SCHOOL OF MEDICINE AND HEALTH SCIENCES

LEOPARDS HILL CAMPUS

Sample Question 1 March 2019

Module 1
Oral Anatomy (Gross)
BMHA 121
Duration: 1hour 30 minutes

1. The paper contain three sections A,B and C

2. Section A contains 10 Single Answer Multiple Choice Questions (SAMCQ)
3. Section B contains 5 Extended Matching Questions(EMCQ)
4. Section C contains 2 Scenario questions requiring short answers (SAQ)
5.The paper has a total of 150 marks with 50 marks for each section

Section A (50marks)

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This section contains 10 single answer Multiple Choice questions. Chose the single best
answer for each stem. Circle the answer you have chosen, unclear answers maybe
penalized.

Oral Anatomy

1. Regarding Oral Anatomy

A. The Oral Cavity has 2 parts
B. The Oral Cavity has 4 parts
C. The Oral cavity can be divided into 3 parts
D. The Oral Cavity can be divided into 2 parts
E. The Oral Cavity has one main part

2. Regarding an image of the Sagittal section of the Mouth

A. They vestibule is behind the tongue

B. The Palate has a hard Palate posterior to the soft Palate
C. The Uvula is inferior while the Epiglottis is superior
D. The lips and the gums may the boundaries for the Vestibule
E. The Pharyngeal Tonsils is the same as the Palatine Tonsils.

3. Regarding walls of the Oral Cavity.

A. The Buccinator muscle is on the anterior wall.

B. The floor is the Cheeks of the mouth
C. The roof is the hard and soft Palate
D. Posterior part is the Nasal Pharynx.
E. When blowing bubble gum the muscle used is part of the posterior wall.

4. The Superficial Anatomy of the Oral Cavity

A. The Labial frenulum is seen between the Tongue and the floor.
B. The Lingual Frenulum are two and they look blue
C. The Wharton’s duct open at the floor of the mouth
D. The Tonsil is between the Tongue and the Palatoglossal fold

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 E. The Uvula is behind the Palatopharyngeal fold

5. Regarding the Palate

A. It has an anterior hard Palate and a posterior soft palate

B. It has 2/3 anterior bony palate and a posterior 1/3 soft palate
C. The Uvula is part of the Soft palate
D. During swallowing the Soft Palate closes off the Larynx
E. The Hard palate is primarily composed of muscle

6. Regarding the Tongue

A. The general sensation of the anterior 2/3 is by the Hypoglossal nerve.
B. The Fungiform papilla lie along the Sulcus Terminalis
C. The Stenson’s duct opens in the floor of the Tongue.
D. The Chorda Tympani nerve supplies special sensation to the anterior 2/3 of the
tongue.
E. Styloglossus muscle can retract the Tongue.

7. Regarding the Teeth

A.The Tooth has three parts the Enamel, the Neck and the Root.
B. The Roots are covered by Cementum which attaches the tooth to the Gums
C. Dental Formula1/2 refers to upper right lateral Incisor tooth
D. The full complement of permanent Teeth is 28..
E. The first Tooth to erupt in a baby is the Central Incisor

8. Regarding the Tonsils

A. The are not part of the oral lymphatic defenses called the Waldeyer’s ring.
B. Enlarge with age
C. The blood supply is the Lingual artery a branch of the Mandibular Artery.
D. The Enlarge Tonsils can obstruct the Airway and cause Snoring .
E. The Tonsils lie between the Palatoglossal Fold posteriorly and the
Palatopharyngeal fold anteriorly.

9. Regarding the Salivary Glands

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 A. The Parotid glands is the largest but produces the least Saliva
B. The Submandibular Glands lies just below the mandible
C. The Sublingual Gland has a single duct called Whartons duct
D. The Parotid Gland has a duct called the Stensons duct which opens opposite the
first upper Molar tooth.
E. Sialorrhoea is low production of Saliva

10. Regarding applied anatomy of the Oral Cavity

A. A patient with Ludwigs Angina has pus in the Tonsils.

B. Dental Cares become painful when the affect the Dentine
C. The person who fail to lift the Tongue from the Floor of the mouth may have
Ankyloglossia (Short Lingual Frenulum)
D. Apatient sticks out his tongue to you and it points to the left, may have paralysis of
the right Hypoglossal nerve.
E. The person who bleeding when brushing their teeth may have Dental Caries .

End of Section A
Section B (50marks)
This section contains 5 extended matching questions. You are required to match the 4 items
in column A with the 5 items in column C. The answer should be the best match of the term
in column A to the term in column C. Do not repeat any answer. One item in Column C will
not be used. See the example below.

Question 1 The Muscles of the Tongue

Column A Section B Section C

1.Styloglossus A. Depression and
Protraction
2.Hyoglossus B. Elevation
3.Genioglossus C. Depression and

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 Retraction
4.Palatoglossus D. Depression
E. elevation & retraction

Question 2 Taste buds of the Tongue

Column A Section B Section C

1.Filliform A. U shaped Lateral
Dorsal
2.Fungiform B. Slit shaped lateral
3.Folate C. Slim shape Central
4.Circumvallate D. Circular Lateral
E. Circular Sulcus
Terminalis

Question 3 The Nerve supply of the Tongue

Column A Section B Section C

Hypoglossal A. Special sensation post
1/3
Glossopharyngeal B. Special Sensation ant
2/3
Chorda Tympani C. Special Sensation
Lingual D. Motor
E. General sensation

Question 4 The Glands

Column A Section B Section C

Sublingual A. Edge Masseter Muscle
Submandibular B. Between the Ear and
the Ramus of the
Mandible
Parotid C. Below the Tongue
Stenson’s Duct D. Below the Mandible
E. Between the Ear and
the Ramus of the Maxilla

Question 5 The Teeth

Column A Section B Section C

Incisors A. Crushing
Canine B. Chopping
Premolar C. Cutting

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Molar D. Grinding
E. Tearing

End of Section B
Section C
This section involves filling in the blank spaces with the words provided in the table provided
Each question carries 5 marks. There are 12 terms to choose from, and there are 10
sentences.

The list of Terms

Number Term
1 Orbicularis Oris
2 Intrinsic muscles of the Tongue
3 Orbicularis Oculi
4 Tonsilar Artery
5 Superior Labial Frenulum
6 Soft Plate
7 Inferior Labial Frenulum
8 Lingual Artery
9 Lingual Vein
10 Stensons Duct
11 Foramen Caecum
12 Parotitis

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Using any of the terms provided to fill in the sentences below. Each word can only be used
once.
1.The inflammation of the Parotid Gland is called…………………………….
2.The name of the area at the apex of the Sulcus Terminalis is called………………….
3.The duct that opens opposite the 2nd upper Molar toot is called……………………….
4.The blue vessels on the ventral surface of the tongue on each side of the lingual
frenulum…………………………..
5.The blood supply to the Tonsil is ……………………………
6.The string like structure attaching the upper lip to the gums…………………………
7.The muscle responsible for smiling……………………………………………..
8.The organ in the transverse, vertical and longitudinal muscles are all…………………….
9.The Uvula is from the ………………………..
10.The string like structure which connect the lower lip with the gums is……………………..

Section D (50marks)
This section contains 2 Clinical Scenarios with 5 questions. The answers must be given in
the form of short answers in the space provided. Where a diagram is required to be drawn
this should be done in the answer sheet provided.

Scenario 1

A 6 year old boy has bad breath. His mother says he always snores at night and has
repeated episodes of fever. He also has frequent ear infections and has a running noses all
the time. The mother takes the child to Levy Mwanawasa hospital.

Q1 Name the organ of the Oral cavity which is mostly likely to be

diseased……………………………………………………………………………………..

Q2. What is the blood supply to this organ?

………………………………………………………………………………………….

The Doctor exams the boy and finds two large swellings at the back of the mouth with some pus
on top.

Q3. Where exactly in the mouth does the doctor have to look?
……………………………………………………………………………………………………....
...............................................................................................................................................

Q4. What is the most likely diagnosis?

………………………………………………………………………………………………………
……………………………………………………………………………………………………..

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Q5Why does this boy snore at night?
………………………………………………………………………………………………………
………………………………………………………………………………………….

Scenario 2

A 46 month old male Mr Johnston Banda complains that he has pain when he takes very cold
water. He also says if he takes spicy food he has pain at night. He also has started to eat only soft
food, because when he eats very hard bony meat, he will not sleep at night due to pain. He goes
to the hospital and is referred to see the dentist.

Q1.Name organ of the oral cavity which is most likely to have a

problem……………………………………………………………………………………..

Q2. What is the structure of this organ?Use a labeled diagram to describe it.
………………………………………………………………………………………….

Q3. What is the most likely diagnosis?

……………………………………………………………………………………………………....
...............................................................................................................................................

Q4. Why does Mr Banda have pain with cold water?

………………………………………………………………………………………………………
……………………………………………………………………………………………………..

Q5.What is the most likely diagnosis?

………………………………………………………………………………………………………
………………………………………………………………………………………….