Notes

1) A deep laceration of the face in the middle of the parotid gland could affect the:
A. EJV
B. Facial nerve (x)
C. Glossopharyngeal nerve
D. Hypoglossal nerve
E. Lingual artery

2) A 38 year old female patient complained of intraoral pain that increased while eating. Examination detected some pus oozing from the area marked X in the figure. Which of the following structures is affected?
A. Parotid gland
B. Submandibular gland (X)
C. Sub mental lymph nodes
D. Sublingual glands
E. Sublingual veins

3) A 36-year old female patient complained that food gets accumulated between the teeth and cheek mucosa when chewing. The deficiency of muscle which was most likely the cause of this chewing problem is innervated by:
A. CNV3
B. CNVII
C. CNV2 (X) (buccinator)
D. CNIX
E. CNX

4) In reducing an alkalosis of the TMJ, a surgeon provoked an intense hemorrhage by lacerating the artery coursing just medial to the neck of the condyle. Which artery was involved in the accident?
A. Buccal
B. External carotid
C. Maxillary artery (X)
D. Middle menu heal
E. Superficial temporal

5) A 38-year old patient complained of acute dental pain. The attending dentist found penetrating dental carries (dental decay) affecting one of the mandibular molar teeth. Which nerve would the dentist need to anesthetize to work on that tooth?
A. Lingual
B. Inferior alveolar (X)
C. Buccal
D. Mental
E. Mylohyoid

6) You are testing the extraocular muscles and their innervation in a patient. When you ask him to turn his right eye inward toward his nose and look downward he is able to look inward, but not down. Which nerve is most likely involved?
A. Abducens
B. Nasociliary
C. Oculomotor
D. Trigeminal
E. Trochlear (X) (superior oblique)

7) What would the examining physician notice in the eye of a person who has taken a sympathetic blocking agent?
A. Exophthalmos and dilated iris
B. Enophthalmos and dry eye
C. Dry eye and inability to accommodate
D. Wide open eyelids
E. Ptosis and myosis (X)

8) The entry of bacteria through which space could lead to an infection in the mastoid air cells?
A. Nasopharyngeal tube (X)
B. Cochlea
C. External acoustic meatus
D. Internal acoustic meatus
C. Saccule

9) A patient with recurrent middle ear infection complained of partial dryness of her mouth. Taste sensation and hearing were normal. After a thorough clinical examination, the doctor concluded that the infection must have effected a component of a nerve that supplies the parotid gland. On which of the following walls of the middle ear is this nerve component located?
A. Anterior
B. Lateral
C. Medial (X)
D. Posterior
E. Roof

10) Irrigation of the maxillary sinus through its opening is a supple be measure to accelerate the resolution of a maxillary sinus infection. Which of the following opening is the most likely approach to this sinus?
A. Nasolacrimal duct
B. Eustachian tube
C. Maxillary sinus opening (X)
D. Posterior ethmoidal opening
E. Frontal sinus opening

11) A man has metastatic carcinoma and enlarged deep cervical lymph nodes. One of his symptoms is a hoarse voice. It is found that one of the enlarged nodes has put pressure on a nerve in the tracheoesophageal groove. Presumably this was the reason for the hoarse voice. What nerve was involved?
A. External laryngeal nerve
B. Internal laryngeal nerve
C. Nerve to cricothyroid
D. Glossopharyngeal
E. Recurrent laryngeal nerve (X)