GENESIS
(Post Graduation Medical orientation Centre)
Exam : Head Neck & Neuro Anatomy (Exam January'25)
Course: FCPS Part-1 Discipline: Surgery & Allied
Batch: Online P-1 Surgery Exam Plus Batch-3 Jan'2025
Year: 2025 Session: January'25 P-1 Candidate
(1 of 50 ) Stylomastoid foramen is the termination of the facial canal, and transmits the facial nerve, and stylomastoid
artery. .Lesion at stylomastoid foramen causes-
a) Asymmetry of corner of mouth
b) Hyperacusis
c) Loss of lacrimation
d) Loss of salivation
e) Loss of wrinkling of skin
(2 of 50 ) A 26-year patient was diagnosed glomus jugular tumor in posterior part of jugular foramen, Structures
compressed by this tumor?
a) Meningeal branch of ascending pharyngeal artery
b) Internal jugular vein
c) Meningeal branch of occipital artery
d) Glossopharyngeal nerve
e) Vagus nerve
(3 of 50 ) Parathyroid gland-
a) Develops from ectoderm
b) Supplied by branches of external carotid artery
c) Crypts are present in medial surface
d) Glossopharyngeal nerve is a part of tonsillar bed
e) Has cortex and medulla
(4 of 50 )
Regarding parathyroid gland
a) Four in number
b) Lie on the anterior border of the thyroid gland
c) Parathyroid III is more variable in position
d) Mainly supplied by inferior thyroid artery
e) Oxyphilic cells secrete calcitonin hormone
(5 of 50 ) Medial wall of middle ear cavity is formed by-
a) Tympanic membrane
b) Promontory
c) Aditus to antrum
d) Opening of auditory tube
e) Facial canal
(6 of 50 ) Posterior triangle of neck-
a) Subdivided by superior belly of omohyoid
b) Contains spinal roots of accessory nerve
c) Contains cords of brachial plexus
d) Sternocleidomastoid muscle divides the neck in to anterior and posterior triangle
e) Contains long thoracic nerve
(7 of 50 ) Nerve supply of tongue-
a) Derived from 1st, 2nd, 3rd and 4th arch
b) Vallate papillae gets sensory supply from lingual Nerve
c) Internal laryngeal nerve provides taste sensation to posterior 1/3rd
d) Sympathetic supply by superior cervical ganglion
e) Taste sensation of anterior 2/3rd by chorda tympani verve
(8 of 50 ) Structures develop from 3rd pharyngeal arch-
a) Cricothyroid muscle
b) Glossopharyngeal nerve
c) Stylopharyngeus muscle
d) Facial Nerve
e) CCA
(9 of 50 ) Structures in the lateral wall of Cavernous sinus-
a) Mandibular division of trigeminal nerve
b) Trochlear nerve
c) Internal carotid artery
d) Superior orbital fissure
e) Crus cerebri of the midbrain
(10 of 50 )
The little’ area is formed by the anastomosis of following arteries-
a) Facial
b) Long sphenopalatine
c) Greater palatine
d) Optic
e) Ophthalmic
(11 of 50 )
The common carotid artery-
a) Origin differs in two sides
b) Lies outside the carotid sheath
c) Develops from 3rd aortic arch
d) Carotid sinus lies at the bifurcation
e) ligature of the artery produce death
(12 of 50 )
Upper lip develops from-
a) Frontonasal process
b) Maxillary process
c) Branchial arch
d) Pharyngeal pouch
e) Mandibular process
(13 of 50 ) Branches of cerebral portion of internal carotid artery
a) Ophthalmic artery
b) Anterior cerebral artery
c) Middle cerebral artery
d) Posterior communicating artery
e) Anterior choroidal artery
(14 of 50 )
Thyroid gland-
a) The thyroid gland is larger in female
b) True capsule is derived from pretracheal fascia
c) Inferior thyroid veins drain into brachiocephalic vein
d) Venous plexus lies between true and false capsule
e) Ectodermal in origin
(15 of 50 )
Following are the muscles of mastication-
a) Lateral pterygoid
b) Omohyoid
c) Thyrohyoid
d) Stylohyoid
e) Stylopharyngeus
(16 of 50 ) Corpus callosum-
a) Commissural fibers
b) Unite alfactory area
c) Don’t unite inferior part of insula and pineal gland
d) thickest part – splenium
e) Genu present at posterior end
(17 of 50 ) True about hypothalamic nucleus and there lesional effects-
a) Anterior hypothalamic nucleus – hypothermia
b) Supra optic nucleus – Diabetes insipidus
c) Medial hypothalamic – Obesity
d) Posterior hypothalamic – Hyperthermia
e) Suprachiasmatic – eliminate sleep rhythms
(18 of 50 ) True statement regarding CSF-
a) Produced by arachnoid villi
b) Volume 150ml
c) Rate of production 2ml/min
d) Absorbed in venous sinus
e) Act as a pathway of pineal secretion
(19 of 50 ) Tributaries of cavernous sinus-
a) Superior ophthalmic vein
b) Pterygoid plexus of vein
c) Sphenoparietal sinus
d) Facial vein
e) Middle meningeal vein
(20 of 50 ) The spinal cord-
a) Is roughly cylindrical in shape
b) Shows a lumber and cervical enlargement
c) It occupies one-third of the vertebral column
d) In child it ends in the L3 vertebra
e) Is composed of outer gray and inner white matter
(21 of 50 ) Cavities related to the parts of CNS-
a) Lateral ventricle-cerebrum
b) Third ventricle- thalamus and hypothalamus
c) Cerebral acquiduct- midbrain
d) Hind brain- central canal
e) Spinal cord-fourth ventricle
(22 of 50 ) Gray matter contains
a) Myelinated axons
b) Protoplasmic astrocyte
c) Neuronal cell bodies
d) Oligodendrocytes
e) Lymph vessels
(23 of 50 ) Regarding extension of Pia Mater-
a) Covers both cranial nerves & arteries
b) Bridges over the gyri & sulci
c) Extends as filum terminale
d) Closely fused with arachoniad water
e) From tela choroidae & choroid plexus
(24 of 50 ) Dural venous sinus-
a) Lined by endothelium
b) Have valves
c) Unidirectional flow
d) Straight sinus is enclosed by tentorium cerebelli
e) Sigmoid sinuses- paired sinus
(25 of 50 ) Fourth ventricle-
a) Choroid plexus suspended from upper part of roof
b) Foramen of Luschka is situated in median plane
c) Communicates through subarachnoid space laterally by foramen of Magendie
d) Floor is triangular in shape
e) Continuous inferiorly with central canal
(26 of 50 ) During the process of swallowing Levator Veli palatini plays an important role. Embryologically it arises from-
a) 1st pouch
b) 3rd pouch
c) 2nd arch
d) 1st arch
e) 4th arch
(27 of 50 ) A 5 year old boy experience a brief loss of consciousness after the head trauma followed by a period of
alertness with headache, diagnosed as a case of extradural hemorrhage. which artery is injured-
a) Middle meningeal artery
b) Ant communicating artery
c) Superior cerebral vein
d) Circle of Willis
e) Ascending pharyngeal artery
(28 of 50 ) Which branch of facial nerve lies within facial canal?
a) Cordatympani
b) Posterior auricular
c) Styloid
d) Marginal mandibular
e) Lesser petrosal
(29 of 50 ) Tributaries of cavernous sinus from the brain-
a) Inferior cerebral vein
b) Superior ophthalmic vein
c) Inferior ophthalmic vein
d) Central vein of retina
e) Sphenoparietal sinus
(30 of 50 ) Following which level common carotid artery is bifurcated?
a) C4
b) C5
c) C6
d) C2
e) C7
(31 of 50 ) Which muscle separate submandibular gland into superficial and deep parts?
a) stylohyoid,
b) Styloglossus
c) Mylohyoid
d) Posterior belly of digastric
e) Platysma
(32 of 50 ) Dangerous area of face is named because of connection of cavernous sinus with facial vein through which vein?
a) Maxillary
b) Anterior ethmoidal
c) Posterior ethmoidal
d) Mandibular
e) Emissary veins
(33 of 50 ) Which artery primarily supplies the parathyroid glands and is at risk during thyroidectomy procedures?
a) Superior thyroid artery
b) Inferior thyroid artery
c) Superior parathyroid artery
d) Inferior parathyroid artery
e) Middle thyroid artery
(34 of 50 ) Which of the following structures does not pass through foramen magnum?
a) Accessory pharyngeal artery
b) Vertebral artery
c) Spinal accessory nerve
d) Vertical band of cruciate ligament
e) Lower part of medulla oblongata
(35 of 50 ) Which of the component of Waldeyer’s lymphatic ring lies posteriorly-
a) Nasopharyngeal tonsil
b) Tubal tonsil
c) Palatine tonsil
d) Lingual tonsil
e) Auditory tube
(36 of 50 ) Pituitary gland tumor may compress the following structure except-
a) Optic chiasma
b) Internal carotid artery
c) Maxillary nerve
d) Mandibular nerve
e) Abducent nerve
(37 of 50 ) A 40-year-old male had lymph node biopsy from upper part of the posterior aspect of the neck. Later the patient
developed winging of scapula, which structure is injured?
a) Long thoracic nerve
b) Dorsal scapular nerve
c) Axillary nerve
d) Suprascapular nerve
e) Spinal root of accessory nerve
(38 of 50 ) Which skeletal part is the part of 3rd pharyngeal arch?
a) Quadrate cartilage
b) Upper portion of the body of the hyoid bone
c) Greater horn of the hyoid bone
d) Meckle’s cartilage
e) Laryngeal cartilage
(39 of 50 ) Which sinus is most commonly involved in infection-
a) Frontal
b) Sphenoidal
c) Maxillary
d) Middle Ethmoidal
e) Posterior Ethmoidal
(40 of 50 ) True statement about intracranial hemorrhage-
a) Epidural – superior cerebellar vein
b) Epidural hematoma – middle meningeal artery
c) Subdural – lens shape
d) Extradural – crescentic shape
e) Subdural – Hypodense in CT on acute bleeding
(41 of 50 ) A male patient of 60 years old with DM and HTN came to the OPD with history of contralateral hemiparesis and
hemisensory loss involving mainly the leg and foot. He is also unable to identify object correctly which artery may occulted
in this case-
a) Anterior cerebral artery
b) Middle cerebral artery
c) Posterior cerebral artery
d) Internal carotid artery
e) Vertebral artery
(42 of 50 ) Cavernous sinus thrombosis is most common from infection of face. Which nerve mainly involve in cavernous
sinus thrombosis?
a) Oculomotor
b) Trochlear
c) Abducent
d) Trigeminal
e) Facial
(43 of 50 ) The opening in the middle cranial fossa transmitting middle meningeal artery-
a) Superior orbital fissure
b) Foramen rotundum
c) Foramen ovale
d) Foramen spinosum
e) Foramen lacerum
(44 of 50 ) The midbrain is supplied by following arteries except-
a) Posterior cerebral artery
b) Superior cerebellar artery
c) Posterior communicating artery
d) Anterior choroidal artery
e) Posterior choroidal artery
(45 of 50 ) Surest sign of brain stem death-
a) Absent corneal reflex
b) The vestibulo-ocular reflex is absent
c) Fixed pupil
d) Absent gag reflex
e) Aponea test
(46 of 50 ) Spinal cord is surrounded by spinal meninges which includes pia mater. Pia mater shows some processes in the
spinal cord. Which statements is true regarding pia process?
a) Filum terminale extends forms conus medullaris to S2 vertebrae
b) Ligamentum denticulataextends laterally & 21 in number
c) Subarachnoid septum connects spinal cord with dura mater
d) Ligamentum denticulata attached to arachnoid mater
e) Filum terminale helps to anchor the spinal cord in the subarachnoid space
(47 of 50 ) A 40-year-old male presented to emergency with history of sudden onset of severe headache with nausea with
difficulty in seeing objects. CT scan of brain reveals hyperdense shadow in the sylvian fissure. Which one is the most
common site of lesion of this scenario?
a) Anterior communicating artery
b) Middle cerebral artery
c) Posterior cerebral artery
d) Basilar artery
e) Superior cerebellar artery
(48 of 50 ) A 9-month-old baby girl presented with increased head circumference with developmental delay with vomiting.
MRI reveals that dilation of lateral and 3rd ventricle. Which structure is mostly prone to lesion due to dilation inferiorly?
a) Optic chiasma
b) Corpus callosum
c) Splenium
d) Fornix
e) Anterior commissure
(49 of 50 ) A 75 years old male came to the neurology outpatient department with slow shuffling gait. He takes more time
than normal people to start walking. Which is the main possible site of lesion for this?
a) Globus pallidus
b) Putamen
c) Caudate nucleus
d) Substantia nigra
e) Subthalamic nucleus
(50 of 50 ) A 60 years old male presented with difficulty in understanding objects with the eyes closed and difficulty in
calculation of simple mathematics. In this scenarion what would be the most probable site of lesion?
a) Dominant Parietal Lobe
b) Dominant Temporal lobe
c) Non- dominant Parietal lobe
d) Non - dominant Temporarl lobe
e) Parietal lobe
