Face &Scalp

M.C.Qs.Prof. Samir Ahmed Malik

L4 Alafarabi collage

M.C.Qs.In the face which arteries you can feel them?A-common carotid & subclavian arteriesB-facial & superficial temporal arteries C-Internal carotid & external carotid

D-occipital & transverse cervical arteries.

Answer

In the face which arteries you can feel them?

A-common carotid & subclavian arteries

B-facial & superficial temporal arteries

C-Internal carotid & external carotidD-occipital & transverse cervical

arteries.

M.C.Qs.

• Which muscle surrounding the oral fissure?• A-orbicularis oris.• B-Platysma• C-Anterior belly of digastric muscle.• D-buccinator muscle.

answerWhich muscle surrounding the oral fissure?A-orbicularis oris.B-Platysma C-Anterior belly of digastric muscle.D-buccinator muscle.

M.C.Qs.The palperal fissure is surrounded by orbicularis oculi muscle which innervated by one of the following nerve?A-facial nerveB-accessory nervec-ophthalamic nerve D-maxillary nerve.

Answer The palperal fissure is surrounded by orbicularis oculi muscle which innervated by one of the following nerve?A-facial nerveB-accessory nervec-ophthalamic nerve D-maxillary nerve.

M.C.Qs.The sensory innervation of the face including the following nerve except one is wrong ?A-ophthaqlamic nerve.B-maxillary nerve.C-mandibular nerve.D-accessory nerve.

AnswerThe sensory innervation of the face including the following nerve except one is wrong ?A-ophthaqlamic nerve.B-maxillary nerve.C-mandibular nerve.D-accessory nerve

M.C.Qs.The sensory innervation of the face are including the following nerve except area over the angle &ramus by?A-cervical nerve C2-3( greater auricular nerve)B-V1 ophthalamic nerve for the forehead.C-maxillary nerveV2.D-Mandibular nerve V3

Answer The sensory innervation of the face are including the following nerve except area over the angle &ramus by?A-cervical nerve C2-3( greater auricular nerve)B-V1 ophthalamic nerve for the forehead.C-maxillary nerveV2.D-Mandibular nerve V3

Mention four nerve which innervated the scalp in front of the auricle ? or behind the auricle

Ptron , middle meningeal artery &Frankofort line

M.C.Qs.The ophthalamic nerve V1 the following are a branches arise from it except one nerve?A-supratrochlear nerveB-supraorbital nerve.C-mentale nerve.D-infratrochlear nerve

Answer:The ophthalamic nerve V1 the following are a branches arise from it except one nerve?A-supratrochlear nerveB-supraorbital nerve.C-mentale nerve.D-infratrochlear nerve

M.C.Qs.The nerve supply on the outer surface & inner surface of the buccinator muscle is one of the following:A-buccal nerve of the mandibularnerveB-temporal branches of the facial nerve.C-supraorbital nerve of V1.Infraorbital nerveD-Infraorbital nerve of V2.

Answer:The nerve supply on the outer surface & inner surface of the buccinator muscle is one of the following:A-buccal nerve of the mandibula rnerveB-temporal branches of the facial nerve.C-supraorbital nerve of V1.Infraorbital nerveD-Infraorbital nerve of V2.

3-Nerves of scalp

Arteries : 5 on each sidea) Supratrochlear a. (from ophthalmic a. of the I.C.A.)

b) Supraorbital a. (from ophthalmic a. of the I.C.A.)c) Superficial temporal a. (from E.C.A.)d) Posterior auricular a. (from E.C.A.)

e) Occipital a. (from E.C.A.)

Notice :1- The scalp has the richest cutaneous blood supply of the body.2- The scalp is a site of anastomosis between I.C.A. and E.C.A.

3- The arteries come from the peripheries and anastomose freely in the scalp center

→ surgically scalp flaps are reflected downwards.4- The scalp and face have no deep fascia.

Wound in the scalp is characterized by1- Profuse bleeding.

2- Rapid healing.3- Gapping (the aponeurosis is under tension).

4- Difficulty to ligate the bleeder due to the C.T. septa of the superficial fascia.5- Blood in the loose areolar C.T. layer may reach to the face → black eye.

Arteries of the Scalp

Supraorbital A.

Supratrochlear

Superficial temporal A.

Post.auricular A.

Occipital A.

5-veins of scalp

Veins : Correspond to the arteries:

1- Supratrochlear v . + 2- Supraorbital v. unite at the medial angle of the eye forming

the facial v.

3- Superficial temporal v. : Enters the parotid gland and unites with the maxillary vein forming the retromandibular v

which divides into ant. and post. divisions. The 2 divisions leave the lower end of the parotid gland.

4- Posterior auricular vein: Joins the post. division of retromandibular vein to form the external jugular vein.

5- Occipital vein: Descends to join the suboccipital venous plexus.

M.C.Qs.The branches of the facial nerve all the following are correct except one sentence is wrong?A-temperofacia &cervicofacial.B-temporal branches c-buccal branches.D-spinal root of the accessory nerve

AnswerThe branches of the facial nerve all the following are correct except one sentence is wrong?A-temperofacia &cervicofacial.B-temporal branches c-buccal branches.D-spinal root of the accessory nerve

Short note of modiolus?Modiolus is connective tissue &combination of buccinator ,orbicularis oris, risorius, levator anguli oris the main function is preventing drippling of water from the angle of the mouth?

B- orbicularies orisIt is formed mainly from thr fibers of the biccinator muscle and the anguli oris ,Innervated by facial nerve

M.C.Qs.The layer of scalp are the following correct except one is wrong?A-skinB-connective tissueC-orbicularis oculi.D—aponeuratic layer

AnswerThe layer of scalp are the following correct except one is wrong?A-skinB-connective tissueC-orbicularis oculi.D—aponeuratic layer

Mention the branches of the facial nerve in the face?What are the venous system of the face & scalp?

Answera- temperofacialb-cervicofacialc-temporal branchesd-zygomatic branchese-buccal branchesf-marginal mandibular branches h-cervical branches

M.C.Qs.The facial artery all the following are correct except one branch is wrong?A- inferior labail B- superior labai c-nasal branchd-ophthalamic artery.

Answer The facial artery all the following are correct except one branch is wrong?A- inferior labail B- superior labai c-nasal branchd-ophthalamic artery.

M.C.Qs.The facial vein is connected with (communicated) with all the following except one vein?A-ophthalamic veins to the cavernous sinus.B-deep facial vein to the pterygoid plexus.C-subclavian vein via suprscapular vein.D-united with anterior division the retromandibular vein to for common facial vein.

Answer The facial vein is connected with (communicated) with all the following except one vein?A-ophthalamic veins to the cavernous sinus.B-deep facial vein to the pterygoid plexus.C-subclavian vein via suprscapular vein.D-united with anterior division the retromandibular vein to for common facial vein.

C

M.C.Qs.The lymphatic drainage of the face end in the following lymph nodes except one group?A-submental lymph nodeB-occipital lymph nodesc-submandibular lymph nodes.D-parotid lymph nodes

AnswerThe lymphatic drainage of the face end in the following lymph nodes except one group?A-submental lymph nodeB-occipital lymph nodesc-submandibular lymph nodes.D-parotid lymph nodes

M.C.Qs.The parotid gland the structure inside are the following except one structure?A-facial nerve.B-retromandibular vein.C-facial artery.D-external carotid artery

AnswerThe parotid gland the structure inside are the following except one structure?A-facial nerve.B-retromandibular vein.C-facial artery.D-external carotid artery

M.C.Qs.The auricular muscles including the following except one muscle?A-auricular superior.B-auricular anterior.C-levator labii alaque nasi.D-auricular posterior

AnswerThe auricular muscles including the following except one muscle?A-auricular superior.B-auricular anterior.C-levator labii alaque nasi.D-auricular posterior