1.
A patient came into the Emergency Room with a broken mandible resulting from an
overswung bat. Which nerve is most likely affected by this injury?
A. Lingual nerve
B. Hypoglossal nerve
C. Zygomatic branches of facial nerve
D. Inferior alveolar nerve
E. Chorda tympani nerve
2 . The muscle of mastication that inserts into the condylar process of the mandible and its
articular disk and the capsule of the temporomandibular joint (TMJ) is the
A. medial pterygoid muscle
B. lateral pterygoid muscle
C. temporalis muscle
D. masseter muscle
E. buccinator muscle
3. The lacrimal gland is innervated by
A. the facial nerve (VII)
B. the postganglionic neurons with the cell bodies in the pterygopalatine ganglion
C. the parasympathetic neurons
D. the lacrimal nerve
E. All of the above
4. A dentist who specializes in relief of facial pain is experimenting with a procedure to inject
anesthetic into the pterygopalatine fossa through a lateral approach. The needle passes
through the mandibular notch of the mandible, traverses the infratemporal fossa, and enters
the pterygomaxillary fissure. Which of the following structures would be at risk during the
procedure?
A. Maxillary artery
B. Mandibular division of the trigeminal nerve (CN III)
C. Pterygoid venous plexus
D. Otic ganglion
E. All of the above
5. Which muscle is the most active during a right lateral excursion of the mandible?
A. Left lateral pterygoid muscle
B. Right lateral pterygoid muscle
C. Left medial pterygoid muscle
D. Right medial pterygoid muscle
6. infraorbital nerve
A. is a terminal branch of the maxillary branch of the facial nerve
B. carries parasympathetic secretomotor neurons to the lacrimal gland
C. is a terminal branch of the maxillary division of the trigeminal nerve.
D. innervates the inferior part of the orbicularis oculi muscle.
7. To drain an abscess (a closed collection of pus) affecting the cheek area, an emergency room
physician used local anesthesia for the surgery. Which of the following nerves must be
anesthetized because it carries pain sensation from the cheek area?
A. buccal (VII)
B. inferior alveolar
C. lingual
D. mental
E. buccal (V3)
8. A patient who experienced bilateral anterior dislocation of the jaw (temporomandibular
joints) could not swallow or talk since the mouth was held open. What is the position of the
condyles of the mandible as a result of the dislocation?
A. against the external acoustic meatus
B. against the anterior slope of the articular eminence
C. against the posterior slope of the articular eminence
D. in the mandibular fossa
E. in the pterygoid fossa
9 . A 38-year-old patient complained of acute dental pain. The attending dentist found
penetrating dental caries (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. Buccal
C. Mental
D. Inferior alveolar
E. Mylohyoid
10 . In reducing an ankylosis of the TMJ, a surgeon provoked an intense hemorrhage by
lacerating the artery coursing transversely just medial to the neck of the condyle. Which artery
was involved in the accident?
A. Buccal
B. External carotid
C. Maxillary
D. Middle meningeal
E. Superficial temporal
11. The lesser petrosal nerve carries preganglionic parasympathetic fibers to the:
A. Geniculate ganglion
B. Otic ganglion
C. Submandibular ganglion
D. Ciliary ganglion
12. Which nerve is endangered during surgical removal of an impacted third mandibular molar
tooth?
A. Hypoglossal n.
B. Glossopharyngeal n.
C. Inferior alveolar n.
D. Lingual n.
13. A cranial fracture through the foramen ovale that compresses the enclosed nerve, will have
an effect on all muscles EXCEPT :
A. Tensor tympani
B. Masseter
C. Buccinator
D. Mylohyoid
E. Temporalis
14. The middle meningeal artery:
A. is typically a branch of the first part of the maxillary artery
B. enters the skull through the foramen ovale
C. passes through a split in the trunk of the mandibular nerve (V3)
D. supplies blood to the temporal lobe of the brain
15. maxillary nerve leaves the cranial cavity through
A. Foramen ovale
B. Foramen rotantum
C. Foramen spinosum
D. Foramen vesalius
16. Temporo mandibular joint is a
A. Synovial joint of ball and socket Varity
B. Synovial joint of hinge Varity
C. Synovial joint of bicondylar Varity
D. Synovial joint of plane Varity
17. Articular disc of the primitive tendon of
A. Medial pterygoid
B. Lateral pterygoid
C. Masseter
D. Temporalis
18. Primary depressor of mandible is
A. Lateral pterygoid
B. Masseter
C. Posterior belly of digastric
D. Temporalis
19. All are ligaments of TM joint except
A. Lateral ligament of TM joint
B. Spheno mandibular ligament
C. Pterygospinous ligament
D. Stylo mandibular ligament
20. All are elevators of mandible except
A. Medial pterygoid
B. Lateral pterygoid
C. Masseter
D. Temporalis
21. All the muscles of mastication are derived from
A. 2nd arch mesoderm
B. 4nd arch mesoderm
C. 1st arch mesoderm
D. 3nd arch mesoderm
22. Muscles of mastication’s are not supplied by anterior division of mandibular nerve
A. Medial pterygoid
B. Lateral pterygoid
C. Masseter
D. Temporalis
23. Nerve to medial pterygoid also supplies
A. Temporalis
B. Tensor veli palatini
C. Levator veli palatine
D. Musculus uvulae
24. Articular disc in TMJ is made of
A. Elastic cartilage
B. Hyaline cartilage
C. Fibro cartilage
D. None of the above
25. Muscle of facial expression but also helps in mastication
A. Frontalis
B. Temporalis
C. Masseter
D. buccinator
26. Nerve to mylohyoid is the branch of
A. Hypoglossal n.
B. Glossopharyngeal n.
C. Inferior alveolar n.
D. Lingual n.
27. Muscles of mastication which shows cruciform arrangement of fibers
A. Medial pterygoid
B. Lateral pterygoid
C. Masseter
D. Temporalis
28. Medial and lateral pterygoid plates are a part of
A. Ethmoid bone
B. Sphenoid bone
C. Occipital bone
D. Vomer bone
29. Muscles of mastication innervated by
A. V CN
B. VI CN
C. VII CN
D. VIII CN
30. Terminal branch of Maxillary artery is
A. Greater palatine artery
B. Lesser palatine artery
C. Spheno palatine artery
D. Decending palatine artery
