I have rich, textbook-sourced data from Gray's Anatomy for Students and Cummings Otolaryngology. Here is the quiz:
Muscles of Mastication - 10 Question Quiz
Q1. Which four muscles are classically considered the primary muscles of mastication?
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Masseter, Temporalis, Medial pterygoid, and Lateral pterygoid. All are innervated by the mandibular nerve (V3).
- Gray's Anatomy for Students, Table 8.11
Q2. The masseter muscle originates from the zygomatic arch. Where does it insert, and what is its primary function?
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It inserts on the lateral surface of the ramus of the mandible. Its primary function is elevation (and protrusion) of the mandible.
- Gray's Anatomy for Students, Table 8.11
Q3. The temporalis muscle is unique among jaw-closers because it can both elevate AND retract the mandible. What is its insertion, and which part is responsible for retraction?
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It inserts on the coronoid process of the mandible and anterior margin of the ramus. The posterior fibers are responsible for retraction; the anterior/middle fibers elevate.
- Cummings Otolaryngology, Table 92.1
Q4. All four primary muscles of mastication share the same nerve supply. Name the nerve and its parent trunk.
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They are all innervated by the mandibular nerve (V3), the third division of the trigeminal nerve (CN V). Specific branches include the masseteric nerve, deep temporal nerves, and nerves to the medial and lateral pterygoids.
- Gray's Anatomy for Students, Table 8.11
Q5. The lateral pterygoid has two heads with different functions. What does each head do?
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- Superior head - elevation and protrusion of the mandible
- Inferior head - depression and lateral displacement of the mandible
The inferior head is the main driver of jaw opening (along with gravity), while the superior head works with the other closers.
- Cummings Otolaryngology, Ch. 86
Q6. Which muscle inserts on the medial surface of the angle of the mandible, and what movements does it produce?
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The medial pterygoid. It produces elevation, protrusion, and lateral (side-to-side) movements of the mandible. Along with the masseter, it forms a muscular sling around the mandibular angle.
- Cummings Otolaryngology, Table 92.1
Q7. Which three muscles are responsible for depression (opening) of the mandible, and what nerve innervates the mylohyoid?
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The jaw-opening muscles are the digastric (anterior belly), mylohyoid, and geniohyoid. The mylohyoid is innervated by the nerve to mylohyoid, a branch of the inferior alveolar nerve (V3).
- Cummings Otolaryngology, Table 92.1
Q8. A patient presents with inability to protrude the jaw and difficulty chewing side-to-side. Damage to which muscle is most likely responsible?
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The lateral pterygoid. It is the primary muscle for protrusion and lateral (grinding) movements. Bilateral damage prevents protrusion; unilateral damage causes the jaw to deviate toward the side of the lesion on opening.
- Cummings Otolaryngology, Ch. 86
Q9. What is the blood supply to all four primary muscles of mastication?
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Branches of the maxillary artery (a terminal branch of the external carotid artery).
- K.J. Lee's Essential Otolaryngology
Q10. During normal jaw opening, what happens at the temporomandibular joint beyond simple rotation - and which muscle drives this movement?
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During opening, the mandibular head translates (protrudes) forward onto the articular tubercle in addition to rotating. This forward translation is driven primarily by the lateral pterygoid (inferior head), assisted by gravity and the digastric/mylohyoid muscles.
- Gray's Anatomy for Students, p. 1116
Score Guide: 9-10 correct = Excellent | 7-8 = Good | 5-6 = Review pterygoids and functions | <5 = Re-read the chapter