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Re: Putative List of 40 Questions to be on Head Neck Examination

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Posted by Alison on December 05, 2021 at 20:25:21:

In Reply to: Re: Putative List of 40 Questions to be on Head Neck Examination posted by Alison on December 05, 2021 at 20:05:50:

: : Putative List of 40 Questions to be on Head Neck Examination
: : Instructions. Please cull 40 questions from the global True False question library posted below for Lectures 56-73. Please represent most, if not all, lectures. As I count them, there are 18 lectures. Thus, chose two per lecture and an additional four for forty. Start a new thread of a similar title if the edits get a bit tedious and then continue. Ideally, 40 questions would be on this list by Wed. AM so that I can print the Head Neck examination in time for you to take the written examination at 2:30. No later than 9AM would be great. As before, I may make a minor changes to each question to change, or not, whether the question is true or false.

ANSWERS:

1. The axillary artery, but not the subclavian vein passes through the interscalene triangle.
a. False – the subclavian artery passes through the interscalene triangle, not the axillary artery

2. The facial vein and its tributaries are considered to be valveless.
a. True

3. The interval between the heads of origin of the sternocleidomastoid muscle provides a surface landmark for accessing the subclavian artery.
a. False

4. The external jugular vein is formed by the confluence of the retromandibular vein and the facial vein.
a. False – the external jugular vein is formed by the confluence of the posterior division of retromandibular vein and the posterior auricular vein

5. Hypertrophy of the scalene muscles may cause weakness in the upper extremity.
a. True – compression of brachial plexus within the interscalene triangle

6. The dorsal scapular nerve passes through the interscalene triangle.
a. True

7. The apex of the vertebral triangle is at the transverse process of C5.
a. False – apex of vertebral triangle is the carotid tubercle of C6

8. The three parts of the subclavian artery are referenced to the pectoralis minor muscle.
a. False – anterior scalene muscle

9. The interscalene triangle contains the brachial plexus and the subclavian artery.
a. True

10. The coronal suture is between the parietal bone and the occipital bone
a. False – parietal and frontal

11. The infraorbital nerve is from the ophthalmic division of the trigeminal nerve.
a. False – maxillary division

12. The pterion marks the location of the anterior branch of the middle meningeal artery.
a. True

13. A subdural hematoma accumulates blood between the meningeal layer of the dura mater and the arachnoid mater.
a. True

14. The following muscles contribute to elevation of the upper lip (as during a smile): levator labii superioris, zygomaticus minor, orbicularis oris.
a. False – I don’t think orbicularis oris contributes to elevation of upper lip

15. The superior synovial cavity of the TMJ is a gliding joint that allows for protraction and retraction of the mandible.
a. True

16. A lesion of the lingual nerve within the floor of the mouth is expected to disrupt both taste and touch to the anterior 2/3 of the tongue.
a. True – will have already joined with chorda tympani, so both taste and sense will be affected

17. The chorda tympani joins onto the inferior alveolar nerve before distributing to the anterior 2/3 of the tongue.
a. False – lingual nerve

18. The great vein of Galen combines with the inferior sagittal sinus to form the straight sinus.
a. True

19. The cribriform plate of the ethmoid bone is located in the anterior cranial fossa.
a. True

20. The superior orbital fissure marks the anterior boundary of the cavernous sinus.
a. True

21. The circle of Willis provides an anastomosis between the anterior and posterior arterial circulation to the brain.
a. True

22. The cerebellum is primarily supplied by the vertebral arteries, whereas the cerebrum is primarily supplied by the external carotid arteries.
a. True

23. The abducens nerve is unique in that it is the only cranial nerve to arise from the brainstem’s posterior surface.
a. True

24. The vestibulocochlear nerve and glossopharyngeal nerve exit the posterior cranial fossa by passing through the internal acoustic meatus.
a. False – facial and vestibulocochlear

25. A tumor at the apex of the lung is expected to cause unilateral pupil constriction.
a. True – compression of sympathetic trunk

26. The lateral rectus muscle adducts the globe and is the sole innervation of the abducens nerve.
a. False – ABducts the globe, but is innervated by abducens

27. The palatine tonsils are located between the palatopharyngeal arch and the palatoglossal arch.
a. True

28. The vallecula is a space located between the posterior aspect of the tongue and the epiglottis.
a. True

29. The intrinsic muscles of the tongue are all innervated by the hypoglossal nerve.
a. True

30. None of the paranasal sinuses drain directly into the inferior nasal meatus.
a. True – only nasal lacrimal duct does

31. The piriform recesses are regions of the laryngopharynx that lie lateral to the larynx itself.
a. True

32. "Epiglottic taste" is generally attributed to SVA fibers conveyed by the vagus nerve.
a. True – superior laryngeal n. internal branch SVA fibers (branch of vagus)

33. The cricoid cartilage is compared to a signet ring.
a. True

34. The female vocal fold is 60% longer than in the male.
a. False – male vocal fold is longer than female

35. The lingual nerve in the floor of the oral cavity is crossed superiorly by Wharton's duct.
a. True

36. The sensation of taste (SVA) from the anterior 2/3 of the tongue is carried by the chorda tympani nerve.
a. True

37. Like roof shingles, the pharyngeal constrictor muscles overlap with the inferior constrictor being most posterior (edge of roof).
a. True

38. Wernicke's area is predominantly involved with speech comprehension, whereas Broca's area is predominantly involved with speech production.
a. True

39. The inferior cervical ganglion is often fused with the T1 sympathetic trunk ganglion to form the stellate ganglion.
a. True

40. The superficial temporal artery is not a content of the temporal fossa.
a. True

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Comments:
: : : Putative List of 40 Questions to be on Head Neck Examination : : : Instructions. Please cull 40 questions from the global True False question library posted below for Lectures 56-73. Please represent most, if not all, lectures. As I count them, there are 18 lectures. Thus, chose two per lecture and an additional four for forty. Start a new thread of a similar title if the edits get a bit tedious and then continue. Ideally, 40 questions would be on this list by Wed. AM so that I can print the Head Neck examination in time for you to take the written examination at 2:30. No later than 9AM would be great. As before, I may make a minor changes to each question to change, or not, whether the question is true or false. : : ANSWERS: : 1. The axillary artery, but not the subclavian vein passes through the interscalene triangle. : a. False – the subclavian artery passes through the interscalene triangle, not the axillary artery : 2. The facial vein and its tributaries are considered to be valveless. : a. True : 3. The interval between the heads of origin of the sternocleidomastoid muscle provides a surface landmark for accessing the subclavian artery. : a. False : 4. The external jugular vein is formed by the confluence of the retromandibular vein and the facial vein. : a. False – the external jugular vein is formed by the confluence of the posterior division of retromandibular vein and the posterior auricular vein : 5. Hypertrophy of the scalene muscles may cause weakness in the upper extremity. : a. True – compression of brachial plexus within the interscalene triangle : : 6. The dorsal scapular nerve passes through the interscalene triangle. : a. True : 7. The apex of the vertebral triangle is at the transverse process of C5. : a. False – apex of vertebral triangle is the carotid tubercle of C6 : 8. The three parts of the subclavian artery are referenced to the pectoralis minor muscle. : a. False – anterior scalene muscle : 9. The interscalene triangle contains the brachial plexus and the subclavian artery. : a. True : 10. The coronal suture is between the parietal bone and the occipital bone : a. False – parietal and frontal : 11. The infraorbital nerve is from the ophthalmic division of the trigeminal nerve. : a. False – maxillary division : 12. The pterion marks the location of the anterior branch of the middle meningeal artery. : a. True : 13. A subdural hematoma accumulates blood between the meningeal layer of the dura mater and the arachnoid mater. : a. True : 14. The following muscles contribute to elevation of the upper lip (as during a smile): levator labii superioris, zygomaticus minor, orbicularis oris. : a. False – I don’t think orbicularis oris contributes to elevation of upper lip : 15. The superior synovial cavity of the TMJ is a gliding joint that allows for protraction and retraction of the mandible. : a. True : 16. A lesion of the lingual nerve within the floor of the mouth is expected to disrupt both taste and touch to the anterior 2/3 of the tongue. : a. True – will have already joined with chorda tympani, so both taste and sense will be affected : 17. The chorda tympani joins onto the inferior alveolar nerve before distributing to the anterior 2/3 of the tongue. : a. False – lingual nerve : 18. The great vein of Galen combines with the inferior sagittal sinus to form the straight sinus. : a. True : 19. The cribriform plate of the ethmoid bone is located in the anterior cranial fossa. : a. True : 20. The superior orbital fissure marks the anterior boundary of the cavernous sinus. : a. True : 21. The circle of Willis provides an anastomosis between the anterior and posterior arterial circulation to the brain. : a. True : 22. The cerebellum is primarily supplied by the vertebral arteries, whereas the cerebrum is primarily supplied by the external carotid arteries. : a. True : 23. The abducens nerve is unique in that it is the only cranial nerve to arise from the brainstem’s posterior surface. : a. True : 24. The vestibulocochlear nerve and glossopharyngeal nerve exit the posterior cranial fossa by passing through the internal acoustic meatus. : a. False – facial and vestibulocochlear : 25. A tumor at the apex of the lung is expected to cause unilateral pupil constriction. : a. True – compression of sympathetic trunk : : 26. The lateral rectus muscle adducts the globe and is the sole innervation of the abducens nerve. : a. False – ABducts the globe, but is innervated by abducens : : 27. The palatine tonsils are located between the palatopharyngeal arch and the palatoglossal arch. : a. True : 28. The vallecula is a space located between the posterior aspect of the tongue and the epiglottis. : a. True : 29. The intrinsic muscles of the tongue are all innervated by the hypoglossal nerve. : a. True : 30. None of the paranasal sinuses drain directly into the inferior nasal meatus. : a. True – only nasal lacrimal duct does : 31. The piriform recesses are regions of the laryngopharynx that lie lateral to the larynx itself. : a. True : 32. "Epiglottic taste" is generally attributed to SVA fibers conveyed by the vagus nerve. : a. True – superior laryngeal n. internal branch SVA fibers (branch of vagus) : 33. The cricoid cartilage is compared to a signet ring. : a. True : 34. The female vocal fold is 60% longer than in the male. : a. False – male vocal fold is longer than female : 35. The lingual nerve in the floor of the oral cavity is crossed superiorly by Wharton's duct. : a. True : 36. The sensation of taste (SVA) from the anterior 2/3 of the tongue is carried by the chorda tympani nerve. : a. True : 37. Like roof shingles, the pharyngeal constrictor muscles overlap with the inferior constrictor being most posterior (edge of roof). : a. True : 38. Wernicke's area is predominantly involved with speech comprehension, whereas Broca's area is predominantly involved with speech production. : a. True : 39. The inferior cervical ganglion is often fused with the T1 sympathetic trunk ganglion to form the stellate ganglion. : a. True : 40. The superficial temporal artery is not a content of the temporal fossa. : a. True

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