Infratemporal Fossa – Hard MCQs

1. A dental surgeon accidentally injures a nerve during an inferior alveolar nerve block. Loss of sensation over anterior two-thirds of tongue without taste loss suggests damage to:

Lingual nerve supplies general sensation to anterior 2/3 of tongue; taste is via chorda tympani.

2. A patient develops extradural hematoma after a fracture near the infratemporal fossa. Which vessel is most likely torn?

Middle meningeal artery enters cranial cavity via foramen spinosum.

3. Infection from upper molars spreads to cavernous sinus. The venous route involved is:

Pterygoid venous plexus communicates with cavernous sinus via emissary veins.

4. A patient cannot protrude the mandible following trauma to infratemporal fossa. Which muscle is injured?

Lateral pterygoid is the chief muscle for protrusion of mandible.

5. Loss of parotid secretion after skull base surgery indicates injury to:

Lesser petrosal nerve carries parasympathetic fibers to otic ganglion.

6. During TMJ surgery, injury to a nerve posterior to neck of mandible causes loss of temporal scalp sensation. Which nerve?

Auriculotemporal nerve passes posterior to TMJ.

7. A fracture of lateral pterygoid plate affects which movement most?

Lateral pterygoid attaches to lateral pterygoid plate.

8. A surgeon approaches infratemporal fossa through pterygomaxillary fissure. Which fossa is entered?

Pterygomaxillary fissure connects infratemporal and pterygopalatine fossae.

9. Loss of sensation over cheek mucosa indicates damage to:

Buccal nerve supplies cheek mucosa.

10. A needle placed too posteriorly during nerve block may enter parotid gland causing facial nerve palsy. Which nerve is affected?

Facial nerve lies within parotid gland.

11. Roof of infratemporal fossa is formed mainly by:

Roof is infratemporal surface of greater wing of sphenoid.

12. Which nerve passes through foramen ovale?

Mandibular nerve exits skull via foramen ovale.

13. Otic ganglion is functionally associated with:

Otic ganglion supplies parotid gland.

14. Which structure separates lingual and inferior alveolar nerves?

Sphenomandibular ligament lies between these nerves.

15. Which muscle depresses mandible?

Lateral pterygoid assists in depression.

16. Which artery enters cranial cavity via foramen spinosum?

Middle meningeal artery passes through foramen spinosum.

17. Infratemporal fossa communicates with orbit via:

Inferior orbital fissure connects infratemporal fossa to orbit.

18. Buccal nerve is a branch of:

Buccal nerve is sensory branch of V3.

19. Medial wall of infratemporal fossa is formed by:

Medial wall is lateral pterygoid plate.

20. Pterygoid venous plexus mainly drains into: