2023 Head and Neck Final Exam Questions PDF

*Head and neck final exam questions* 1- Which of the following is the type of the median atlantoaxial joint? _ Pivot synovial joint 2- The 6th cervical vertebrae characteristics of the following? _ The carotid tubercle ( Chassaignac's tubercle ) ‫ اللي هي‬.‫اتأكدوا من بتاعت الفقره السابعه برضو م...

*Head and neck final exam questions* 1- Which of the following is the type of the median atlantoaxial joint? _ Pivot synovial joint 2- The 6th cervical vertebrae characteristics of the following? _ The carotid tubercle ( Chassaignac's tubercle ) ‫ اللي هي‬.‫اتأكدوا من بتاعت الفقره السابعه برضو ممكن تسأل منها‬ ‫فيها‬small foramina transversaria ‫بيعدي فيها بس ال‬vertebral veins. 3- Which joint is responsible for most of the rotation of neck "or cervical rotation"? _ Atlantoaxial joint.‫ممكن يكون كان معكوس فاعرفوه وبس‬ ‫يعني ممكن مثال تجيبه بالطريقه دي‬The primary motion at the C1-C2 joint is ? _ rotation. (‫اعرفوا معاه ال‬atlanto occipital joint ‫اللي مسؤول عن ال‬flexion and extension of neck) 4- Which artery is mostly responsible for epistaxis of the little’s area of the nose (kiesselbach area) ? _ Sphenopalatine artery 5- A patient came to you with dropped shoulder or unable to raise her hand above head to brush her hair " he could mention also shoulder trauma" which nerve is most likely to be injured? ‫معاها حاجات‬ ٤ ‫ وال‬٣ ‫تاني لكن عمو ًما اول ما تالقوا الكلمتين دول او حتى واحده منهم يبقا اختاروا نفس االجابه (بالمناسبه السؤال دا اتكرر بتاع‬ ) ‫مرات فمش هكتبه تاني لكن متتخضوش لما تالقوه مكرر‬ - Accessory spinal nerve 6- A 50-year-old woman is brought to the operating room for a biopsy of a suspicious looking mole which is found along the anterior border of her sternocleidomastoid muscle at about its mid length. This nerve must be locally anesthetized for the operation to proceed without pain _ Transverse cervical nerve 7- A first year resident attempts to insert a central venous catheter into the heart by a subclavicular approach to the subclavian vein. Following the attempt, it is noted that the patient has difficulty breathing. This nervous structure lying immediately deep to the subclavian vein, as it crosses the anterior scalene muscle, may have been injured? _ Phrenic nerve 8- An abscess was surgically removed from the middle of the posterior triangle on the right side. During recovery the patient noticed that her shoulder drooped and she could no longer raise her right hand above her head to brush her hair. This nerve has been cut? _ Accessory spinal nerve 9- In repairing a damaged right subclavian artery, the surgeon notices and protects a large nerve passing around to the posterior surface of the artery. This nerve does not encircle the subclavian on the left side? _ Recurrent laryngeal nerve 10- A 20 year old man was brought into the emergency room with a stab wound in the upper part of the neck. Although there was no major damage done, he lost sensation from the skin over the angle of the jaw. This nerve has been damaged? _ Great auricular nerve 11- What is the function of the paranasal sinuses? _ Lighten the weight of the skull 12- In trione fracture or head fracture in temporal area which of the following could be injured? _ Middle meningeal artery 13- Which of the following is the weakest point of the skull? ‫مش متأكده كانت تبع السؤال اللي فات وال‬ ‫أل‬ _ Trione 14- The strongest part of the skull "strong as a stone"? _ Petrous part of temporal bone 15- Posterior openings of the nasal cavity are called? _ Choana 16- a 2 years old child has a problem with his base of skull’s ossification it’s most likely caused by? _ Vit D deficiency ( or calcium deposition mostly it’s the answer ) 16- Which firamina does the olfactory nerve pass through? _ Cribriform plate of ethmoidal bone 18- At which level does the middle cranial fossa extends? _ Petrous part of the temporal bone (‫راجعوا ال‬fossa ‫اللي قدام برضو ألني مش متأكده جاب مين فيهم بس لو اللي‬ ‫قدام هتبقا االجابه لل‬lesser wing of sphenoid bone) 19- Which layer of neck fascias has easy spread of the infection to the cranial and is also connected with the mediastinum? _ Carotid sheath 20- Which layer encloses both trapezius and sternocleidomastoid muscles? _ The investing layer 21- The retropharyngeal space is Continuous posteriorly and superiorly with the buccopharyngeal fascia of the pharynx and is continuous with the pretracheal layer is freely (inferiorly) opened at which of the following? _ Superior mediastinum 22- It divides the neck into 2 triangles? _ SCM (sternocleidomastoid) 23- It’s continuation of the axillary vein at the outer border of the 1st rib? _ Subclavian vein 24- The joining of the anterior retromandibular vein with facial vein forms? _ The common facial vein 25- Protrusion or raised external jugular vein can be indication of? _ Heart failure 26- The tongue drainage at which lymph nodes? _ Submandibular lymph nodes 27- located on carotid artery and contains chemoreceptors tondetect level of O2 ,CO2 and H? _ Carotid bodies 28- At which level does the common carotid artery bifurcates? _ C3-C4 29- Pulsation of the common carotid artery is felt at? _ At C4-C5 level 30- The sympathetic trunk possesses three ganglia which descends along the vertebral column except …. which extends upward to the base of the skull? _ Superior cervical ganglia.‫مش متأكده من صيغة السؤال لكن متأكده من االجابه فاقروها‬ 31- We bonds or cover the whole head to stop the bleeding of the child’s scalp.. why there’s massive bleeding? _ Because it’s richly vascularised 32- Why in head injury local anaesthesia should be accompanied by Vasoconstrictors? _ To prevents the anaesthesia from being absorbed and becoming systemic anaesthesia instead of local.‫السؤال ممكن يبقا معكوس او الصيغه غير فاعرفوا المعلومه دي وهتعرفوا تجاوبوه بأي شكل عادي‬ 33- The lesser occipital nerve originates from? _ Anterior rami ( ‫اعرفوا ال‬posterior rami ) ‫برضو مهمين جدا‬ 34- Which layer of the scalp is the easiest layer to be pulled out? ‫او لو شديت الشعر جامد ممكن تطلع معاك؟‬ _ The 4th layer consists of loose areolar connective tissue 35- Which muscles of the following protrudes the tongue? _ Genioglossus muscle 36- The muscle responsible for powerful closure of the eye? _ Orbital part of orbicularis occuli ( while palpebral part is for gentle closure ) 37- A defect in which muscle of those is the cause of the dimples? _ Mentalis muscle 38- Which nerve passes through the parotid gland? _ Facial nerve 39- Which nerve has no overlapping fibers? _ Trigeminal nerve 40- Which is responsible for the most accurate vision? _ Cons ‫لو عايز ال‬receptors ‫لكن لو عايز المنطقه نفسها فاختاروا ال‬Fovea centralis. 41- Pulsation of which artery is felt over the trigos area of the ear? _ Superficial temporal artery 42- The only movable joint of the skull is? _ TMJ 43- Stapes originates from? _ The 2nd pharyngeal arch 44- Which nerve supplies the muscles of mastication? _ Mandibular nerve 45- A patient came to you with his mouth opened and cannot close it. it happens after yawning or laughing hard with the mouth kept wide opening the most likely cause that happened is? _ Anterior dislocation of the TMJ 46- Floor of the oral cavity is formed by? _ Mylohyoid muscle 47- Site of food to be stuck or trapped at? _ Piriform fossa 48- Stylomandibular ligament is a remenant of? _ Meckles ligament 49- The most common X-ray which is called " water’s view " at which position the skull is? _ Antero-posterior X-ray 50- A patient came to you from a car accident after examination you found C2 fracture what’s this fracture called? _ Hangman's fracture ‫اعرفوا ال‬: ‫*نوت صغيره‬auriculotemporal nerve and great auricular nerve ‫راجعوا كويس كل واحد بيغذي ايه‬. ‫ألني مش فاكره سؤالهم‬ :‫وجات صور شبه ديل سبوتر‬