Head & Neck Anatomy (first exam) 1) All of the following are true about skull except?

abcdInferior part of axial skeleton provide facial skeleton Mandible is the only movable bone in skull Mandible is not part of the cranium Cranial vault is a part of neurocranium

2) Orbital cavity is pyramidal in shape and has 4 walls and 2 bones made the lateral, superior and inferior wall while 4 bones made the medial wall. Superior orbital fissure communicate with? abcdanterior cranial fossa posterior cranial fossa lateral cranial fossa middle cranial fossa

3) All of the following are part of temporal bone from inferior aspect of skull except? abcdemandibular fossa styloid and mastoid process hypoglossal canal carotid canal stylomastoid foramen

4) Which is the wrong statement regarding curvature of cervical vertebrae? abcdprimary curvature concave anteriorly secondary curvature concave posteriorly thoracic and sacral region are primary curvature cervical region curve forward

5) Which foramen is not located from posterior lesser wing of sphenoid to superior border of petrous temporal? abcdforamen ovale foramen rotundum jugular foramen superior orbital fissure

6) Which of the following make the floor of brain box? I- squamous part of temporal II- orbital frontal III- petrous temporal IV- lesser wing of sphenoid a- I and IV b- II and III c- I,II and IV d- II,III and IV\ 9) All of the following are air containing spaces within cranial bones and lined with columnar cell. Which sinus drains into middle meatus through infundibulum? abcdmaxillary sinuses sphenoid sinuses frontal sinuses ethmoidal sinuses

10) Which muscle extends from tip of transverse process to 2nd rib? abcdscalenus anterior scalenus posterior scalenus medius scalenus lateral

11) An abnormal curvature that happen during late pregnancy abcdkyphosis scoliosis lordosis lumdorsis

12) All of the following are enclosed in investing layer of deep fascia except abcdsublingual gland submandibular gland jugular venous arch trapezius muscle

13) Which nerve arises from dorsal ramus of C2? abcdlesser occipital greater occipital great auricular supraclavicular

14) Most medial in carotid sheath in deep cervical fascia abcdinternal jugular vein deep cervical lymph node common carotid artery external carotid artery

15) Which muscle divides posterior triangle into occipital and omoclavicular triangle? abcdsuperior belly of omohyoid scalenus anterior posterior belly of digastric inferior belly of omohyoid

16) Which vein of thyroid gland drains into left brachiocephalic? abcdsuperior thyroid vein posterior thyroid vein anterior thyroid vein inferior thyroid vein

17) Which is part of medial wall of orbital cavity? abcdfrontal process of maxilla zygomatic process of maxilla alveolar process of maxilla palatine process of maxilla

18) All true regarding stylomandibular ligament except abcdconnecting styloid process and mandible part of pretracheal layer to limit the excessive protrusion of mandible covering the parotid gland

19) Which muscle formed the anteroinferior part of carotid triangle? abcdinferior belly of omohyoid superior belly of omohyoid sternoclenomastoid posterior belly of digastric

20) Which one is in the scalene hiatus? abcdroot of brachial plexus 1st part of subclavian artery 3rd part of subclavian artery trunk of brachial plexus

21) All of the following muscle contribute to posterior triangle except abcdlevator scapulae scalenus anterior splenius capitis sternoclenomastoid

22) Right and left thyroid gland located at the level abcdC2 C3 C3 C4 C4 C5 C5 T1

23) Which is true regarding forehead of facial bone? abcdeveryone must have metopic suture every child must have frontal suture nasion is intersection of frontal and zygomatic bone metopic suture usually fuse around 20 years old

24) Posterior cranial fossa is the largest and deepest fossa. Which one is wrong about it? a- cilivus, internal occipital crest, internal occipital proturberence and jugular foramen located centrally b- facial nerve and vestibulocochlear nerve pass through internal acoustic meatus c- transverse sinus goes horizontally to become sigmoid sinus d- it is made of petrous temporal, occipital bone and sphenoid body

25) All of the following are false about external jugular vein except a- pass deep to sternoclenomastoid b- pass superficial to platysma c- formed by union of posterior auricular vein and posterior division of retromandibular vein d- formed by union of posterior auricular vein and anterior division of retromandibular vein 26) All of the following are innervate by nerve from anterior rami of C3 C4 except abcdskin over clavicle skin over posterior half of posterior triangle skin over upper half of shoulder skin over mandible

27) What is the roof of suboccipital triangle? abcdsplenius capitis rectus capitis posterior major semispinalis capitis rectus capitis posterior minor

28) Anterior branch of C2 innervates abcdlateral aspect over occipital behind auricle of ear medial aspect over occipital behind auricle of ear both surface of auricle anterior neck from mandible to sternum

29) One of the following is not a content of submandibular triangle abcddeep part of submandibular gland facial vein hypoglossal nerve submandibular lymph node

30) All of the following are true regarding facial artery except abcdlocated superficial to submandibular gland arises from anterior aspect of external carotid artery passes deep to stylohyoid muscle loops over inferior border of mandible

31) All true about thyroid relations except a- cricoid cartilage form the upper part of medial thyroid b- external carotid artery located posterior c- left recurrent laryngeal nerve loops around aorta d- superior belly of omohyoid form the upper part of anterolateral thyroid 32) Wrong statement about muscle of facial expression a- fleshy part only b- within superficial fascia c- innervate by facial nerve d- all attach to the skin 33) Which muscle formed the infero-posterior part of muscular triangle? abcdsternoclenomastoid superior belly of omohyoid posterior belly of digastric mylohyoid

34) Which of the following artery located anterior to phrenic nerve in posterior triangle? abcdtransverse cervical artery occipital artery 3rd part of subclavian artery suprascapular artery

35) Which one is the termination of external carotid artery? abcdlingual artery ascending pharyngeal artery maxillary artery superior thyroid artery

36) Transverse cervical artery originate from abcdC1 C2 C2 C2 C3 C3 C4

37) Where does the retromandibular vein divided into anterior and posterior division? abcdsuperior border of thyroid cartilage inferior border of thyroid cartilage inferior to both auricle angle of mandible

38) The scalenus anterior muscle abcdinnervate by phrenic nerve passes anterior to subclavian vein descends posterior to subclavian artery runs anterior to the root of brachial plexus

39) The ligament of vertebral column that resists its extension is abcdligamentum flavum anterior longitudinal ligament posterior longitudinal ligament interspinous ligament

40) The pituitary gland lies in sella turcica, immediately posterior and superior to abcdmaxillary sinus frontal sinus sphenoid sinus mastoid air sinus

41) A tumor located in the optic canal most likely damaged which of the following structure? abcdophthalmic nerve ophthalmic artery trochlear nerve facial artery

42) Intremembranous ossification is the source of abcdflat bone cancellous bone long bone bone of diaphysis

43) Which nerve gives motor innervation to the muscle in posterior boundary of submandibular triangle? abcdnerve to mylohyoid cervical branch of facial nerve spinal root of accessory great auricular nerve

44) Which muscle form the anteromedial part of submandibular triangle? abcdmylohyoid hyoglossus anterior belly of digastric posterior belly of digastric

45) What is the inferior attachment of platysma muscle? a- anterior half of clavicle b- inferior border of mandible c- posterior half of clavicle d- delto-pectoral deep fascia 46) Which is wrong about retropharyngeal space? a- minor pathway for spread of infection into thorax b- base of the skull form the posterior part c- largest space in the neck d- between the buccopharyngeal fascia and prevertebral fascia 47) Which artery arises from medial part of external carotid artery? a. b. c. d. superior thyroid artery occipital artery facial artery ascending pharyngeal artery

48) Common carotid artery divided into internal and external at the level abcdC2 C2 C3 C3 C4 C4 C5

49) During surgery for malignant parotid tumor, the main trunk of facial nerve is lacerated, resulting in paralysis in which of the following muscle? abcdmasseter muscle buccinator muscle tensor tympani anterior belly of digastric muscle

50) Which layer of deep fascia forming the roof of posterior triangle? abcdprevertebral layer investing layer pretracheal layer carotid sheath

51) Epicranial aponeurosis provides attachment for which muscle? abcdTemporalis muscle Posterior auricularis muscle Occipitofrontalis muscle Inferior auricularis muscle

52) A 1 year old baby boy has been hit with hard object by his violent brother at the frontal part. Which of the following fracture most likely to happen? abcdDepressed fracture Linear fracture Nasal bone fracture Comminuted fracture

53) Which layer of scalp allows free movement of scalp proper over bone? abcdPeriosteum Aponeurosis Dens connective tissue Loose connective tissue

54) The nerve that innervates anterior part of scalp arises from a- maxillary nerve b- mandibular nerve c- facial nerve d- ophthalemic nerve

55) All of the following are the condition that happen because of anterior cranial fossa fracture except abcdEpidural hemorrhage Epistaxis Cerebrospinal rhinorrhea Exophthalmus

56) Posterior cranial fossa fracture will cause injury to which level of cranial nerve? abcd7th 9th 8th 10th 9th 11th 10th 12th

57) All of the following will be innervate by motor branch of facial nerve except abcdplatysma muscle zygomaticus minor muscle temporalis muscle occipitalis muscle

58) The region at angle of the mandible is innervated by abcdlesser occipital nerve great auricular nerve auricotemporal nerve mental nerve

59) Mandibular nerve will gives motor innervation to all of the following muscle except abcdmylohyoid posterior belly of digastric masseter lateral pterygoid

60) Which one is the termination of inferior alveolar artery? abcdSupraorbital artery Facial artery Transverse facial artery Mental artery

61) Arteries that give blood supply to lateral part of scalp arise from external carotid artery at which part? abcdMedial Anterior Posterior Termination

62) A dural reflection that located between two half of cerebellum and has sickle shaped abcdFalx cerebri Falx cerebelli Tentorium cerebelli Sellar diaphragm

63) All of the following are the characteristics oftypical cervical vertebrae except abcdRectangular body Transverse foramina Short spinous process Large triangular vertebrae foramen

64) Pterion abcdIntersection of sagittal and coronal sutures Superior topmost point of the cranium Middle meningeal artery pass through it Intersection of sagittal and lambdoid sutures

65) Whiplash injuries abcdInjured at medulla oblongata Injured at upper cervical region of spinal cord Also called quadriplegia Dislocation of dens anteriorly

66) What is the type of median atlanto-axial joint? abcdCondyloid synovial joint Pivot synovial joint Hinge joint Ball and socket joint

67) All true about joint in cervicle vertebrae except abcdAtlanto-occipital joint is condyloid synovial joint Superior and inferior longitudinal ligament make the cruciate ligament We didnt move the skull when we say no Tectorial membrane is inferior continuation of posterior longitudinal ligament

68) The vagus nerve leaves the skull through the abcdJugular foramen Occipital foramen Foramen rotundum Inferior orbital fissure

69) The foramen spinosum is located in the abcdSphenoid bone Occipital bone Frontal bone Parietal bone

70) Panoramic radiograph suitable for examines all of the following except abcdCranial vault fracture Mandibular fracture Wisdom teeth Orthondontics

ANSWERS 1)a 13)b 25)c 37)d 49)b 61)d 2)b 14)c 26)d 38)d 50)b 62)a 3)c 15)d 27)c 39)b 51)c 63)c 4)a 16)d 28)a 40)c 52)a 64)c 5)c 17)a 29)a 41)b 53)d 65)a 6)b 18)b 30)a 42)a 54)d 66)b 7)d 19)b 31)b 43)b 55)a 67)d 8)a 20) 32)d 44)c 56)c 68)a 9)c 21)d 33)a 45)d 57)c 69)a 10)b 22)d 34)a 46)a 58)b 70)a 11)c 23)a 35)c 47)d 59)b 12)a 24)a 36)c 48)? 60)d

By: Atiqah Zalfakhar ~kalau ada salah,betulkan sendiri~ ( cara2 nak skor soalan MCQ: boleh la baca kat file HOW TO SUCCEED MCQs EXAM kat dlm folder school of life) kurangkan kontroversitingkatkan pressssssssstasi sekian.