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Full download Evolve Resources for Illustrated Anatomy of the Head and Neck 5th Edition Fehrenbach Test Bank all chapter 2024 pdf
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Chapter 06: Vascular System
Fehrenbach: Illustrated Anatomy of the Head and Neck, 5th Edition
MULTIPLE CHOICE
1. Which term is BEST used to describe a blood vessel that travels to the heart carrying blood?
a. Arteriole
b. Artery
c. Capillary
d. Vein
ANS: D
Feedback
A An arteriole is a smaller artery that branches off an artery and connects with a
capillary.
B An artery is a type of blood vessel that carries blood away from the heart.
C A capillary is a smaller blood vessel that branches off an arteriole blood supply
directly to the tissue.
D A vein is a type of blood vessel that travels to the heart carrying blood.
2. The dental professional MUST be able to locate the larger blood vessels of the head and neck
BECAUSE these vessels may become compromised due to a disease process or during a
dental procedure such as a local anesthetic injection.
a. Both the statement and the reason are correct and related.
b. Both the statement and the reason are correct but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.
ANS: A
Feedback
A The statement and the reason are correct and related. The dental professional
must be familiar with the location of large blood vessels of the head and neck so
as to NOT compromise the patient’s health during certain dental procedures.
B The statement and reason are correct, but they are also related. Having
knowledge of blood vessels will avoid injury or disease transmission through the
blood system during dental procedures.
C The reason is correct. Blood vessels may become compromised due to a disease
process or during a dental procedure, such as a local anesthetic injection.
D The statement is correct. The dental professional must be able to locate the larger
blood vessels of the head and neck.
E Both the statement and the reason are correct. The dental professional must be
able to locate the larger blood vessels of the head and neck mainly because blood
vessels may become compromised due to a disease process or during a dental
procedure such as a local anesthetic injection.
3. Blood vessels are MORE numerous than lymphatic vessels. However, the venous blood
vessels MAINLY parallel the lymphatic vessels.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true; the second is false.
d. The first statement is false; the second is true.
ANS: D
Feedback
A The first statement is false. Blood vessels are less numerous than lymphatic
vessels.
B The second statement is true. The venous part mainly parallels the lymphatic
vessels.
C The first statement is false. Blood vessels are less numerous than lymphatic
vessels. The second statement is true. The venous blood vessels mainly parallel
the lymphatic vessels.
D The first statement is false. Blood vessels are less numerous than lymphatic
vessels. The second statement is true. The venous blood vessels mainly parallel
the lymphatic vessels.
4. Which of the following statements BEST explains why BOTH facial and dental infections can
lead to serious complications for the patient?
a. Antibiotics do NOT work well to combat facial and dental infections.
b. Communication by way of anastomoses and blood flow direction is involved in the
spread of infection in the head and neck.
c. Both facial and dental infections have been found to be difficult to detect and treat
early.
d. Blood supply is based on a one-to-one relationship of blood vessel to muscle.
ANS: B
Feedback
A Antibiotics are available to treat facial and dental infections effectively.
B Communication by way of anastomoses and blood flow direction is involved in
the spread of infection in the head and neck. This is the reason that facial or
dental infections can lead to serious complications.
C Both facial and lingual infections can be detected early by completing a
comprehensive medical history, taking vital signs, and conducting extraoral and
intraoral examination on patients.
D Blood supply is regional, unlike that for innervation supplied by the nerves to the
muscles, which is a one-to-one relationship.
Feedback
A Anastomosis is communication of blood vessels with another connecting
channel.
B A foreign material in the blood is an embolus.
C A large network of blood vessels is a plexus.
D A clot that forms on the inner blood vessel wall is a thrombus.
6. Which are the MAJOR arteries that supply the head and neck?
a. Aorta, brachiocephalic
b. Common carotid, subclavian
c. Posterior auricular, occipital
d. Superficial temporal, facial
ANS: B
Feedback
A The aorta is a major artery that gives rise to the common carotid and subclavian
arteries on the left side of the body and to the brachiocephalic artery on the right
side. The brachiocephalic artery is an artery that branches directly off the aorta
on the right side of the body and gives rise to the right common carotid and
subclavian arteries.
B The common carotid and subclavian arteries are the major supply of arterial
blood to the head and neck. The common carotid artery travels in the carotid
sheath superiorly along the neck to branch into the internal and external carotid
arteries. The subclavian arteries arise from the aorta on the left and the
brachiocephalic artery on the right and give off branches to supply both
intracranial and extracranial structures, as well as the arm.
C The posterior auricular artery is a posterior arterial branch from the external
carotid artery that supplies the tissue around the ear. The occipital artery is also a
posterior arterial branch from the external ear.
D The superficial temporal artery is a terminal arterial branch from the external
carotid artery that arises in the parotid salivary gland and gives off the transverse
facial and middle temporal arteries, as well as frontal and parietal branches. The
facial artery is an anterior arterial branch from the external carotid artery with a
complicated path as it gives off the ascending palatine, submental, inferior and
superior labial, and angular arteries.
Feedback
A The common carotid artery travels in the carotid sheath superiorly along the
neck to branch into the internal and external carotid arteries.
B The external carotid artery arises from the common carotid artery and supplies
the extracranial tissue of the head and neck, including the oral cavity.
C The pterygoid artery is a branch of arteries from the maxillary artery that
supplies the pterygoid muscles.
D The brachiocephalic artery is an artery that branches directly off the aorta on the
right side of the body and gives rise to the right common carotid and subclavian
arteries.
Feedback
A The second statement is false. The common carotid artery travels in a sheath
deep to the sternocleidomastoid muscle.
B The first statement is true. The common carotid artery is branchless and travels
superiorly along the neck, lateral to the trachea and larynx to the superior border
of the thyroid cartilage.
C The first statement is true. The common carotid artery is branchless and travels
superiorly along the neck, lateral to the trachea and larynx to the superior border
of the thyroid cartilage. The second statement is false. The common carotid
artery travels in a sheath deep to the sternocleidomastoid muscle.
D The first statement is true. The common carotid artery is branchless and travels
superiorly along the neck, lateral to the trachea and larynx to the superior border
of the thyroid cartilage. The second statement is false. The common carotid
artery travels in a sheath deep to the sternocleidomastoid muscle.
9. What is the MAJOR destination of the subclavian artery as it travels in the body?
a. Intracranial structures
b. Upper extremity or arm
c. Tissue inferior to the hyoid bone
d. External scalp tissue
ANS: B
Feedback
A The intracranial structures are supplied by the internal carotid artery.
B The subclavian artery also supplies the upper extremity or arm, so that is its
major destination.
C The superior thyroid artery supplies tissue inferior to the hyoid bone.
D The occipital artery supplies the suprahyoid and sternocleidomastoid muscles, as
well as the external scalp and meningeal tissue in the occipital region.
Feedback
A The lingual artery supplies the suprahyoid muscles.
B The lingual artery supplies the floor of the mouth.
C The lingual artery does NOT supply the mylohyoid muscle. The sublingual
artery supplies the mylohyoid muscle.
D Branches of the lingual artery supply the tongue.
11. Which of the following listed is NOT a branch of the external carotid artery?
a. Middle meningeal
b. Facial
c. Ascending pharyngeal
d. Posterior auricular
ANS: A
Feedback
A The middle meningeal artery is a branch of the maxillary artery, which supplies
the meninges of the brain and bones of the skull.
B The facial artery is part of the anterior branch of the external carotid artery.
C The ascending pharyngeal artery is a medial branch of the external carotid
artery.
D The posterior auricular artery is a posterior branch of the external carotid artery.
12. During the extraoral examination of a patient, an artery is visually noted under the skin of the
patient in the temporal region. Which artery can be visualized in this manner during the
examination?
a. Middle temporal artery
b. Transverse facial artery
c. Superficial temporal artery
d. Maxillary artery
ANS: C
Feedback
A The middle temporal artery is small and supplies the temporalis muscle along
with parts of the scalp in the frontal and parietal regions.
B The transverse facial artery supplies the parotid salivary gland and nearby facial
tissue.
C The superficial temporalis artery branches off into several directions in the area
of the temporalis bone.
D The maxillary artery begins at the neck of the mandibular condyle within the
parotid salivary gland.
13. Which branch of the maxillary artery supplies the maxillary anterior teeth by way of each
tooth’s apical foramen?
a. Infraorbital artery
b. Inferior alveolar artery
c. Sphenopalatine artery
d. Anterior superior alveolar artery
ANS: D
Feedback
A Although the infraorbital artery supplies the maxillary anterior teeth, it does so
by providing orbital branches to the orbit, as well as giving off the anterior
superior alveolar artery, but it does NOT actually enter through the apical
foramen of each tooth.
B The inferior alveolar artery supplies the mandibular teeth, the floor of the mouth,
and mental region.
C The sphenopalatine artery supplies the nasal cavity and anterior hard palate.
D The anterior superior alveolar artery supplies the maxillary anterior teeth by
entering each tooth’s apical foramen.
14. The veins of the head and neck start out as large venules and become smaller as they near the
base of the neck on their way to the heart. The veins of the head and upper neck are usually
symmetric in location with limited or NO variance regarding their location.
a. Both statements are true.
b. Both statements are false.
c. The first statement is true; the second is false.
d. The first statement is false; the second is true.
ANS: B
Feedback
A Both the first and second statements are false. Veins of the head and neck start
out as small venules and become larger as they near the base of the neck on their
way to the heart. The veins of the head and upper neck are usually symmetric in
location; however, they have a greater variability in location than do the arteries.
B Both statements are false. Veins of the head and neck start out as small venules
and become larger as they near the base of the neck on their way to the heart.
The veins of the head and upper neck are usually symmetric in location;
however; they have a greater variability in location than do the arteries.
C The first statement is false. Veins of the head and neck do NOT start out as large
venules. They also become larger as they near the base of the neck on their way
to the heart.
D The second statement is false. The veins of the head and upper neck are usually
symmetric in location and have greater variability regarding their location than
do arteries.
15. Which of the following oral structures or regions is NOT drained DIRECTLY by the facial
vein?
a. Upper lip
b. Lower lip
c. Submental space
d. Lateral scalp
ANS: D
Feedback
A The facial vein drains the upper lip by way of the superior labial drainage vein.
B The facial vein drains the lower lip by way of the inferior labial drainage vein.
C The facial vein drains the submental space by way of the submental drainage
vein.
D The facial vein does NOT drain the lateral scalp. The retromandibular and
external jugular veins drain this area.
Feedback
A The posterior superior alveolar veins drain the pulp of the maxillary teeth by
way of each tooth’s apical foramen. It also drains the periodontium of the
maxillary teeth.
B The pterygoid plexus of veins is a collection of small anastomosing vessels
located around the pterygoid muscles and surrounding the maxillary artery. It
protects the maxillary from being compressed during mastication by allowing
changes in volume of the infratemporal fossa that occur when the mandible
moves.
C The maxillary vein is a deep vein that begins in the infratemporal fossa by
collecting blood from the pterygoid plexus. The maxillary vein receives other
veins from the nose and palate before draining into and from the retromandibular
vein.
D Middle meningeal vein drains blood from the meninges of the brain into the
pterygoid plexus of veins.
17. Which of the following veins listed drains MOST of the head and neck?
a. Internal jugular vein
b. External jugular vein
c. Inferior alveolar vein
d. Anterior jugular vein
ANS: A
Feedback
A The internal jugular vein originates in the cranial cavity and leaves the skull
through the jugular foramen. It receives tributaries, including the veins, from the
lingual, sublingual, and pharyngeal areas, as well as the facial vein.
B The external jugular vein moves inferiorly along the neck, terminating in the
subclavian vein.
C The inferior alveolar vein drains the periodontium of the mandibular teeth,
including the gingival tissue.
D The anterior jugular vein begins inferior to the chin, communicating with veins
in the area, and moves inferiorly near the midline, within the superficial fascia,
receiving branches from superficial cervical structures.
DIF: Recall REF: p. 148 OBJ: 2
TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy,
physiology, and development
MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1 Anatomy
18. What is a serious, life-threatening blood vessel lesion that occurs when a blood vessel is
seriously traumatized, allowing large amounts of blood to escape into the surrounding tissue
without clotting?
a. Hematoma
b. Thrombus
c. Bacteremia
d. Hemorrhage
ANS: D
Feedback
A A hematoma is a bruise resulting from a blood vessel being injured and a small
amount of blood escaping into and clotting into the surrounding tissue. It is NOT
a serious, life-threatening blood vessel lesion.
B A thrombus is a clot that forms on the inner vessel wall. It is NOT a serious,
life-threatening blood vessel lesion unless it breaks away and becomes an
embolus.
C A bacteremia occurs when bacteria travel within the blood system. It is NOT
always a serious, life-threatening blood vessel lesion unless the patient is
medically compromised.
D A hemorrhage occurs when large amounts of the blood escape into the
surrounding tissue without clotting and thus is a serious, life-threatening blood
vessel lesion.
19. What is the blood supply that is DIRECTLY provided to the sternocleidomastoid muscle?
a. Internal carotid artery
b. Superior thyroid artery
c. Lingual artery
d. Angular artery
ANS: B
Feedback
A The internal carotid artery has NO branches in the neck but continues adjacent to
the internal jugular vein within the carotid sheath to the skull base, where it
enters the cranium. The internal carotid artery supplies intracranial structures
and is the source of the ophthalmic artery, which supplies the eye, orbit, and
lacrimal gland.
B The superior thyroid artery is an anterior branch from the external carotid artery
that has a sternocleidomastoid branch to supply the sternocleidomastoid muscle.
C The lingual artery is an anterior branch from the external carotid artery and
arises superior to the superior thyroid artery at the level of the hyoid bone. The
lingual artery travels anteriorly to the apex of the tongue by way of its inferior
surface. The lingual artery supplies the tissue superior to the hyoid bone,
including the suprahyoid muscles and floor of the mouth by the dorsal lingual,
deep lingual, sublingual, and suprahyoid branches. The tongue is also supplied
by branches of the lingual artery.
D The angular artery is the termination of the facial artery and supplies the side of
the nose.
20. A branch of the maxillary artery reaches the nasal cavity through the
a. infraorbital foramen.
b. incisive foramen.
c. sphenopalatine foramen.
d. greater and lesser palatine foramina.
ANS: C
Feedback
A After giving off branches in the infraorbital canal, the infraorbital artery emerges
onto the face from the infraorbital foramen. The artery’s terminal branches
supply parts of the infraorbital region of the face and anastomose with the facial
artery.
B The sphenopalatine artery gives rise to the posterior lateral nasal branches and
septal branches, including a nasopalatine branch that accompanies the
nasopalatine nerve through the incisive foramen on the maxillae.
C The sphenopalatine artery is a branch of the maxillary artery that reaches the
nasal cavity through the sphenopalatine foramen.
D The maxillary artery gives rise to the descending palatine artery, which travels to
the palate through the pterygopalatine canal, which then terminates in both the
greater palatine artery and lesser palatine artery by way of the greater and lesser
palatine foramina to supply the hard and soft palates, respectively.
21. What is the relationship of the maxillary vein to the superficial temporal vein?
a. Shallower
b. Deeper
c. Superior
d. Inferior
ANS: B
Feedback
A The maxillary vein or internal maxillary vein is deeper than the superficial
temporal vein and begins in the infratemporal fossa by collecting blood from the
pterygoid plexus, accompanying the maxillary artery.
B The maxillary vein or internal maxillary vein is deeper than the superficial
temporal vein and begins in the infratemporal fossa by collecting blood from the
pterygoid plexus, accompanying the maxillary artery.
C The maxillary vein or internal maxillary vein is deeper than the superficial
temporal vein and begins in the infratemporal fossa by collecting blood from the
pterygoid plexus, accompanying the maxillary artery.
D The maxillary vein or internal maxillary vein is deeper than the superficial
temporal vein and begins in the infratemporal fossa by collecting blood from the
pterygoid plexus, accompanying the maxillary artery.
22. The pterygoid plexus of veins is a collection of small anastomosing vessels located around the
pterygoid muscles and DIRECTLY surrounding which artery?
a. External carotid artery
b. Maxillary artery
c. Inferior alveolar artery
d. Internal carotid artery
ANS: B
Feedback
A The pterygoid plexus of veins is a collection of small anastomosing vessels
located around the pterygoid muscles and directly surrounding the maxillary
artery.
B The pterygoid plexus of veins is a collection of small anastomosing vessels
located around the pterygoid muscles and directly surrounding the maxillary
artery.
C The pterygoid plexus of veins is a collection of small anastomosing vessels
located around the pterygoid muscles and directly surrounding the maxillary
artery.
D The pterygoid plexus of veins is a collection of small anastomosing vessels
located around the pterygoid muscles and directly surrounding the maxillary
artery.
Feedback
A The subclavian artery arises lateral to the common carotid artery.
B The subclavian artery arises lateral to the common carotid artery.
C The subclavian artery arises lateral to the common carotid artery. The external
carotid artery travels superiorly in a more medial position (in relationship to the
internal carotid artery) after arising from the common carotid artery.
D The subclavian artery arises lateral to the common carotid artery.
24. What is the usual number of anterior branches that arise from the external carotid artery?
a. One
b. Two
c. Three
d. Four
ANS: C
Feedback
A There are three anterior branches from the external carotid artery: superior
thyroid, lingual, and facial. Only one medial branch is from the external carotid
artery: the small ascending pharyngeal artery.
B There are three anterior branches from the external carotid artery: superior
thyroid, lingual, and facial. There are two posterior branches of the external
carotid artery: occipital and posterior auricular.
C There are three anterior branches from the external carotid artery: superior
thyroid, lingual, and facial.
D There are three anterior branches from the external carotid artery: superior
thyroid, lingual, and facial. The external carotid artery has four sets of branches
grouped according to their location relative to the main artery: anterior, medial,
posterior, and terminal.
25. With what nerve is the occipital artery closely associated at its origin?
a. Trigeminal nerve
b. Facial nerve
c. Hypoglossal nerve
d. Mandibular nerve
ANS: C
Feedback
A At its origin, the occipital artery is closely associated with the twelfth cranial or
hypoglossal nerve.
B At its origin, the occipital artery is closely associated with the twelfth cranial or
hypoglossal nerve.
C At its origin, the occipital artery is closely associated with the twelfth cranial or
hypoglossal nerve.
D The maxillary artery also has branches that are located near the muscle they
supply. These arteries all accompany branches of the mandibular nerve or third
division of the fifth cranial or trigeminal nerve.
MULTIPLE RESPONSE
1. From the following list of descriptions, select which descriptions can be used for the pathway
of the external carotid artery. (Select all that apply.)
a. Begins at inferior border of thyroid cartilage
b. Travels upward medial to internal carotid artery
c. Begins at the termination of common carotid artery
d. Travels upward lateral to internal carotid artery
ANS: B, C
Feedback
Correct The external carotid artery travels upward medial to the internal carotid
artery and begins at the termination of the common carotid artery; this
artery does NOT begin at the inferior border of the thyroid cartilage and
does NOT travel lateral to the internal carotid artery.
Incorrect The external carotid artery begins at the superior border of the thyroid
cartilage and NOT its inferior border as well as traveling upward medial
and NOT lateral to the internal carotid artery.
2. From the following list of blood vessels, select those blood vessels that anastomose with the
pterygoid plexus of veins located around the pterygoid muscles. (Select all that apply.)
a. Facial artery
b. Maxillary artery
c. Facial vein
d. Retromandibular vein
e. Maxillary vein
ANS: C, D
Feedback
Correct The pterygoid plexus of veins anastomoses with both the facial vein and
retromandibular vein.
Incorrect The pterygoid plexus of veins surrounds the maxillary artery and does
NOT anastomose with either the facial artery or maxillary artery; the
plexus drains into the maxillary vein.
3. From the following list of terms concerning compromised blood vessels, select the terms that
are associated DIRECTLY with clot formation. (Select all that apply.)
a. Thrombus
b. Embolus
c. Hematoma
d. Hemorrhage
e. Varicosity
ANS: A, B, C
Feedback
Correct The terms concerning compromised blood vessels that are DIRECTLY
associated with clot formation are thrombus (plural, thrombi), embolus
(plural, emboli), and hematoma.
Incorrect The terms concerning compromised blood vessels that are NOT
DIRECTLY associated with clot formation are hemorrhage and varicosity.
4. From the following list of descriptions, select which descriptions can be used for the pathway
of the external jugular vein. (Select all that apply.)
a. Drains only a small part of extracranial structures
b. Terminates in the subclavian vein
c. Visible near the sternocleidomastoid muscle
d. Usually only one vein is present
ANS: A, B, C
Feedback
Correct The external jugular vein drains only a small part of extracranial
structures. It terminates in the subclavian vein and is visible as it crosses
the sternocleidomastoid muscle in the neck.
Incorrect Usually there are two external jugular veins but there can be ONLY one
anterior jugular vein.
5. From the following list of descriptions, select which descriptions can be used for the pathway
of the maxillary artery. (Select all that apply.)
a. May be superficial to lateral pterygoid muscle
b. Runs between mandible and temporomandibular ligament
c. May be deep to lateral pterygoid muscle
d. Runs through infratemporal fossa
ANS: A, C, D
Feedback
Correct The maxillary artery runs either superficial or deep to the lateral pterygoid
muscle and through the infratemporal fossa superiorly.
Incorrect The maxillary artery runs between the mandible and the
sphenomandibular ligament anteriorly and NOT the temporomandibular
ligament.
A.D. 1678-1679.