Chapters 5 (Temporomandibular Joint) & 7 (Glandular Tissue)

1.) Which ligament associated with the temporomandibular joint prevents excessive retraction or moving backward of the mandible?

a) Temporomandibular joint ligament

b) Sphenomandibular ligament

c) Stylomandibular ligament

d) Stylohyoid ligament

a) Temporomandibular joint ligament

b) Sphenomandibular ligament

c) Stylomandibular ligament

d) Stylohyoid ligament

2.) 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.

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.

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.

3.) 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?

a) Retraction

b) Protrusion

c) Elevation

d) Depression

a) Retraction

b) Protrusion

c) Elevation

d) Depression

4.) What occurs with the dislocation of both of the temporomandibular joints on a patient?

a) Cellulitis

b) Paresthesia

c) Subluxation

d) Thrombus

a) Cellulitis

b) Paresthesia

c) Subluxation

d) Thrombus

5.) What is the fossa located on the temporal bone that articulates with the mandible?

a) Temporal fossa

b) Infratemporal fossa

c) Pterygomandibular fossa

d) Articular fossa

a) Temporal fossa

b) Infratemporal fossa

c) Pterygomandibular fossa

d) Articular fossa

6.) The resting position of the temporomandibular joint can be noted with teeth ______________________________ so as to allow a physiologic rest for the mandible.

a) biting gently together

b) apart at approximately 2 to 4 mm

c) resting firmly together

d) apart at approximately 6 to 10 mm

a) biting gently together

b) apart at approximately 2 to 4 mm

c) resting firmly together

d) apart at approximately 6 to 10 mm

7.) Which of the following nerves innervates the temporomandibular joint?

a) Facial nerve

b) Hypoglossal nerve

c) Glossopharyngeal nerve

d) Trigeminal nerve

a) Facial nerve

b) Hypoglossal nerve

c) Glossopharyngeal nerve

d) Trigeminal nerve

8.) Which of the following landmarks associated with the temporomandibular joint is located directly on the mandible?

a) Articular eminence

b) Condyle

c) Articular fossa

d) Postglenoid process

a) Articular eminence

b) Condyle

c) Articular fossa

d) Postglenoid process

9.) Which of the following muscles is involved in the lateral deviation of the mandible?

a) Masseter muscle

b) Medial pterygoid muscle

c) Lateral pterygoid muscle

d) Temporalis muscle

a) Masseter muscle

b) Medial pterygoid muscle

c) Lateral pterygoid muscle

d) Temporalis muscle

10.) Which of the following temporomandibular joint ligaments has the inferior alveolar nerve descending nearby in order to gain access to the mandibular foramen?

a) Sphenomandibular ligament only

b) Stylomandibular ligament only

c) Temporomandibular ligament only

d) Sphenomandibular and stylomandibular ligaments

a) Sphenomandibular ligament only

b) Stylomandibular ligament only

c) Temporomandibular ligament only

d) Sphenomandibular and stylomandibular ligaments

11.) Which of the following provides arterial branches for the most direct blood supply to the temporomandibular joint?

a) Internal carotid artery

b) External carotid artery

c) Common carotid artery

d) Aorta alone

a) Internal carotid artery

b) External carotid artery

c) Common carotid artery

d) Aorta alone

12.) Which of the following exocrine glands produces approximately 60% to 65% of the total volume of saliva for the oral cavity?

a) Sublingual gland

b) Submandibular gland

c) Parotid gland

d) Lacrimal gland

a) Sublingual gland

b) Submandibular gland

c) Parotid gland

d) Lacrimal gland

13.) Which of the following glands can be palpated as part of an extraoral examination by a clinician?

a) Lacrimal gland

b) Thyroid gland

c) Parathyroid gland

d) Thymus gland

a) Lacrimal gland

b) Thyroid gland

c) Parathyroid gland

d) Thymus gland

14.) Which of the following nerves innervates the minor salivary glands?

a) Fifth cranial nerve

b) Ninth cranial nerve

c) Twelfth cranial nerve

d) Fifth and seventh cranial nerves

a) Fifth cranial nerve

b) Ninth cranial nerve

c) Twelfth cranial nerve

d) Fifth and seventh cranial nerves

15.) Which of the following glands listed below is not an endocrine gland?

a) Lacrimal gland

b) Parathyroid gland

c) Thyroid gland

d) Thymus gland

a) Lacrimal gland

b) Parathyroid gland

c) Thyroid gland

d) Thymus gland

16.) 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?

a) Parotid gland

b) Parathyroid gland

c) Sublingual gland

d) Submandibular gland

a) Parotid gland

b) Parathyroid gland

c) Sublingual gland

d) Submandibular gland

17.) Which of the following lymph nodes are initially involved when the patient has contracted mumps?

a) Superior deep cervical nodes

b) Deep parotid nodes

c) Superficial parotid nodes

d) Submandibular nodes

a) Superior deep cervical nodes

b) Deep parotid nodes

c) Superficial parotid nodes

d) Submandibular nodes

18.) Which of the following glands is associated with the Wharton’s duct?

a) Lacrimal gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

a) Lacrimal gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

19.) From the following list of descriptions, select which description does not describe the thymus gland.

a) Matures lymphocytes

b) Undergoes involution

c) Easily palpable in the mandibular region

d) Innervated by branches of the vagus nerve

a) Matures lymphocytes

b) Undergoes involution

c) Easily palpable in the mandibular region

d) Innervated by branches of the vagus nerve

20.) From the list of glands, select which gland directly drains into the submandibular lymph nodes.

a) Sublingual salivary gland

b) Thymus gland

c) Parotid salivary gland

d) Thyroid gland

a) Sublingual salivary gland

b) Thymus gland

c) Parotid salivary gland

d) Thyroid gland

21.) Which of the following nerves innervates both the submandibular and sublingual salivary glands?

a) Trigeminal nerve

b) Chorda tympani nerve

c) Hypoglossal nerve

d) Vagus nerve

a) Trigeminal nerve

b) Chorda tympani nerve

c) Hypoglossal nerve

d) Vagus nerve

22.) Which of the following nerves travels through the parotid salivary gland but is not involved in its innervation?

a) Trigeminal nerve

b) Facial nerve

c) Vagus nerve

d) Glossopharyngeal nerve

a) Trigeminal nerve

b) Facial nerve

c) Vagus nerve

d) Glossopharyngeal nerve

23.) Which of the following glands has a duct that usually opens on the inner surface of the cheek, opposite the maxillary second molar?

a) Thymus gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

a) Thymus gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

24.) Which oral landmark marks the opening of the submandibular duct?

a) Lacrimal punctum

b) Parotid papilla

c) Sublingual caruncle

d) Nasolacrimal duct

a) Lacrimal punctum

b) Parotid papilla

c) Sublingual caruncle

d) Nasolacrimal duct

25.) The lacrimal gland’s tears ultimately drain into the

a) lacrimal fossa

b) inferior nasal meatus

c) parotid salivary gland

d) internal carotid artery

a) lacrimal fossa

b) inferior nasal meatus

c) parotid salivary gland

d) internal carotid artery

26.) Which of the following can block the drainage of saliva from the duct?

a) excessive amounts of secretion

b) stone formation

c) lacrimal gland drainage

d) inflammation of blood vessels

a) excessive amounts of secretion

b) stone formation

c) lacrimal gland drainage

d) inflammation of blood vessels

27.) Which of the following statements concerning minor salivary glands is correct?

a) Minor glands are smaller and less numerous than the major glands.

b) Minor glands secrete only mucous saliva.

c) Minor glands have longer ducts than major glands.

d) Minor glands are located in the buccal, labial, and lingual mucosa.

a) Minor glands are smaller and less numerous than the major glands.

b) Minor glands secrete only mucous saliva.

c) Minor glands have longer ducts than major glands.

d) Minor glands are located in the buccal, labial, and lingual mucosa.

28.) Which of the following lesions is because of an enlarged thyroid gland?

a) Mucocele

b) Ranula

c) Goiter

d) Mumps

a) Mucocele

b) Ranula

c) Goiter

d) Mumps

29.) The sublingual salivary gland is located _____________________________.

a) anterior to the submandibular gland

b) inferior to the mylohyoid muscle

c) lateral to the body of the mandible

d) within the mandibular vestibule fornix

a) anterior to the submandibular gland

b) inferior to the mylohyoid muscle

c) lateral to the body of the mandible

d) within the mandibular vestibule fornix

30-31.) Identify structures A-D in the image.

• Temporomandibular ligament

• Joint capsule

• External acoustic meatus

• Stylomandibular ligament

• Temporomandibular ligament

• Joint capsule

• External acoustic meatus

• Stylomandibular ligament

32-39.) Utilize the diagram and key to label the salivary glands and related anatomy-identifying structures.

• Parotid duct

• Parotid salivary gland

• Parotid papilla

• Sublingual ducts

• Sublingual salivary gland

• Submandibular duct

• Submandibular salivary gland

• Sublingual caruncle with duct opening from submandibular and sublingual glands

• Parotid duct

• Parotid salivary gland

• Parotid papilla

• Sublingual ducts

• Sublingual salivary gland

• Submandibular duct

• Submandibular salivary gland

• Sublingual caruncle with duct opening from submandibular and sublingual glands

Kahoot

1.) The gliding movement of the TMJ allows the lower jaw to move forward or backward. What movement of the mandible is this?

a) Retraction

b) Protrusion

c) Elevation

d) Depression

a) Retraction

b) Protrusion

c) Elevation

d) Depression

Kahoot

2.) Which of the following statements concerning minor salivary glands is CORRECT?

a) Minor glands are smaller and less numerous than the major

b) Minor glands only secrete only mucous saliva

c) Minor glands are located in the buccal, labial and lingual mucosa

d) Minor glands have longer ducts than major glands

a) Minor glands are smaller and less numerous than the major

b) Minor glands only secrete only mucous saliva

c) Minor glands are located in the buccal, labial and lingual mucosa

d) Minor glands have longer ducts than major glands

Kahoot

3.) Which of the following lesions is due to an enlarged thyroid?

a) Mucocele

b) Ranula

c) Goiter

d) Mumps

a) Mucocele

b) Ranula

c) Goiter

d) Mumps

Kahoot

4.) Which of the following nerve travels through the parotid salivary gland but is not involved in it innervation?

a) seventh cranial nerve, facial nerve

b) ninth cranial nerve, glossopharyngeal nerve

c) fifth cranial nerves, trigeminal nerve

d) Auriculartemporal nerve of mandibular nerve

a) seventh cranial nerve, facial nerve

b) ninth cranial nerve, glossopharyngeal nerve

c) fifth cranial nerves, trigeminal nerve

d) Auriculartemporal nerve of mandibular nerve

Kahoot

5.) R submandibular gland, notes a stony hard mass within it during EO; this always needs to be removed surgically.

a) True

b) False

a) True

b) False

Kahoot

6.) Which of the following has a duct that usually opens on the inner surface of the cheek, opposite the max. 2nd molar?

a) Thymus gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

a) Thymus gland

b) Parotid gland

c) Sublingual gland

d) Submandibular gland

Kahoot

7.) Which of the following glands has both a superficial lobe and deep lobe?

a) Thymus gland

b) Thyroid gland

c) Sublingual gland

d) Parotid gland

a) Thymus gland

b) Thyroid gland

c) Sublingual gland

d) Parotid gland

Kahoot

8.) Which oral landmark marks the opening of the submandibular duct?

a) Lacrimal punctum

b) Sublingual caruncle

c) Parotid papilla

d) Nasolacrimal duct

a) Lacrimal punctum

b) Sublingual caruncle

c) Parotid papilla

d) Nasolacrimal duct

Kahoot

9.) What is the fossa located on the temporal bone that articulates with the mandible?

a) Articular Fossa

b) Temporal Fossa

c) Infratemporal Fossa

d) Pterygopalatine fossa

a) Articular Fossa

b) Temporal Fossa

c) Infratemporal Fossa

d) Pterygopalatine fossa

Kahoot

10.) The disc of the TMJ is att. to the lateral and medial poles of the mand. condyle. The disc is fully att. to the temporal

a) Both statements are true

b) The first statement is true, the second is false

c) Both statements are false

d) The first statement is false, the second is true

a) Both statements are true

b) The first statement is true, the second is false

c) Both statements are false

d) The first statement is false, the second is true

Kahoot

11.) Three paired ligaments are associated with the TMJ: temporomandibular, stylomandibular, and sphenomandibular ligaments.

a) True

b) False

a) True

b) False

Kahoot

12.) The knuckle shaped posterosuperior process of the mandibular ramus is the mandibular condyle.

a) True

b) False

a) True

b) False

Kahoot

13.) Which of the following provides arterial branches for the most direct blood supply to the to the TMJ?

a) Internal carotid artery

b) External Carotid Artery

c) Common Carotid artery

d) Aorta Alone

a) Internal carotid artery

b) External Carotid Artery

c) Common Carotid artery

d) Aorta Alone

Kahoot

14.) Protrusion of the mandible is an action that primarily involves:

a) opening the jaws

b) closing the jaws

c) bringing the lower jaw forward

d) bringing the lower jaw backward

a) opening the jaws

b) closing the jaws

c) bringing the lower jaw forward

d) bringing the lower jaw backward

Kahoot

15.) The joint capsule of the temporomandibular joint wraps around which structure?

a) Coronoid process

b) Mandibular notch

c) Mandibular Condyle

d) Zygomatic arch

a) Coronoid process

b) Mandibular notch

c) Mandibular Condyle

d) Zygomatic arch

Kahoot

16.) Which of the following is located posterior to the articular fossa within the region of the temporomandibular joint?

a) Articular eminence

b) Bony separation of the nasal septum

c) Zygomatic process of the temporal bone

d) Postglenoid process

a) Articular eminence

b) Bony separation of the nasal septum

c) Zygomatic process of the temporal bone

d) Postglenoid process

Kahoot

17.) The lacrimal gland’s tears ultimately drain into the:

a) lacrimal fossa.

b) parotid salivary gland.

c) inferior nasal meatus.

d) internal carotid artery

a) lacrimal fossa.

b) parotid salivary gland.

c) inferior nasal meatus.

d) internal carotid artery

Kahoot

18.) The primary lymphatic drainage of the sublingual salivary gland is by the:

a) submental nodes.

b) superior deep cervical nodes.

c) malar nodes.

d) submandibular nodes.

a) submental nodes.

b) superior deep cervical nodes.

c) malar nodes.

d) submandibular nodes.

Kahoot

19.) Parathyroid glands consist of 4 small endocrine glands that secrete hormone directly into the cardiovascular system

a) True

b) False

a) True

b) False

Kahoot

20.) Exocrine gland is a gland that has a duct associated with it. Salivary glands are an example of exocrine glands.

a) Both statements are false.

b) First statement is true. Second statement is false

c) First statement is false. Second statement is true.

d) Both statements are true.

a) Both statements are false.

b) First statement is true. Second statement is false

c) First statement is false. Second statement is true.

d) Both statements are true.