nuchae
b. tectorial membrane
c. transverse ligament
d. alar ligament

Back 2

Transverse ligament is primarily responsible for holding the dens of the axis against the anterior arch of the atlas

Front 3

Branches of the maxillary artery reach the nasal cavity through the _________.

Back 3

Branches of the maxillary artery reach the nasal cavity through the sphenopalatine foramen

Front 4

The geniohyoid muscle receives its skeletal motor innervation from which nerve?

Back 4

The geniohyoid muscle receives its skeletal motor innervation from C1

Front 5

Foreign objects that have accidentally entered the vestibule of the larynx are sensed by what nerve?

Back 5

Foreign objects that have accidentally entered the vestibule of the larynx are sensed by the internal branch of the superior laryngeal nerve

Front 6

All of the following structures relate to the middle meatus of the lateral nasal wall except the:
a. ethmoidal bulla
b. semilunar hiatus
c. opening of the sphenoid sinus
d. opening of the frontonasal duct

Back 6

The opening of the sphenoid sinus does not relate to the middle meatus of the lateral nasal wall. The sphenoid sinus is located posteriorly on the roof of the nasal cavity

Front 7

All of the following are contained within the carotid sheath except the:
a. sympathetic trunk
b. internal carotid artery
c. internal jugular vein
d. vagus nerve

Back 7

a. Sympathetic trunk is not contained within the carotid sheath it enters the head via the sympathetic plexus through the pterygoid canal

Front 8

The pterygopalatine fossa communicates with the middle cranial fossa via the ______.

Back 8

The pterygopalatine fossa communicates with the middle cranial fossa via the foramen rotundum

(and technically the pterygoid canal)

Front 9

Which nerve conveys parasympathetic fibers to the lacrimal gland?

Back 9

zygomatic nerve
Superior salvitory nucleus VII -> intermediate nerve -> greater petrosal nerve -> pterygopalatine ganglion -> zygomatic nerve (V2) -> lacrimal nerve (V1) -> lacrimal gland

Front 10

Consumed fluids are prevented from flowing into the nasal cavity through contraction of several muscles innervated by the vagus nerve. What Branches?

Back 10

Superior pharyngeal constrictor

Levator vili palatini

Front 11

What is the only muscle that CN IX (glossopharyngeal) provides motor sensation to?

Back 11

motor sensation for CN IX is stylopharyngeus

Front 12

The "danger space" of the neck lies between the ______

Back 12

“Danger space”: potential space between prevertebral and alar fasciae. It extends from the cranial base to the posterior mediastinum.

Front 13

Which of the following nerves is a branch of the cervical plexus?
a. supraorbital
b. auriculotemporal
c. transverse cervical
d. greater occipital

Back 13

C. transverse cervical

Front 14

Branches of the facial nerve traverse all of the following openings except the:
a. foramen rotundum
b. internal auditory meatus
c. stylomastoid foramen
d. pterygoid (vidian) canal

Back 14

foramen rotundum is for the maxillary nerve

Front 15

Which of the following ganglia contains the cell bodies of sensory neurons?
a. otic
b. geniculate
c. submandibular
d. pterygopalatine

Back 15

geniculate ganglion contains cell bodies of sensory neurons

Front 16

On examining the nose, the doctor finds a discharge pooling in the inferior nasal meatus. Where may the discharge be originating from?

Back 16

the eye, because the opening to the nasolacrimal duct is located under the inferior concha (which is a separate bone unlike the middle & superior conchae which are part of the ethmoidal labirynth)

Front 17

Which of the following structures is related to the laryngopharynx?
a. pyriform recess
b. palatine tonsil
c. pharyngeal opening of auditory tube
d. uvula

Back 17

Pyriform sinus (recess) = space between lamina of thyroid cartilage and outer surface of vestibular membrane; it extends inferiorly approximately to the level of the glottis.

Front 18

Which of the following is not derived from a pharyngeal pouch?
a. superior parathyroid gland
b. inferior parathyroid gland
c. thyroid gland
d. palatine tonsil

Back 18

Thyroid gland
The thyroid initially appears as a median endodermal thickening in the floor of the primitive pharynx between the first and second pouches.

superior parathyroid gland comes from the 4th pharyngeal pouch

inferior parathyroid gland comes from the 3rd pharyngeal pouch

palatine tonsil comes from the 2nd pharyngeal pouch

Front 19

Which nerve provides motor innervation to the posterior cricoarytenoid causing the vocal cords to abduct?

Back 19

The recurrent laryngeal nerve

Front 20

Which muscle abducts the vocal cords?

Back 20

posterior crycoarytenoid abducts the vocal cords

Front 21

Inability to abduct/adduct the vocal cords may result from damage to which nerve?

Back 21

the recurrent laryngeal nerve

Front 22

Where does the facial vein ultimately drain into?

Back 22

the internal jugular vein

Front 23

Which of the following arteries are not a branch of the external carotid?
a. transverse cervical
b. facial
c. lingual
d. superior thyroid

Back 23

transverse cervical arises from the thyrocervical trunk which is the first branch of the subclavian artery.

It supplies the deep portion of the trapezius muscle

Front 24

All of the following structures are found within the anterior triangle of the neck except:
a. cervical branch of the facial nerve
b. vagus nerve
c. spinal accessory nerve
d. hypoglossal nerve

Back 24

Spinal accessory nerve
(although technically it does, The spinal accessory nerve (CN.XI) enters the neck through the jugular fossa and immediately enters the deep surface of the sternocleidomastoid muscle)

Front 25

Which of the following structures is enclosed by the prevertebral fascia?

a) infrahyoid muscle
b) phrenic nerve
c) sternocleidomastoid & trapezius muscles
d) trachea

Back 25

b) phrenic nerve

Front 26

The vagus nerve innervates all of the following except:

a) submandibular gland
b) musculature of the larynx
c) musculature of the pharynx
d) mucosa lining of larynx

Back 26

Not innervated by CN X
a) submandibular gland
(it is innervated by the chorda tympani via the submandibular ganglion)

Front 27

Facial clefts commonly occur in all of the following areas except:

a) the upper lip
b) the lower lip
c) the primary palate (interpremaxillary suture)
d) the secondary palate (intermaxillary, interpalatine sutures)

Back 27

The lower lip is uncommon to develop a facial cleft

Front 28

The nasolacrimal duct is a secondary manifestation of which embryonic structure?

Back 28

The furrow separating the LATERAL nasal process from the MAXILLARY process

Front 29

The foramen cecum of the tongue relates to the development of which structure?

Back 29

Thyroid gland

Front 30

The stylopharyngeus muscle is derived from which branchial arch?

Back 30

III

Front 31

All of the following muscles receive their motor innervation from the hypoglossal nerve except:

a) genioglossus
b) hyoglossus
c) palatoglossus
d) styloglossus

Back 31

c) palatoglossus
it is innervated by CN X

Front 32

What is the relationship of the submandibular duct to the lingual nerve as it courses from posterior to anterior?

Back 32

superior and lateral to inferior and medial

Front 33

Upon entering the floor of the mouth of the lingual artery travels where?

Back 33

lingual artery courses medial to the hyoglossus muscle and superior to the mylohyoid muscle

Front 34

Mucosal glands of the palate receive secretomotor innervation via post-ganglionic fibers of the facial nerve that synapse in which ganglion?

Back 34

pterygopalatine

Front 35

Where are folliate papilla located?

Back 35

they are found on the lateral borders of the tongue

Front 36

What nerves innervate the external surface of the tympanic membrane?

Back 36

auriculotemporal
tympanic plexus
auricular branch of X

Front 37

The tensor tympani muscle originates where?

Back 37

they originate from a bony tube parallel to the auditory tube

Front 38

What is the function of the tympanic membrane, ear ossicles and oval window?

Back 38

The transmission and amplification of sound

Front 39

All of the following is true of the lesser petrosal nerve, except?

a) it enters the tympanic cavity through the inferior tympanic canaliculis
b) it contains post ganglionic fibers of IX
c) ther recognition of specific sounds
d) to protect the cochlear apparatus

Back 39

b) it contains post ganglionic fibers of IX

the fibers synapse in ?

Front 40

The greater petrosal nerve joins which other nerve to form the nerve of the pterygoid canal?

Back 40

Deep Petrosal

Front 41

The palatoglossus muscle is innervated most of the time by which cranial nerve?

Back 41

X Vagus nerve

Front 42

What cells are contained in the submandibular ganglion?

Back 42

contains postganglionic cells of the facial nerve

Front 43

The facial nerve as it enters the internal acoustic meatus has all of the following nerve components except:

a) GSA
b) SVA
c) GVE
d) GSE

Back 43

d) GSE

Front 44

What structure could be damaged resulting in disruption of the nasopalatine nerve?

Back 44

bony nasal septum

Front 45

The tympanomastoid fissure transmits what nerve branch?

Back 45

auricular branch of X

Front 46

Stenson's duct pierces which muscle to enter the oral cavity?

Back 46

buccinator

Front 47

Where does the superior constrictor muscle interconnect with the buccinator at?

Back 47

The pterygomandibular raphe

Front 48

Which CN innervates the root of the tongue?

Back 48

CN X

Front 49

Which muscle's aponeurosis primarily forms the soft palate?

Back 49

tensor palatini

Front 50

What is the potential space between the buccopharyngeal fascia and the alar fascia that extends posteriorly to the superior mediastinum, called?

Back 50

Retrovisceral Space

Front 51

The true vocal cords are simply the free edges of which laryngeal membrane?

Back 51

conus elasticus

Front 52

Name the branches of the thyrocervical trunk in the neck?

Back 52

1) Inferior thyroid
2) Suprascapular
3) Transverse cervical

Front 53

Which membrane "suspends" the larynx from the hyoid bone?

Back 53

thyrohyoid membrane

Front 54

Where will the inferior thyroid vein most often drain into?

Back 54

Brachiocephalic Vein

Front 55

Name the contents of the suboccipital triangle of the deep neck

Back 55

posterior rami of C1 (suboccipital nerve)
vertebral artery

Front 56

The mucosa of the medial and lateral nasal walls at the tip of the nose is innervated by what division of the trigeminal nerve?

Back 56

opthalmic V1

Front 57

How do the post-ganglionic sympathetic fibers for the head get to their respective effector organs?

Back 57

they travel on the branches of the carotid Artery

Front 58

The tensor palatini muscle wraps around what specific bony process as it attaches to the palate?

Back 58

Hamular process of the medial pterygoid plate

Front 59

The taste buds in the palate are most sensitive to?

Back 59

sour & bitter substances

Front 60

Where does the buccinator develop from?

Back 60

Arch 2

Front 61

Where does the thymus develop from?

Back 61

Pouch 3

Front 62

Where does the thyroid cartilage develop from?

Back 62

Arch 4/6

Front 63

Where does the lesser horn of the hyoid bone develop from?

Back 63

Arch 2

Front 64

Where does the tensor veli palatini develop from?

Back 64

Arch 1

Front 65

Where does the zygoma develop from?

Back 65

Arch 1

Front 66

Which of the following structures is NOT "invested" by the superficial layer of the deep cervical fascia?

a) trapezius muscle
b) sternocleidomastoid muscle
c) submandibular gland
d) thyroid gland

Back 66

d) thyroid gland
NOT invested by superficial layer of deep cervical fascia

Front 67

Which of the following associations is INCORRECT?

a) vertebra prominens - C7
b) posterior alanto-occipital membrane -posterior longitudinal ligament
c) cricoid cartilage - C6
d) tectorial membrane - spheno-occipital clivus

Back 67

b) posterior alanto-occipital membrane - posterior longitudinal ligament

Front 68

All of the following cranial nerves innervate suprahyoid muscles EXCEPT:

a) V
b) VII
c) X
d) XII

Back 68

c) X

Front 69

Which of the following muscles is NOT innervated by the ansa cervicalis?

a) thyrohyoid
b) omohyoid
c) sternohyoid
d) sternothyroid

Back 69

a) thyrohyoid

Front 70

All lymph from the head and neck ultimately drains through which group of lymph nodes?

Back 70

Inferior Deep Cervical

Front 71

In the neck the vertebral artery may be found in all of the following locations EXCEPT:

a) passing between the anterior scalene and longus capitus muscles
b) transverse foramen of C1
c) transverse foramen of C7
d) atop the posterior arch of C1

Back 71

c) transverse foramen of C7

Front 72

The nasopalatine nerve is associated with all of the following foramina EXCEPT:

a) rotundum
b) anterior ethmoidal
c) sphenopalatine
d) incisive

Back 72

b) anterior ethmoidal

Front 73

Where does the inferior thyroid artery arise from?

Back 73

subclavian artery

Front 74

Which of the following is NOT found in the middle meatus?

a) opening of the nasolacrimal duct
b) opening of the frontonasal duct
c) hiatus semilunaris
d) ethmoidal bulla

Back 74

a) opening of the nasolacrimal duct