1. Which of the following structures is not connected to the hyoid bone by a muscle?
A) styloid process of the temporal bone
B) mastoid process of the temporal bone
C) scapula
D) manubrium
E) body of mandible
Ans: B
2. During radical neck surgery for cancer, the surgeon inadvertently cut the cervical branch of the facial nerve. Which of the following signs would not be observed in the patient?
A) sagging of the skin of the neck on the ipsilateral side
B) reduced ability to convey some facial expressions
C) reduced force in ability to open mandible against resistance
D) reduced sensation on the skin of the neck of the ipsilateral side
E) reduced skin tension overlying the superior aspects of the deltoid and pectoralis major muscles
Ans: D
5. Which of the following is not correct pertaining to the retropharyngeal space?
A) It is between the prevertebral fascia and the buccopharyngeal fascia.
B) It is closed inferiorly by the pretracheal fascia.
C) It is closed laterally by the carotid sheath.
D) It facilitates movement of the pharynx, larynx, and esophagus relative to the vertebral column during swallowing.
E) It is subdivided by the alar fascia.
Ans: B
6. In a newborn infant, torticollis resulting from a tissue tumor most likely involves which of the following muscles?
A) sternocleidomastoid
B) trapezius
C) scalenus anterior
D) semispinalis cervicis
E) levator scapulae
Ans: A
7. Which of the following is not true of either the transverse cervical or suprascapular arteries?
A) typically arises from the thyrocervical trunk
B) typically passes anterior to scalenus anterior
C) supplies the cords of the brachial plexus
D) occasionally arises from the third part of the subclavian artery
E) provides blood to the deltoid
Ans: E
8. Which structure is most likely to be penetrated during a subclavian vein puncture if the needle is inserted too far posteriorly?
A) internal jugular vein
B) common carotid artery
C) subclavian artery
D) lateral cord of brachial plexus
E) thoracic duct
Ans: C
9. Which of the following is incorrect pertaining to the external jugular vein?
A) It is the best vein to use for right cardiac catheterization.
B) It typically is a tributary of the subclavian vein.
C) It crosses the sternocleidomastoid muscle superficially.
D) Abnormal prominence may indicate heart failure.
E) If slashed open in the neck, its lumen may be held open by the investing layer of deep cervical fascia resulting in an air embolus.
Ans: A
11. Upon examination of a patient with a knife wound to the right side of her neck, you observe that the patient has weakness turning her head to the left against resistance and has a drooping right shoulder. Your diagnosis is injury to the:
A) right sternocleidomastoid muscle.
B) left levator scapulae muscle.
C) right spinal accessory nerve.
D) left dorsal scapular nerve.
E) right dorsal scapular nerve.
Ans: C
12. Which of the following is incorrect pertaining to the cervical plexus?
A) It innervates the omohyoid, sternohyoid and sternothyroid.
B) It innervates a muscle that turns the head.
C) It provides sensory innervation to some of the face.
D) It provides sensory innervation to some of the scalp.
E) It provides sensory innervation to some of the shoulder.
Ans: B
13. The phrenic nerve:
A) provides the sole motor innervation to the diaphragm.
B) is derived from the brachial plexus.
C) contains sympathetic fibers derived from the inferior cervical ganglion.
D) enters the chest by passing anterior to the subclavian vein.
E) forms posterior to the anterior scalene muscle.
Ans: A
14. Which of the following is incorrect pertaining to the infrahyoid muscles?
A) They depress the hyoid bone during swallowing and speaking.
B) One of them attaches to the scapula.
C) One of them passes posterior to the thyroid gland.
D) One of them has an attachment to the clavicle.
E) All but one are innervated by the ansa cervicalis.
Ans: C
15. Which one of the following arteries is not a branch of the external carotid?
A) middle meningeal
B) occipital
C) facial
D) lingual
E) maxillary
Ans: A
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