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Anatomy Final Exam - Review Questions

Total questions: 90

Worksheet time: 5hrs 30mins

Name
Class
Date
1.

A 47-year-old woman is diagnosed as having a thyroid tumor. Surgery to remove the cancerous growth is undertaken. In which triangle of the neck will the surgeon make an incision to gain access to the gland?

a)

Subclavian

b)

Carotid

c)

Muscular

d)

Submandibular

e)

Submental

2.

These structures are all located in the superficial fascia of the neck EXCEPT

a)

External jugular vein

b)

Omohyoid muscle

c)

Platsyma muscle

d)

Transverse cervical nerve

e)

Cervical branch of facial nerve

3.

The superior belly of the omohyoid forms the anterior border of which cervical triangle?

a)

Carotid

b)

Omoclavicular

c)

Submandibular

d)

Posterior

4.

A stab wound just above the left clavicle, lateral to the sternocleidomastoid muscle, may be life-threatening because of the possibility of injury to the:

a)

Brachial plexus

b)

Internal jugular vein

c)

Axillary artery

d)

Thoracic duct

e)

Subclavian artery

5.

Which of the following hyoid muscles is an important landmark in both the anterior and posterior triangles of the neck?

a)

Geniohyoid

b)

Omohyoid

c)

Styohyoid

d)

Mylohyoid

6.

When a physician examined a child, he noticed that his neck was tilted laterally to right side and his chin rotated to left side.

What will be the diagnosis of the Physician?

a)

Erb’s palsy

b)

Torticollis

c)

Bell’s palsy

d)

Facial palsy

7.

Which one of the following structure forms the content of Suboccipital triangle?

a)

Ventral ramus of C1 nerve

b)

Dorsal ramus of C1 nerve

c)

Ventral ramus of C2 nerve

d)

Dorsal ramus of C2 nerve

8.

One of the motor components of the cervical plexus, the ansa cervicalis, innervates all of the following muscles except the:

a)

Thyrohyoid

b)

Sternohyoid

c)

Omohyoid

d)

Stylohyoid

9.

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

a)

Accessory nerve

b)

Branches of cervical plexus

c)

Trunks of the brachial plexus

d)

Internal jugular vein

e)

Subclavian artery

10.

Contents of the submandibular triangle include all of the following EXCEPT:

a)

Hypoglossal nerve

b)

Submandibular lymph node

c)

Nerve or mylohyoid

d)

Glossopharyngeal nerve

e)

Facial artery

11.

The common carotid, internal carotid arteries, internal jugular vein, and vagus nerve are contents of...

a)

Carotid sheath

b)

Prevertebral fascia

c)

Pretracheal fascia

d)

Investing layer

12.

How is the submandibular triangle formed?

a)

Omohyoid

b)

Anterior border of SCM

c)

Anterior and posterior belly of digastric

d)

Median line of the neck

13.

Select the suprahyoid muscles

a)

Mylohyoid

b)

Omohyoid

c)

Digastric

d)

Stylohyoid

e)

Geniohyoid

14.

Select the infrahyoid muscles

a)

Stylohyoid

b)

Omohyoid

c)

Sternohyoid

d)

Sternothyroid

e)

Thyrohyoid

15.

Which nerve innervates the sternocleidomastoid?

a)

Vagus nerve

b)

Spinal accesory nerve

c)

Ansa cervicalis

d)

Glossopharyngeal nerve

16.

The rectus capitis posterior major and minor, superior and inferior oblique are boundaries of which triangle?

a)

Submental triangle

b)

Muscular triangle

c)

Submandibular triangle

d)

Suboccipital triangle

17.

The vertebral artery, dorsal ramus of C1 nerve, and subocccipital venous plexus are contents of?

a)

Suboccipital triangle

b)

Posterior triangle

c)

Submandibular triangle

d)

Muscular triangle

18.

The anterior triangle is divided by which muscles?

a)

Sternocleidomastoid

b)

Superior belly of omohyoid

c)

Digastric

d)

Midline of the neck

19.

All are triangles of anterior triangle, except?

a)

Muscular

b)

Omoclavicular

c)

Digastric

d)

half of submental

e)

Carotid

20.

By means of which bone is the anterior triangle subdivided into suprahyoid & infrahyoid?

a)

Mastoid process

b)

Hyoid bone

c)

Body of mandible

d)

Sternum

21.

In which triangle are the muscles of the tongue found?

a)

Submental

b)

Anterior

c)

Submandibular

d)

Occipital

22.

The submandibular duct is also called...

a)

Weston’s duct

b)

Whater’s ducts

c)

West’s duct

d)

Wharton’s duct

23.

Which muscles depresses the tongue?

a)

Geniohyoid

b)

Hyoglossus

c)

Mylohyoid

d)

Genioglossus

24.

The external jugular vein is formed by?

a)

Common facial vein

b)

Retro mandibular vein

c)

Subclavian vein

d)

Posterior auricular vein

e)

Maxillary vein

25.

What are the tributaries of the EJV?

a)

Posterior external jugular vein

b)

Posterior auricular vein

c)

Anterior jugular vein

d)

Suprascapular vein

e)

Transverse cervical vein

26.

Which vein is seen in the carotid sheath?

a)

external jugular vein

b)

internal jugular vein

c)

Subclavian vein

27.

Which two veins unite to form the branchiocephalic trunk?

a)

Subclavian vein

b)

Dorsal scapular vein

c)

Axillary vein

d)

Internal jugular vein

28.

What are the glossopharyngeal nerve branches?

a)

Carotid branch

b)

Lingual branches

c)

Pharyngeal branches

d)

Hyoglossal branches

29.

Lesion to which nerve causes cardiac arrest or syncope

a)

Accessory

b)

Glossopharyngeal

c)

Vagus

d)

Hypoglossal

30.

Which nerve lesion leads to impact to larynx?

a)

Vagus

b)

Accesory

c)

Glossopharyngeal

d)

Hypoglossal

31.

irritation of which nerve causes spasm of trapezius and sternocleidomastoid muscle (torticollis)

a)

Hypoglossal

b)

Glossopharygeal

c)

Accesory

d)

Vagus

32.

Lesion to which nerve causes unilateral lesion – tip of tongue when protruded tilts to paralyzed side

a)

Hypoglossal nerve

b)

Glossopharyngeal nerve

33.

Two masses of lymphoid tissue, each located in the depression on the lateral wall of the oral part of the pharynx between the palatoglossal and palatopharyngeal arches are called

a)

Lingual tonsil

b)

Pharyngeal tonsil

c)

Palatine tonsil

d)

Tubal tonsil

34.

All pharynx muscles, except for the stylopharyngeus, are supplied by?

a)

Cranial part of accessory nerve

b)

Glossopharyngeal nerve

c)

Hypoglossal nerve

35.

What is the stylopharyngeus supplied by?

a)

Vagus nerve

b)

Glossopharyngeal nerve

c)

Hypoglossal nerve

36.

Structures passing through sinus of morgagni

a)

Stylopharyngeus muscle

b)

Auditory tube

c)

Levator veli palatini

d)

Ascending palatine artery

e)

Recurrent laryngeal nerve

37.

Structures passing between superior and middle constrictor

a)

Glossopharyngeal nerve

b)

Ascending palatine artery

c)

Stylopharyngeus muscle

38.

Structures passing between middle and inferior constrictor

a)

Internal laryngeal nerve

b)

recurrent laryngeal nerve

c)

Superior laryngeal vessels

d)

Inferior laryngeal vessels

39.

Structures passsing below the inferior constrictor

a)

Recurrent laryngeal nerve

b)

ascending palatine artery

c)

Inferior laryngeal vessels

40.

Sensory innervention of the oropharynx

a)

Maxillary nerve

b)

Internal laryngeal nerve

c)

Glossopharyngeal nerve

41.

Sinus of Morgani is large concave gap between the?

a)

Sup. and mid. Constrictor of the pharynx

b)

Mid. and inf. Constrictor of the pharynx

c)

The base of the skull and superior constrictor of the pharynx

d)

Below inferior constrictor of pharynx

42.

Where does the duct of the submandibular salivary gland open into?

a)

Either side of the frenulum

b)

Lower second molar tooth

c)

the Vestibule of oral cavity

43.

The inflammation of the nasal fragile tonsil (adenoids) can obstruct the

a)

Opening of auditory tube

b)

Sinus of morgani

c)

Oral pharyngeal tonsil

d)

Pharyngeal isthmus

44.

Tonsillar tissue is commonly found

a)

Between the palatoglossal and palatopharyngeal folds

b)

On the posterior wall of the oropharynx

c)

Under the mucosa of the ventral surface of the tongue

d)

All of the above

45.

The pharyngeal tonsils, or adenoids, become inflamed in serious cases need to be removed. Where would the physician search for this?

a)

On the dorsal surface of the tongue

b)

In the pharyngeal recess

c)

tonsillar Fossa

d)

In the roof of the Nasopharynx

e)

In the piriform recess

46.

The constrictor muscles of the pharynx received their motor nerve supply from the

a)

Spinal accessory nerve

b)

Hypoglossal nerve

c)

Sympathetic trunk

d)

Vagus nerve

e)

Glossopharyngeal nerve

47.

Arterial blood supply of the submandibular gland is through which branch of the external carotid artery?

a)

Maxillary

b)

Facial

c)

Superior pharyngeal

d)

Ascending pharyngeal

48.

The tonsillars ring of Waldeyers ring consists of

a)

Adenoid

b)

Lingual tonsil

c)

Nasopharyngeal tonsil

d)

Larynx

49.

The common carotid artery divides into external and internal carotid artery at the

a)

Cricoid cartilage

b)

Thyroid cartilage

c)

Cricothyroid cartilage

50.

Internal jugular vein is a continuation of?

a)

Common facial vein

b)

Sigmoid sinus

c)

External jugular vein

d)

Occipital vein

51.

Twenty four hours following a partial thyroidectomy where the inferior thyroid artery was ligated (tied off), the patient now spoke with a hoarse voice and had difficulty breathing. Which nerve was injured?

a)

Internal branch of sup. Laryngeal

b)

External branch of sup. Laryngeal

c)

Recurrent laryngeal

d)

Ansa cervicalis

52.

A 30 year old man visited his physician complaining of a swelling on the front of the neck and breathlessness. On examination, swelling of firm consistency was found to left of the midline of the neck. The swelling moved up and down on swallowing.

The swelling is related to one of the following structures.

a)

Thyroid

b)

Larynx

c)

Pharynx

d)

Esophagus

e)

Trachea

53.

Which two joints do the laryngeal skeleton move?

a)

Arytenothyroid

b)

Cricothyroid

c)

Corniculoartyteniod

d)

Cricoarytenoid

e)

Cricotracheal

54.

The lateral surface of the thyrohyoid membrane is pierced by one of the following nerves

a)

External laryngeal nerve

b)

Recurrent laryngeal nerve

c)

Internal laryngeal nerve

d)

Glossopharyngeal nerve

55.

The Adams apple that I seen predominantly on the neck of meals is called the laryngeal prominence. Which cartilage of the larynx is it part of?

a)

Thyroid

b)

Epiglottis

c)

cricoid

d)

Hyoid

56.

What is the name of the space between the vocal cords?

a)

Inlet of the larynx

b)

Rims glottidis

c)

Piriform recess

57.

Most laryngeal muscles are supplied by the recurrent laryngeal nerve, except for the cricothyroid muscle, which is supplied by the external laryngeal nerve. Which CN do these branch from?

a)

Trigeminal (V)

b)

Vagus (X)

c)

Hypoglossal (XIII)

d)

Optic (II)

58.

Knowledge of location of the thyroid gland is important to perform the physical examination. It is located anteriorly at the lower part of neck in relation to trachea and lies deep to the anterior triangle neck muscles.


What is the vertebral level that the thyroid gland is situated in the neck?

a)

C6, C7, T1 and T2

b)

C5-C7

c)

C6, C7 and T1

d)

C5-7 and T1

59.

Thyroid is covered with the fibrous true capsule which sends septa inward and divides the organs into lobules. External to the fibrous capsule, it is covered by loose connective tissue sheath (false capsule) which is derived from one of the layers of cervical fascia.


Which layer of cervical fascia forms the false capsule of thyroid gland?

a)

Playsma

b)

Pretracheal layer

c)

Investing layer

d)

Prevertebral layer

60.

Thyroid gland is highly vascular and supplies supplied by branches of a pair of superior and inferior third arteries which lie between the fibrous and loose connective tissue layers.


Which artery generally gives rise to the superior thyroid Artery?

a)

Thyrocervical trunk

b)

External carotid artery

c)

Subclavian artery

d)

Internal carotid artery

61.

A patient is diagnosed as having a venous anomaly of the posterior spinal veins which have enlarged, putting pressure on the spinal cord. In order to expose the veins, the surgeon will have to pass through the skin, subcutaneous tissue, deep back muscles and then, in order, the

a)

Laminae, epidural space, dura, subdural space, arachnoid, subarachnoid space, pia

b)

Pedicles, posterior longitudinal ligament, epidural space, dura, subdural space, arachnoid, subarachnoid space, pia.

c)

Pedicles, epidural space, dura, subdural space, arachnoid, subarachnoid space, pia.

d)

Laminae, posterior longitudinal ligament, epidural space, dura, subdural space, arachnoid, subarachnoid space, pia

62.

Prostate cancer is diagnosed in an 82 year old male. Thereafter a malignant brain tumor of prostatic origin is found. He subsequently dies. An autopsy reveals tumor sites in the prostate, vertebral column, and brain, but no other organs. By what vascular pathway did the cancerous cells get to the brain:

a)

Vertebral artery

b)

Anterior spinal artery

c)

Azygous venous system

d)

Vertebral venous plexus

63.

A patient is suspected of having bacterial meningitis. A lumbar puncture is performed to remove cerebrospinal fluid (CSF) for analysis. If done properly, the needle used for the tap would penetrate all layers except:

a)

Pia mater

b)

Dura mater

c)

Epidural fat

d)

Arachanoid mater

64.

A patient is suspected of having bacterial meningitis. A lumbar puncture is performed to remove cerebrospinal fluid (CSF) for analysis. The fluid would be removed from the:

a)

Epidural space at level of L3

b)

Subarachnoid space at the level of L4

c)

Intervertebral foramen at the level of L2

d)

Spinal canal at level of L 3

65.

The spinal cord is segmented like the vertebral column, but in contrast to the vertebrae, there are only _____ cord segments

a)

31

b)

30

c)

29

d)

32

66.

The denticulate ligament...

a)

Has its terminal attachment at S2

b)

attaches to the dural sac continuously

c)

is a modification of pia mater

d)

Is found between all dorsal and ventral roots

67.

It is decided to image the spinal cord and spinal nerve rootlets by doing a myelogram (injection of a radio-opaque dye into the subarachnoid space followed by a radiograph). In order to inject the dye without injury to the spinal cord, the injection is usually done below what vertebral level?

a)

L2

b)

L1

c)

L5

d)

L4

68.

A football player suffers a herniated (ruptured) intervertebral disk in his neck. The disk compresses the spinal nerve exiting through the intervertebral foramen between the 5th and 6th cervical vertebrae.


Which spinal nerve is affected?

a)

C8

b)

C5

c)

C6

d)

C7

69.

The cells that conduct messages towards the brain are the...

a)

Motor neurons

b)

Sensory neurons

c)

Neuroglia

d)

Interneurons

70.

A patient is admitted after a head injury and sinks rapidly into a coma. An MRI scan indicates an extradural haemorrhage because extravasated blood can be detected between the...

a)

Skull bones and dura mater

b)

Arachnoid and pia mater

c)

Pia mater and brain surface

d)

Dura mater and arachnoid

71.

A 23-year-old female presents complaining of hearing changes and balance issues. Which cranial nerve is most likely involved with her problems?

a)

CN XI

b)

CN IX

c)

CN VIII

d)

CN V

72.

A patient presents with concerns about his vision. He states that he is experiencing double vision. Upon evaluation, you conclude that he has lateral rectus palsy. Which cranial nerve is most likely lesioned in this young man?

a)

Trigeminal

b)

Oculomotor

c)

Abducent

d)

Trochlear

73.

Which of the following nerve is involved in affecting the heart rate?

a)

Trigeminal

b)

Vagus

c)

Abducent

d)

Glossopharyngeal

74.

Which of the following cranial nerves can be directly linked to ptosis?

a)

VI

b)

V

c)

III

d)

IV

75.

What function is associated with the oculomotor nerve?

a)

Eye movement via the superior oblique

b)

Eye movement and pupil constriction

c)

Eye movement via the lateral rectus

d)

Eyesight

76.

Identify the unmatched pair:

a)

Foramen ovale - CN V2

b)

Jugular foramen - CN IX, X, XI

c)

Superior orbital fissure - CN III, IV, V1, VI

d)

Lateral wall of cavernous sinus - CN III, IV, V1, VI

77.

You receive a patient for dental treatment, and while discussing you come to know that he was unable to sense the smell for past 5 years after a Traumatic brain injury. Name the cranial nerve involved in this case?

a)

CN I

b)

CN IX

c)

CN VIII

d)

CN III

78.

Which cranial nerve is responsible for bringing auditory and orientation information to the brain?

a)

CN VIII

b)

CN II

c)

CN X

d)

CN I

79.

Which cranial nerve is responsible for mastication?

a)

Glossopharyngeal

b)

Facial

c)

Trigeminal

d)

Vagus

80.

Which branch of the trigeminal nerve provides sensation to the upper lip?

a)

Buccal nerve

b)

Cervical nerve

c)

Mandibular nerve

d)

Maxillary nerve

81.

A malignant tumour is damaging the patient's glossopharyngeal nerve. They will experience

a)

paralysis of the muscles of the tongue

b)

loss of taste over the anterior two-thirds of the tongue

c)

loss of taste and somesthetic sensation over the posterior third of the tongue

d)

loss of somesthetic sensation over the anterior two-thirds of the tongue.

82.

Examination of a patient indicates that they have a medially directed strabismus (squint). This could be due to damage to the...

a)

Abducent nerve

b)

Oculomotor nerve

c)

Ophthalmic trigeminal nerve

d)

Trochlear nerve

83.

CN VII supplies the?

a)

taste buds on the posterior third of the tongue.

b)

muscles of the lower lip.

c)

muscles of the soft palate.

d)

the parotid salivary gland.

84.

What nerve wraps around the cranial nerve 6 before it exits the brain stem?

a)

CN 3

b)

CN 5

c)

CN 7

d)

CN 9

85.

This cranial nerve exits from the dorsal side of the brain?

a)

CN 4

b)

CN 2

c)

CN 1

d)

CN 3

86.

Where do Cranial nerves 9,10 & 11 originate from?

a)

Midbrain

b)

Medulla

c)

Pons

d)

Cortex

87.

A patient came to the ER after a hard fall on his shoulder, he couldn’t move his right shoulder and turn his head to the right either, The nerve could be Affected is:

a)

CN 5

b)

CN 7

c)

CN 11

d)

CN 9

88.

A student was shot by a bullet on the left side of the neck. The wound left him bleeding profusely and paralyzed the sternomastoid, trapezius and stylopharyngeus muscles on the same side. The posterior third of the tongue lost taste sensation. The bullet had pierced which of the following sites?

a)

Jugular foramen

b)

Foramen magnum

c)

Foramen lacerum

d)

Carotid canal

89.

When you visited a neighbour, you noticed that his lips deviate to one side and he was unable to close his eyes on the other side. On discussion, he revealed that he has a cranial nerve lesion. Mention the cranial nerve involved in this case?

a)

CN 9

b)

CN 5

c)

CN 11

d)

CN 7

90.

The broca’s lobe is located in?

a)

Parietal

b)

Frontal

c)

Temporal

d)

Occipital