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1、1腱膜下隙(subaponeurotic1腱膜下隙(subaponeuroticspace) 2腮腺床(parotid bed) 翼颌间隙(pterygomandibular space) 5小脑延髓池(cerebellamedullarycistern)【A11 B2层 【A29 10D14 hesideof14 hesideoftheheadntheeyeandear. He y loses consciousness, wakes up momentarily and comatose.HeisrushedtotheERandisygivenaCTscan.Thescanshowssku
2、llfractureandanaccumulationofbloodntheduraandthecranialboneonside of his head, compressing his cerebrum. He is rushed to surgery where a hole o his skull to ve the re. After a few tense hours, he consciousnessand hasan uneventful recovery.The hemorrhage from the fracture would be described as16Infec
3、tions may spread from the to the meninges along the nerves,asitsfiberspassfromthemucosaoftheAcribriformplateoftheethmoid Bcrista galliCforamentotheolfactorybulbviaDsuperiororbitalEallofthe17The“dangerzone”ofthescalpisrecognizedaswhichofthefollowinglayersAgaleaBlooseconnectiveti eEsubcutaneousconnect
4、ivee18AninfectioninwhichscalplayerislikelytospreadmostBconnectivee CaponeuroticDlooseareolae19Apatientwhostainedafracturetothemiddlecranialfossafollowingafallaheight,veanyofthesenervesinjured19Apatientwhostainedafracturetothemiddlecranialfossafollowingafallaheight,veanyofthesenervesinjured20An elder
5、ly patient developed fever and worsening headache a few days sustaining a scalp laceration and subsequent infection due to a car accident. At hospitalthecase wasdiagnosedasmeningitisandsuperiorsagittalsinu is. attendingntinfectiontothesinusinitiallyspreadthroughoneofscalplayers.Thescalplayerinvolved
6、areolarconnectveeecranium21You have been asked to assess the neurological t might exist in a diagnosedwithcavernoussinusis.YouwillfocusyourexaminationononnervesrelatedtothetincludesallthefollowingAabduce(CN l(CN Coculomotor(CN lmic(CN Etrochlear(CN Theglossopharyngealnerveexitstheskullviawhatforamen
7、carotidjugular foramen Dhypoglossal c EstylomastoidforamenAll of the following nervesexit the cranial the middle cranial fossa EXCEPTabducenttrocheal nerve Coculomotornerve Dtrigeminal nerveby way of bony openings located l24Loss of sensation from the temporal region and loss of secretory function o
8、f parotidglandwouldbecausedby Bchorda tympaniCdeeperruptionofwhichlEgreatperationona 48-year-oldwomen,theplasticsurgeoninadvertentlycutmarginalmandibularbrancheofthefa paralyzed because of the injury?lEgreatperationona 48-year-oldwomen,theplasticsurgeoninadvertentlycutmarginalmandibularbrancheofthef
9、a paralyzed because of the injury?epressorangulilevatorangulilevatorlabiisuperioris lnerve. Whichofthefollowingmuscleswould26Asaresultofaoperation,a46-year-oldwomannoticedanassymmetryoftheinferior lip and could not fully depress the angle of her mouth on the right side. Which of the following nerves
10、 was most likely damaged during the surgery?Aaygomatic() Bbuccal ()CmentalDmarginalmandublular() Einfraorbital (2)An elderly woman complained of a severe pain, felt above the right eye radiating to the upper eyelid, side of the nose and forehead. Branches of which of the foloowing verves convey pain
11、 from areas of the skin described?maxillarygreaterauricularlmic l28Duetomultiplesalivarycalculihesubmandibularduct,thegland of a 45-yeat-old individual was surgically removed. What major artery relatedtotheglandwasofspe BsuperiorlconcerntothelDascendingpharyngeal hyoid bone,an experiment was designe
12、d in which terior belly of the digastric stlyohyoid muscles were paralyzed by drugs. The muscular branches of which of followingnervesmustbe Ainferiorerruptedtoproduceparalysisinbothl30Whichnerveprovidesmotorinnervationtothebuccinator buccalbranchesl Cbuccalverveoftrigeminus oftrigeminusEmarginalman
13、dibuarbranchesl31Whichnerveprovidescutaneousinnervationtotheskinofthe buccalbranchesl Cbuccalverveoftrigeminus oftrigeminusEmarginalmandibuarbranchesl31Whichnerveprovidescutaneousinnervationtotheskinoftheangleofthe etrosalCbuccalbrancheslDmarginalmandibularEgreatauricular32Adeeplacerationoftheface A
14、external jugular veinhemiddleoftheparoticglandcouldaffectl Cglossopharyngealnerve Dhypoglossal nerve Elingual artery33Whatnerveprimarilyconveyspainelicitedfromaninfectedl lBgreat aricular Dtransversecervicaluscle will NOT be affected when the mandibular of the nerveisAanteriorbellyofdigastric Cmedia
15、lpterygoid 35A38-year-old female patient complained of parotid hat increased while raoralexaminationdetectedsomepusoozingfromtheparotidductopening. Whatthe most likely anatomical reference duct opening?Amucosaofthesublingualt the n considered to locate the ehindthecentralincisorBmucosaofthecheekacro
16、ssthe2ndupper(maxillary)molarCmucosaofthefloorofthelongthesublingualDmucosaofthecheekacrossthe2ndlower(mandibular)molarEallofthe lparalysis,a36-year-oldfemalepatientt food accumulated n the teeth and the cheek mucosa when chewing. deficiencyofusclewasmostlikelythecauseofthechewingzygomaticusorbicula
17、ruslevatorlabiiallofthe 37TheparotidspacecontainsallAexternalcarotidl C raparotidlymphDlevatorlabiiallofthe 37TheparotidspacecontainsallAexternalcarotidl C raparotidlymphDmedialpterygoidmuscle Eretromandibular vein38The l muscle most responsible for moving the lips both upward and laterally producea
18、BlevatoranguliClevatorlabiisuperioris Eaygomaticus major39As)couldnotswallowortalksincethemouthwasheldopen. Whatisthe condyles of the mandible as a result of the dislocation?againsttheexternalacousticagainsttheanteriorslopeofthearticularitionofCagainstteriorslopeofthearticularhemandibularhepterygoid
19、40Afteranuneventfulrecoveryfromafaceliftoperation,apatienttshenotdrawthecornerofthemouthupandback.Theactionofimpairedasaresultofthe usclewasmostatorlabiiCorbicularis oris Dzygomaticusmajor 41Thepredominantmusclemostasso Alateral pterygoidCmedialpterygoid tedwithretractionofthemandibleis42Damagetothe
20、lnervenearthestylomastoidforamenwouldlikelycauseeachthe following deficits EXCEPTAparalysisofthebuccinatormuscleBinabilityCparalysisoftheDinabilitytoclosetheevatetheEinabilitytoclose43Thechordatympanienterstheinfratemporalfossaafteritexitsthe Astylomastoid foramenBforamenCforamen. Eallofthe 44Acrani
21、alfracturethroughEinabilitytoclose43Thechordatympanienterstheinfratemporalfossaafteritexitsthe Astylomastoid foramenBforamenCforamen. Eallofthe 44Acranialfracturethroughtheforamenoval have effect on all muscles EXCEPTAtensortympani tcompressestheenclosednerve,45Forwardmovementofthecondyleofthemandib
22、leduringwidleopeningofthejawsplishedmainlyby.anteriorpartoftemporalislateralpterygoidmassetermedialpterygoidteriorpartoftemporalis46Themiddlemeningeal.AenterstheskullthroughtheforamenBpassesthroughahetrunkofthemandibularCistypicallyabranchofthe secongpartofthemaxillarysbloodtothetemporallobeoftheEus
23、usllyarisesdeeptotheneckofthe47The surgical removal of a ic tumor in the infratemporal fossa caused ensehemorrhage.Thesurgeoncl which is the .ernaledthemsinsourceofarterialsupplytotheteriorl 48ThetemporomandibularischaracterizedbyallAacapsulestrengthenedbyligamentsonitslateralsideBa compleyflatsurfa
24、ceforitsglidingaction Can articular discDextracapsularEtwocavitiesofdifferents49Afteraradiographrevealedasialolith(stone)inapatientsrightsubmandibularthesurgeoned theductvia raoralhisapproach,what es structuresmustbecutmucousmembranemucousmembraneandsCmucousmembraneandmylohyoidDmucousmembraneandEall
25、ofthe s50Damage of the lingual nerve before itmucousmembranemucousmembraneandsCmucousmembraneandmylohyoidDmucousmembraneandEallofthe s50Damage of the lingual nerve before it is joined by the chorda tympani in the infratemporal fossa would cause loss of AgeneralsensationtotheanteriortwothirdsoftheBge
26、neralsensationtoterioronethirdoftheCsecretionofthesubmandibularDtastesensationfromtheanteriortwothirdsoftheEtastesensationfromterioronethirdofthe51ThendgumsseparatetheproperfromBoral vestibule Dparalingual space Esubmandibularspace52Description for the following questions: examination of a patient n
27、 carcinoma of terior third of the tongue revealed bleeding from the wasseentobearterial;whichofthefollowingarterieswasdeepdorsall53ThecontentsoftheparalingualspacedonotincludeAhypoglossalnerve Blingual arteryClingual nerve Dsubmandibulargland Esublingual glandheareajustbelowhermandibleontherightsideofherface. Shetthepain particularly secere when she eats. The area of the submandibular gland is tender swollen,asisthe hefloorofhermouthlateraltothetongue. a t in the submandibular duct, and a plain film radiograph shows a density consistentstone.Inordertoremovethestone,theduc
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