Session 4

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1. 1. The zygomatic arch forms which border of the temporal fossa?

a. Inferior. b. Superior. c. Anterior. d. Posterior.

2. 3. Which artery gives rise to the middle temporal artery?


a. Maxillary. b. Transverse facial. c. Superficial temporal. d. Anterior deep temporal.

3. 6. Which structure forms more than one border of the temporal fossa?
a. Zygomatic arch. b. Frontal process of the zygoma.
c. Superior temporal line of the skull. d. Zygomatic process of the frontal bone.
4. The mandibular division of the trigeminal nerve passes through which opening in the
skull to enter the infratemporal fossa?
a. Foramen ovale. b. Foramen spinosum. c. Foramen rotundum.
d. Stylomastoid foramen.
5. Which nerve innervates the corrugator supercilii muscle?
a. Auriculotemporal. b. Anterior deep temporal. c. Posterior deep temporal.
d. Temporal branches of the facial.
6. A portion of the maxilla forms which border of the infratemporal fossa?
a. Lateral. b. Anterior. c. Superior. d. Posterior.
7. The styloid process helps to form which border of the infratemporal fossa?
a. Medial. b. Inferior. c. Superior. d. Posterior.
8. Which muscle is NOT found within the infratemporal fossa?
a. Masseter. b. Temporalis. c. Medial pterygoid. d. Lateral pterygoid.

9. Which is NOT a division of the maxillary artery as it travels through the infratemporal
fossa?
a. Temporal part. b. Pterygoid part. c. Mandibular part. d. Pterygopalatine part.

10. Which is NOT a branch of the 1st part (mandibular part) of the maxillary artery?
a. Deep auricular. b. Middle meningeal. c. Anterior tympanic.
d. Anterior deep temporal.
11. Which structure is a bony prominence located at the base of the zygomatic process?
a. Glenoid foss . b. Tympanic plate. c. Articular tubercle. d. Articular eminence.

12. Which structure supplies attachment sites along the posterior portion of the glenoid
fossa?
a. Tympanic plate. b. Postglenoid tubercle. c. Articular tubercle
. d. Articular eminence.

13. The surface of the squamous portion of the temporal bone is composed of which
material?
a. Synovial fluid. b. Hyaline cartilage. c. Fibrous connective tissue.
d. Collagenous connective tissue.
14. A 35-year-old man is admitted to the hospital with severe headaches. A CT scan
evaluation reveals a tumor in the infratemporal fossa. Physical examination reveals loss
of general sensation from the anterior two thirds of his tongue, but taste and salivation
are intact. Which of the following nerves is most likely affected by the tumor?
A. Lingual proximal to its junction with the chorda tympani B. Chorda tympani
C. Inferior alveolar D. Lesser petrosal E. Glossopharyngeal

15. A 52-year-old man is admitted to the emergency department with a bullet wound in the
infratemporal fossa. During physical examination it is observed that the patient has lost
unilateral sensation of hot, cold, pain, and pressure from the front part of the tongue,
but taste and salivary function are preserved. Which of the following is the most likely
diagnosis?
A. The facial nerve was transected distal to the origin of the chorda tympani
B. Receptors for hot, cold, pain, and pressure are absent in the patient’s tongue
C. The glossopharyngeal nerve has been injured in the pharynx
D. The superior laryngeal nerve was obviously severed by the bullet
E. The lingual nerve was injured at its origin near the foramen ovale

16. A 2-month-old infant presents with small and flat maxillary, temporal, and zygomatic
bones. In addition, the patient has anotia and a dermoid tumor in the eyeball. Which of
the following conditions is the most likely diagnosis?
A. Hemifacial macrosomia B. Treacher Collins syndrome C. Robin sequence
D. DiGeorge syndrome E. Velocardiofacial syndrome

17. What is the location of the sphenopalatine foramen?


a. Lateral part of pterygopalatine fossa. b. Superior part of pterygopalatine fossa.
c. Medial wall of pterygopalatine fossa. d. Inferior part of pterygopalatine fossa.
18. What passes through the pterygomaxillary fissure?
a. Posterior superior alveolar nerve. b. Nasopalatine nerve.
c. Infraorbital nerve. d. Greater palatine nerve.

19. Which of the following veins receive blood from the foramen lacerum region?
a. Posterior superior alveolar. b. Pharyngeal.
c. Sphenopalatine. d. Vein of pterygoid canal.
20. A 30-year-old man was brought to the emergency department after being involved in a
head-on collision with another car. He did not wear a seat belt and was found
unconscious in the driver’s seat, from which he had to be extricated. Examination
revealed a poorly responsive patient with a low BP, tachycardia, and several lacerations
about his face and body. Examination revealed a bony deformity of the right mandible
where abnormal mobility of the bone was palpated approximately along the ramus.
Once the patient was stabilized, a CT of the skull was performed, revealing a displaced,
transverse fracture of the ramus, just proximal to the angle of the mandible. Which of
the following will most likely be affected?
A. Elevation of the jaw B. Lateral deviation of the jaw to the left side
C. Salivation; sensation and taste from the anterior tongue
D. Sensation from skin over anterior cheek and tongue
E. Salivation; sensation from posterior temporal skin and tragus of the ear.

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