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SECTION A: MULTIPLE CHOISE QUESTIONS

INSTRUCTIONS: Select the only ONE lettered answer or

completion as the correct answer in each Question.

1. Which of the following bones is NOT part of the cranium?

(A) Frontal bone
(B) Parietal bones
(C) Vomer bone
(D) Temporal bones
(E) Sphenoid bone

2. Which of the following bones is NOT part of facial bones?

(A) Zygomatic bones
(B) Maxillae
(C) Nasal bones
(D) Lacrimal bones
(E) Temporal bones

3. Which characteristic feature makes the muscles of the face

be referred to as
“muscles of facial expression”?
(A) they are very short muscles as compared to all other
muscles of the body
(B) they have no other role in the body other than expressing
moods
(C) they originate from the bone and insert to the skin
(D) they are entirely involuntary muscles
(E) none of the obove

4. Concerning the development of the skull find the FALSE

statement.
(A) membranous neurocranium is derived from the neurocrest
cells and para-
axil mesoderm.
(B) membranous bones enlarge by apposition of new layers on
the outer surface
and by simultaneous osteoclastic resorption from the inside
(C) bone spicules progressively radiate from primary
ossification centers
toward the periphery
(D) the endochordral-cranium consist is dereived from two
sources, the
prechordal cranium and chordal-chondro cranium.
(E) All the bones of the skull develop through intra-membranous
process

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5. Which of the following is not a key landmark point in the

midline of the skull?
(A) the external occipital protuberance
(B) Nasion
(C) vertex
(D) superior nuchal lines
(E) Bregma
6. Which of the following statements is False concerning the
pneumatized bones
of the skull?
(A) they are constitutes the frontal, temporal, sphenoid, and
ethmoid bones
(B) they contain air spaces (air cells or larger sinuses),
(C)They presumably help to decrease the weight of the skull.
(D) The total volume of the air spaces in these bones increases
with age
(E) they all develop by both endochordral and intra membranous
ossification

7. Concerning the innervation to muscles of the face, which of

the
following nerves innervates the levator palpebrae superioris
muscle?
(A) facial nerve.
(B) trochlear nerve.
(C) trigeminal nerve.
(D) oculomotor nerve.
(E) abducent nerve.

8. Which of the following nerves innervates the inferior oblique

muscle of the
eye?
(A) abducent nerve.
(B) trigeminal nerve.
(C) oculomotor nerve*.
(D) facial nerve.
(E) trochlear.
9. Which of the following nerves innervates the lateral rectus
muscle of the eye?
(A) optic nerve.
(B) trochlear nerve.
(C) oculomotor nerve.
(D) facial nerve.
(E) abducent nerve.*

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10. Which nerve innervates the superior oblique muscle of the

eye?
(A) trigeminal nerve.
(B) trochlear nerve.*
(C) abducent nerve.
(D) chorda tympani nerve.
(E) oculomotor nerve.

11. The mandibular division of the trigeminal nerve leaves the

skull through
which of the following foramen?
(A) superior orbital fissure.
(B) foramen rotundum.
(C) foramen ovale.*
(D) jugular foramen.
(E) foramen magnum.

12. The glossopharyngeal, vagus, the sigmoid sinus, and

accessory (cranial part)
nerves leave the skull through which of the following
foramen?
(A) jugular foramen.*
(B) occipital foramen.
© inferior orbital fissure.
(D) foramen rotundum.
(E) foramen spinosum.

13. Through which foramen does the abducent nerve leave the
skull?
(A) foramen rotundum.
(B) jugular foramen.
(C) inferior orbital fissure.
(D) superior orbital fissure.*
(E) foramen ovale.

14. Which foramen does the ophthalmic division of the

trigeminal nerve leaves
the skull?
(A) inferior orbital fissure.
(B) foramen ovale.
(C) foramen rotundum.
(D) superior orbital fissure.*
(E) pterygopalatine foramen.

15. Which bone does optic canal opens to?

(A) lesser wing of the sphenoid bone.*

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(B) occipital bone.

(C) petrous part of the temporal bone.
(D) frontal bone.
(E) squamous part of the temporal bone.

16. Concerning the carotid canal, which bone is it located?

(A) frontal bone.
(B) occipital bone.
(C) petrous part of the temporal bone.*
(D) greater wing of the sphenoid bone.
(E) parietal bone.

17. Where is the foramen spinosum is located in the skull?

(A) sphenoid bone.*
(B) occipital bone.
(C) frontal bone.
(D) petrous part of the temporal bone.
(E) squamous part of the temporal bone.
18. The hypoglossal canal is situated above the anterolateral
boundary of the
foramen magnum on which of the following bones?
(A) squamous part of the temporal bone.
(B) occipital bone.*
(B) frontal bone.
(D) sphenoid bone.
(E) parietal bone.

*19. The foramen rotundum transmits the maxillary division of

the trigeminal
nerve from the middle cranial fossa of the skull into?
(a) infra orbito fossa in the lesser wing of the sphenoid bone.
(b) anterior ethmoidal foramen in the frontal bone.
(c) formen in the petrous part of the temporal bone.
(d) foramen magnum of the occipital bone.
(e) the pterygopalatine fossa of greater wing of the sphenoid
bone.

20. Where is the facial nerve canal is located in the skull?

(A) temporal bone.*
(B) greater wing of the sphenoid bone.
(C) occipital bone.
(D) mastoid process.
(E) lacrimal bone.

21. In which of the following bones of the skull is the foramen

magnum located?

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(A) sphenoid bone.

(B) temporal bone.
(C) parietal bone.
(D) frontal bone.
(E) occipital bone.*

22. Concerning the features of the fetal skull find the FALSE
statement
(A) The presence of fontanelles along the superior and lateral
aspect of the skull
(B) The inner and outer table are separated as diploe is not
fully developed
(C) The mandible is smaller in width and less curved as
compared to adult due to absence of teeth-also there is
intermandibular suture
(D) The paranasal air sinuses are present in the maxilla,
frontal, speneoidal and ethmoid bones *
(E) Presence of metopic sutute separating the frontal bones

23. Concerning the pterion, find the FALSE statement

(A) It is H-shaped in nature
(B) It is the most brittle part of the skull
(C) the inner surfaces has a groove or a canal for the anterior
branch of the
middle meningial artery
(D) it is the part highly prone to extra dural hematomas in case
of head injuries
(E) it si formed by sphenoid, temporal, parietal frontal
and occipital bones*

*24. The hypophysis receives its blood supply from which of the
following
arteries?
(A) common carotid
(B) internal carotid
(C) external carotid
(D) vertebral
(E) subclavian

*25. The internal carotid nerve continuaties as which of the

following nerves?
(A) lesser petrosal
(B) greater petrosal
(C) pterygoid plexus
(D) caroticotympanic nerve
(E) cervical plexus

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26. Which of the following structures does NOT pass through

the superior orbital
fissure?
(A) ophthalmic vein
(B) oculomotor nerve
(C) abducens nerve
(D) optic nerve*
(E) trochlear nerve

27. Concerning the foramen ovale which of the following

structures pass through
it?
(A) mandibular division of the trigeminal nerve*
(B) middle meningal artery
(C) ophthalmic artery
(D) abducens nerve
(E) greater petrosal nerve

28. Which of the following structures are NOT part of the

ethmoid bone?
(A) crista galli
(B) superior nasal concha
(C) medial pterygoid plate*
(D) middle nasal concha
(E) cribriform plate

29. Which of the following structures is attached to the spine of

sphenoid bone?
(A) tensor veli palatini muscle*
(B) medial pterygoid muscle
(C) temporomandibular ligament
(D) stylomandibular ligament
(E) zygomaticus major muscle

30. Which of the following bones is the posterior nasal spine

located?
(A) maxilla
(B) palatine*
(C) vomer
(D) occipital
(E) ethmoid

31. Concerning the spine of the sphenoid, the scaphoid fossa,

and the pterygoid

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hamulus Which of the following muscles has an association

to the three
bones?
(A) medial pterygoid
(B) lateral pterygoid*
(C) tensor veli palatini
(D) tensor tympani
(E) levator veli palatine

32. Which of the following structures is lies between the

superciliary ridges?
(A) anterior lacrimal crest
(B) supraorbital notch
(C) superior orbital fissure
(D) glabella*
(E) anterior nasal spine

33. Which of the following structures are NOT contained in the

infratemporal
fossa?
(A) principal muscles of mastication
(B) maxillary artery
(C) pterygoid plexus
(D) mandibular division of the trigeminal
(E) pterygopalatine ganglion

34. The sharp inferior margin of the body of the mandible ends
posteriorly in
which of the following structures?
(A) mental protuberance
(B) mental tubercie
(C) angle of the mandible
(D) mandibular condyle
(E) mandibular notch

35. Which of the following muscles is the principal landmark

for the neck region?
(A) mylohyoid
(B) sternocleidomastoid
(C) sternohyoid
(D) stylohyoid
(E) anterior scalene

36. The intermediate tendon of the digastric muscle attaches

to?
(A) mandibular condyle

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(B) thyroid cartilage

(C) cricoid cartilage
(D) styloid process
(E) hyoid bone

37. Which of the following triangles has its boundaries formed

by omohyoid, the
sternocleidomastoid, and the posterior belly of the
digastric muscle?
(A) occipital
(B) submandbiilar
(C) submental
(D) carotid
(E) omoclavicular

38. The isthmus of the thyroid gland will always crosses

anterior to which of the
following structures?
(A) hyoid bone
(B) 2nd to 4th tracheal rings
(C) cricoid cartilage
(D) thyroid cartilage
(E) inferior belly of the omohyoid muscle

39. In which of the following triangles does the prevertebral

layer of cervical
fascia forms the floor?
(A) submental
(B) posterior cervical
(C) submandibular
(D) carotid
(E) muscular

40. In the expressions of sadness or fright, which of the

following muscles aids in
depressing the corner of the mouth downward and widens
the aperture?
(A) orbicularis oris
(B) buccinator
(C) mylohyoid
(D) mentalis
(E) platysma

41. Which of the following muscles is innervated by the cervical

branch of the
facial nerve?

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(A) sternocleidomastoid
(B) geniohyoid
(C) sternothyroid
(D) platysma
(E) masseter

42. The retromandibular vein is formed by the union of the

external jugular vein
and which of the following veins?
(A) posterior auricular
(B) superficial temporal
(C) transverse facial
(D) internal jugular
(E) facial

43. Which veins crosses perpendicularly downward to the

superficial surface of
the sternocleidomastoid beneath the platysma muscle in
the neck region?
(A) internal jugular
(B) anterior jugular
(C) posterior jugular
(D) external jugular
(E) retromandibular

44. The dorsal ramus of the second cervical nerve gives which
of the following
nerves?
(A) great auricular
(B) greater occipital
(C) lesser occipital
(D) transverse cervical
(E) supraclavicular

45. The ventral rami of cervical nerves 3 and 4 gives which of

the following
nerves?
(A) supraclavicular
(B) greater occipital
(C) great auricular
(D) transverse cervical
(E) occipitalis tertius

46. Which of the following muscles is enclosed by the

superficial layer of cervical
fascia as it split into two sheets?

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(A) sternothyroid
(B) anterior scalene
(C) trapezius
(D) mylohyoid
(E) semispinalis capitis

47. A thickening of the deep parotid fascia forms which of the

following
ligaments?
(A) temporomandibular
(B) stylohyoid
(C) stylomandibular
(D) sphenomandibular
(E) nuchal

48. The axillary sheath is derived from which of the following

fascial layers?
(A) superficial layer of cervical fascia
(B) prevertebral
(C) carotid sheath
(D) buccopharyngeal
(E) pretracheal

49. Which of the following fascial layers gives the sheath that
enclose the thyroid
gland?
(A) carotid iieath
(B) prevertebral
(C) superficial layer of the cervical fascia
(D) pretracheal
(E) alar

50. Which of the following structure NOT in the cervical

visceral fasciae?
(A) cervical sympathetic trunk
(B) pharynx
(C) external jugular vein
(D) common carotid artery
(E) hypoglossal nerve

51. Which of the following spaces is the largest and most

important interfascial
interval in the neck?
(A) suprasternal
(B) retropharyngeal
(C) submandibular

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(D) lateral pharyngeal

(E) parotid

52. Which of the following nerves innervates the sternohyoid

muscle?
(A) hypoglossal
(B) ansa cervicalis
(C) transverse cervical
(D) supraclavicular
(E) vagus

53. Which of the following arteries gives rise to the superior

thyroid artery?
(A) common carotid
(B) external carotid
(C) internal carotid
(D) subclavian artery
(E) maxillary artery

54. The inferior thyroid artery is a branch of ?

(A) dorsal scapular
(B) costocervical
(C) external carotid
(D) thyrocervical
(E) vertebral

55. Which of the following veins does the middle thyroid vein
empties into?
(A) external jugular
(B) anterior jugular
(C) posterior jugular
(D) internal jugular
(E) vertebral

56. One of the following structures is embedded in the anterior

sheath of the
carotid sheath?
(A) sympathetic trunk
(B) thyrocervical trunk
(C) vertebral artery
(D) prevertebral fascia
(E) superior ramus of the ansa cervicalis

57. At what level does the common carotid artery bifurcates

into the external and
internal carotids?

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(A) jugular notch

(B) cricoid cartilage
(C) upper border of the thyroid cartilage
(D) neck of the mandible
(E) sternoclavicular joint

58. The principal arterial supply to the brain is derived from

which of the
following arteries as they enter the cranium?
(A) external carotid
(B) internal carotid
(C) maxillary
(D) vertebral
(E) common carotid

59. Which artery passes obliquely upward deep to the posterior

belly of the
digastric and the stylohyoid muscles running deep to the
submandibular
gland?
(A) lingual
(B) facial
(C) maxillary
(D) superior thyroid
(E) occipital

60. Which artery arises from the posterior aspect of the

external carotid at the
level of the upper border of the posterior belly of the di-
gastric muscle?
(A) facial artery
(B) occipital artery
(C) lingual artery
(D) posterior auricular artery
(E) ascending pharyngeal artery

61. Which of the following foramina does the vagus (CN-X)

nerve leaves the
skull?
(A) the jugular foramen
(B) internal acoustic
(C) foramen spinosum
(D) foramen ovale
(E) foramen lacerum

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62. Which of the following sensory components does the cell

bodies of the
superior ganglion of the Vagus nerve are primarily
concerned with?
(A) general visceral efferent (GVE)
(B) general somatic afferent (GSA)
(C) general somatic efferent (GSE)
(D) general visceral afferent(GVA)
(E) special visceral afferent (SVA)

63. The cricothyroid and the inferior constrictor muscle of the

pharynx are
innervated by which of the following nerves?
(A) inferior cervical cardiac
(B) external branch of the superior laryngeal
(C) inferior laryngeal
(D) recurrent laryngeal
(E) superior cervical cardiac

64. In which of the following cervical triangles are the superior

deep cervical
lymph nodes located?
(A) carotid
(B) omoclavicular
(C) submandibular
(D) occipital
(E) submental

65. Which of the following sympathetic ganglia is commonly

located at the level
of the 2nd cervical vertebra?
(A) stellate ganglion
(B) inferior cervical ganglion
(C) vertebral ganglion
(D) middle cervical ganglion
(E) superior cervical ganglion

66. Which ganglia that is commonly located at the level of the

cricoid cartilage?
(A) superior ganglion of the vagus
(B) inferior ganglion of the glossopharyngeal
(C) otic ganglia
(D) middle cervical sympathetic
(E) submandibular

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67. The ganglia that is commonly 1ocated at the base of the

transverse process of
the 7th cervical vertebrae is?
(A) pterygopalatine
(B) submandibular
(C) cervicothoracic
(D) vertebral
(E) geniculate

68. Which of the following nerves innervates the posterior belly

of the digastric
muscle?
(A) trigeminal
(B) facial
(C) vagus
(D) ansa subclavia
(E) hypoglossal

69. Concerning the relations of brachial plexus which artery

passes through the
brachial plexus either above or below the middle trunk?
(A) costocervical
(B) suprascapular
(C) transverse scapular
(D) dorsal scapular
(E) vertebral

70. At which of the following structures does the subclavian

vein joins the
internal jugular vein to form the brachiocephalic vein?
(A) the outer border of the first rib
(B) behind the acromioclavicular joint
(C) behind the coraoclavicular joint
(D) in front of the coracohumeral ligament
(E) behind the sternal end of the clavicle

71. Which of the following arteries is a branch of costocervical

trunk?
(A) highest intercostal
(B) inferior thyroid
(C) suprascapular
(D) transverse cervical
(E) ascending cervical

72. Which of the following muscles is an essential muscular

landmark of the neck

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as concerning the relations of the most of the structures

traversing the neck
region ?
(A) longus colli
(B) longus capitis
(C) rectus capitis
(D) scalenus anterior
(E) scalenus posterior

73. The following laryngeal cartilages has a triangular base

with vocal
and muscular processes?
(A) cricoid
(B) corniculate
(C) arytenoid
(D) cuneiform
(E) epiglottis

74. One of the following structures contributes to the formation

of the vocal
ligaments?
(A) thyrohyoid membrane
(B) cricotracheal ligament
(C) quadrangular membrane
(D) conus elasticus
(E) hypoepiglottic ligament

75. Which of the following structures constitutes the vestibular

ligament of the
false vocal fold?
(A) quadrangular membrane
(B) median cricothyroid ligament
(C) thyrohyoid membrane
(D) thyroepiglottic ligament
(E) cricotracheal ligament

76. What is the name given to the space between the apposed
vocal folds and
arytenoid cartilages?
(A) glottis
(B) rima glottidis
(C) vestibule
(D) rima vestibuli
(E) piriform recess

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77. Which of the following muscles of the larynx abducts the

vocal ligament?
(A) posterior cricoarytenoid
(B) lateral cricoarytenoid
(C) transverse arytenoid
(D) thyroarytenoid
(E) cricothyroid

78. Which of the following muscles of the larynx increases

tension of the vocal
folds?
(A) cricothyroid
(B) lateral cricoarytenoid
(C) posterior cricoarytenoid
(D) thyroarytenoid
(E) transverse arytenoid

79. Which of the following muscles constitutes the internal

fibres of the vocalis
muscles?
(A) lateral cricoarytenoid
(B) cricothyroid
(C) thyroarytenoid
(D) posterior cricoarytenoid
(E) oblique arytenoids

80. Which of the following is the principal sensory nerve of the

larynx?
(A) recurrent laryngeal
(B) inferior laryngeal
(C) superior laryngeal
(D) glossopharyngeal
(E) cervical sympathetic trunk

81. Which of the following muscles of the larynx is innervated

by the external
branch of the superior laryngeal nerve?
(A) lateral cricoarytenoid
(B) posterior cricoarytenoid
(C) thyroarytenoid
(D) transverse arytenoid
(E) cricothyroid

82. Which of the following arteries gives the superior laryngeal

artery?
(A) lingual

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(B) superior thyroid

(C) costocervical trunk
(D) thyrocervical trunk
(E) transverse cervical

82. At what level does the trachea begins?

(A) hyoid bone
(B) thyroid cartilage
(C) 4th cervical vertebra
D) cricoid cartilage
(E) 2nd cervical vertebra

83. The carina forms part of which of the following structures?

A) hyoid bone
(B) epiglottis
(C) trachea
(D) larynx
(E) pharynx

84. At what level does the pharynx terminate?

(A) hyoid bone
(B) 2nd cervical vertebra
(C) thyroid cartilage
(D) cricoid cartile
(E) jugular notch

85. Which layer of the pharyngeal wall does the

pharyngobasilar fascia
contribute?
(A) mucous membrane
(B) submucosa
(C) longitudinal muscle layer
(D) circular muscle layer
(E) buccopharyngeal fascia

86. Where does the middle pharyngeal constrictor muscle arise

from?
(A) pterygomandibular raphe
(B) cricoid cartilage
(C) thyroid cartilage
(D) torus tubarius
(E) hyoid bone

87. Which muscle enters the pharyngeal wall in the gap

between the origins of the
middle and superior pharyngeal constrictor muscles?

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(A) stylopharyngeus
(B) palatopharyngeus
(C) salpingopharyngeus
(D) thyrohyoid
(E) sternohyoid

88. The glossopharyngeal nerve innervates which of the

following muscles the
pharynx?
(A) superior pharyngeal constrictor
(B) salpingopharyngeus
(C) stylopharyngeus
(D) palatopharyngeus
(E) middle pharyngeal constrictor

89. The following ganglia is a peripheral ganglion in the course

of the
parasympathetic innervation of the parotid gland?
(A) ciliary
(B) pterygopalatine
(C) submandibular
(D) otic
(E) geniculate

90. Concerning the secreto-motor nerve supply to the parotid

gland, which of the
following nerves supplies parasympathetic fibers through
the otic ganglion to
the parotid gland?
(A) vagus
(B) glossopharyngeal
(C) facial
(D) hypoglossal
(E) accessory

91. Which nerve innervates the genioglossus muscle of the

tongue?
(A) hypoglossal
(B) ansa cervicalis
(C) glossopharyngeal
(D) vagus
(E) trigeminal

92. At what level does the esophagus begins?

(A) hyoid bone
(B) thyroid cartilage

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(C) 4th cervical vertebra

(D) cricoid cartilage
(E) jugular notch

93. The maxillary division of the trigeminal nerve gives which

of the following
cutaneous nerves?
(A) lacrimal
(B) infratrochlear
(C) auriculotemporal
(D) buccal
(E) superior labial

94. Which of the following nerves innervates the levator anguli

oris muscle?
(A) auriculotemporal
(B) facial
(C) ansa cervicalis
(D) inferior alveolar
(E) inferior palpebral nerve

95. The pterygomandibular raphe is a ligamentous band that

stretches between
the pterygoid hamulus and which of the flowing structures?
(A) spine of the sphenoid
(B) hyoid bone
(C) mental protuberance
(D) posterior end of the mylohyoid line
(E) posterior nasal spine

96. Which of the following arteries terminates as the angular

artery ?
(A) superfia1 temporal
(B) posterior auricular
(C) maxillary
(D) facial
(E) occipital

97. Which of the following arteries does its terminal branches

terminates as the
infraorbital artery?
(A) facial
(B) transverse facial
(C) superficial temporal
(D) lingual
(E) maxillary

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98. The following artery has its terminal branch terminating as

the mental artery?
(A) superficial temporal
(B) transverse facial
(C) inferior alveolar
(D) facial
(E) lingual

99. The retromanclibular vein is formed by the confluence of

the superficial
temporal vein and which of the following veins?
(A) transverse facial
(B) maxillary
(C) facial
(D) lingual
(E) submental

100. Which of the following muscles is penetrated by the

parotid duct?
(A) masseter
(B) medial pterygoid
(C) buccinator
(D) superior pharyngeal constrictor
(E) levator anguli oris

101. Which of the following structures is formed by the deep

portion of the
parotid fascia?
(A) stylomandibular ligament
(B) sphenomandibular ligament
(C) pterygomandibular raphe
(D) carotid sheath
(E) buccopharyngeal fascia

102. Which of the following openings does the facial nerve

enters the temporal
bone?
(A) carotid canal
(B) foramen lacerum
(C) stylomastoid foramen
(D) internal acoustic meatus
(B) jugular foramen

103. Which of the following nerve is usually the first

extracranial branch of the

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facial nerve?
(A) cervical branch
(B) marginal mandibular branch
(C) buccal branch
(D) zygomatic branch
(E) posterior auricular

104. Which of the following represents the 4th layer of the

scalp?
(A) an aponeurotic
(B) a muscular
(C) a dense connective
(D) a periosteal
(E) a loose connective

105. Where are the blood vessels of the scalp are primarily
located?
(A) skin
(B) dense subcutaneous layer
(C) aponeurotic layer
(D) loose connective tissue layer
(E) periosteal layer

106. Which of the following is a branch of the supraorbital

artery?
(A) superficial temporal
(B) transverse facial
(C) maxillary
(D) facial
(E) ophthalmic

107. Which of the following nerves innervate the muscles of the

scalp?
(A) supraorbital
(B) auriculotemporal
(C) temporal and auricular branches of the facial
(D) greater occipital
(E) lesser occipital

108. Which of the following Fascia forms the masseteric fascia?

(A) superficial layer of cervical fascia
(B) carotid sheath
(C) prevertebralfscia
(D) buccopharyngeal
(E) pretracheal fascia

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109. The sphenomandibular ligament is a thickening of which

of the following
fascia?
(A) carotid sheath
(B) pterygoid fascia
(C) prevertebral fascia
(D) pretracheal fascia
(E) buccopharyngeal

110. Which of the following nerves innervates the masseter

muscle?
(A) buccal branch of the facial
(B) buccal branch of the trigeminal
(C) maxillary division of the trigeminal
(D) inferior alveolar
(E) mandibular division of the trigeminal

111. Where does the sphenomeniscus inserts?

(A) mandibular condyle
(B) articular tubercie
(C) postglenoid tubercle
(D) articular disk
(E) lingula

112. Which of the following muscles opens the jaw by forward

traction at the
neck of the mandible?
(A) masseter
(B) temporalis
(C) lower portion of the lateral pterygoid
(D) upper fibers of the medial pterygoid
(E) sphenomeniscus

113. Which of the following muscles stabilizes the condyle and

disk against the
articular eminence during closing movements of the
mandible?
(A) temporalis
(B) masseter
(C) medial pterygoid
(D) anterior belly of the digastric
(E) sphenomeniscus portion of the lateral pterygoid

114. Which of the following muscles is assisted by the medial

pterygoid muscle in

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protrusion of the mandible?

(A) mylohyoid
(B) lateral pterygoid
(C) geniohyoid
(D) temporalis
(E) sphenomeniscus

115. Concerning the fibrous outer layer of the eye Which of the
following
statements is NOT correct?
(A) the sciera constitutes the posterior five-sixths of the outer
layer of the eye
(B) it is continuous in front with the cornea
(C) transparent cornea constitutes the anterior one-sixth of the
outer layer
(D) it is perforated by vorticose veins
(E) it gives rise to the optic disk

116. Concerning the choroid layer of the eye which of the

following statements is
NOT Correct?
(A) it is brown in color
(B) it consists of a dense capillary plexus
(C) the ciliary body is part of the choroid layer
(D) the iris is part of the choroid layer
(E) it is the innermost layer of the eye

117. Concerning the lens of the eye which of the following

statements is NOT
correct?
(A) the lens is a transparent biconvex body
(B) the shape of the lens is modified by the ciliary muscle
(C) the lens is held in place by the suspensory ligament
(D) the lens is the principal refractive structure of the eye
(E) the lens is flatter on its posterior surface and more curved
anteriorly

118. Which of the following are components of the middle ear?

(A) tragus
(B) anthelix
(C) cochlea
(D) auditory ossicles
(E) membranous labyrinth

119. Which of the following statements is NOT correct

concerning the tympanic

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membrane?
(A) it is set obliquely into the external acoustic meatus
(B) it is composed of 3 layers
(C) it forms the lateral wall of the middle ear
(D) the umbo is at the most indrawn part of the membrane
(E) the lower limit of the membrane is called membrane flaccida

120. Which of the following arteries provide branches that

supply the middle ear?
(A) maxillary
(B) posterior auricular
(C) ascending pharyngeal
(D) middle meningeal
(E) superficial temporal

121. Which of the following is NOT a component of the internal

ear?
(A) cochlea
(B) semicircular canals
(C) utricle
(D) saccule
(E) epitympanic recess

122. Which of these statements is NOT correct concerning the

cochlear duct?
(A) it is the membranous part of the bony cochlea
(B) it is rectangular in cross-section
(C) it is bounded below by a fibrous extension of the osseous
spiral lamina—the basilar membrane
(D) it is bounded above by the more delicate vestibular
membrane
(E) it is continuous with the remainder of the membranous
tubules through the ductus reuniens connecting it to the
sacculus

123. Which of the following structures does NOT traverse the

internal acoustic
meatus?
(A) facial nerve
(B) vestibulocochlear nerve
(C) labyrinthine artery
(D) labyrinthine vein
(E) deep auricular artery

124. Which of the following statements is TRUE concerning the

geniculate

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ganglion?
(A) it is the sensory ganglion of the trigeminal nerve
(B) it contains motor neurons
(C) it is located in the pterygoid canal
(D) it is located at the junction of the internal acoustic meatus
and the facial canal
(E) it is located in the stylomastoid foramen

125. Which of the following statements does NOT apply to the

chorda tympani
nerve?
(A) it arises from the facial nerve
(B) it passes through the tympanic cavity
(C) it passes forward over the medial surface of the tympanic
membrane
(D) it passes through the petrotympanic fissure
(E) it passes through the foramen ovale

126. Where are the peripheral processes of the cochlear nerve

located?
(A) saccule
(B) utricle
(C) ampulla of the posterior semicircular duct
(D) organ of Corti
(E) vestibule

127. One of the following foramina opens into the

infratemporal fossa?
(A) foramen rotundum
(B) jugular foramen
(C) stylomastoid
(D) foramen ovale
(E) foramen lacerum

128. Which of the following muscles is attached to the medial

pterygoid plate?
(A) stapedius
(B) tensor tympani
(C) palatopharyngeus
(D) tensor veli palatini
(E) palatoglossus

127. Which of the following structures does not go through the

jugular foramen?
ç1’ jii

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(B) glossopharyngeal nerve

(C) vagus nerve
(D) accessory nerve
(E) hypoglossal nerve

128. Which of the following statement is NOT correct

concerning the cavernous
sinuses?
(A) it has nerves in its outer wall
(B) it has a nerve and a major artery coursing through it
(C) it lies on either side of the body of the sphenoid
(D) it is formed between the meningeal and periosteal layers of
the dura
(E) the mandibular nerve passes through the sinus

129. Which of the following arteries does NOT give arteries

that supply the
meninges?
(A) maxillary
(B) anterior ethmoidal
(C) ascending pharyngeal
(D) occipital
(E) superficial temporal

130. Concerning the blood supply to the meninges, which of the

following
arteries supplies approximately four-fifths of the dura
mater?
(A) occipital artery
(B) posterior meningeal
(C) anterior meningeal
(D) middle meningeal
(E) middle cerebral

131. Which of the following statements is FALSE concerning

the
contracting ciliary muscles of the eye?
(A) the ciliary processes and ring are drawn toward the
corneoscleral junction
(B) it reduces tension on the fibers of the suspensory ligament
(C) the lens increases its curvatures
(D) it creates greater refractive power for vision of close object
(E) it is innervated by the trigeminal nerve

132. Which of the following structures of the eye shows a

nervous characterics?

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(A) pars ciliaris retinae

(B) pars iridica retinae
(C) ora serrata
(D) pars optica retinae
(E) lens

133. Which of the following statements is FALSE concerning

the maxillary division of the trigeminal nereve?
(A) it is entirely sensory
(B) it supplies the skin of the cheek
(C) it supplies the lower eyelid
(D) it supplies the upper lip
(E) it traverses the infratemporal fossa

1. The lesion to which of the following nerves would lead to

Bell’s palsy?
(A) oculomotor
(B) facial
(C) optic
(D) abducens
(E) trigeminal

2. Which of the following nerves is associated with Tic

douloureux?
(A) trochlear
(B) facial
(C) optic
(D) vagus
(E) trigeminal

3. Which of the following layers of the SCALP is regarded as the

dangerous area
of the scalp?
(A) loose areolar tissue
(B) aponeurosis epicranialis
(C) skin
(D) connective tissue
(E) pericranium

4. Pachymeningitis refers to inflammation of which of the

following meningial
layers?
(A) pia and arachnoid together
(B) dura
(C) pia
(D) arachnoid

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(E) periosteum

5. Which of the following structures is NOT involved in a

pulsating
exophthalmos?
(A) cavernous sinus
(B) internal carotid artery
(C) ophthalmic veins
(D) arteriovenous fistula
(E) optic nerve

6. Which of the following nerves is associated with a condition

known as
hyperacusis?
(A) oculomotor
(B) facial
(C) vestibulocochlear
(D) trigeminal
(E) trochlear

7. Congenital torticollis or wryneck is associated with injury to

which of the
following structures?
(A) erector spinalis muscle
(B) trapezius muscle
(C) sternocleidomastoid muscle
(D) 6th cervical vertebra
(E) anterior scalene muscle

8. Which of the following triangles of the neck are used to

approach the thyroid
and parathyroid glands during surgery involving the two
glands?
(A) carotid
(B) muscular
(C) submandibular
(D) occipital
(E) supraclavicular

9. Which of the following features is NOT associated with

Homer’s syndrome?
(A) vasodilation
(B) absence of sweating on the face and neck
(C) exophthalmos
(D) ptosis
(E) pupillary constriction

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10. Which of the following areas would a foreign body entering

the pharynx is
most likely to be lodged?
(A) pharyngeal recess
(B) retropharyngeal space
(C) supratonsilar fossa
(D) piriform recess
(E) lateral pharyngeal space

Chapter 8: Head and Neck

1. Which of the following statement is TRUE concerning the

components of
the Peripheral nervous system?
(A). are 20 pairs of spinal nerves.
(B). are 31 pairs of spinal nerves.
(C). are 25 pairs of spinal nerves.
(D). are 33 pairs of spinal nerves
(E). are 34 pairs of spinal nerves.

2. Concerning the vertebral venous plexuses which of the

following statements is
FALSE?
(A). Communicates with the basilar and occipital sinuses of the
skull
(B). Have incompetent valves or are valveless.
(C). Tumour cells or pus may reach the brain through these
veins
(D). It is not a route for thrombus or tumour cells from pelvic
organs to the
brain
(E). The internal and external venous plexuses drain into the
regional segmental
veins.

3. Which of the following statements is FALSE concerning

Spina bifida?
(A). May be associated with paraplegia at birth
(B). May be associated with hydrocephalus
(C). Surgical repair is impossible
(D). May be detected before birth
(E). None of the above.

4. Which of the following statement is TRUE concerning the

curvature of the

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vertebral column?
(A). It has a cervical lordosis in the adult.
(B). It is C-shaped in the foetus.
(C). Has a thoracic kyphosis in the adult.
(D). It has a lumbar lordosis in the adult.
(E). Sometimes a thoraco lumbar scoliosis is present.

5. What type of joint is atlanto-occipital joint?

(A). Fibrous joint
(B). Plane synovial joint
(C). Ellipsoid joint
(D). Pivot joint
(E). Saddle joint

6. Which of the following statement is FALSE concerning the

scalp?
(A). Both the occipito-frolis bellies, have no bony attachments..
(B). Communicates with intracranial venous sinuses through
emissary veins
linking to the loose areolar tissue.
(C). Infection in the subaponeurotic space can enter the eyelids
and root of the
nose.
(D). The posterior half of the scalp derives its sensory supply
from the cervical
plexus.
(E). During birth cephalohaematomas develop under the
pericranium.

7. Which of the following statement is TRUE regarding the fetal

skull?
(A). Anterior and posterior fontanelle may still not be present at
birth.
(B). The vault of the skull has no diploe.
(C). The tympanic part of the temporal bone is a complete ring.
(D). Has all the maxillary, anterior ethmoidal, frontal and
sphenoidal air
sinuses functioning.
(E). Has a well defined mastoid process.

8. The internal carotid artery pierces the dura mater

immediately medial to which
of the following?
(A). Foramen ovale
(B). Foramen lacerum
(C). Anterior clinoid process

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(D). Anterior condylar foramen

(E). Sphenoid spine

9. Which of the following structures is responsible for the

pulsations just above
the zygomatic arch and in front of the ear?
(A). Facial vein
(B). Superficial temporal artery
(C). Lingual artery
(D). Internal carotid artery
(E). Facial artery

10. The facial artery crosses the mandible at the anterior

border of which of the
following structures?
(A). Platysma muscle
(B). Masseter muscle
(C). Buccinator muscle
(D). Parotid gland
(E). Submandibular gland

11. Which of the following is the largest artery supplying the

dura-mater of the
brain?
(A). Anterior cerebral
(B). Middle meningeal
(C). Middle cerebral
(D). Inferior meningeal
(E). Posterior meningeal

12. Which of the following nerves innervates the platysma

muscle?
(A). Mandibular nerve
(B). Maxillary nerve
(C). Accessory nerve
(D). Hypoglossal nerve
(E). Cervical branch of the facial nerve

13. Which is the following statements is TRUE concerning the

internal carotid
artery?
(A). One of its branches is the superior thyroid artery
(B). It is given off from the common carotid artery at the level of
the upper
border of the body of the Hyoid bone
(C). Its only branch in the neck is the tyroidia ima artery

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(D). It is surrounded by a sympathetic plexus from the superior

cervical
ganglion
(E). It is accompanied in its foramen to the cranial cavity by the
maxillary
nerve

14. Which of the following skull bones is NOT derived from the
first pharyngeal
arch?
(A). Mandible
(B). MaxilIa
(C). Zygomatic
(D). Part of temporal bone
(E). tyloid process of the temporal bone

15. Concerning the middle meningeal artery find the true

statement:
(A). Gives off the accessory meningeal artery while in the
foramen spinosum.
(B). Just after entering the skull gives off two large twigs that
accompany the
deep petrosal nerve.
(C).Within the skull, it gives off a twig to supply thefacial nerve.
(D). Its anterior branch anastomoses through the superior
orbital fissure with
the lacunar artery.
(E). Has its groove in the petrous temporal bone.

16. Which layer of the scalp allows it to be moveable on the

surface of the skull?
(A). Skin
(B). Connective tissue.
(C). Aponeurosis
(D).Loose areolar tissue.
(E). Pericranium

17. Which of the following statements is TRUE concerning the

meninges of the
brain?
(A). The space between the dura mater and the skull is occupied
by the veins.
(B). The pianater bridges the gap between
(C). The arachnoid granulations project in the inferioF’agital
sinus.
(D). The subdural space is occupied by the cerebrospinal fluid.

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(E). The arteries are seen in the subarachnoid space.

18. Which of the following muscles is regarded as the “smiling

- muscle” of the
face?
(A). Orbicularis oils
(B). Zygomaticus major
(C). Risorius
(D). Buccinator .
(E). Levatoranguli oris

19. Which of the following structures passes through the

jugular foramen?.
(A). Inferior petrosal sinus.
(B). Glossopharyngeal.
(C). Accessory nerve.
(D). Vagus nerve.
(E). All of the above.

20. Which of the following statements is TRUE concerning the

posterior
fontanelle?
(A). It is diamond shaped.
(B). It is clinically important.
(C). It is found between two occipital bones and parietal bone.
(D). It normally closes by the eighteenth month.
(E). None of the above.

21. Which of the following spaces of the meninges contains

Cerebral spinal fluid?
(A). Superior sagittal sinus.
(B). Subdural space
(C). Transverse sinus
(D). Epidural space
(E). Subarachnoid space

22. Which of the fallowing statements is FALSE concerning the

facial clefts?
(A). Cleft uvula is a secondary palatal cleft.
(B). Cleft hard palate posterior to the incisive foramen without
cleft lip is
primarily palatal cleft.
(C). Cleft lip alone is a primary cleft.
(D). Cleft of the lip and hard palate anterior to the incisive
foramen is a
primary cleft.

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(E). Clefting is more frequent in males than females.

23. Which of the following is NOT a branch of the facial nerve?

(A). Nerve to stapedius
(B) Lesser petrosal nerve
(C). Greater petrosal nerve
(D). Posterior auricular nerve
(E). Zygomatic nerve

24. Which of the following provides the nerve supply to dura

mater within the
cranial cavity?
(A). Trigeminal nerve
(B). Upper three cervical nerves
(C). Vagus nerve ..
(D). All the above
(E). only (a) and (c)

25. Which of the following bones does NOT take part in the
formation of
posterior cranial fossa?
(A). Mastoid part of temporal
(B). Squamous part of occipital
(C). Petrous part of temporal
(D) Sphenoid
(E). Squamous part of temporal

26. Which of the following statement is FALSE concerning the

blood supply to
the brain?
(A). Reaches by internal carotid and vertebral arteries.
(B). R and L vertebral unite to form Basilar artery.
(C) There are no end arteries in the brain.
(D). Ligation of one internal carotid artery may not endanger
the patient.
(E). All the above.

27. All the following parts of the skull develop by cartilaginous

ossification
except:
(A). Basi occiput
(B). Basi sphenoid
(C). Petrous temporal
(D). squamous part of the occipital
(E). Greater wing of sphenoid.

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28. Which of the following is a characteristic feature of the

frontal bone?
(A). A metopic suture in the Newborn
(B). An orbital plate
(C). Zygomatic processes.
(D). it has Air sinus(es)
(E). All of the above.

29. Which of the following statements correctly describes the

temporal bone?
(A). it has a squamous part
(B). it has a stylomastoid forarnen.
(C). Petrous part
(D).Mastoid process
(E). All the above

30. The lambdoidal suture is the point of articulation between

which bones?
(A). Parietal bones
(B). Parietal and occipital bones.
(C). Nasal and frontal bones.
(D). Halves of frontal bones.
(E) None of the above.
31. Which of the following foramina is NOT correctly matched
with structure(s)
that traverse them?
(A). Foramen ovale-mandibular division of trigeminal nerve.
(B). Internal audory meatus-facial nerve and vestibulo-cochlear
nerve.
(C). Foramen magnum-vertebral arteries, spinal cord, etc.
(D). Jugular foramen-superior petrosal sinus.
(E). Foramen spinosum-middle meningeal vessels.

32. Which of the following statements is TRUE concerning the

Occipital bone?
(A). Ossifies only in membrane
(B). Articulates with parietal bones at the coronal suture.
(C). Has no muscle attachment.
(D). Is grooved by the superior petrosal sinus.
(E). Has foramina for the hypoglossal nerves.

33. Which of the following bones does NOT articulate with the
sphenoid bone?
(A). Superior concha
(B). Ethmoid
(C). Frontal .

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(D). Occipital
(E). Palatine‘

34. Failure of the cranial vault to develop may lead to which of

the following
anomalies of the skull?
(A). Craniosynostosis
(B). Cranioschisis
(C). Microcephally
(D). Spinabifida
(E). Polyhydromnios

35. Which of the following muscles is NOT supplied by the

cranial accessory
nerve?
(A). Palato gIossus-….Vagus
(B). Lavator palati
(C). Palato pharyngeus……
(D). Musculi uvuli
(E). Tensor palate…..V3

36. Which of the following muscles is NOT supplied by the

hypoglossal nerve?
(A). Styloglossus
(B). Intrinsic muscles of the tongue
(C). Genioglossus
(D). Hyoglossus
*(E). Palatoglossus

37. Which of the following statements is FALSE concerning the

scalenous
anterior muscle?
(A). It arises from anterior tubercles of 3rd - 6th cervical
vertebrae.
(B). Gets in contact with the supra pleural membrane and pleura
posteriorly.
(C). Is crossed anteriorly by the external jugular vein.
(D). Is separated from scalenus medius posteriorly by the
subclavian artery
only.
(E). Lies between the subclavian vein and artery.

38. Which of the following statement is true concerning the

subclavian vessels?
(A). The thyrocervical trunk gives the highest intercostal and
deep cervical

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branches
(B). The only tributary to the sub-clavian vein is external jugular
vein
(C). The deep branch may be replaced by the descending
scapular artery
(D). Participate in supplying blood to the brain
VitC&D
39. Which of the following statements is FALSE concerning the
neck?
(A). The jugular notch is at the level ofC2
(B). Common carotid bifurcates at level of C3.
(C). Carotid sheath encloses common carotid, internal jugular
vein, the vagus
and external and internal carotid arteries.
(D). Tracheostomy may be best done through 2nd and 3rd
tracheal rings after
retracting the isthmus of the thyroid gland.
(E). The upper boarder of thyroid cartilage is at the level of the
4tb cervical
vertebrae.

40. Which of the following nerves hooks around the right

subclavian artery?
(A). Phrenic
(B). Sympathetic
(C). Recurrent laryngea
(D). Vagus
(E). All of the above.

41. Which of the following structures has no relationship with

cricoid cartilage?
(A) Site of supra sternal notch.
(B). Site of middle cervical ganglion.
(C). Inferior thyroid artery swings medially posterior to the
common carotid
artery.
(D). Omohyoid crosses the common carotid artery.
(E). Cricopharygeus joins the oesophageal muscle coat.

42. Which nerve runs anaterior to the scalenous anterior

muscle that forms an
important landmark in the neck?
(A). Recurrent laryngeal
(B). Ansa cervicalis
(C). Sympathetic trunk

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(D) Phrenic nerve

(E). Lower trunks of brachial plexus.

43. Which of the following structures is a remnant of Meckel’s

cartilage?
(A). Stylomadibular ligament
(B). Maxilla bone
(C). Spheno mandibular ligament
(D). Stylohyold ligament
(E). Temporal bone

44. Which of the following structures do the roots of the

brachial plexus
emerging through as they enter the posterior triangle of
the neck?
(A). Scalenus anterior and sternomastoid.
(B). Scalenus anterior and clavicle.
(C). Scalnus anterior and scalenus medius.
(D). Scalenus medius and scalenus posterior.
(E). Scalenus posterior and levator scapulae.

45. Which of the following nerves are NOT part of the cervical
plexus?
(A). Greater occipital
(B). Auriculo temporal
(C). Supraclavicular
(D). Transverse cutaneous nerve of neck.
(E). Great auricular nerve.

46. All the following are branches of the superior cervical

ganglion EXCEPT:
(A). Middle cardiac branch
(B). Internal carotid nerve.
(C). Gray rami communicantes
(D). Pharyngeal branches.
(E). Arterial branches.

47. The omyoid, the sterno-cleido mastoid and the posterior

belly of the digastric
muscles form the boundaries of which triangle of the neck?
(A). The submandibular.
V (B). The mental.
(C).. The carotid.
(D). The omoclavicular.
(E). The muscular.

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48. The following nerve ascends in the neck along the posterior
border of the
sterno-cleido mastoid muscle
(A). The greater occipital
(B). The great auricular
(C). The lesser occipital
(D). The transverse cervical
(E). The medial supraclavicular.

49. The name given to the fascia on the deep aspect of the
scalene muscles that
spread over the cervical pleura, reinforcing it and giving it
a superior support
is the?
(A). Buccopharyngeal.
*(B). Sibson’s fascia
(C). Axillary
(D). Pretracheal
(E). Alar

50. Which of the following structure beginning below the

sternoclavicular joint
and terminating above midway between the angle of the
mandible and the
mastoid process?
(A). Thyroglossal duct
(B). Common carotid artery
(C). Pyramidal lobe
(D). Recurrent laryngeal
(E). Sternocleido mastoid muscle

51. Which of the following nerves provides the proprioception

to the
sternocleidomastoid muscle?
(A). Spinal part of accessory nerve
(B). Cranial part of accessory nerve
(C). Both the parts of the accessory nerve.
(D). Fibres from C2 and C3
(E). Fibres from C3 and C4.

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52. Concerning the root of the neck, all the following

statements are TRUE
except:
(A). The subclavian artery passes into the neck behind the
sternoclavicularn
joint.
(B). Phrenic nerve runs anterior to the scalenus anterior muscle.
(C). The first and largest branchof the subclavian artery is the
vertebral artery.
(D). The nerve supply of scalenus anterior muscle is from the
posterior primary
rami of C5 and C6.
(E). The root of the neck lies below the apex of the lung.

53. Concerning the scalenus anterior muscles find the FALSE

statement:
(A). Scalenus anterior muscle is inserted to the scalene tubercie
on the inner
border of the first rib.
(B).Scalenus anterior muscle arises from the anterior tubercles
of the four
typical cervical vertebrae.
(C). Scalenus anterior is separated from the scalenus medius by
the subclavian
artery.
(D). Scalenus medius assists in stabilising in the neck.
(E). Scalenus posterior is innervated by the phrenic nerve.

54. Which of the following statements is FALSE regarding the

first rib?
(A). It is the flattest rib
(B). It is the shortest rib
(C). It is the most curved rib
(D). It has a prominent tubercle on the outer border of its upper
surface
(E). It has the subclavian groove where the subclavian artery lie
in relation to
the bone.

55. Which of the following is Not a Contents of the posterior

triangle of the
neck?
(A). Accessory nerve
(B). Suprascapular arteries
(C). Supraclavicular lymph nodes
(D). Occipital lymph nodes

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(E). The prevertebral fascia

56. Which of the following structures passes between the

scalenus anterior and
scalenus medius?
(A). Phrenic nerve
(B). Sympathetic trunk
(C). subclavian vein
(D). Accessory nerve.
(E). Subclavian artery.

57. Which of the following structure is not enclosed by the

carotid sheath?
(A). Vagus nerve
(B). Root of Ansa cervicals.
(C). Deep cervical lymph nodes
(D). External jugular vein
(E). Internal carotid artery.

58. All the following statement are FALSE concerning the

Carotid triangle
EXCEPT:
(A). It Contains the sympathetic trunk.
(B). Has the thoracic duct aching infront of it.
(C). It Contains the phrenic nerve.
(D). Has the inferior thyroid artery running anterior to it.
(E). Contains carotid sheath and contents.

59. Find the TRUE statement concerning the interval between

internal and
external carotid arteries:
(A). Has one of the contents as styloglosus muscle.
(B). Gives exit to stylohyoid muscle.
(C). Allowsexit of the pharyngeal branches of vagus nerve.
(D). Accommodates a portion of the parotid gland.
(E). Is occupied by the ascending pharyngeal artery.

60. At what level does the the common carotid artery ends or
bifurcates?
(A). Neck of mandible
(B). C3
(C). C6
(D). At the sterno clavicular joint
(E). At the level of cricoid cartilage.

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61. The carotid tubercle forms an important landmark for

which of the following?
(A). Compressing the common carotid artery to stop bleeding.
(B). Locating the site to inject Novocaine in tooth extractions.
(C). Making a tracheotomy incision.
(D). Locating the vagus nerve.
(E). Palpating the occipital lymph nodes.

62. Which of the following nerves is connected to the carotid

sinus?
(A). The eleveth cranial or accessory nerve.
(B). the glossopharyngeal (CN IX)
(C). The ansa cervicalis.
(D). The fifth cranial (CN V)
(E). The fourth cervical.

63. Concerning the submental triangle which of the following

muscles lies its
floor?
(A). Hyoglossus
(B). Thyrohyoid
(C). Anterior belly of the digastric
(D). Stylohyoid
(E) Mylohyoid

64. Which of the following muscles does NOT cross the anterior
triangle of the
neck?
(A). Only the anterior belly of the digastric muscle
(B). Both bellies of the digastric muscle
(C) Stylohyoid muscle
(D). Superior belly of the omohyoid
(E). None of the above

65. Concerning the submental triangle find the TRUE

statement:
(A). It is bounded by body of the hyoid bone anteriorIy
(B). It is bounded by the posterior belly of the digastric
posteriorly.
(C). It is bounded by the anterior belly of the digastric lateralIy
(D).There are two submental triangles separated by the median
raphe of the
mylohyoid muscle.
(E). Its floor is formed by genioglossus.

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66. The following structures form the roof of the anterior

triangle of the neck
EXCEPT:
(A). Fascia
(B). Platysma muscle
(C). Cervical branch of facial nerve
(D). Transverse cervical nerve
(E). External jugular vein

67. Which of the following structures that doe not form the
boundaries of the
muscular triangle?
(A). Inferior belly of omohyoid
(B). Anterior border of sternocleidomastoid
(C). Superior belly of omohyold
(D). Anterior median line of the neck
(E). None of the above

68. Submental lymph nodes receive lymph from the following

areas EXCEPT?
(A). Tip of the tongue
(B). Floor of the mouth beneath the tip of the tongue
(C) The incisor teeth nnus their associated gums
(D). The centre part of the lower lip.
(E). Skin over chin.

69. Which of the following statements is TRUE concerning the

parotid gland?
(A). Stensens duct is about 5cm long and 5 mm wide and pierces
the masseter
muscle to open opposite the 2nd upper molar tooth.
(B). The auriculotemporal nerve is the deepest structure within
the gland.
(C). The gland is enclosed by protid fascia and deep investing
fascia of the neck.
(D). The sympatheticscome frointhe superior cervical ganglion.
(E). The divisions of the facial nerve are the most important
superficial
structure in the gland. .

70. Which of the following statements is FALSE concerning the

thymus gland?
(A). It varies in size during development
(B). It consists of four lobes and situated in the superior
mediastinum
(C). Alone is composed of thousands of lobules

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(D). The medulla contains Hassall’s corpuscles

(E). In adult it mainly atrophies

71. In thryoidectomy, which nerve may be damaged during

ligation of the super
or thyroid artery?
(A). Superior laryngeal nerve
(B). External laryngeal nerve
(C). Internal laryngeal nerve
(D). Recurrent laryngeal nerve
(E). None of the above

72. During the surgery of the thyroid gland, which of the

following structures
may be rendered safe by ligating the associated artery away
from the gland:
(A). Superior laryngeal nerve
(B). External laryngeal nerve.
(C). Inferior thyroid vein
(D). Recurrent laryngeal nerve.
(E). Inferior parathyroid gland.

73. Which of the following statement is FALSE about the

parotid gland?
(A). Is invested in the deep cervical fascia of the neck.
(B). Its secreto-motor fibres (preganglionic) come from the
glossophryngeal
nerve.
(C). Its secreto-motor fibres (preganglionic) are carried by the
chorda tympanic
branch of the facial nerve.
(D). lts duct opens in the vestibuler opposite the second upper
molar.
(E). It has an accessory parotid gland.

74. The superior thyroid artery is usually the first branch of?
(A). The thyro-cervical trunk
(B). The internal carotid artery
(C) The external carotid artery
(D). The facial artery
(E). The costocervical trunk

75. Concerning the parotid duct which of the following

statements is TRUE?
(A). Formed by union of ductules
(B). Is a finger breadth or less below the zygomatic arch

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(C). Pierces buccinator, buccal pad of fat, bucopharyngeal fascia

(D). Opens opposite the 2nd upper molar tooth all the above.

76. Which of the following laryngeal cartilages articulates with

the thyroid
cartilage by a synovial joint(s)?
(A). Hyoid bone.
(B). Epiglottis
(C). Arytenoid cartilage
(D). Corniculate cartilages
(E). Cricoid cartilages

77. Concerning the sub-mandibular gland find the TRUE

statement:
(A). Its secretomotor innervation is by the chorda tympani
nerve.
(B). Has a duct that opens at the sub-lingual papilla of the
tongue.
(C). Has a deep and superficial, parts.
(D). All the above.
(E). None of the above.

78. All the following statements are true concerning the thyroid
gland EXCEPT?
(A) Inferior thyroid veins drain into the internal jugular vein
(B). The gland begins at foramen caecum at the junction of the
posterior third
and middle two thirds of the triangle
(C). Its enclosed by pretracheal fascia.
(D). Levaetor glandulae thyrodiae originates from foramen
caecum.
(E). Is commonly associated with the inferior parathyroid gland.

79. Which of the following statements is TRUE concerning the

parotid gland?
(A). lt has six lobes
(B). The venous return is to the anterior jugular vein.
(C) It gets blood supply from the external carotid artery.
(D).The parotid fascia receives sensory innervation from the
auriculo-temporal
nerve.
(E). The parotid duct opens opposite the second ower molar
tooth.

8O. Which of the following statements is FALSE concerning the

parotid gland?

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(A). It is the largest of the salivary glands.

(B). The facial nerve traverses the gland and can be easily
damaged by the
surgeon while doing partial parotidectomy.
(C). A malignant tumour of the parotid gland may involve the
facial nerve
causing a facial palsy.
(D). The parotid gland produces a mucous secretion. ..
(E). The parotid duct can be demonstrated by injecting a radio-
opaque contrast
through a cannula placed in the mouth of the duct (parotid
sialogram).

81. Which of the following statements is FALSE Concerning the

submandibular
gland?
(A). iris made up of a large superficial and a small deep lobe
which connect with
each other around the posterior border of the mylohyoid.
(B). Superficially it is covered by platysma.
(C). It is crossed by anterior facial vein and cervical branch of
VII.
(D). It never comes into contact with the parotid gland
(E). The orifice of the submandibular duct is readily visible and
saliva can be
seen trickling from it.

82. Concernin g the thyroid gland find the TRUE statement:

(A). Drains via the middle thyroid vein into internal jugular vein.
(B). Drains into the light branchio cephalic vein via the inferior
thyroid vein.
(C). Its Isthmus overlies the 2nd, 3rd and 4th tracheal rings.
(D). Has a true capsule formed by the pretracheal fascia.
(E). All of the above.

83. Which of the following statements is FALSE concerning the

thyroid gland?
(A).The pyramidal lobe of the thyroid gland arises from the right
side of the
isthmus.
(B). Each lobe of the thyroid gland rises up to the oblique line on
the thyroid
cartilage.
(C). A plexus of veins lies below the true capsule of the thyroid
gland and is
drained by the inferior thyroid vein.

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(D). The inferior thyroid artery arises from the thyrocervical

trunk.
(E). The thyroid gland moves up and down with the larynx
during swallowing.

84. Concerning the parathyroid glands find the FALSE

statement:
(A). It secretes parathormone which mobilizes calcium from
bone into
circulation.
(B). The upper pair arises from the 3rd branchial pouch.
(C). They lie along the posterior anastomotic artery of the
thyroid gland.
(D).Are partly embeded into the thyroid gland.
(E).Partial thyroidectomy is to be preferred in order to preserve
it.

85. The Pain from a Parotid abscess is transmitted through

which of the following
nerves?
(A). Posterior auricular nerve.
(A) Greater auricular nerve.
(C). Facial nerve
(D). Lesser occipital nerve
(E). Auriculo-temporal nerve.

86. Which muscles originates from medial pterygoid plate?

(A). Medial pterygoid
(B). Lateral pterygoid
(C). Temporalis
(D). Tensor palati
(E). None of the above

87. Concerning the temporo-mandibular joint find the TRUE

statement(s):
(A).Has hyaline cartilage
(B).Forward dislocation is common
(C). Backward dislocation is common
(D).(b) and (c)
(E). (a) and (c)

88. Which of the following statements is FALSE concerning the

pharynx?
(A). Stylopharyngeus is innervated by glossopharyrigeal nerve.
(B). Phêyngeal tonsil lies posterior to opening of the eustachian
tube.

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(C). Palatine tonsilforrn adenoids and belong to Waldayers ring.

(D). Accessory nerve participates in innervation of the
pharyngeal muscles.
(E). The 2nd stage of swallowing is controlled by autonomic
nervous system.

89. The infratemporal fossa communicates with the cranium

through which of
the following opening?
(A). Superior orbital fissure
(B). lnferior orbital fissure
(C). Foramen rotundum
(D). Foramen ovale
(E). Sphenopatatine foramen

90. Which of the following statements is TRUE concerning the

pterion?
(A). 1sT-shaped
(B). Gives a point of articulation for the lesser cornu.
(C). Is a surface marking of sphenoid for the middle meningeal
artery.
(D). Is the landmark for posterior meningeal vein.
(E). Is where the antero lateral fontanelle fossa in the 1st year of
life.

91. The following artery is NOT a branch of the first part of the
maxillary artery:
(A). Inferior alveolar artery
(B). Deep auricular
(C). Accessory meningeal
(D). Deep temporal
(E). Antrior tympanic artery.

92. Which of the following does not contribute to the formation

of the Pterion?
(A). Greater wing of the sphenoid.
(B). Squamous part of the temporal.
(C). Frontal bone.
(D). The parietal bone.
(E). The petroustemporal bone.

93. Which of the following structures form the contents of the

temporal fossa?
(A). Auriculo temporal nerve.
(B). Superficial temporal artery.
(C). Temporalis muscle.

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(D). Deep temporal nerves.

(E). All the above.

94. Concerning the maxillary sinus find the TRUE statement:

(A). Is superior to premolars only
(B). Its lowest part is opposite the 1st premolar
(C). Open into inferior meatus -
(D). Is lined by non-ciliated epithelium
(E). The apex extends to the zygomatic process

95. Which of the following is NOT supplied by the mandibular

division of the
trigeminal nerve?
(A). Medial pterygoid muscle..
(B). Lateral pterygoid muscle.
(C). Buccinator muscle.
(D). Temporalis muscle.
(E). Masseter muscle.

96. Which muscle is responsible for protrusion of the

mandible?
(A). Medial pterygoid muscle.
(B). Lateral pterygoid muscle.
c. Masseter muscle.
d. Temporalis muscle.
(a)and(b).

97. Which statement correctly describe the temporal

mandibular joint?
(A). Is a synovial joint lined by hyaline cartilage.
(B). Is a primary cartilaginous jont.
(C). Is depressed by the tempolaris muscle
(D). Is also called symphysis
(E).Has a mandible depressed by the lateral pterygoid.

98. Concerning the temporalis muscle all the following

statements apply
EXCEPT:
(A). Partly originates from the temporal fascia
(B). Inserts at the angle of the mandible
(C). Is innervated by the deep temporal nerves
(D). Part of its fibres retract the mandible
(E). Is a muscle of the first branchial arch

99. Which pathway would an oral lesion cause referred pain to

the ear causing an

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ear- ache?
(A). Greater auricular nerve
(B). Auriculo temporal nerve.
(C). Auricular branch of facial nerve.
(D). Auricular branch of the vagus.
(E). Inferior sympathetic cervical ganglion.

100. Taste impulse when pepper is poured at the tip of the

tongue is transmitted
to neurons located in which of the following ganglia?
(A). Geniculate ganglion
(B). Submandibular ganglion
(C). Semiluna ganglion
(D). Spheno pulatine ganglion
(E). Otic ganglion

101. All the following nerves carry fibres from the oral cavity
and oropharynx
EXCEPT?
(A). Facial nerve
(B). Glossopharyngeal
(C). Vagus
(D). All the above.
(E). None of the above.

102. Which of the following muscles does NOT move the

tongue?
(A). Genio-glossus
(B). Hyoglossus
(C). Buccinator
(D). Palatoglossus
(E). Styloglossus

103. The following statements is FALSE concerning the floor of

the oral cavity?
(A). The submandibular duct opens at the sublingual papilla.
(B). The nerve supply to all of the muscles of the tongue is
Hypoglossal.
(C). Injury to the facial nerve at the stylomastoid foramen does
not lead to loss
of taste sensation on the anterior 2/3rds of the tongue.
(D). The genioglossus takes origin from the superior genio
tubercie.
(E). The circum valiate papillae are supplied by the
glossopharyngeal nerve.

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104. All of the following anatomic structures partitionins the

oral and nasal
cavities EXCEPT?
(A). The nasal septum
(B). The nasal corichae
(C). The primary palate.
(D). The secondary palate.
(E). The tongue.

106. Which of the following statement is FALSE concerning the

lymphatic
drainage of the tongue?
(A). Lymph from the tip drains to sub-mandibular nodes.
(B). Lymph from the latera’ sides drain to submental lymph
nodes.
(C) Lymph from the posterior third drains into deep cervical
lymph nodes.
(D). Lymph from the centre of anterior third drains into the
buccal lymph
nodes.
(E). All the lymph from the anterior surface drains to superficial
cervical lymph
nodes.

106. Which of the following statements is FALSE concerning

the styloglossus
muscle?
(A). Arises from the tip of the styloid process of the temporal
bone,
(B). is inserted into the whole length of the side of the tongue
(C)It is supplied by the facial nerve
(D). All of the above
(D). None of the above

107. Which of the following nerves innervates the circum

vallate papilla of the
tongue?
(A). Chorda tympani
(B). Lingual
(C). Glossopharyngeal nerve
(D). Vagus
(E). Inferior alveolar

108. In the development of the palate, the secondary palate is

formed by?
(A). Mandibular processes

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(B). Maxillary processes

(C). Medial nasal prominences
(D). Frontal prominences
(E). Lateral nasal prominences

109. Which are the first teeth to erupt in a child?

(A) The lower central incisor
(B). The canines
(C). The first upper molar
(D). The upper second molar
(E). The upper lateral incisor.

110. Lymph from the tongue drains into all the following
EXCEPT?
(A). Submental lymphnodes
(B). Submandibular lymphnodes
(C). Jugulô-omohyoid lymphnodes
(D). Jugulo-diagastric lymphnodes
(E). Retropharyngeal lymphnodes

111. Which of the following structures does NOT form the

Nasal septum?
(A). Vomer
(B). Ethmoid bone
(C). Septal cartilage
(D). Palatine bone
(E). None of the above.

112. Which of the following is NOT a paranasal air sinus?

(A). Frontal
(B). Mandibular
(C). Sphenoidal
(D). Maxillary
(E). Ethmoidal.

113. Which of the following vessels does NOT contribute to Little’s area of the
nose?
(A). Sphenopalatine artery.
(B). Terminal part of greater palatine artery.
(C). Twigs from superior labial branch of the facial artery.
(D).Anterior superior alveolar artery.
(E). None of the above.

114. All the following statements are false Concerning the

opening into the nasal
cavity EXCEPT?

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(A). The nasolacrimal duct opens into the anterior part of the
superior meatus.
(B). The maxillary sinus opens into the inferior meatus.
(C). The middle ethmoidal air cells open into the middle meatus.
(D). The sphenoidal sinus opens into the middle meatus.
(E). The frontal sinus opens into the spheno-ethmoidal recess.

115. Which of the following is TRUE about the lateral wall of

the nasal cavity?
(A). Its irregular because of the turbinate bones.
(B). The inferior concha is a separate bone.
(C). There are three meatuses.
(D). The narrow space above the superior concha is called the
spheno-
ethmoidal recess.
(E). All the above.

116. Concerning the nasolacrimal duct find the TRUE

statement:
(A). Is guarded by a flap like valvular fold
(B). Opens into the middle meatus
(C). Has a wide opening
(D). Connects the frontal sinus to maxillary
(E). None of the above is true.

117. Which of the following sinuses communicates with the

middle meatus of the
nose?
(A). Anterior group of ethmoidal sinuses
(B). Maxillary sinus
(C). Frontal sinus
(D). All the above
(E). None of the above

118. Which of the following statements is FALSE concerning

the soft palate?
(A). Has ciliated columnar epithelium on its surface
(B). Is suspended from the palatine process of the maxilla
(C). Taste buds are present.
(D). If paralysed food enters the nasal cavity on shallowing
(E). All of the above

119. Where does the nasolacrimal duct opens into?

(A) Inferior meatus
(B). Middle meatus
(C). Superior meatus

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(D). Vestibule of the nose

(E). Sphenoethnoidal recess.

120. Which of the following statements is TRUE about the

maxillary air sinus?
(A). Is relatively large at birth.
(B). Is lined by stratified squamous epithefium
(C). Contains the infraorbital nerve in its floor.
(D). Opens in the middle meatus.
(E). Has no nerve supply.

121. Concerning the nasal cavity find the true statement:

(A). A roof lined by respiratory mucosa.
(B). An infundibulum hiatus opens in the middle meatus.
(C). A bulla ethmoidalis in the superior meatus.
(D). Conchae which are still extensions of the ethmoid bone.
(E). None of the above

122. Find the TRUE statement concerning the pharyngeal

arches?
(A). Masseter, posterior belly of digastri, njohyoicfland
tempolaris all belong to
1st arch.
(B). Bones of 2nd arch include: hyoid bone, stapes, Reichert’s
cartilage.
(C). Vagus nerve belongs to 3rd arch.
(D). 3rd, 4th, 5th and 6th arches form the laryngeal cartilages.
(E). Meckel cartilage belongs to 1st arch.

123. Which of the following muscles elevates the laryngo

pharynx:
(A). Styloglossus.
(B). Thyro pharyngeus
(C). Cricopharyrigeus
(D) Stylopharyngeus
(E). Bucopharyngeal fascia.

124. Which of the following is NOT a derivative of the 2 nd

pharyngeal arch?
(A). Stapes
(B). Lesser horn of hyoid
(C). Styloid process
(D).Greater horn of hyoid
(E). Stylohyoid ligament

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125. Which of the following muscles of the pharyx is NOT

innervated by the
vagus?
(A). Palatopharyngeus.
(B). Salpi-gopharyngeus.
(C). Superior constrictor;
(D). StyIopharyngeus.
(E). Inferior constrictor.

126. The palatine tonsils are located between the anterior and
posterior faucial
folds. The muscles that form these folds are, respectively,
the:
(A). Levator veli, papatini and tensor veli palatini.
(B). Palatoglossus and palatopharyngeus.
(C). Palatopharyngeus and salpingopharyngeus.
(D. Styloglossus and stylopharyngeus.
(E). Superior constrictor and middle constrictor.

127. All of the following is NOT a characteristics of first arch

syndrome
(mandibulo facial dystosis)?
(A). Defects in the auricle and external auditory meatus.
(B). Mandibular hypoplasia.
(C) Mental retardation
(D) Downward-sloping palpebral fissure (eye slits).
(E). Deafness.

128. Which of the following is TRUE concerning the inferior

constrictor muscle
of the pharynx?:
a. Has an attachment to the hyoid bone
b. Receives motor fibres from the hypoglossal nerve ç,) Has an
attachment to the thyroid cartilage
d. Receives motor fibres from internal laryngeal nerve
e. None of the above

129. Which of the following is FALSE concerning the

pharyngeal part (posterior)
of the tongue except:
(A). Forms the anterior wall of the oropharynx
(B). Is devoid of lingual papillae
(C). Contains the lingual tonsil
(D). Is devoid of taste buds
(E). Has a sensory supply from the 9th cranial nerve

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130. Which of the following muscle that closes the

oropharyngeal isthmus?
(A). Inferior constrictor
(B)b. Palatoglossus
(C). Palatopharyngeus
(D). Cricopharyngeus
(E). Superior constrictor

131. Damage to both recurrent laryngeal nerves results in

which of the following?
(A). Loss of high pitch of the voice
(B). Loss of tone of the voice
(C). Loss of pitch of the voice
(D). Inability to swallow
(E). Respiratory distress

132. Which of the following muscles abduct the vocal cords?

(A). Posterior Cricothyroid
(B).Posterior Cricoarytenoid
(C). Lateral Cricoarytenoid
(D). Inter Arytenoids
(E). Thyro Arytenoids
133. Which of these nerves supplies the mucous membrane of
the larynx below
the vocal folds?
a. Internal laryngeal
b. External laryngeal
) Recurrent laryngeal
d. (a) and (b) above
e. (a) and (C) above
134. The recurrent laryngeal nerve on its way to the larynx is
closely associated with:
a. Superior thyroid artery.
b. Middle thyroid vein
c. Tributaries of interior thyroid vein
d. Thyroid lina artery
e. Inferior thyroid artery.
135 The following muscles are able to maintain the glottis open
except: —
a. Cricothyroid muscle.
b. Lateral cricoarytenoid muscles.
c. Posterior crico-aryetenoid muscle.
d. Thyroarytenoid muscle.
Transverse arytenoid muscles.
136. The vocal folds are:

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a. Made tense by the thyro-arytenoid muscles

b. Slackened by the cricothyroid muscles
c. Covered by mucous membrane with mucous glands
d. Abducted by posterior crico-arytenoid muscles
e. Abducted by lateral cricoarytenoid muscles
137. Recurrent laryngeal nerve innervates:
. Vocal folds
b. Saccule
c. Aryteno-epiglotic folds
d. Vestibule
e. Vestibular folds.
138. Which of the following is not innervated by the recurrent
laryngeal nerve.
a. Lateral cricothyroid
b. Transverse arytenoids
C. Cricothyroid
Lateral cricothyroid
e. Vocalls
139. Concerning the mastoid wall of middle ear:
., The aditus lies in its upper part.
b. The pyramid lies laterally.
c. The opening for the chorda tympani nerve lies anterior to the
pyramid.
d. The jugular fossa lies in this wall.
e. The opening for tensor tympan also lies in this wall.
140. The following form the medial wall of the tympanic cavity:
a. Promontory. . F
b. Fenetravestibuli
c. The canal of the facial nerve
ci. Prominence of the lateral semicircular canal.
(e.) All the above.
141. Chorda tympani:
a. Carries sensory fibres from the whole tongue.
Carries special sensory (taste) fibres from the anterior 2/3 of the
tongue.
c. Is motor to the tongue muscles.
d. Is a branch of the trigeminal nerve.
e. (b) and (d)
142. T4e Otocysts give rise to all the following kinds of
epithelial tissues except:
, The medial epithelium lining the tympanic membrane.
b. The cristae ampullares.
c. The macula sacculi
d. The macula utriculi
e. The organ of corti
143. Concerning th tyIpanic cavity, find the TRUE statement:

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a. The fQLpo&ss of the stapes is attached to the fenestra

tympani. , ç .
b. The stapedius muscle is a derivative of thecfLst pharyngeal
arch.- / c The auditory tube opens in the posterior wall.
j) The chorda tympani nerve is covered by the mucous
membrane of the tympanic membrane.
e. The aditus to the mastoid antrum has no communication with
the mastoid air cells.
144. Concerning the membranous labyrinth, find the TRUE
statement:
&j The endolymphatic succus is a cul-de-sac.
b The ductus reuniens connects the utricle to the duct of the
cochlea.
c. The basilar membrane is closely related to the scala vestibuli.
d. The tectorial membrane is adapted for angular acceleration.
e. The stria vasularis is only found associated with the cochlea.
145. Morphological abnormalities of the ear are often observed
under all the following circumstances except:
a. Congenital rubella infections -‘
b. Down’s syndrome
(5j Klinefelter syndrome
‘1J Genetically normal children
e. Edward’s syndrome
146. V(hich is not an attachment of tensor tympani?
() Lesser wing of sphenoid
b. Petrous temporal bone
c. Malleus
d. None of the above
e. All the above
147. Concerning the auditory tube, find the TRUE statement:
a. It is about 3-4cm long.
b. Its anterior 2/3rds is cartilaginous. V
c. It connects the middle ear with the nasal pharynx.
All the above. -‘
148. Concerning the external ear, which of the following is
FALSE:
a. The skin of the auricle is supplied by auricular branch of
vagus nerve.
b. The auriculo-temporal nerve supplies the outer surface of the
tympanic membrane.
The tympanic membrane epithelium is supplied by the auriculo-
temporal nerve, and glossopharyngeal nerve only.
d. The tympanic membrane is concave towards the meatus.
e. The external acoustic meatus is a sinuous tube nearly 3cm in
length.
149. The following structures are part of the inner ear except:

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a. Semicircular canals
b. Utricle
C. Saccule
d. Saccus endolymphaticus .
Processes cochleariformis_
150. The following statements are TRUE except:
a. The cochlear nerve enters the cochlear through the base of
the modiolus. b, The 1st sensory relay station of the cochlear
nerve is the spiral ganglion.
The cochlear nerve also subserves position sense,
d. The cochlea has two and a half spiral turns.
e. There are three semicircular canals..
151. TILe tympanic membrane is covered on the outer surface
by which epithelium:
a. Stratified squamous
‘b Squamous epithelium
c. Pseudostratified columnar
d. Columnar epithelium
e. Ciliated co’umnar

152. Which of the following structures has no relation with

regard to the
tympanic cavity?
(A). Dura
(B). Sigmoid sinus
(C). Tegmen tympani
(D). Temporal lobe
(E). Middle cranial fossa.

153. Which of these statements is FALSE concerning the

pharyngotympanic tube?
(A). Runs anteriorly, medially and downwards
(B). Posterior third is formed by part of petrous temporal bone
(C). Anterior third is formed of hyaline cartilage. ‘‘
(D). Tubal tonsil guards the opening in the young.

154. Concerning the retinal arteries, all are true EXCEPT?

(A). Enter the eye ball lateral to optic disc.
(B). Do not anastomose with each other.
(C). Enter the eye ball by piercing the sheath of optic nerve.
(D). Blockage of these arteries causes blindness.
(E). They are the sole suppliers of nutrients to all retinal layers..

155. Where is the ciliary ganglion located?

(A). Nasal cavity
(B). Orbit

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(C). Frontal sinus

(D). Infratemporal fossa
(E). Pterygopalatine fossa

156. The following muscles of the orbit is NOT supplied by the

oculomotor
nerve?
(A). Lavator palpebrae superioris
(B). Superior rectus
(C). Lateral rectus
(D). Medial rectus
(E). Inferior rectus.

157. Which of the following nerves of the orbit is NOT a branch

of the
ophthalmic division of the trigeminal nerve?
(A). Lacrimal
(B). Frontal
(C). Nasociliary
(D). Infra-orbital
(E). Supratrochlear.

158. Find the TRUE statement concerning the long ciliary

nerves:
(A). they are sensory to the whole eye ball
(B). Contain preganglionic sympathetic fibres of the dilator
pupillae muscle.
c. Contain postganglionic parasympathetic fibres
d. Are sensory to retina
e. Branch to the ciliary ganglion

159. Which of the following bones does Not contribute in the

formation of medial
wall of the orbit?
(A). Ethmoid
(B). Lacrimal
(C). Maxilla
(E). Nasal
(E). Sphenoid

160. Concerning the occulomotor nerve which of the following

is TRUE?
(A). it supplies 3 muscles in eyeball
(B). it supplies 4 muscles to eye ball
C. it supplies 5 muscles of the orbit
(D). it carries post ganglionic parasympathetics

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(E). It enters the orbit between the 2 heads of medial rectus

161. What is the name given to the junction between the cornea
and the sclera?
(A). Ora serrata
(B). Equator
(B). Corneoscleral junction.
(D). Sinus venosus sclerae.
(E). Canal of Schlemn

162. Which if the following produces the acqueous humor of

the eye?
(A). lrido cornial angle
(B). Sinus venosus sclerae
(C). Venae verticosae
(D). Ciliary body
(D). Ciliary process

163. Which of these nerves conferes secreto motor fibres to the

lacrimal gland?
(A). Chorda tympani
(B). Greater (superficial) petrosal
(C). Lesser petrosal nerve
(D). Nerve of the vidian canal
(E). GIossophary;geal nerve.

164. Which of the following nerves supply the dilator pupillae

muscle?
(A). Oculomotor nerve
(B). Sympathetics
(C). Vanae veilicosae
(D). Optic nerve
(E). Ophthalmic nerve

165. Find the TRUE statement concerning the Chorda tympani

nerve:
(A). Joins lingual nerve
(B). Begins in petrous bone
(C). Passes in the lateral wall of middle ear
(D). Supplies preganglionic sympathetics to submandibular
gland
(E). Runs lateral to the spine of the sphenoid bone

166. Regarding the venous sinuses of the head find the TRUE
statement:
(A). Inferior sagital sinus ends at the confluence of sinuses.

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(B). Straight sinus communicates with superior sagital sinus.

(C). The four sinuses that meet at the confluence of sinuses are,
superior segital,
straight, inferior and transverse sinuses.
(D). Transverse sinus grooves the occipital, parietal and
temporal bones.
(E). Superior petrosal sinus ends at the junction of the
transverse and sigmoid
sinuses.

167. Regarding the lesser petrosal nerve find the TRUE

statement:
(A). Carries postganglionic parasympathetic fibres.
(B). Arises from genu of facial nerve.
(C). Its terminal fibres travel in the auricular temporal nerve.
(D). Its fibres synapse in the pterygo palatine ganglion.
(E). Runs in the floor of middle cranial fossa and leaves the skull
through
foramen spinosus.

168. Concerning the carvenous sinus find the TRUE statement:

(A). Lateral boundary consists of trigeminal ganglion maxillary,
ophthalmic
and occulomotor nerves.
(B). Communicates with the pterygoid plexus through foramen
ovale.
(C). The pituitary gland, abducent nerve, and internal carotid
artery are found
within the sinus.
(D). Injury of the base of the skull may damage the sinus
causing an arterio
venous shunt.
(E). Lies within the anterior cranial fossa.

169. A swelling below the chin, is most likely the submental

lymph nodes
following the drainage from which of the following areas?
(A). Sub lingualglands.
(B). Lowermot&teeth
(C). Tip of tongue.
(D). Posterior 2/3 (two thirds)of tongue
(E). Thyroid gland

170. Concerning the Ansá cervicalis which of these statements

is correct?
(A). Arises from Dorsal rami of C3 & C4. ’

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(B). Inferior root unites with a branch from hypoglossal.

(C). Forms a loop arround the subclavian and bronchocephic
veins.
(D). Is motor to gernohyoid.

171. Regarding the greater petrosal nerve find the TRUE

statement:
(A) Passes above trigemial ganglion to enter foramen lacerum.
(B). Carries both sympathetic and secretomotor.
(C). Enters with deep petrosal nerve.
(D). Gives off twigs through the superior orbital fissure to the
eye ball.
(E). Passes in the middle cranial fossa lateral to the lesser
petrosal nerve.

172. Which of the following structures is NOT associated with

branches of the
trigeminal nerve?
a. Foramen ovale
b. Foramen rotundum.
c. Superior orbital fissure.
d. lnfraorbital foramen.
y Stylomastoid foramen.

173. Find the FALSE statment concerning the otic ganglion:

(A). It is associated with the glossopharyngeal nerve.
(B). Pre-ganglionic fibres originate from the inferior salivatory
nucleus.
(C). The otic ganglion is associated with the parotid gland.
(D). It conveys symphathetic fibres to the parotid gland.
(E). It is a content of the infra temporal fossa.

174. Which of the following is not a parasympathetic ganglion

in the facial
region?
(A). Otic ganglion
(B). Ciliary ganglion.
(C). Genicular ganglion of facial nerve
(D). Pterygo-palatine ganglion
(E). Submandibular ganglion..

175. The vagus nerve contains fibres which transmit impulses

to/from all the
following EXCEPT:
(A). Muscles of mastication
(B). Taste receptors in the epiglottis

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(C). y’It.luscles of phonation

(D). Touch receptors in the skin of the ear
(E). All the above

176. Which of these statements is TRUE concerning the

internal jugular vein?
(A). Is crossed antero laterally by the crania accessory nerve
(B). Is a continuation of the transverse cranial venous sinus.
(C). Is crossed laterally by thehypoglossal nerve
(D). Is crossed anteriorly from lateral to medial by the phrenic
nerves
(E). Receives the anterior jugular vein

177. Concerning the auriculo temporal nerve find the FAlSE

statement:
(A). Traverses both the temporal and inftra temporal fossae
(B). Is a branch of the glossopharyngeal nerve.
(C). Carries parasympathetices from the otic ganglion.
(D). Supplies the external auditory meatus.
(E). Crosses the root of the zygomatic arch behind the superior
temporal
artery.

178. Concerning g the lingual nerve find the FALSE statement:

(A). It carries sensory and motor fibres.
(B). Runs on lateral surface of lateral ptyrygoid
(C). Receives chorda tympani which is a branch of the
glossopharyngeal nerve.
(D).ometimes receives a branch from the inferior alveolar nerve.
(E). Gives some branches in the infratemporal fossa.

179. Regarding the otic ganglion Find the FALSE statement:

(A). Is located below foramen ovale.
(B). is functionally associated with the facial nerve.
(C). May be found adhering to the medial pterygoid.
(D). Is a parasympathetic ganglion.
(E). The mandibular division of the trigeminal nerve is related to
its lateral
aspect.

180. Which of the following structures does NOT obey the

general rule of
lymphatic drainage of the head and neck where the
superficial lymphatics
accompany veins and deep lymphatics accompany
arteries?

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(A). Tongue
(B). Larynx
(C). Pharynx
(D). Parotid gland
(E). Lower lip

181. The Inner circle lymph nodes of the neck include the
following EXCEPT?
(A). Petropharyngeal
(B). Laryngeal
(C). Tracheal
(D). Jugulo-omohyold
(E). None of the above

182. The terminal lymph nodes of the head and neck include
the:
(A). Petropharyngeal
(B). Laryngeal
(C). Tracheal
(D). Jugulo-digastric.
(E). All the above

183. Which of these statements is FALSE regarding the chorda

tympani nerve?
(A). Carries secreto motor fibres to floor of mouth.
(B). Goes through petrotympanic fissure
(C). Cell bodies for taste originate from Geniculate ganglion but
synapse
without cells of nucleus solitarius.
(D). Runs medial to the spine of sphenoidborie.
(E). Branches from the facial nerve at the geniculate ganglion.

184. If a patient protruded the tongue and it deviates to the

left, the lesion must
be involving which of the following motor nerve supply to
the tongue?
(A) Left hypoglossal nerve.
(B). Left trigeminal nerve.
(C). Left facial nerve.
(D). Right hypoglossal nerve.
(E). Right facial nerve.

185. Which of the following veins can an infection in the region

drained by the
angular vein may result in a venous thrombosis of the
cavernus sinus?

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(A). Anterior superior alveolar vein

(B). lnfraorbital vein
(C). Internal maxillary vein
(D). Sphenopalatine vein
(E). Superior ophthalmic vein

186. Which of the following signs and symptoms would be seen

in case of a small
tumour of the orbit that involves the optic canal?
(A). Blindness in one eye.
(B). Dilated pupil with loss of the pupillary reflex and
accommodation.
(C). Paralysis of the superior rectus, inferior rectus, medial
rectus, inferior
oblique, and levator palpebrae superioris muscles.
(D). Venous engagement of the retina.
(E). None of the above.

187. If a cranial fracture occurs through the foramen rotundum

and compresses
the enclosed nerve it would result to which of the
following features?
(A). Inability to clench the jaw firmly.
(B). Paralysis of the inferior oblique muscle of the orbit.
(C). Regurgitation of fluids into the nasopharynx during
swallowing.
(D). Uncontrolled drooping from the mouth.
(E). None of the above.

188. Which of the following muscles would NOT be paralysed in

a patient’s
whose soft palate deviates to the normal side and there is
loss of the gag
reflex on the injured side?
(A). Levator veli palatini
(B). Palatopharyngeus.
(C). Stylohyoid.
(D). StyIopharyngeus
(E). Superior pharyneal constrictor.

189. Which of the following is a feature of Horner’s syndrome?

(A). Partial ptosis.
(B). Anhidrosis
(C). Miosis
(D). Anophthalmos
(E). All the above.

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190. Lesions of the vagus nerve will NOT result in one of the
following
conditions.
(A). Hoarseness
(B). Difficulty in swallowing
(C). A transient bradycardia
(D). Loss of the baroreceptor reflex
(E). Death when the lesion is bilateral

191. Which of the following is TRUE regarding masseter

muscle
(A). It has only two heads
(B). The superficial part of the muscle is the smallest.
(C). It is supplied by the masseter branch of the anterior division
of the
mandibular nerve
(D). Its action is to open the jaws
(E). The intermediate part of it arises from deep surface of arch
of the
mandible.

192. All the following are branches of the vertebral artery

EXCEPT?
(A). Meningeal branches in the posterior cranial fossa. r
(B). Posterior spinal artery.
(C). Anterior spinal artery
(D). Medullary artery to the medulla oblingata.
(E). Anterior inferior cerebellar artery.

193. Concerning the nerve supply to the cerebral arteries

which of the following
is TRUE?
(A). Is derived from sympathetic post-ganglionic nerve fibres.
(B). Is derived from the inferior cervical sympathetic ganglion.‘
(C). Is derived from both superior and middle cervical
sympathetic ganglia.
(D). Is derived from all the three cervical sympathetic ganglia.
(E). (a) and (d).

194. Concerning the Intracranial veins find the TRUE

statement:
(A). Have the three layers characteristic of vessels in the body
i.e tunica intima,
media and adventitia.
(B). Lie in the subdural space.

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(B). Lack valves

(C). Are thick walled.
(E). All the above.

195. Which of these cranial nerves does not go through the

tendinous ring of
orbit:
a. Abducent
b Trochlear
c. Ophthalmic
d. Oculomotor
e. None of the above

196. Which of the following is NOT a content of the optic

canal?
(A). C.S.F
(B). Ophthalmic artery
(C): Optic tract
(D). Arachnoid
(E). Periosteum

197. Which of the following statements is TRUE concerning

cranial nerves?
(A). Injury to facial nerve at the stylomastoid foramen causes
notearing on
affected side.
(B). Injury to hypoglossal nerve, tongue deviates to normal side.
(C). Injury to oculomotor nerve causes lateral strabismus.
(D). Injury to facial nerve at the internal accoustic meatus
causes paralysis of all
muscles of facial expression upto lower lid on the affected
side.
(E). Injury of the oculomotor nerve at its origin causes drooped
eyelid.

(98.) Injury to occulomotor nerve does NOT results into one of

the following?
(A). Absent consensual reflex if the affected eye is flushed.
(B). Ptosis of the eye
(C). Pupillary dilatation
(D). Diplopia
(E). Lateral strabismus.

199. Which of these structures does NOT go through the

foramen magnum?
(A). vagu,s nerve.

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(B). Spinal accessory nerve.

(C). Spinal medulla.
(D). Anterior spinal arteries.
(E). Vertebralarteries.

200. Regarding the ear, all the following statements are true
EXCEPT?
(A). The skeleton of the auricle is yellow elastic cartilage.
(B). The extrinsinc muscles move the auricle in lower animals
but they are
vestigal and non functional in man.
(C). The skin of the auricle is supplied by the great auricular
nerve and
auriculo-temporal nerves.
(D). The vagus nerve supplies the postero inferior quadrant of
the tympanic
membrane.
(E). None of the above

201. Which of these statements is FALSE Concerning the ear?

(A). The tympanic membrane is circular, about 1cm in diameter
and lies
obliquely at 55 degrees with the external acoustic meatus.
(B). The umbo is produc’d by the handle of the staps
(C). The blood supply is derived from the posterior auricular and
superficial
temporal arteries.
(D). The cartilaginous part of the acoustic meatus has haLr and
sebaceous
glands.
(E). Ceruminous glands are modified sweat glands

202. Which of these statements is FALSE concerning the

middle ear?
(A). It is an air-containing cavity in the petrous bone.
(B). The function of the middle ear is to transform air borne
vibrations from
the tympanic membrane to the liquid borne vibrations in
the internal ear.
(C). The tympanic cavity has a floor, a roof, anterior wall and a
posterior wall.
(D). The tympanic cavity is the shape of a biconvex lens tilted to
the plane of
the tympanic membrane.
(E). The auditory tube is supplied by the pharyngeal branch of
the pterygo

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palatine ganglion.

203. Which of the following is FALSE concerning the ear

ossicles?
(A). The malleus has a head, a neck and a handles.
(B). The neck of the malleus lies against the pars flaccida of the
tympanic
membrane.
(C). The incus lies in the epitympanjc recess and articulates with
the head of the
stapes anteriorly
(D). The stapes has the tendon of the stapedius muscle which is
supplied by the
facial nerve.
(E). The malleus and incus are developed from the proximal end
of the first
arch cartilage while the stapes from the second arch.

204. Which of these statements is FALSE concerning the

internal ear?
(A). The cochlea is the cavity in the bone which surrounds the
membraneous
duct of the cochlea.
(B ). The semicircular canals lie in three planes at right angles
to each other.
(C). Blood supply of the labyrinth is by the stylo-mastoid artery
and
Labyrinthine artery.
(D). The saccule and utricle are organs of sta3c. balance.
(E). None of the above

205. Concerning the cranial cavity which of the following

statements is FALSE?
(A). The bones of the calvarium inside the basiocciput.
(B). The sagittal suture separates the two parietal bones.
(C). The superior sagittal sinus grooves the inner surface of the
calvarium.
(D). The confluence of veins is located over the inion or internal
occipital
protuberance.
(E). The cranial base is arranged in a step ladder function.

206. Which of the following statements is NOT true?

(A). Orbital plate of the frontal bone is marked by gyri and sulci.
(B).The çribriform plate of the ethmoid bone transmits olfactory
nerve

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rootlets.
(C). The tentorium cerebelli is attached to the crista galli.
(D). Optic canal transmits a branch of the internal carotid
artery.
(E). The jugum sphenoidale is an elevation in front of the
chiasmatic suture.

207. Concerning the sella turcica which of following statement

is FALSE?
(A). It is a depression in the body of the sphenoid bone.
(B). It lodges the hypophysis.
(C). It is covered over by the diaphragma sellae.
(D The anterior clenoid processes mark anterior boundary.
(E). The dorsum sellae and posterior clinoid processes mark its
posterior
boundary.

208. The following is in-correctly matched?

(A) Supenor orbital fissure and petrosaI sinus
(B). Foramen rotundum and maxillary nerve.
(C) Foramen spinosumand middle meningeal vessels.
(D). Foramenovale and mandibular nerve.
(E). Internal carotid artery and foramen lacerum.

209. All the following structures have a relationship EXCEPT:

(A). Cavum trigeminale
(B). Occipital crest
(C). Arcuate eminence for anterior semi circular canal.
(D). Tegem tympani
(E). Slits for greater and lesser superficial petrosal nerves.

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Answers for the MCQs

1 C 1 B 5 E 98 B 13 C 17 D
8 8 8 8
2 E 1 E 5 C 99 D 13 A 17 B
9 9 9 9
3 C 2 B 6 B 10 A 14 E 18 A
0 0 0 0 0
4 E 2 E 6 A 10 A 14 B 18 E
1 1 1 1 1
5 D 2 B 6 B 10 C 14 A 18 D
2 2 2 2 2
6 E 2 B 6 E 10 E 14 D 18 E
3 3 3 3 3
7 D 2 D 6 C 10 B 14 A 18 A
4 4 4 4 4
8 C 2 D 6 C 10 C 14 C 18 E
5 5 5 5 5
9 E 2 C 6 E 10 C 14 A 18 A
6 6 6 6 6
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