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A comprehensive overview of the surface anatomy and key anatomical structures of the head and neck region, which is essential knowledge for dental professionals. It covers topics such as the bony landmarks, muscles, nerves, blood vessels, glands, and lymph nodes in the head and neck area. The document delves into the importance of understanding this anatomy for conducting thorough patient examinations, identifying potential complications, and providing appropriate dental treatments. The level of detail and the range of topics covered make this document a valuable resource for dental students, practicing dentists, and other healthcare professionals working in the field of oral and maxillofacial care.
Typology: Exams
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Which surface of the body is visualized by the clinician when performing an extraoral examination of the patient's eyes? - ANSWER>>Anterior
What is the anatomic relationship of the maxillary arch to the mandibular arch? - ANSWER>>Superior
What is the anatomic relationship of the teeth located in the front of the mouth to the teeth located in the back of the mouth? - ANSWER>>Anterior
An area closer to the median plane is considered to be distal, and an area farther from the median plane is considered proximal. - ANSWER>>Both statements are false
What is another term for midsagittal plane? - ANSWER>>Median plane
The ventral part is directed toward the anterior and is considered the opposite of the dorsal part when considering the entire body. - ANSWER>>Both statements are true
The dental professional MUST be thoroughly familiar with the surface anatomy of the head and neck in order to examine patients BECAUSE features of the surface provide essential landmarks for deeper anatomic structures - ANSWER>>Both the statement and the reason are correct and related.
Which of the following is the CORRECT definition of the term labial? - ANSWER>>Structures closest to the lips
The buccal region of the head is composed of soft tissue of the cheek. Most of the upper cheek is fleshy, mainly formed by a mass of fat and muscle. Which is the strong muscle felt in this area when the patient clenches his or her teeth together during an extraoral examination? - ANSWER>>Masseter muscles
What is the landmark located in the oral cavity that appears as a small elevation of tissue located on the inner part of the buccal mucosa, just opposite the maxillary second molar? - ANSWER>>Parotid papilla
The palate or roof of the mouth has two parts: an anterior part and a posterior part. The firmer, whiter posterior part is the hard palate. - ANSWER>>The first statement is true; the second is false.
What is the term for the top surface of the tongue? - ANSWER>>Dorsal
What is the flap of cartilage located posterior to the base of the tongue and anterior to the oropharynx? - ANSWER>>Epiglottis
Which muscle of the neck region divides each side of the neck diagonally into BOTH the anterior cervical triangle and the posterior cervical triangle? - ANSWER>>Sternocleidomastoid muscle
What is the vertical groove located at the midline superior to the upper lip that extends downward on the skin from the nasal septum? - ANSWER>>Philtrum
Where are foliate lingual papillae located within the oral cavity? - ANSWER>>Lateral border of the tongue
Loss of height in the lower third of the face, which contains the teeth and jaws, can occur in certain circumstances such as with growth and effective orthodontic therapy. - ANSWER>>The statement is correct, but the reason is NOT.
Both the labial and buccal mucosa may vary in coloration, as do other regions of healthy oral mucosa, in individuals with _______ skin. - ANSWER>>pigmented
What is the dense pad of tissue just posterior to the most distal tooth of the mandible? - ANSWER>>Retromolar pad
The line of demarcation between the firmer and pinker attached gingiva and the movable and redder alveolar mucosa is the - ANSWER>>mucogingival junction.
Which of the following bony features listed does NOT serve as an opening in bone? - ANSWER>>Sulcus
Which of the following bones listed is the ONLY movable bone of the skull? - ANSWER>>Mandible
The squamosal suture is BEST observed from which view of the skull? - ANSWER>>Lateral view
Which of the following openings within the orbit connects the orbit with the cranial cavity? - ANSWER>>Superior orbital fissure
After the seventh cranial nerve travels through the petrous part of the temporal bone, through which opening does it exit onto the face? - ANSWER>>Stylomastoid foramen
Which of the following external foramina can ONLY be observed from an inferior view of the skull? - ANSWER>>Stylomastoid foramen
Which of the following sutures of the skull is an immovable articulation between the occipital bone and the parietal bones? - ANSWER>>Lambdoidal suture
Which of the following bony landmarks is a depression located between the coronoid process and the mandibular ramus? - ANSWER>>Mandibular notch
Which of the following landmarks is the MOST inferiorly located on the mandible? - ANSWER>>Submandibular fossa
Where is the pterygoid process of the skull located? - ANSWER>>Inferior to the greater wing of the sphenoid bone
The ______ of a muscle is generally attached to the LEAST movable structure. - ANSWER>>Origin
Which of the following muscles originates on the inferior border of the mandible and inserts at each of the labial commissures? - ANSWER>>Depressor anguli oris muscle
Which of the following muscles is NOT considered a suprahyoid muscle? - ANSWER>>Sternothyroid muscle
Which of the following muscles raises each labial commissure of the lips to contribute to a patient's smile? - ANSWER>>Zygomaticus major muscle
Which of the following intraoral landmarks is one of the origins of the buccinator muscle? - ANSWER>>Pterygomandibular raphe
Which of the following muscles is considered an extrinsic tongue muscle that retracts the tongue? - ANSWER>>Styloglossus muscle
All three pharyngeal constrictors work to raise the pharynx and larynx during - ANSWER>>swallowing
Which of the following muscles inserts onto the coronoid process? - ANSWER>>Temporalis muscle
When a patient swallows, how are the suprahyoid muscles involved? - ANSWER>>Elevate the hyoid bone
Which of the following muscles originates on the inferior border of the mandible and inserts into the skin tissue of the chin? - ANSWER>>Mentalis muscle
Which of the following muscles works to protrude the tongue on a patient? - ANSWER>>Genioglossus muscle
Extrinsic tongue muscles are innervated by the _____ cranial nerve. - ANSWER>>twelfth
Which of the following muscles BOTH elevates the tongue and depresses the soft palate during swallowing? - ANSWER>>Palatoglossus muscle
Which of the following muscles can show enlargement due to repetitive muscle contraction associated with clenching of the teeth in a patient? - ANSWER>>Masseter muscle
Which of the following muscles divides the neck region into anterior and posterior cervical triangles? - ANSWER>>Sternocleidomastoid muscle
Which of the following muscles when unilaterally contracted deviates the mandible to one side? - ANSWER>>Lateral pterygoid muscle
Which of the following muscles will serve to depress the lower lip? - ANSWER>>Depressor labii inferioris and depressor anguli oris muscles
On what structure do BOTH heads of the masseter muscle originate? - ANSWER>>Zygomatic arch
Which of the following muscles when contracted allows for the retraction of the mandible? - ANSWER>>Temporalis muscle
Which of the following are considered cervical muscles? - ANSWER>>Sternocleidomastoid and trapezius muscles
What is the general term for any type of bony prominence? - ANSWER>>Process
What is general term for a relatively large, convex prominence on bone that is usually involved in joints? - ANSWER>>Condyle
Choose four types of bony depressions. - ANSWER>>incisura, notch, sulcus, fossa
What is a short windowlike opening in the bone? - ANSWER>>Foramen
List the facial bones of the skull. - ANSWER>>Zygomatic, Inferior nasal conchae, lacrimal mandible, maxillae, vomer
What two general terms can be used to describe a rounded elevation on the bony surface? - ANSWER>>Tubercle and eminence
List the cranial bones. - ANSWER>>Ethmoid, Frontal, Occipital, Parietal, Sphenoid, Temporal
Is the occipital bone paired or single and what bones does it articulate with? - ANSWER>>Single, parietal, temporal, sphenoid
What large roughened projection of the temporal bone is posterior to the external acoustic meatus? - ANSWER>>Mastoid process
What single cranial bone is midline and complex and contains the superior orbital fissure, foramen ovale, foramen rotundum, and the foramen spinosum? - ANSWER>>Sphenoid
What is the opening on the external surface of the lower jaw that is usually between the apices of the mandibular first and second premolars? - ANSWER>>Mental foramen
The hamulus is a thin curved process located on which cranial bone? - ANSWER>>Sphenoid
Which of the following cranial nerves is associated with the stylomastoid foramen? - ANSWER>>seventh cranial nerve
Which of the following bones forms the jugular foramen along with the jugular notch of the temporal bone? - ANSWER>>Occipital
The lacrimal gland is located just inside the lateral part of the ___________. - ANSWER>>Supraorbital rim
Which term is BEST used to describe a blood vessel that travels to the heart carrying blood? - ANSWER>>Vein
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. - ANSWER>>Both the statement and the reason are correct and related.
Which of the following statements BEST explains why BOTH facial and dental infections can lead to serious complications for the patient? - ANSWER>>Communication by way of anastomoses and blood flow direction is involved in the spread of infection in the head and neck.
What does the term anastomosis mean? - ANSWER>>Communication of blood vessels with another connecting channel
Which are the MAJOR arteries that supply the head and neck? - ANSWER>>Common carotid, subclavian
Which of the following arteries is a DIRECT branch off of the aorta? - ANSWER>>Brachiocephalic artery
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? - ANSWER>>Superficial temporal artery
Which branch of the maxillary artery supplies the maxillary anterior teeth by way of each tooth's apical foramen? - ANSWER>>Anterior superior alveolar artery
Which of the following veins listed drains MOST of the head and neck? - ANSWER>>Internal jugular vein
The pterygoid plexus of veins is a collection of small anastomosing vessels located around the pterygoid muscles and DIRECTLY surrounding which artery? - ANSWER>>Maxillary artery
The temporal bone and mandible come together to form the temporomandibular joint BECAUSE a joint is defined as a junction or union between two or more bones. - ANSWER>>Both the statement and the reason are correct and related.
What is another term used for articular fossa of the temporomandibular joint? - ANSWER>>Mandibular
What is the depression located between the condyle and coronoid process of the temporomandibular joint? - ANSWER>>Mandibular notch
Which ligament associated with the temporomandibular joint prevents excessive retraction or moving backward of the mandible? - ANSWER>>Temporomandibular joint ligament
The temporomandibular joint allows for movement of the mandible during speech and mastication. Two basic types of movement are performed by the joint and its associated muscles: a gliding movement and a rotational movement. - ANSWER>>Both statements are true
The gliding movement of the temporomandibular joint allows the lower jaw to move forward or backward. What movement of the mandible is involved when the lower jaw moves forward?
What movement of the temporomandibular joint occurs MAINLY between the joint disc and the condyle of the mandible in the lower synovial cavity? - ANSWER>>Rotation
What type of temporomandibular joint movement(s) occurs during lateral deviation of the mandible or shifting of the lower jaw to one side? - ANSWER>>Gliding movement on one side and rotational movement on the other side
What occurs with the dislocation of BOTH the temporomandibular joints on a patient? - ANSWER>>Subluxation
What is the fossa located on the temporal bone that articulates with the mandible? - ANSWER>>Articular fossa
Which of the following exocrine glands produces approximately 60% to 65% of the total volume of saliva for the oral cavity? - ANSWER>>Submandibular gland
Which of the following glands can be palpated as part of an extraoral examination by a clinician? - ANSWER>>Thyroid gland
Which of the following glands can be palpated within the sublingual space in the floor of the mouth during an extraoral examination by a clinician? - ANSWER>>Sublingual gland
Which of the following glands wraps around the mylohyoid muscle? - ANSWER>>Submandibular gland
If there is an infection involving the submandibular salivary gland, what lymph nodes would be initially involved? - ANSWER>>Submandibular nodes
Which of the following lymph nodes are initially involved when the patient has contracted mumps? - ANSWER>>Deep parotid nodes
Which of the following lingual papillae are DIRECTLY associated with salivary glands? - ANSWER>>Circumvallate papillae
Which of the following glands is associated with Wharton duct? - ANSWER>>Submandibular gland
In contrast to the usual moisture of the eye or even crying, there can be persistent dryness, scratching, and burning in the eyes of a patient. These are signs of xerostomia. - ANSWER>>The first statement is true; the second is false
A new patient comes in for an emergency examination due to constant unilateral facial pain after a five-year lapse in dental as well as medical appointments. The clinician also notes a change in the consistency of the parotid salivary gland to bony hard on that side of the face but no overall glandular enlargement. Which of the following may be the present status of this patient? - ANSWER>>Glandular cancer
Which of the following actions could result from involvement by the efferent part of the fifth cranial nerve? - ANSWER>>Chewing a piece of gum
Which of the following skull foramina are associated with the pathway of the seventh cranial nerve from the brain to the facial region? - ANSWER>>Internal acoustic meatus and stylomastoid foramen
When a patient complains of pain associated with a thermal burn caused by hot coffee on the anterior dorsal surface of the tongue, which of the following nerves transmits this pain? - ANSWER>>Facial nerve
Which of the following nerves listed below does NOT go on to form the maxillary nerve within the pterygopalatine fossa? - ANSWER>>Incisive nerve
During a dental procedure on the buccal surface of the maxillary molars, a patient reports discomfort in the buccal gingival tissue. Which of the following nerves carries this sensation to the brain and may need to be anesthetized? - ANSWER>>Posterior superior alveolar nerve
During an oral surgical procedure on the posterior hard palate, which of the following nerves MUST be anesthetized to provide patient comfort? - ANSWER>>Greater palatine nerve
After administration of an inferior alveolar nerve block, the patient reports that the lingual gingival tissue of the mandibular premolars and molars is still sensitive. Which nerve usually provides sensation from the gingival tissue in this area? - ANSWER>>Lingual nerve
Which of the following nerve branches of the facial nerve supplies motor innervation to the buccinator, risorius, and upper lip muscles? - ANSWER>>Buccal nerve branch
Which of the following pairs of nerves merges posterior to the mental foramen to form the inferior alveolar nerve? - ANSWER>>Incisive and mental nerves
Which of the following structures is/are innervated by the motor fibers within the mandibular nerve or third division of the trigeminal nerve? - ANSWER>>Muscles of mastication
After a serious car accident, a fracture of the patient's mandibular ramus has damaged nerve tissue within the mandibular canal. The associated oral structures or tissue MOST likely to be affected by this nerve damage would be the - ANSWER>>mandibular teeth
Which of the following structures listed below is innervated by the vagus nerve? - ANSWER>>Soft palate muscles
Which of the following nerves is NOT part of the maxillary nerve or second division of the trigeminal nerve? - ANSWER>>Buccal nerve
Which of the following pairings of nerve to bony opening is INCORRECT? - ANSWER>>Oculomotor nerve, inferior orbital fissure
Which of the following nerves carry pulpal sensations from the maxillary canine? - ANSWER>>Anterior superior alveolar nerve
Through which of the following openings in the skull does the twelfth cranial nerve pass? - ANSWER>>Hypoglossal canal
What movement of the temporomandibular joint occurs MAINLY between the joint disc and the condyle of the mandible in the lower synovial cavity? - ANSWER>>Rotation
MOST lymph from the head and neck ultimately drains through which group of lymph nodes? - ANSWER>>Inferior deep cervical nodes
Which of the following bony landmarks is a depression located between the coronoid process and the mandibular ramus? - ANSWER>>Mandibular notch
Which of the following veins listed drains MOST of the head and neck? - ANSWER>>Internal jugular vein
Which branch of the maxillary artery supplies the maxillary anterior teeth by way of each tooth's apical foramen? - ANSWER>>Anterior superior alveolar artery
Which of the following sutures of the skull is an immovable articulation between the occipital bone and the parietal bones? - ANSWER>>Lambdoidal suture
Which of the following nerves carry pulpal sensations from the maxillary canine? - ANSWER>>Anterior superior alveolar nerve
Which of the following intraoral landmarks is one of the origins of the buccinator muscle? - ANSWER>>Pterygomandibular raphe