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Surgsoc - Brian Kwag

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Pterion is the suture point between all of the below neurocarnium except

a)

A. Parietal

b)

B. Ethmoid

c)

C. Temporal

d)

D. Sphenoid

e)

E. Frontal

2.

Which of the structure passes through the same cranial foramen as the anterior middle meningeal artery?

a)

A. Maxillary nerve (CN V2)

b)

B. Trochlear nerve (CN IV)

c)

C. Internal carotid artery

d)

D. Mandibular nerve (CN V3)

e)

E. External jugular vein

3.

Which paranasal sinus is most likely to get infected?

a)

A. Frontal

b)

B. Carotid

c)

C. Maxillary

d)

D. Ethmoidal

e)

E. Sphenoidal

4.

Which two structures drain into the same nasal meatus as the frontal sinus does?

a)

A. Maxillary sinus

b)

B. Sphenoid sinus

c)

C. Anterior ethmoid sinus

d)

D. Posterior ethmoid sinus

e)

E. Nasolacrimal duct

5.

Which two muscles are likely to be utilised when looking inferomedially?

a)

A. Superior oblique

b)

B. Orbicularis oculi

c)

C. Medial rectus

d)

D. Inferior rectus

e)

E. Inferior oblique

6.

Which muscle is not innervated by the trigeminal nerve?

a)

A. Medial pterygoid

b)

B. Mylohyoid

c)

C. Stylohyoid

d)

D. Masseter

e)

E. Temporalis

7.

Which special sense does the facial nerve has involvement in?

a)

A. Vision

b)

B. Taste

c)

C. Olfaction

d)

D. Auditory

e)

E. Proprioception

8.

Which cranial nerve would be intact with cavernous sinus syndrome?

a)

CN2

b)

CN3

c)

CN4

d)

CN5

e)

CN6

9.

A 70 year old female patient presents to A&E feeling weaker than usual. Taking a history is difficult as when you ask her questions, her replies consist of unrelated words jumbled together. Examination reveals a severe right-sided facial droop and hemiplegia. She is also found to have a right homonymous hemianopia, without macula sparing. CT head scan subsequently confirms an ischaemic stroke.

Which blood vessel is likely to have been affected?

a)

A. Left anterior cerebral artery

b)

B. Right middle cerebral artery

c)

C. Left middle cerebral artery

d)

D. Right posterior cerebral artery

e)

E. Posterior inferior cerebellar artery

10.

A 48 year old man complains to his GP. On examination his GP notes that there is poor movement of his soft palate, deviation of the uvula to the left and weakness turning his head to the left and lifting of his right shoulder.

An MRI scan would show a lesion in which of the following locations?

a)

A. Left hypoglossal canal

b)

B. Foramen magnum

c)

C. Right hypoglossal canal

d)

D. Right jugular foramen

e)

E. Left jugular foramen

11.

A 25 year old male patient is referred to the neurology department with instability and falls. He has a epilepsy, which has proved difficult to control and for which he has recently been prescribed phenytoin. On physical examination there is a broad-based unsteady gait. There is no nystagmus or speech abnormalities. Examination of the upper and lower limbs is normal.

Where is the lesion?

a)

A. Flocculonodular lobe

b)

B. Cerebellar hemispheres

c)

C. Cerebellar vermis

d)

D. Intermediate cerebellum

e)

E. Posterior lobe of the cerebellum

12.

A 68 year old male patient suffered from a stroke 2 months ago, primarily affecting his right arm and leg.

Which of the following clinical signs is most likely to be present?

a)

A. Hypotonia

b)

B. Clonus

c)

C. Hyporeflexia

d)

D. Muscle atrophy

e)

E. Fasciculations

13.

A right-handed 75 year old patient attends the emergency department with his son. This morning, he woke up and no longer understood what was being said to him and was ‘talking nonsense’. He is normally fit and well and has a past medical history of hypertension and a 40 pack year history. On examination, his speech is fluent but non-sensical.

Where is the most likely site of the lesion?

a)

A. Hippocampus

b)

B. Right inferior frontal gyrus

c)

C. Left inferior frontal gyrus

d)

D. Right superior temporal gyrus

e)

E. Left superior temporal gyrus

14.

Given the somatotopic arrangement of the homunculus, which motor area will be most affected by a stroke involving the left anterior cerebral artery?

a)

A. The left lower limb

b)

B. The left upper limb

c)

C. The right lower limb

d)

D. The right upper limb

e)

E. The right side of the face

15.

Which of these structures does not arise from neural crest cells?

a)

A. Melanocytes

b)

B. Sympathetic neurons

c)

C. Adrenal medullary cells (chromaffin)

d)

D. Connective tissue of head

e)

E. Choroid plexus