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Postest Anatomi Blok 2.3 Throat

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

A patient with chronic nasopharyngeal obstruction due to adenoid hypertrophy is at high risk of ear complications. Anatomically, this is because...

a)

The nasopharynx communicates directly with the paranasal sinuses

b)

The opening of the auditory (Eustachian) tube empties into the nasopharynx

c)

The tensor veli palatini muscle that opens the tube originates from the nasopharynx

d)

Sensory innervation of the ear and the nasopharynx is both from the trigeminal nerve

e)

Lymphatic drainage of the ear drains to the pharyngeal tonsil

2.

During swallowing (deglutition), the food bolus is propelled from the oropharynx to the esophagus by sequential contraction of the pharyngeal constrictor muscles. The correct sequence is...

a)

Superior → middle → inferior

b)

Inferior → middle → superior

c)

Middle → superior → inferior

d)

Superior and middle together, then inferior

e)

Contraction occurs simultaneously in all three

3.

A post-stroke patient reports dysphagia and frequent choking. The lesion most likely affects the motor innervation of the pharyngeal muscles, which primarily comes from...

a)

Trigeminal nerve (CN V)

b)

Facial nerve (CN VII)

c)

Glossopharyngeal nerve (CN IX)

d)

Pharyngeal branch of the vagus nerve (CN X)

e)

Hypoglossal nerve (CN XII)

4.

The palatine tonsil receives its principal arterial supply from the...

a)

Ascending pharyngeal artery

b)

Facial artery (tonsillar branch)

c)

Lingual artery

d)

Maxillary artery

e)

Superior thyroid artery

5.

In the pharyngeal phase of swallowing, closure of the nasopharynx to prevent nasal regurgitation occurs due to contraction of...

a)

Superior pharyngeal constrictor

b)

Palatopharyngeus muscle

c)

Tensor and levator veli palatini

d)

Muscles of the soft palate (especially levator veli palatini)

e)

All of the above contribute

6.

The laryngeal cartilage that forms a complete ring and serves as the landmark for emergency cricothyrotomy is the...

a)

Thyroid cartilage

b)

Cricoid cartilage

c)

Arytenoid cartilage

d)

Corniculate cartilage

e)

Epiglottis

7.

A patient has hoarseness and a weak voice after thyroid surgery. Laryngoscopy shows the left vocal cord in a paramedian position (partially closed). The most likely lesion is in the...

a)

Left recurrent laryngeal nerve

b)

Left superior laryngeal nerve

c)

Left vagus nerve at the jugular foramen

d)

Left glossopharyngeal nerve

e)

Cervical sympathetic chain

8.

The muscle that, when it contracts, tenses the vocal cords and thus increases pitch is the...

a)

Thyroarytenoid muscle

b)

Vocalis muscle

c)

Cricothyroid muscle

d)

Oblique arytenoid muscle

e)

Posterior cricoarytenoid muscle

9.

The laryngeal prominence (Adam’s apple) is formed by the...

a)

Junction of the two laminae of the cricoid cartilage

b)

Junction of the two laminae of the thyroid cartilage

c)

Superior tip of the epiglottis

d)

Prominent arytenoid cartilage

e)

Thyrohyoid membrane

10.

During normal quiet respiration, the position of the rima glottidis is...

a)

Completely closed

b)

Slightly open (abducted)

c)

Moving to produce sound

d)

Partially closed as in phonation

e)

Dependent on the phase of inspiration/expiration