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1. The palatine tonsils are seen in between these two structures?

At the back of the throat is where the palatine tonsils are located. One of the tonsils is on
the right side of the throat while the other tonsil is on the left side of the throat. The
major roles of the these tonsils is to protect the body against gastrointestinal and
respiratory infections.

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2. This is a thin mucous membrane that lines the Eyelids.


Conjunctiva

ANATOMY OF THE EAR

1. Which part of the ear has no role to play in hearing but is very important?
A. Ear Ossicles
B. Organ of Corti
C. Eustachian tube
D. Vestibular Apparatus

2. It receives sound vibration and passes to the eardrum


A. Outer ear
B. Middle ear
C. Inner ear
D. Eustachian tube

3. The border between middle ear and inner ear is formed by


A. Incus
B. Oval window
C. Pinnae
D. Tympanic membrane

4. The organ of corti is present in


A. Scala media
B. Scala tympani
C. Scala vestibuli
D. Endolymphatic duct
5. The membranous labyrinth contains
A. Cystolymph
B. Otolymph
C. Perilymph
D. Endolymph
6. Find the incorrect statement about the eustachian tube
A. Connects internal ear to external ear
B. It equalizes pressure between middle ear and outer atmosphere
C. Extends from the middle ear to the upper part of the throat behind the nose
D. Normally closed, opens under certain conditions

7. Find the correct statement about the inner ear


A. Made up of bony and membranous segments
B. Membranous labyrinth encloses bony labyrinth
C. Perilymph surrounds membranous labyrinth
D. Air-filled inner segment

8. Match the following

Column 1 Column 2
Reisner’s membrane (I) covered by mucous membrane
Incus (II) terminates at the oval window
Tympanic membrane (III) Separates scala media and scala vestibuli
Scala vesibuli (IV) anvil – shaped
A. III,IV,I,II
B. I,II,III,IV
C. III,I,II,IV
D. I,III,IV,II

9. Find the incorrect match


A. Middle ear – amplifies sound waves
B. Hair cells - present on basillar membrane
C. Saccule and utricle – maintain static equilibrium
D. Cristae – perform hearing function

10. The basilar membrane is present between


A. Scala vestibule and scala media
B. Scala media and scala tympani
C. Scala vestibule and scala tympani
D. Scala media and endolymphatic sac

11. Which of the following statements is NOT true


A. Semicircular ducts are filled with perilymph
B. Utricles and saccule are two sac lice structures
C. Cochlea makes almost about 3 turns around bony core
D. Basilar membrane separates cochlear duct from scala tympani

12. What is the swollen enlargement on one side of a semicircular canal called?
A. Semicircular duct
B. Ampulla
C. Vestibule
D. Cochlea

13. Which membrane encloses or surrounds the round window?


A. Tectorial membrane
B. Basilar membrane
C. Vestibular membrane
D. None

14. Which of the following is NOT a part of the bony labyrinth?


A. Vestibule
B. Cochlea
C. Semicircular canals
D. Utricle

15. What is the function of the tectorial membrane?


A. Protects the utricle
B. Protects the semicircular ducts
C. Covers the hair cells of organ of corti
D. Secretion of cerumen

16. The major function of the middle ear is


A. To transfer movements of the air in the outer ear to the fluid filled chambers of the
inner ear
B. To transfer movements of the air in the outer ear to the tympanic membrane
C. To transfer movements of the air in the outer ear to the auditory nerve
D. To transfer movements of the air in the outer ear to the cochlea

17. The middle ear is exposed to atmospheric pressure only through the
A. Eustachian tube
B. Tympanic membrane
C. Pinna
D. Auditory nerve

18. Nerve supply of tympanic membrane


A. Auriculo temporal
B. Auricular branch of vagus nerve
C. Lesser occipital
D. Greater occipital

19. The normal length of external auditory canal


A. 7 mm
B. 10 mm
C. 25 mm
D. 36 mm

20. Sensory nerve supply of middle ear is provided by


A. Facial C. Vagus
B. Glossopharyngeal
D. Trigeminal

1. Which of the following extraocular muscles is not innervated by the Oculomotor


nerve?
Inferior oblique
Inferior rectus
Medial rectus
Superior oblique

2. Which of the following is not innervated by the Vagus nerve?


Palatopharyngeus
Salpingopharyngeus
Superior pharyngeal constrictor
Stylopharyngeus

3. These are modified sweat glands that open between adjacent lashes.
Glands of Moll
Glands of Zeus
Lacrimal glands
Tarsal glands

4. A 7 year old boy undergoes a routine tonsillectomy. During the procedure, the
surgeon ligates a pulsatile-bleeding vessel damaged during excision of the
tonsils. What is the origin of this vessel?
External Carotid Artery
Internal Carotid Artery
Internal Jugular Vein
Thyrocervical Trunk

5. Which of the following statements is not true about the eyelids?

The lower lid lies just below the cornea when the eye is open & rises only slightly when the
eye is closed.
The upper eyelid completely covers the cornea of the eye when the eyes are closed.
The upper eyelid is smaller & less mobile than the inferior eyelid.
They meet each other at the medial and lateral angles.
6. What is the normal course of the Sphenopalatine artery?
External carotid artery → Facial artery → Greater Palatine artery → Sphenopalatine artery
External carotid artery → Facial artery → Sphenopalatine artery
External carotid artery → Maxillary artery → Greater Palatine artery → Sphenopalatine artery
External carotid artery → Maxillary artery→ Sphenopalatine artery

7. The Ophthalmic artery enters the orbit through which of the following openings?
Infraorbital foramen
Inferior orbital fissure
Optic canal
Superior orbital fissure

8. Which of the following structures is not found in the vascular pigmented coat of
the eyes?
Choroid
Ciliary body
Iris
Retina

9. This is the most common cause of bacterial tonsillitis.


Group A Streptococcus
Mycobacterium tuberculae
Pseudomonas aeroginosa
Staphylococcus aureus

10. Which of the following statements is true with regards to the lacrimal gland?

Arterial supply to the lacrimal gland is via branches of the external carotid artery.
Sympathetic fibers to the lacrimal gland travel with the maxillary nerve.
The lacrimal lake is located in the lateral canthus of the eye
The orbital septum is located posteriorly to the lacrimal gland

11. This structure is not found in the oropharynx.


Palatine tonsil
Piriform fossa
Posterior 1/3 of the tongue
Superior pharyngeal constrictor

12. A woman suffers a severe head injury. Upon examination you notice that she
has ptosis on one side. This could be a result of loss of innervation to which of
the following muscles?
Frontalis
Levator palpebrae superioris
Orbicularis oculi
Superior oblique

13. A severely malnourished 5yr male was brought to the Ophthalmology


Department due to abnormal dryness of the left conjunctiva & cornea of the eye,
with inflammation & ridge formation. What vitamin deficiency is associated with
the above eye findings?
Vit. A
Vit. B
Vit. C
Vit. D

14. The muscle that controls shape of lens in accommodation and making the lens
more globular.
Ciliary
Orbicularis oculi
Sphincter pupillae
Superior oblique

15. Which of the following bones does not contribute to the floor of the orbit?
Frontal
Maxilla
Palatine
Zygomatic

16. The palatine tonsils are seen in between these two structures.
Anterior 2/3 and posterior 1/3 of the tongue
Hard and soft palates
Oropharynx and the laryngopharynx
Palatoglossal and palatopharyngeal arches

17. Which vertebral level marks the inferior end of the pharynx?
C3
C6
T2
T6

18. This statement is true about the coats or layers of the eyes.
The cribriform plate is the area in the sclera where it is pierced by the Optic nerve.
The eyeball is composed of five coats or layers.
The retina is found in the nervous coat of the eyes.
The vascular coat of the eyeball is made up of the sclera and cornea.

19. A 29year old male who recently ate local beef chili while at a local fiesta has
been complaining of decreased saliva production, difficulty talking, droopy
eyelids and difficulty swallowing. He went to the emergency room and they
confirmed he has been subjected to botulinum toxin. Which of the following
nerves if rendered ineffective due to the botulinum toxin would cause the patient
to have difficulty swallowing?
Glossopharyngeal (IX)
Hypoglossal (CN XII)
Stylopharyngeal nerve
Vagus nerve (CN X)

20. A 55yo female patient consulted her family due to recent-onset left eye findings
of ptosis, dilated pupil, and displacement of eye “down and out.” What would be
your probable diagnosis of the patient based on her signs & symptoms?

Bell’s Palsy
Horner’s Syndrome
Oculomotor nerve palsy
Trigeminal nerve neuralgia

21. This is a thin mucous membrane that lines the Eyelids.


Conjunctiva
Cornea
Lens
Sclera
22. The floor of the nasopharynx is composed of the upper part of this structure in
the pharynx.
Hard palate
Larynx
Nasal cavity
Soft palate

23. In your medical rotation as a clerk, you are assigned to a 45yr female who
recently had a weight loss even with a good appetite. Upon physical
examination of the patient, she has a blood pressure of 150/100 and a pulse of
116. She also a resting tremors and intolerance to heat. There was bilateral
bulging of the eye anteriorly out of the orbit. In what condition will you associate
the above findings in the patient?
Bell’s Palsy
Cirrhosis
Graves’ Disease
Myasthenia gravis
24. Which of the following nerves is not found within the orbit?
Abducens nerve
Facial nerve
Oculomotor nerve
Optic nerve

25. This statement is true about the mechanism of swallowing.


At the end of swallowing, the lower fibers of the Inferior Constrictor muscle relaxes &
the bolus enters the esophagus.
Contraction of the Palatoglossus muscles squeezes the bolus backward into the nasopharynx.
The food is thoroughly mixed by movements of the tongue & by the superior pharyngeal
constrictor muscles.
The Larynx & Laryngopharynx are depressed by the Stylopharyngeus, Palatopharyngeus &
Thyrohyoid muscles & the entrance to the larynx is closed

26. Which of the following best describes the human nose and its
movements
Its movements are controlled by groups of facial and neck muscles that are set
deep to the skin.
Its movements are due five groups of muscles that are interconnected by the nasal
deep aponeurosis.
Procerus muscle is part of the depressor group of muscles, the of which function is to
flare the nostrils.
Transverse nasalis muscle is part of the elevator group of muscles which gives the
expression of frowning

27. A 4yr boy was brought to the clinic because of foul smelling coming
out of one nostril. What would be your initial diagnosis of the case?
Allergic rhinitis
Foreign body in the nose
Nasal fracture
Upper respiratory tract infection

28. During emergency situations, palpating for a pulse in this anterior


triangle is necessary to determine whether a patient is still alive or
has expired. What triangle will you palpate the pulse?
Carotid triangle
Muscular triangle
Submandibular triangle
Submental triangle

29. Which of the following structures is not part of the nasal septum?
Perpendicular plate of the Ethmoid bone
Septal cartilage
Sphenoid bone
Vomer

30. This is true about the nasal cavity.


It begins at the nostrils and extends down to the laryngopharynx.
It is composed of four regions, two nasal turbinates and two meatus.
Its respiratory region is lined by ciliated pseudostratified epithelium.
The nasolacrimal duct drains and opens in the middle meatus.

31. A 2yr boy was brought to his pediatrician due to abnormal looking
set of teeth. The incisors are peg like in appearance. What do you think would be the child is
having?
Congenital Adrenal Hyperplasia
Congenital Hypothyroidism
Congenital Rubella
Congenital Syphilis

32. Cavernous sinus thrombosis is associated with producing loss of


corneal reflexes, ophthalmoplegia and hypesthesia over the upper
part of the face. This involves which of the following cranial
nerves?
Cranial nerves I, II, III and IV
Cranial nerves II, III, IV and V
Cranial nerves III, IV, V and VI
Cranial nerves IV, V, VI and VII

33. This is true about the Transverse nasalis.


Its origin is on the lateral aspect of the incisive fossa of the maxilla.
Its origin is on the fascia over the lower nasal bone.
It passes from the greater alar cartilage to the integument near the margin of the
nostril.
It is inserted at the nasal septum & back part of the alar part of nasalis muscle.

34. Which of the following statements is not true about the Carotid
triangle?
Its anterior inferior boundary is the inferior belly of the Omohyoid muscle.
Superiorly it is bounded by the Stylohyoid and the posterior belly of the Digastric
muscles.
The Middle and inferior constrictors of the pharynx are some of the muscles in its
floor.
The Sternocleidomastoid muscle is its posterior boundary.

34. Among the following, which is not located in the anterior triangle of
the neck?
Carotid triangle
Muscular triangle
Submental triangle
Supraclavicular triangle
35. Which of the following statements is not true about the tongue?
It has three sets of muscles, the extrinsic, intrinsic and intermediate groups.
The anterior surface is separated from the posterior surface by the sulcus terminalis.
The Foramen cecum, a small pit, marks the apex of the sulcus terminalis.
The Filiform papillae occupy the whole surface of the tongue.

36. This is the sensory innervation of the external nose.


Facial Nerve
Oculomotor nerve
Olfactory nerve
Trigeminal nerve

36. A congenital abnormality caused by an unusually short, thick lingual


frenulum, a membrane connecting the underside of the tongue to
the floor of the mouth.
Anencephaly
Ankyloglossia
Bifid Uvula
Craniosynostosis

37. The only extrinsic muscle of the tongue not innervated by the
hypoglossal nerve?
Genioglossus
Hyoglossus
Palatoglossus
Styloglossus

38. It receives the opening of the lower end of the nasolacrimal duct.
Cavernous sinus
Cribriform plate
Inferior meatus
Vestibule

39. After a lymph node biopsy, you noticed that the patient was not able
to shrug her (L) shoulder
You suspect a peripheral nerve injury of which nerve in the posterior
triangle?
CN IX
CN X
CN XI
CN XII

40.The muscle that draws the medial angle of eyebrow giving the facial
expression of frowning.
Alar nasalis
Depressor septi nasi
Procerus
Transverse nasalis

41. What muscle starts from the manubrium & medial clavicle and ends
in the mastoid process that is supplied by the spinal accessory nerve
that rotates the neck to the opposite direction unilaterally and bends
the neck forward?
Ansa Cervicalis
Omohyoid
Sternocleidomastoid
Sternothyroid

42. The area of the nasal cavity lying just inside the nostril.
Choana
Cribriform plate
Meatus
Vestibule

43. A patient is seen in the neurosurgery clinic with an MRI-confirmed


pituitary adenoma. Surgical resection of the adenoma is planned.
When considering the surgical approach, which paranasal sinus
provides access to the pituitary gland?

Ethmoid
Frontal
Maxillary
Sphenoid

44. The action of this muscle of the tongue is to protrudes the apex of
tongue through mouth

Genioglossus
Hyoglossus
Palatoglossus
Styloglossus

45. This is the most common cause of epistaxis.


Hypertension
Nasal fracture
Nose picking
Viral infection
46. This structure is not a part of the roof of the nasal cavity.
Cribriform plate
Nasal & frontal bones
Sphenoid bone
Vomer

47.These two muscles further subdivide the anterior neck to four


smaller triangles?
Digastric and superior belly of the Omohyoid muscles
Mylohyoid and the digastric muscles
Sternocleidomastoid and inferior belly of the Omohyoid muscles
Trapezius and the Sternocleidomastoid muscles

48. The receptors for taste are located in which part of the tongue?
Foramen cecum
Frenulum
Papillae
Vestibules

The predominant muscle most associated with


retraction of the mandible is the:

Lateral pterygoid
Masseter
Medial pterygoid
Temporalis

At the temporomandibular joint (TMJ), hinge


movements occur between the:

Condyle and articular eminence


Articular disc and articular eminence
Condyle and articular disc
Articular disc and articular cavity

Incapacity to protrude the mandible indicates


dysfunction of which muscle?

Anterior belly of digastric


Buccinator
Lateral pterygoid
Mylohyoid

To drain an abscess (a closed collection of pus) affecting the cheek area, an emergency room
physician used local anesthesia for the surgery. Which of the following nerves must be
anesthetized because it carries pain sensation from the cheek area?

Buccal (V3)
Buccal (VII)
Inferior alveolar
Lingual

Damage to the facial nerve near the stylomastoid


foramen would NOT likely cause this motor deficit:

Paralysis of the buccinator muscle


Inability to whistle
Paralysis of the muscles that elevate the
mandible
Inability to close the lips

Which nerve is endangered during surgical removal


of an impacted third mandibular molar tooth?

Hypoglossal n.
Glossopharyngeal n.
Inferior alveolar n.
Lingual n.

Paralysis of which of the following muscles would


impede retraction of the mandible?

Buccinator
Lateral pterygoid, lower portion
Lateral pterygoid, upper
(sphenomeniscus) portion
Temporalis

Forward movement of the condyle of the mandible


during wide opening of the jaws is accomplished
mainly by the:

Anterior part of temporalis muscle


Lateral pterygoid muscle
Masseter muscle
Medial pterygoid muscle

This is NOT true regarding the temporomandibular


joint:

A completely flat surface for its gliding


action
An articular disc
Extracapsular ligaments
Two joint cavities of different shapes

In dislocation of the jaw, displacement of the


articular disc beyond the articular tubercle of the
temporomandibular joint results from excessive
contraction of which muscle?

Buccinator
Lateral pterygoid
Medial pterygoid
Masseter

Anterior limit of the infratemporal fossa

Lateral pterygoid plate


Maxillary posterior wall
Pterygomaxillary fissure
Mastoid process

Which of the following muscles originates from the


maxillary process?

Middle temporal
Lateral pterygoid
Superficial layer of the masseter
Posterior portion of buccinator

Mandibular fossa is part of?

Mandibular bone
Maxilla bone
Sphenoid bone
Temporal bone

Which of the following is NOT a content of the


infratemporal fossa?

Maxillary artery
Pterygoid venous plexus
Posterior auricular artery
Mandibular nerve

The following branch of mandibular nerve supplies


the Temporomandibular joint:

nerve to medial pterygoid


masseteric branch
buccal nerve
inferior alveolar nerve

Regarding the temporomandibular joint, the


following is FALSE:

it is an atypical synovial joint


it has a complete fibrocartilaginous disc
that separates the TMJ into 2
compartments
posterior dislocation is more common
than anterior dislocation
joint capsule is lax

The mastication muscles are innervated by what


nerve?

Mandibular branch of the trigeminal


nerve
Maxillary branch of trigeminal nerve
All the branches of trigeminal nerve
Ophthalmic branch of trigeminal nerve

What synovial type of joint is the


Temporomandibular joint?

Pivot and gliding


Pivot
Gliding and hinge
Gliding, pivot, and hinge

Which muscle is responsible for elevation and


protraction of the temporomandibular joint?

Masseter
Lateral pterygoid
Temporalis
Medial pterygoid

The hormone released from the parathyroid gland acts to: increase calcium level

name for the lymphatic masses that appear on either side of the oropharynx? Palatine tonsils

The opening in the lateral walls of the nasopharynx leads to what structure pharyngeal
opening of auditory tube

pharyngeal region that extends from soft palate to epiglottis? Oropharynx

How many parathyroid glands do most people have? 4


What is the external laryngeal nerve runs close to the inferior thyroid artery? Right Recurrent
Laryngeal Nerve

Thyroid is ensheathed by a fascia .What is it ? visceral fascia

The arteries to the cervical esophagus are branches of the, inferior thyroid artery

What are the active thyroid hormones secreted by the follicular epithelial cells of the thyroid?
Thyroxine (T3 or T4)

This structure lies in the tracheoesophageal groove on each side of the esophagus nerve.
recurrent laryngeal nerve

What plexus lies partly in between the temporalis pterygoid muscles pterygoid venous plexus
pterygoid plexus

Which muscle is responsible for elevation and protraction of the temporomandibular joint?
Masseter

The mastication muscles are innervated by what nerve? Trigeminal Nerve, CNV3

The following branch of mandibular nerve supplies the Temporomandibular joint


auriculotemporal and masseteric branches

In dislocation of the jaw, displacement of the articular disc beyond the articular tubercle of the
temporomandibular joint results from excessive contraction of which muscle? mandible

Paralysis of which of the following muscles would impede retraction of the mandible? temporalis

At the temporomandibular joint, hinge movement occur between: condyle and articular disc

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