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Anatomy · Head and neck: nerve to mylohyoid
Sample itemA lesion of a branch of the inferior alveolar nerve that arises just before the mandibular foramen leads to weakness of two muscles in the floor of the mouth region. Which pair is affected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Mylohyoid and anterior belly of digastric
The nerve to mylohyoid branches from the inferior alveolar nerve before it enters the mandibular foramen and supplies mylohyoid and the anterior belly of digastric. The posterior belly of digastric and stylohyoid are supplied by the facial nerve, and geniohyoid by C1.
Option by option
A. Stylohyoid and posterior belly of digastric
Stylohyoid and the posterior belly of digastric are both facial nerve territory.
B. Geniohyoid and anterior belly of digastric
Geniohyoid is supplied by C1 fibres through the hypoglossal nerve.
C. Mylohyoid and posterior belly of digastric
The posterior belly of digastric is supplied by the facial nerve.
D. Mylohyoid and anterior belly of digastric (correct)
Correct. The nerve to mylohyoid supplies mylohyoid and the anterior belly of digastric.
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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