Which one of the following signs is not consistent with Horner syndrome?
A) drooping of the upper eyelid (ptosis)
B) sinking of the eye (enophthalmos)
C) contraction of the pupil (miosis)
D) profuse sweating while eating
E) vasodilation in the skin of the forehead
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Question 2) The cervical sympathetic trunks:
A) are in the carotid sheaths.
B) connect to cervical spinal nerves by gray and white communicating rami.
C) emit cardiopulmonary splanchnic nerves.
D) emit cranial splanchnic nerves.
E) typically have ganglia associated with each spinal level.
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Question 3) In the following coronal MRI through the lower head and neck, the arrow points to the:
A) vestibule.
B) piriform recess.
C) trachea.
D) vallecula.
E) retropharyngeal space.
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Question 4) Venous angle refers to:
A) the junction of the two brachiocephalic veins to form the superior vena cava.
B) the junction of the internal jugular and subclavian veins.
C) the angle that the internal jugular vein makes as it crosses the sternocleidomastoid muscle.
D) the angle that the axillary vein makes as it crosses the clavicle.
E) the angle that the anterior jugular vein makes with the midline of the neck.
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Question 5) Which of the following is incorrect pertaining to the internal jugular vein?
A) It receives blood from the inferior petrosal sinus.
B) It is in the carotid sheath.
C) It is accompanied in the upper neck by the great auricular nerve.
D) It has pulsations that are observable in some cases of mitral valve disease.
E) Typically, the right vein is used for catheterization.
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Question 6) The longus colli and capitis muscles:
A) extend the neck.
B) are located posterior to the retropharyngeal space.
C) are innervated by the dorsal rami of the upper cervical nerves.
D) elevate the ribs.
E) are covered anteriorly by the investing layer of deep cervical fascia.
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Question 7) In a patient with carotid sinus hypersensitivity, which of the following actions should not be performed by or on a patient?
A) cervical plexus nerve block
B) carotid endarterectomy
C) taking a carotid pulse
D) Valsalva maneuver
E) swallowing reflex maneuver
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Question 8) In the following median MRI though the lower head and neck, the arrow points to the:
A) vestibule.
B) piriform recess.
C) vallecula.
D) nasal cavity.
E) choanae.
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Question 9) What is the name of the structure indicated by the arrow in the following illustration?
A) central lobe of thyroid gland
B) pyramidal lobe of thyroid gland
C) isthmus of thyroid gland
D) upper parathyroid gland
E) thyroid fistula
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Question 10) Which of the following is not correct pertaining to a male patient scheduled for internal carotid endarterectomy?
A) He has atherosclerotic thickening of the intima of his internal carotid artery.
B) He is at risk for a transient ischemic attack.
C) A Doppler color flow study could have been used to detect his condition.
D) One of the nerves typically at risk during this procedure is the recurrent laryngeal nerve.
E) Nerve damage during the procedure can result in loss of sensory innervation of the larynx superior to the vocal folds.
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