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74 Cards in this Set

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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
Subclavian artery passes between the middle and anterior scalene structures of the neck
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
Transverse ligament is primarily responsible for holding the dens of the axis against the anterior arch of the atlas
Branches of the maxillary artery reach the nasal cavity through the _________.
Branches of the maxillary artery reach the nasal cavity through the sphenopalatine foramen
The geniohyoid muscle receives its skeletal motor innervation from which nerve?
The geniohyoid muscle receives its skeletal motor innervation from C1
Foreign objects that have accidentally entered the vestibule of the larynx are sensed by what nerve?
Foreign objects that have accidentally entered the vestibule of the larynx are sensed by the internal branch of the superior laryngeal nerve
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
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
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
a. Sympathetic trunk is not contained within the carotid sheath it enters the head via the sympathetic plexus through the pterygoid canal
The pterygopalatine fossa communicates with the middle cranial fossa via the ______.
The pterygopalatine fossa communicates with the middle cranial fossa via the foramen rotundum

(and technically the pterygoid canal)
Which nerve conveys parasympathetic fibers to the lacrimal gland?
zygomatic nerve
Superior salvitory nucleus VII -> intermediate nerve -> greater petrosal nerve -> pterygopalatine ganglion -> zygomatic nerve (V2) -> lacrimal nerve (V1) -> lacrimal gland
Consumed fluids are prevented from flowing into the nasal cavity through contraction of several muscles innervated by the vagus nerve. What Branches?
Superior pharyngeal constrictor

Levator vili palatini
What is the only muscle that CN IX (glossopharyngeal) provides motor sensation to?
motor sensation for CN IX is stylopharyngeus
The "danger space" of the neck lies between the ______
“Danger space”: potential space between prevertebral and alar fasciae. It extends from the cranial base to the posterior mediastinum.
Which of the following nerves is a branch of the cervical plexus?
a. supraorbital
b. auriculotemporal
c. transverse cervical
d. greater occipital
C. transverse cervical
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
foramen rotundum is for the maxillary nerve
Which of the following ganglia contains the cell bodies of sensory neurons?
a. otic
b. geniculate
c. submandibular
d. pterygopalatine
geniculate ganglion contains cell bodies of sensory neurons
On examining the nose, the doctor finds a discharge pooling in the inferior nasal meatus. Where may the discharge be originating from?
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)
Which of the following structures is related to the laryngopharynx?
a. pyriform recess
b. palatine tonsil
c. pharyngeal opening of auditory tube
d. uvula
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.
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
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
Which nerve provides motor innervation to the posterior cricoarytenoid causing the vocal cords to abduct?
The recurrent laryngeal nerve
Which muscle abducts the vocal cords?
posterior crycoarytenoid abducts the vocal cords
Inability to abduct/adduct the vocal cords may result from damage to which nerve?
the recurrent laryngeal nerve
Where does the facial vein ultimately drain into?
the internal jugular vein
Which of the following arteries are not a branch of the external carotid?
a. transverse cervical
b. facial
c. lingual
d. superior thyroid
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
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
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)
Which of the following structures is enclosed by the prevertebral fascia?

a) infrahyoid muscle
b) phrenic nerve
c) sternocleidomastoid & trapezius muscles
d) trachea
b) phrenic nerve
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
Not innervated by CN X
a) submandibular gland
(it is innervated by the chorda tympani via the submandibular ganglion)
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)
The lower lip is uncommon to develop a facial cleft
The nasolacrimal duct is a secondary manifestation of which embryonic structure?
The furrow separating the LATERAL nasal process from the MAXILLARY process
The foramen cecum of the tongue relates to the development of which structure?
Thyroid gland
The stylopharyngeus muscle is derived from which branchial arch?
III
All of the following muscles receive their motor innervation from the hypoglossal nerve except:

a) genioglossus
b) hyoglossus
c) palatoglossus
d) styloglossus
c) palatoglossus
it is innervated by CN X
What is the relationship of the submandibular duct to the lingual nerve as it courses from posterior to anterior?
superior and lateral to inferior and medial
Upon entering the floor of the mouth of the lingual artery travels where?
lingual artery courses medial to the hyoglossus muscle and superior to the mylohyoid muscle
Mucosal glands of the palate receive secretomotor innervation via post-ganglionic fibers of the facial nerve that synapse in which ganglion?
pterygopalatine
Where are folliate papilla located?
they are found on the lateral borders of the tongue
What nerves innervate the external surface of the tympanic membrane?
auriculotemporal
tympanic plexus
auricular branch of X
The tensor tympani muscle originates where?
they originate from a bony tube parallel to the auditory tube
What is the function of the tympanic membrane, ear ossicles and oval window?
The transmission and amplification of sound
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
b) it contains post ganglionic fibers of IX

the fibers synapse in ?
The greater petrosal nerve joins which other nerve to form the nerve of the pterygoid canal?
Deep Petrosal
The palatoglossus muscle is innervated most of the time by which cranial nerve?
X Vagus nerve
What cells are contained in the submandibular ganglion?
contains postganglionic cells of the facial nerve
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
d) GSE
What structure could be damaged resulting in disruption of the nasopalatine nerve?
bony nasal septum
The tympanomastoid fissure transmits what nerve branch?
auricular branch of X
Stenson's duct pierces which muscle to enter the oral cavity?
buccinator
Where does the superior constrictor muscle interconnect with the buccinator at?
The pterygomandibular raphe
Which CN innervates the root of the tongue?
CN X
Which muscle's aponeurosis primarily forms the soft palate?
tensor palatini
What is the potential space between the buccopharyngeal fascia and the alar fascia that extends posteriorly to the superior mediastinum, called?
Retrovisceral Space
The true vocal cords are simply the free edges of which laryngeal membrane?
conus elasticus
Name the branches of the thyrocervical trunk in the neck?
1) Inferior thyroid
2) Suprascapular
3) Transverse cervical
Which membrane "suspends" the larynx from the hyoid bone?
thyrohyoid membrane
Where will the inferior thyroid vein most often drain into?
Brachiocephalic Vein
Name the contents of the suboccipital triangle of the deep neck
posterior rami of C1 (suboccipital nerve)
vertebral artery
The mucosa of the medial and lateral nasal walls at the tip of the nose is innervated by what division of the trigeminal nerve?
opthalmic V1
How do the post-ganglionic sympathetic fibers for the head get to their respective effector organs?
they travel on the branches of the carotid Artery
The tensor palatini muscle wraps around what specific bony process as it attaches to the palate?
Hamular process of the medial pterygoid plate
The taste buds in the palate are most sensitive to?
sour & bitter substances
Where does the buccinator develop from?
Arch 2
Where does the thymus develop from?
Pouch 3
Where does the thyroid cartilage develop from?
Arch 4/6
Where does the lesser horn of the hyoid bone develop from?
Arch 2
Where does the tensor veli palatini develop from?
Arch 1
Where does the zygoma develop from?
Arch 1
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
d) thyroid gland
NOT invested by superficial layer of deep cervical fascia
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
b) posterior alanto-occipital membrane - posterior longitudinal ligament
All of the following cranial nerves innervate suprahyoid muscles EXCEPT:

a) V
b) VII
c) X
d) XII
c) X
Which of the following muscles is NOT innervated by the ansa cervicalis?

a) thyrohyoid
b) omohyoid
c) sternohyoid
d) sternothyroid
a) thyrohyoid
All lymph from the head and neck ultimately drains through which group of lymph nodes?
Inferior Deep Cervical
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
c) transverse foramen of C7
The nasopalatine nerve is associated with all of the following foramina EXCEPT:

a) rotundum
b) anterior ethmoidal
c) sphenopalatine
d) incisive
b) anterior ethmoidal
Where does the inferior thyroid artery arise from?
subclavian artery
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
a) opening of the nasolacrimal duct