CMH MEDICAL & DENTAL COLLEGE LAHORE

Anatomy Department
Multiple Choice Questions
Head & Neck

1. A patient of Emergency tracheostomy complains to a 2nd year medical student about

hoarseness of his voice. He recalls his knowledge of anatomy and concludes that a muscle is
paralyzed that tense vocal cords. The muscle is supplied by
a. Recurrent laryngeal nerve b. Superior laryngeal nerve c. Internal laryngeal nerve
d. External Laryngeal nerve e. Inferior Laryngeal nerve
Answer: d. External Laryngeal nerve
2. On 1st post operative day a patient of thyrooidectomy was bleeding from his wound.
Surgeon suspects an artery that mainly supplies anterosuperior aspect of thyroid gland.
The artery is
a. Superior thyroid artery b. thyroid ima artery c. Inferior thyroid artery
d. superior laryngeal artery e. Superior thyroid artery (Anterior Branch)
Answer: a. Superior thyroid artery
3. In a road traffic accident a person got fracture of coronoid process of mandible. During
surgical repair an orthopedic surgeon may damage all of following structures present in
infratemporal fossa except;
a. Maxillary artery. b. Infaorbital artery c. Mandibular nerve
d. inferior alveolar nerve e. lingual nerve
Answer: b. Infaorbital artery
4. A person got dislocation of TM joint while forcefully biting a wall nut. During this
mandible was being elevated choose the muscle that doesn’t producing this movement
a. Temporalis (Anterior fibers) b. Lateral pterygoid c. masseter
d. Temporalis (posterior fibers) e. medial pterygoid
Answer: b. Lateral pterygoid
5. Maxillary nerve is purely sensory nerve which of the following branch sends a
communication branch to lacrimal nerve in orbit
a. Infra-orbital nerve b. Buccal nerve c. Zygomaticotemporal nerve
d. Auriculotemporal nerve e. Zygomaticofacial nerve
Answer: c. Zygomaticotemporal nerve
6. A person had excessive tearing from the eye when a dust particle entrapped in it. This
tearing is stimulated by parasympathetic fibers present in
a. greater petrosal nerve b. Lesser petrosal nerve c. Auriculotemporal nerve
d. Nerve of the pterygoid canal e. Zygomaticotemporal nerve
Answer: a. greater petrosal nerve
7. A patient of stroke is unable to abducting his right eye. Which of the following nerves is
involved in this paralysis?
a. Trochlear nerve b. Abducent nerve c. olfactory nerve
d. optic nerve e. oculomotor nerve
Answer: b. Abducent nerve
8. Which of the following extraocular muscles traverses the trochlea and redirects its line of
pull
a. Superior Oblique b. Inferior Oblique c. Superior Rectus
d. Inferior Rectus e. Lateral Rectus
Answer: a. Superior Oblique
9. A muscle of soft palate that gets origin from Scaphoid fossa of medial pterygoid plate and
is supplied by medial pterygoid nerve is
a. Tensor veli palatine b. Levator veli palatine c. Palatoglossus
d. Palatopharyngeus e. Musculus uvulae
Answer: a. Tensor veli palatine
10. The submandibular glands are supplied by presynaptic parasympathetic fibers conveyed to
the lingual nerve by the chorda tympani nerve which is a branch of
a. mandibular nerve b. facial nerve c. Maxillary nerve
d. vagus nerve e. glossopharyngeal nerve
Answer: b. facial nerve
11. Distal to lateral pterygoid muscle maxillary artery enters pterygopalatine fossa and gives
various terminal branches that doesn’t include
a. Infra-orbital artery b. Posterior superior alveolar artery c. Artery of pterygoid canal
b. Buccal artery e. Sphenopalatine artery
Answer: b. Buccal artery
12. A patient had difficulty in nasal breathing. On examination ENT specialist observed nasal
polyps, that blocked superior nasal meatus. It will affect the drainage of which of the
following sinus?
a. frontal sinus b. Maxillary Sinus c. Posterior Ethmoidal sinus
d. Anterior Ethmoidal sinus e. Middle Ethmoidal sinus
Answer: c. Posterior Ethmoidal sinus
13. The anterior part of the nasal septum is the site of an anastomotic arterial plexus known as
Kiesselbach area. Choose the artery that doesn’t take part in anastomosis
a. Ant ethmoidal artery b. Posterior ethmoidal artery c. Sphenopalatine artery
d. Infraorbital artery e. Septal branch of the superior labial artery
Answer: d. Infraorbital artery
14. The maxillary sinuses are the largest of the paranasal sinuses. Its pyramidal in shape and
its base is formed by
a. zygomatic bone b. floor of the orbit. c. Sphenoid bone
d. lateral wall of the nasal cavity e. alveolar part of the maxilla
Answer: d. lateral wall of the nasal cavity
15. A person had an infected wound involving his ear lobule. This infection will lead to
enlargement of which of the following lymph nodes
a. superficial parotid lymph nodes b. mastoid nodes c. deep cervical lymph nodes
d. superficial cervical lymph nodes e. Submandibular lymph nodes
Answer: a. superficial parotid lymph nodes
 CMH MEDICAL & DENTAL COLLEGE LAHORE
Anatomy Department
Multiple Choice Questions
Thorax

1. Costochondral joint is a joint between lateral end of costal cartilage and sternal end of rib.
Its variety is
a. Primary cartilaginous joint b. Saddle type of synovial joint c. Symphysis
d. Synovial plane joint e. Sec cartilaginous joint
Answer: a. Primary cartilaginous joint
2. Costovertebral joint is a Synovial plane joint. Head of 6th rib articulates with superior demi
facet of 6th thoracic vertebra and inferior demi facet of
a. 6th thoracic vertebra b. 5th thoracic vertebra c. 7th thoracic vertebra
d. 4 thoracic vertebra
th
e. 8 thoracic vertebra
th

Answer: b. 5th thoracic vertebra

3. Muscles of inspiration elevate ribs and increase the AP and Transverse diameter of thoracic
cage. Which of the following doesn’t elevate ribs
a. External intercostal b. Innermost intercostal c. Subcostal
d. Serratus posterior superior e. Serratus posterior inferior
Answer: e. Serratus posterior inferior
4. A person started bleeding after stab wound injury on anterior chest wall near 7th intercostal
space. The space is supplied by anterior intercostal arteries arising from
a. Internal thoracic artery b. Musculophrenic artery c. superior epigastric artery
d. Desc. Thoracic Aorta e. Subclavian artery
Answer: b. Musculophrenic artery
5. Superior vena cava is formed by the union of right & left brachiocephalic veins at the level
of
a. right sternoclavicular joint b. 1st right rib c. 1st right costal cartilage
d. 1st left costal cartilage e. 2nd right costal cartilage
Answer: c. 1st right costal cartilage
6. Azygous drains blood from the posterior parts of the intercostal spaces, the posterior
abdominal wall and the diaphragm. It finally drains to
a. Bracheocephalic vein at level of T-2 b. SVC at level of T-6 c. IVC at level
of T-10
d. SVC at level of T-4 e. SVC at level of T-5
Answer: e. SVC at level of T-5
7. The phrenic nerve supplies the diaphragm with motor and sensory fibers. It is
differentiated from vagus nerve in the superior mediastinum as it passes
a. anterior to Subclavian artery b. anterior to Subclavian vein c. posterior to scalene
anterior
d. anterior to Bracheocephalic trunk e. posterior to common carotid artery
Answer: a. anterior to Subclavian artery
8. When the left vagus nerve reaches left side of the arch of the aorta, it is separated from the
phrenic nerve by
a. 3rd posterior intercostal vein b. superior intercostal vein c.
azygous vein
d. common carotid artery e. ligamentum arteriosum
Answer: b. superior intercostal vein
9. Venous drainage of thoracic wall is by intercostal veins present in each space. 5th & 6th
intercostal veins on right side drains to
a. brachiocephalic vein b. HemiAzygos vein c. Left superior IC
vein
d. Accessory hemiAzygos vein e. Azygos vein
Answer: e. Azygos vein
10. Which of the following muscles is not a true muscle of the thoracic wall
a. Serratus posterior b. Levatores costarum c. Subcostal
d. Transversus thoracis e. Serratus anterior
Answer: e. Serratus anterior