Wa0003. 1

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Anatomy test head and neck

Q.No.1 a) name fontanelles of skull. Mention clinical anatomy of pterion. (2.5)

b) What is the dangerous triangle of face? What vein drains this area? Why is it called the dangerous
triangle of face?

Q.No.2 a)Elaborate these i) why scalp wound bleed profusely? ii) enunmerate scalp layers

iii) black eye iv) dangerous area of scalp (0.5 + 1+0.5+0.5)

b) draw and label cutaneous nerve supply of face and scalp. (2.5)

Q.No.3 a) Enumerate contents of carotid sheath. Give its superior and inferior communication with
significance. (2.5)

b). During thyroidectomy, superior thyroid artery is ligated close to the upper pole of thyroid gland
whereas the inferior thyroid artery is ligated away from the inferior pole. Why ? (2.5)

Q.No.4 a) Write the boundaries and contents of carotid triangle.

b) write boundaries and contents of digastrics triangle (2.5 +2.5)

Q.No.5 a) Name the structures lying within the parotid gland. (1.5)

b) Name the movements produced at temporomandibular joint and the muscles responsible for
producing these movements. (3.5)

Q.no.6 a) Name the arteries supplying the thyroid gland. From where these arteries arise? 1.5

b) Name structures needed to be taken care of while performing tracheostomy on a child compared to
an adult. 2

c) Name the branches of trigeminal nerve. Which of these branches contain brachiomotor fibers? 1.5

Q.No.7 Describe the origin, insertion, nerve supply and action of extraocular muscles of orbit in a
tabulated form. 5

Q.No.8 a) Name the components of Waldeyer’s (tonisllar) ring. 2

b) Enlist the structures passing in gap between superior and middle pharyngeal constrictors to the
internal aspects of the pharyngeal wall. 2

c) What is little’s area and what is its clinical importance? 1

Q.no.9 a) What is the common site of lodging of fish bones? Write its relations. What structures are
liable to be damaged during removal of foreign body from this site? (0.5+1+1)

b) Draw and label nerve supply of tongue (2.5)


MCQS

1. The metopic suture is a persistence of which of the following?

(A) frontal suture (B) coronal suture (C) sagittal suture (D) lambdoid suture (E) hypophyseal suture

2. The superior orbital fissure transmits all of the following EXCEPT

(A) ophthalmic division of the trigeminal nerve (B) maxillary division of the trigeminal nerve
(C) oculomotor nerve (D) trochlear nerve (E) abducens nerve

3. The orbicularis oculi is innervated by

(A) optic nerve (B) oculomotor nerve (C) trochlear nerve (D) trigeminal nerve (E) facial nerve

4. Which of the following is NOT a branch of the facial artery?

(A) inferior labial artery (B) superior labial artery (C) lateral nasal artery

(D) angular artery (E) retromandibular artery

5. Which of the following is NOT contained within the parotid gland?

(A) facial nerve (B) facial artery (C) retromandibular vein


(D) parotid lymph nodes (E) branches of the facial nerve

6. Which of the following muscles is NOT innervated by the oculomotor nerve?

(A) levator palpebrae superioris (B) lateral rectus (C) medial rectus
(D) inferior oblique (E) superior rectus

7. Which of the following is NOT a branch of the first (mandibular) part of the first part of the maxillary
artery?

(A) deep auricular (B) anterior tympanic (C) middle meningeal and accessory meningeal

(D) inferior alveolar (E) descending palatin

8. which muscle helps in opening of jaw

a)medial pterygoid b) lateral pterygoid c) masseeter d) temporalis e ) buccinator

9. which muscle abducts vocal cords.

a)cricothyroid b) cricoaretnoid c) thyrohoid d) oblique aretnoiyd e) thyroepiglotic

10. Where does the nasolacrimal duct communicate with the nasal cavity?

(A) superior meatus (B) middle meatus (C) inferior meatus (D) nasopharynx (E) sphenoidal sinus
11. What innervates the tensor tympani?

A) maxillary nerve (B) mandibular nerve (C) chorda tympani (D) vestibulocochlear nerve (E) vagus

12. Which of the following is true?

(A) The malleus articulates with the stapes and is moved by the tensor tympani.

(B) The round window is an opening in the medial wall of the tympanic cavity leading to the vestibule of
the inner ear and is closed by the base of the stapes.

(C) The tensor tympani assists in preventing damage to the internal ear when one hears loud noises.
(D) The stapedius is innervated by the chorda tympani.

(E) The stapedius pulls the stapes anteriorly and flattens its base, loosening the annular ligament and
increasing oscillatory range

13. Which of the following muscles is NOT contained in the posterior cervical triangle?

(A) splenius capitis (B) levator scapulae (C) middle scalene (D) posterior scalene (E) stylohyoid

14. Which of the following is a suprahyoid muscle?

(A) mylohyoid (B) sternohyoid (C) omohyoid (D) sternothyroid (E) thyrohyoid

15. Sagging of the soft palate, deviation of the uvula to the normal side, and hoarseness might be caused
by a lesion to which nerve?

(A) facial nerve (B) glossopharyngeal nerve (C) vagus nerve (D) accessory nerve (E) hypoglossal nerve

16. A 19 years old woman complains of numbness of the nasopharynx after surgical removal of adenoid.
A lesion of which of the following nerves would be expected?

a) maxillary b) superior cervical ganglion c) external laryngeal d) glossopharyngeal e) vagus

17. A 24 years old man falls from motor cycle and lands on creek. Death may result from bilateral
severance of which of the following

a) trigeminal b) facial c) vagus d) spinal accessory e) hypoglossal

18. Which nerve might be damaged by a fracture involving the cavernous sinus?

(A) olfactory tract (B) optic nerve (C) abducens nerve (D) facial nerve (E) vestibulocochlear nerve

19. A 31 years old hockey player is hit in the head by a puck. Radiogram shows fracture of foramen
rotundum. Name the nerve possibly damaged ……………………….

20. a 59 years old man complains of numbness in the anterior cervical triangle.name the nerve possibly
damaged …………………………….

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