25 minute read

Chapter 03: Skeletal System

Fehrenbach: Illustrated Anatomy of the Head and Neck, 5th Edition

Multiple Choice

1. Which of the following bony features listed does NOT serve as an opening in bone?

a. Foramen b. Canal c. Sulcus d. Fissure

ANS: C

Feedback

A A foramen is a short windowlike opening in bone.

B A canal is a tubelike opening in bone.

C A sulcus is a shallow depression or groove on bony surface and NOT an opening in bone.

D A fissure is a narrow cleftlike opening in bone.

DIF: Recall REF: p. 33 OBJ: 1 | 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Hyoid bone b. Mandible c. Palatine d. Vomer

2. Which of the following bones listed is the ONLY movable bone of the skull?

ANS: B

Feedback

A Even though the hyoid bone is movable and has no bony articulations, it is a bone located in the neck and NOT the skull.

B The mandible is the only skull bone that moves; it moves at the temporomandibular joint. Within this joint, the mandibular condyle moves within the articular fossa of the temporal bone.

C The palatine bone may be a skull bone, but it does NOT move.

D The vomer may be a skull bone, but it does NOT move.

DIF: Recall REF: p. 33 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Anterior view b. Inferior view c. Lateral view d. Superior view

3. The squamosal suture is BEST observed from which view of the skull?

ANS: C

Feedback

A It is difficult to see the squamosal suture on the lateral skull surface from an anterior view.

B It is difficult to see the squamosal suture on the lateral skull surface from an inferior view.

C The squamosal suture is the suture between the parietal bones and temporal bones on each side of the skull. This suture is BEST viewed from the lateral view.

D It is difficult to see the squamosal suture on the lateral skull surface from a superior view.

DIF: Comprehension REF: p. 40 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Cribriform plate b. Infraorbital foramen c. Inferior orbital fissure d. Superior orbital fissure

4. Which of the following openings within the orbit connects the orbit with the cranial cavity?

ANS: D

Feedback

A The cribriform plate is a passageway for olfactory nerves from the nasal cavity to the brain.

B The infraorbital foramen is located inferior to the orbit on the facial surface of the maxilla.

C The inferior orbital fissure connects the orbit with both the infratemporal and pterygopalatine fossae and NOT the cranial cavity.

D The superior orbital fissure is a slitlike opening between the lesser and greater wings of the sphenoid bone and serves as a passageway for blood vessels and nerves from the cranial cavity into the orbit, thus connecting the two.

DIF: Recall REF: pp. 46-47 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. External auditory meatus b. Jugular notch c. Foramen spinosum d. Stylomastoid foramen

5. After the seventh cranial nerve travels through the petrous part of the temporal bone, through which opening does it exit onto the face?

ANS: D

Feedback

A The external acoustic meatus is the short external canal that leads to the tympanic cavity.

B The jugular notch, formed by the articulation of temporal and occipital bones, is associated with the jugular vein and the ninth, tenth, and eleventh cranial nerves.

C The foramen spinosum is more posterior and is associated with the middle meningeal artery.

D The seventh cranial nerve enters the temporal bone through the internal acoustic meatus, travels within the temporal bone, and exits through the stylomastoid foramen onto the face.

DIF: Recall REF: p. 46 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Hypoglossal canal b. Foramen ovale c. Foramen spinosum d. Stylomastoid foramen

6. Which of the following external foramina can ONLY be observed from an inferior view of the skull?

ANS: D

Feedback

A The hypoglossal canal can be viewed from both inferior and superior aspects of the skull.

B The foramen ovale can be viewed from both inferior and superior aspects of the skull.

C The foramen spinosum can be viewed from both inferior and superior aspects of the skull.

D The stylomastoid foramen is NOT visible from a superior view of the skull and can ONLY be observed from an inferior view of the skull. It is located between the mastoid process and the styloid process on the inferior surface of the petrous part of the temporal bone.

DIF: Comprehension REF: p. 46 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Internal acoustic meatus b. Foramen rotundum c. Foramen spinosum d. Hypoglossal canal

7. Through which of the following openings in the skull does the twelfth cranial nerve pass?

ANS: D

Feedback

A The internal acoustic meatus is located on the superior internal surface of the temporal bone and is associated with both the seventh and eighth cranial nerves.

B The foramen rotundum is located within the sphenoid bone and is associated with the maxillary nerve or second division of the fifth cranial nerve.

C The foramen spinosum is located within the sphenoid bone and is associated with the middle meningeal artery.

D The twelfth cranial nerve passes through the hypoglossal canal, an opening in the skull that is located in the occipital bone on each side of the foramen magnum.

DIF: Recall REF: p. 47 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Serves as an attachment for the muscles of mastication b. Serves as an attachment for muscles involved in swallowing c. Serves as a landmark observed on maxillary posterior periapical radiographs d. Serves as a landmark observed on mandibular posterior periapical radiographs

8. Why is the pterygoid process of the sphenoid bone an important feature of the skull to the dental professionals?

ANS: A

Feedback

A The pterygoid process is an attachment for both the lateral and medial pterygoid muscles, which are two muscles of mastication.

B The pterygoid process does NOT provide attachment for the muscles involved in swallowing.

C The pterygoid process is NOT a landmark usually observed on maxillary periapical radiographs.

D The pterygoid process is NOT a landmark observed on mandibular periapical radiographs.

DIF: Application REF: p. 53 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy |

NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care a. Crista galli of the ethmoid bone b. Frontal sinuses of the frontal bone c. Cribriform plate of the ethmoid bone d. Perpendicular plate of the ethmoid bone

9. Through which of the following bony landmarks is the sense of smell carried by olfactory nerves?

ANS: C

Feedback

A The crista galli is the vertical projection of the ethmoid bone into the cranial cavity. It is an area of attachment for the meninges.

B The frontal sinuses of the frontal bone do NOT have openings for passage of the olfactory nerves to the brain.

C The cribriform plate is the superior horizontal part of the ethmoid bone that is perforated for passage of olfactory nerves for the sense of smell.

D The perpendicular plate of the ethmoid bone forms part of the nasal septum.

DIF: Recall REF: p. 57 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Perpendicular plate of the ethmoid bone b. Inferior nasal conchae c. Lacrimal bones d. Nasal bones

10. Which of the following bony features increases the surface area within the nasal cavity?

ANS: B

Feedback

A The vertical plate is straight and serves as part of the nasal septum.

B The scroll-like shape of the inferior nasal conchae assists in increasing the surface area since it is covered with mucous membranes.

C The lacrimal bones are small, fragile bones that form a part of the anterior medial wall of the orbit.

D The nasal bones form the bridge of the nose.

DIF: Recall REF: p. 40 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Nasal bones b. Temporal bones c. Lacrimal bones d. Zygomatic bones

11. Which of the following skull bones are considered to be paired cranial bones?

ANS: B

Feedback

A The nasal bones are paired facial bones but NOT cranial bones.

B The temporal bones are paired cranial bones.

C The lacrimal bones are paired facial bones but NOT cranial bones.

D The zygomatic bones are paired facial bones but NOT cranial bones.

DIF: Recall REF: p. 47 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Posterior superior alveolar foramina b. Incisive foramen c. Greater palatine foramina d. Lesser palatine foramina

12. Through which bony opening do BOTH the right and left nasopalatine nerves exit onto the palate?

ANS: B

Feedback

A The posterior superior alveolar foramina are passageways for the posterior superior alveolar nerves and blood vessels and NOT the nasopalatine nerves.

B Both the right and left nasopalatine nerves and blood vessels travel from the nasal cavity to the anterior palate through the incisive foramen.

C The greater palatine foramina are located in the posterolateral region of the palatine bones and are NOT passageways for the nasopalatine nerves and blood vessels but for the greater palatine nerve and blood vessels.

D The lesser palatine foramina are located in the palatine bones and are NOT passageways for the nasopalatine nerves nor blood vessels but for the lesser palatine nerve and blood vessels.

DIF: Recall REF: p. 64 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Infraorbital foramen b. Retromolar pad c. Maxillary tuberosity d. Zygomatic process of the maxilla

13. Which of the following landmarks needs to be noted during the administration of a local anesthetic agent to the maxillary posterior teeth?

ANS: C

Feedback

A The infraorbital foramen is located on the facial surface of the maxilla and is NOT a passageway for nerves to the maxillary posterior teeth.

B The retromolar pad is located on the mandible posterior to the mandibular molars and is NOT used as a landmark for administration of maxillary local anesthesia.

C The posterior superior alveolar foramina serve as openings for the passage of the posterior superior alveolar nerve and blood vessels. These foramina are posterosuperior and medial to the maxillary tuberosity and perforate the infratemporal surface of the maxilla multiple times. They need to be noted during the administration of a local anesthetic agent to the maxillary posterior teeth.

D The zygomatic process of the maxilla does NOT serve as a landmark for the administration of local anesthesia to maxillary posterior teeth.

DIF: Comprehension REF: p. 63 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.2

Dental Anatomy a. Coronal suture b. Lambdoidal suture c. Sagittal suture d. Squamosal suture

14. Which of the following sutures of the skull is an immovable articulation between the occipital bone and the parietal bones?

ANS: B

Feedback

A The coronal suture is an immovable articulation between the frontal bone and the parietal bones.

B The lambdoidal suture is an immovable articulation between the occipital bone and the parietal bones meet.

C The sagittal suture is an immovable articulation between the two parietal bones.

D The squamosal suture is an immovable articulation between the temporal bones and parietal bones on each side.

DIF: Recall REF: p. 40 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Coronoid notch b. Mandibular notch c. Mandibular foramen d. Submandibular fossa

15. Which of the following bony landmarks is a depression located between the coronoid process and the mandibular ramus?

ANS: B

Feedback

A The coronoid notch is a depression located on the anterior border of the mandibular ramus inferior to the coronoid process.

B The depression between the coronoid process and the mandibular ramus is the mandibular notch.

C The mandibular foramen is located on the medial surface of the mandibular ramus.

D The submandibular fossa is a depression located inferior to the mylohyoid line or ridge on the medial surface of the body of the mandible.

DIF: Recall REF: p. 68 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Frontal and sphenoidal sinuses b. Sphenoidal and ethmoidal sinuses c. Ethmoidal and maxillary sinuses d. Maxillary and frontal sinuses

16. Which of the following paranasal sinuses can be palpated during an extraoral examination by a clinician?

ANS: D

Feedback

A The frontal sinuses can be palpated during an extraoral examination, but the sphenoidal sinuses CANNOT be palpated as part of the extraoral examination due to their location within the sphenoid bone.

B NEITHER the sphenoidal NOR ethmoidal sinuses can be palpated during an extraoral examination due to their location within their respective bones.

C The ethmoidal sinuses CANNOT be palpated during the extraoral examination due to their location within the ethmoid bone.

D Both the maxillary and frontal sinuses can be palpated during an extraoral examination.

DIF: Application REF: p. 71 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, I. B. Preliminary Physical Examination |

CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy |

NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care a. Articular eminence b. Coronoid notch c. Articular fossa d. Mandibular fossa

17. How does the mandibular condyle move in relationship to the temporal bone?

ANS: C

Feedback

A The mandibular condyle does NOT move within the articular eminence of the temporal bone.

B The coronoid notch is part of the mandible.

C The articular fossa of the temporal bone is the articulation area for movement of the mandibular condyle as part of the temporomandibular joint.

D The mandibular notch is part of the mandible.

DIF: Comprehension REF: p. 71 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Internal oblique ridge b. Genial tubercles c. Mandibular foramen d. Mental foramen

18. When viewing the medial surface of the mandible, which of the following bony landmarks CANNOT be observed?

ANS: D

Feedback

A The internal oblique ridge can be observed on the medial surface of the mandible.

B The genial tubercles can be observed on the medial surface of the mandible.

C The mandibular foramen can be observed on the medial surface of the mandibular ramus.

D When viewing the medial surface of the mandible, ALL of the other structures can be observed. The mental foramen is located on the lateral surface of the mandible and CANNOT be viewed on the medial surface of the mandible.

DIF: Comprehension REF: p. 68 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Lingula b. Mylohyoid line c. Submandibular fossa d. Retromolar triangle

19. Which of the following landmarks is the MOST inferiorly located on the mandible?

ANS: C

Feedback

A The lingula is located on the medial surface of the mandibular ramus, which is superior to the body of the mandible.

B The mylohyoid line is located on the medial surface of the body of the mandible, which is superior to the submandibular fossa.

C The submandibular fossa is located on the medial surface of the mandible and is inferior to the other landmarks listed: the lingula, mylohyoid line, and retromolar triangle, so overall it is the most inferiorly located mandibular landmark.

D The retromolar triangle is located on the posterior part of the alveolar ridge of the mandible, which is located superior to the submandibular fossa.

DIF: Comprehension REF: p. 70 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Nasal septum b. Posterior hard palate c. Lateral walls of the nasal cavity d. Superior wall of the orbit

20. Which of the following bony landmarks is formed by the vertical plates of the palatine bones?

ANS: C

Feedback

A The nasal septum is located in the midline of the nasal cavity, and the palatine bones are NOT located there.

B The posterior hard palate is formed by the horizontal plates of the palatine bones.

C The vertical plates of the palatine bones form the posterior lateral walls of the nasal cavity.

D The palatine bones are NOT located superior to the orbit and therefore do NOT form the superior orbital wall.

DIF: Recall REF: p. 60 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Temporal process of the zygomatic bone b. Maxillary process of the zygomatic bone c. Frontal process of the maxilla d. Alveolar process of the maxilla

21. Which of the following processes forms the lateral part of the infraorbital rim?

ANS: B

Feedback

A The temporal process of the zygomatic bone articulates with a part of the temporal bone and forms the zygomatic arch.

B The maxillary process of the zygomatic bone is the part that articulates with the maxilla and forms the lateral part of the infraorbital rim.

C The frontal process of the maxilla forms the medial infraorbital rim.

D The alveolar process of the maxilla is the part that surrounds the teeth by way of the alveoli or tooth sockets.

DIF: Recall REF: pp. 59-60 OBJ: 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Inferior to the greater wing of the sphenoid bone b. Posterior to the greater wing of the sphenoid bone c. Anterior to the greater wing of the sphenoid bone d. Anterior to the body of the sphenoid bone

22. Where is the pterygoid process of the skull located?

ANS: A

Feedback

A The pterygoid process is located inferior to the greater wing of the sphenoid bone.

B The pterygoid process is located inferior to the greater wing of the sphenoid bone.

C The pterygoid process is located inferior to the greater wing of the sphenoid bone.

D The pterygoid process is located inferior to the greater wing of the sphenoid bone.

DIF: Recall REF: p. 53 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy

23. The pterygopalatine fossa communicates with the middle cranial fossa via the a. foramen rotundum. b. superior orbital fissure. c. foramen ovale. d. inferior orbital fissure.

ANS: A

Feedback

A Pterygopalatine fossa communicates with the middle cranial fossa via the foramen rotundum; more specifically, the pterygoid canal.

B Lateral to the optic canal is the curved and slitlike superior orbital fissure, between the greater and lesser wings of the sphenoid bone. Similar to the optic canal, the superior orbital fissure connects the orbit with the cranial cavity. The third cranial or oculomotor nerve, the fourth cranial or trochlear nerve, the sixth cranial or abducens nerve, and the ophthalmic nerve or first division from fifth cranial or trigeminal nerve and vein travel through this fissure.

C The larger anterior oval opening on the sphenoid bone is the foramen ovale for the mandibular nerve or third division of the fifth cranial or trigeminal nerve.

D The inferior orbital fissure can also be noted between the greater wing of the sphenoid bone and the maxilla. The inferior orbital fissure connects the orbit with the infratemporal and pterygopalatine fossae. The infraorbital and zygomatic nerves, branches of the maxillary nerve, and infraorbital artery enter the orbit through this fissure. The inferior ophthalmic vein travels through this fissure to join the pterygoid plexus of veins.

DIF: Recall REF: p. 76 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. body of the maxillae b. body of the mandible c. base of the mandible d. alveolar process of the mandible

24. . The ______ is resorbed with tooth loss, and this loss can be noted on patients radiographically.

ANS: D

Feedback

A The body of the maxillae is NOT resorbed with tooth loss.

B The body or base of the mandible is NOT resorbed with tooth loss.

C The base or body of the mandible is NOT resorbed with tooth loss.

D The alveolar process of the mandible can be resorbed with tooth loss and can be noted on patients to some extent radiographically.

DIF: Application REF: p. 65 OBJ: 4

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures | CDA: General Chairside, V. A. Oral Health Information

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.2 Dental Anatomy | NBDHE, Scientific Basis for Dental Hygiene Practice, 5.0 Pathology | NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care a. Both the statement and reason are correct and related. b. Both the statement and reason are correct but NOT related. c. The statement is correct, but the reason is NOT. d. The statement is NOT correct, but the reason is correct. e. NEITHER the statement NOR the reason is correct.

25. The differences in alveolar process density determine the easiest and MOST clinically effective region for bony fracture used during tooth extraction, if needed. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate.

ANS: A

Feedback

A Both the statement and reason are correct and related. The differences in alveolar process density determine the most clinically effective region for bony fracture used during tooth extraction. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate, if needed.

B Both the statement and reason are correct and related. The differences in alveolar process density determine the most clinically effective region for bony fracture used during tooth extraction. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate, if needed.

C Both the statement and reason are correct and related. The differences in alveolar process density determine the most clinically effective region for bony fracture used during tooth extraction. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate, if needed.

D Both the statement and reason are correct and related. The differences in alveolar process density determine the most clinically effective region for bony fracture used during tooth extraction. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate, if needed.

E Both the statement and reason are correct and related. The differences in alveolar process density determine the most clinically effective region for bony fracture used during tooth extraction. Thus the maxillary teeth are surgically BEST removed by fracturing the thinner facial cortical plate rather than the thicker lingual cortical plate, if needed.

DIF: Application REF: p. 65 OBJ: 4

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures | CDA: General Chairside, V. A. Oral Health Information

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.2 Dental Anatomy | NBDHE, Scientific Basis for Dental Hygiene Practice, 5.0 Pathology | NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care

Multiple Response

1. From the following list of structures, select which structures are associated with the nasal cavity. (Select all that apply.)

a. Nasion b. Conchae c. Meatus d. Fissure e. Canal

ANS: A, B, C Feedback

Correct The nasion, nasal conchae, and nasal meatus are associated with the nasal cavity.

Incorrect The fissure and canal are associated with the orbit (superior and inferior orbital fissure as well as the optic canal) and NOT the nasal cavity; fissure and canal are also associated with other areas of the skull but NOT the nasal cavity.

DIF: Recall REF: pp. 38-40 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Condyle b. Tubercle c. Notch d. Glabella e. Eminence

2. From the following list of structures, select which structures are associated with the occipital bone. (Select all that apply.)

ANS: A, B, C

Feedback

Correct The occipital condyle, pharyngeal tubercle, and jugular notch are associated with the occipital bone.

Incorrect The supraorbital notch, glabella, and frontal eminence are associated with the frontal bone and NOT the occipital bone.

DIF: Recall REF: pp. 47-49 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Condyle b. Tubercle c. Notch d. Glabella e. Eminence

3. From the following list of structures, select which structures are associated with the frontal bone. (Select all that apply.)

ANS: C, D, E

Feedback

Correct The supraorbital notch, glabella, and frontal eminence are associated with the frontal bone.

Incorrect The occipital condyle, pharyngeal tubercle, and jugular notch are associated with the occipital bone and NOT the frontal bone.

DIF: Recall REF: p. 49 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Occipital bone b. Mandible c. Maxillary bone d. Sphenoid bone e. Ethmoid bone

4. From the following list of skull bones, select which skull bones are associated with the paranasal sinuses. (Select all that apply.)

ANS: C, D, E

Feedback

Correct The maxilla, sphenoid bone, and ethmoid bone are associated with paranasal sinuses.

Incorrect The occipital bone and mandible are NOT associated with paranasal sinuses.

DIF: Recall REF: p. 71 OBJ: 2 | 3

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Frontal bone b. Sphenoid bone c. Lacrimal bones d. Occipital bones e. Parietal bones

5. From the following list of skull bones, select which skull bones articulate with the ethmoid bone. (Select all that apply.)

ANS: A, B, C

Feedback

Correct The frontal bone, sphenoid bone, and lacrimal bones articulate with the ethmoid bone.

Incorrect The occipital bone and parietal bones do NOT articulate with the ethmoid bone.

DIF: Recall REF: pp. 54-57 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy a. Articular fossa b. Postglenoid fossa c. External acoustic meatus d. Mastoid process e. Carotid canal

6. From the following list of structures, select which structures are associated with the petrous part of the temporal bone. (Select all that apply.)

ANS: D, E

Feedback

Correct The mastoid process and carotid canal are associated with the petrous part of the temporal bone.

Incorrect The articular fossa and postglenoid fossa are associated with the squamous part of the temporal bone and NOT the petrous part. The external acoustic meatus is associated with the tympanic part of the temporal bone and NOT the petrous part.

DIF: Recall REF: p. 46 OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1

Head and Neck Anatomy a. Performing osseous surgery b. Checking for underlying endocrine disorder c. Undergoing orthodontic therapy d. Extracting third molars

7. Inadequate or disproportionate bone growth of the upper face or mandible may leave inadequate room for the developing dentition and cause occlusal complications. How can these difficulties with growth involving the dentition BEST be addressed? (Select all that apply.)

ANS: A, B, C

Feedback

Correct These difficulties with growth involving the dentition can BEST be addressed by orthodontic therapy and osseous surgery, if needed, after ruling out any underlying endocrine disorder.

Incorrect Extracting third molars to accommodate growth is a controversial procedure.

DIF: Comprehension REF: p. 33 OBJ: 4

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures | CDA: General Chairside, II. D. Patient Management | CDA: General Chairside, V. A. Oral Health Information

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy | NBDHE, Scientific Basis for Dental Hygiene Practice, 5.0 Pathology | NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care a. Bone is only noted from one viewpoint b. Centrally located within the skull c. Complex with body and processes d. Few features and openings

8. From the list below, choose the factors that cause the sphenoid bone to be one of the more difficult bones of the skull to describe and visualize. (Select all that apply.)

ANS: B, C

Feedback

Correct Since this bone is complex and centrally located, parts of the sphenoid are encountered in almost every significant juncture of the skull. The bone itself consists of a body and its processes along with a number of features and openings. Both of these factors allow the sphenoid bone to be noted from various viewpoints of the skull. Thus it is one of the more difficult bones of the skull to describe and visualize.

Incorrect Since this bone is complex and centrally located, parts of the sphenoid are encountered in almost every significant juncture of the skull. The bone itself consists of a body and its processes along with a number of features and openings and NOT few features or openings. Both of these factors allow the sphenoid bone to be noted from various viewpoints of the skull and NOT one viewpoint. Thus it is one of the more difficult bones of the skull to describe and visualize.

DIF: Comprehension REF: p. 52 OBJ: 4

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures | CDA: General Chairside, II. D. Patient Management | CDA: General Chairside, V. A. Oral Health Information

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy | NBDHE, Scientific Basis for Dental Hygiene Practice, 5.0 Pathology | NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care a. Cause lies in the nasal mucus b. Targeting nasal and sinus tissue c. Cause lies in the bacterial infection d. Targeting underlying damaging inflammation

9. From recent studies concerning chronic sinus infection, new concepts of its etiology and treatment have been discovered. What are these new concepts? (Select all that apply.)

ANS: A, D

Feedback

Correct Recent studies have found that the cause of chronic sinus infections lies in the nasal mucus. This suggests a beneficial effect of treatments that target primarily the underlying and presumably damage-inflicting nasal and sinus membrane inflammation.

Incorrect Recent studies have found that the cause of chronic sinus infections lies NOT in the nasal and sinus tissue targeted by standard treatment. This suggests that treatments should NOT target the secondary bacterial infection that has been the primary target of past treatments for the disease.

DIF: Comprehension REF: p. 74 OBJ: 4

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development | CDA: General Chairside, II. C. Describe how to perform and/or assist with intraoral procedures | CDA: General Chairside, II. D. Patient Management | CDA: General Chairside, V. A. Oral Health Information

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy | NBDHE, Scientific Basis for Dental Hygiene Practice, 5.0 Pathology | NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care

Matching

From the following list of foramina and openings of the sphenoid bone, match these openings with the CORRECT nerve within.

a. Maxillary nerve b. Ophthalmic nerve c. Mandibular nerve d. Meningeal branch nerve

1. Superior orbital fissure

2. Foramen rotundum

3. Foramen ovale

4. Foramen spinosum

1. ANS: B DIF: Recall REF: p. 35, Table 3-3

OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy

2. ANS: A DIF: Recall REF: p. 35, Table 3-3

OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy

3. ANS: C DIF: Recall REF: p. 35, Table 3-3

OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy

4. ANS: D DIF: Recall REF: p. 35, Table 3-3

OBJ: 2

TOP: CDA: General Chairside, I. A. Demonstrate understanding of basic oral and dental anatomy, physiology, and development

MSC: NBDHE, Scientific Basis for Dental Hygiene Practice, 1.1.1 Head and Neck Anatomy

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