Head and Neck : anatomy quiz.
A test from the famous Anatomy Atlas
Par Monique Remillieux
1 12 2016
Question 1
A 23-year-old man presents to the emergency department with knife lacerations to the face.
One laceration is a deep wound to the superior aspect of the chin. Identify the artery most
likely damaged by this lesion.
A. Angular artery
B. Superior labial artery
C. Transverse facial artery
D. Mental artery
E. Buccal artery
Question 2
A 31-year-old woman presents with a throbbing pain and a feeling of pressure in her
forehead above her eyebrows. Examination reveals an infection of the sinus in this region.
Which paranasal sinus is most likely infected, causing pain in the region the patient
describes?
A. Ethmoid sinuses (ethmoid air cells)
B. Maxillary sinus
C. Frontal sinus
D. Sphenoid sinus
E. Spheno-ethmoidal recess
Question 3
A 35-year-old man presents to the emergency department with a fractured mandible after a
bar fight. After the mandibular reconstruction surgery, the patient is noted to have loss of
sensation in his lower lip. After further testing, it is determined that the patient has damage
to the mandibular branch of his trigeminal nerve. Which of the following symptoms would
also likely fit this diagnosis?
A. Loss of sensation of the upper lip
B. Ability to swallow is diminished
C. Ability to forcefully close the eyes is diminished
D. Ability to raise the corner of the mouth is diminished
E. Loss of sensation in the tip of the tongue
Question 4
A 27-year-old mother presents to the pediatrics clinic with difficulty breastfeeding her new
baby. She notes that her nipple becomes erect from stimulation from the baby, but milk does
not come out. After an extensive workup, it is found that the mother’s hypothalamus is not
producing adequate amounts of oxytocin. Identify the correct cellular target and function of
oxytocin in a normal patient.
A. Alveolar cells, milk production
B. Myoepithelial cells, muscle relaxation
C. Myoepithelial cells, muscle contraction
D. Alveolar cells, muscle relaxation
E. Myoepithelial cells, milk production
Question 5
A 31-year-old woman undergoing surgery to resect a laryngeal tumor is having difficulty
coming off the mechanical ventilator post operation. She was initially extubated in the
operating room after the procedure, but showed immediate signs of respiratory distress and
was thus re-intubated. After workup of the laryngeal musculature, it is noted that her vocal
cords are stuck in the adducted position and she cannot provide any abduction. Which of the
following muscles is most likely paralyzed, preventing abduction of the vocal folds?
A. Lateral crico-arytenoids
B. Thyro-arytenoids
C. Transverse arytenoids
D. Posterior crico-arytenoids
E. Cricothyroids
Question 6
A 45-year-old man presents with a chief complaint of progressive hearing loss and dizziness.
His history reveals a long career in the boxing industry, in which he sustained many blows to
the head over his lifetime. You fear that he has incurred some cell loss in certain areas of his
brain. Which of the following areas of cell loss would explain your patient’s hearing difficulty?
A. Corti ganglion
B. Pterygopalatine ganglion
C. Vestibular (Scarpa) ganglion
D. Superior cervical ganglion
E. Otic ganglion
Question 7
A 63-year-old man presents with a thrombosis that is occluding his right external carotid
artery. He displays symptoms of decreased blood flow to his right face, with an absent facial
artery pulse in his right occipital region, the area behind his ear, his right temporal region,
and the deep structures of the right face normally supplied by the maxillary artery. Based on
the symptoms and vessels receiving decreased blood flow, where is the occlusion on the
external carotid artery?
A. Superior to the maxillary artery
B. At the level of the ascending pharyngeal artery
C. Just below the facial artery
D. At the level of the occipital artery
E. At the bifurcation of the common carotid artery
Question 8
Cycloplegia is a condition in which the ciliary muscle is paralyzed, resulting in a loss of visual
accommodation. Identify the condition in which a patient with cycloplegia would have the
most difficulty seeing clearly.
A. Viewing objects at a distance
B. Abducting the eye
C. Abducting and depressing the eye
D. Viewing close objects
E. Adducting the eye
Question 9
An 83-year-old man suffers a stroke to the left facial motor nucleus of the pons, resulting in
the paralysis of facial nerve. Which of the following motor deficits does he likely experience?
A. Mandible deviates to the left when the mouth is opened
B. Right corner of the mouth droops when smiling
C. Left corner of the mouth droops when smiling
D. Unable to wrinkle the forehead on the right side
E. Mandible deviates to the right when the mouth is opened
Question 10
A resident performing a neurological exam wants to test the pons. Identify the reflex most
likely used.
A. Gag reflex
B. Corneal reflex
C. Vestibuloocular reflex
D. Accommodation reflex
E. Pupillary light reflex
