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ENT · Ear and audiology: nerve supply of middle ear muscles
Sample itemWhich pairing of middle ear muscle and nerve supply is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Stapedius: facial nerve; tensor tympani: mandibular nerve
The stapedius arises from the pyramid and is supplied by the nerve to stapedius from the facial nerve. The tensor tympani is supplied by the nerve to medial pterygoid, a branch of the mandibular division. The stapedius is the smallest striated muscle in the body.
Option by option
A. Stapedius: mandibular nerve; tensor tympani: facial nerve
This reverses the correct supply.
B. Stapedius: glossopharyngeal nerve; tensor tympani: facial nerve
The glossopharyngeal nerve gives Jacobson's nerve to the tympanic plexus, not motor supply.
C. Stapedius: facial nerve; tensor tympani: mandibular nerve (correct)
Correct. The stapedius is a facial muscle and the tensor tympani a branchial arch 1 muscle.
D. Both muscles: facial nerve
The tensor tympani is from the first arch and supplied by V3.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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