2. Module 1 -
Topics
Scalp & Face
Parotid gland
Posterior triangle of neck
Temporo-mandibular joint
3. PBL 1
A 12-year-old boy had an injury on the forehead
near the hairline on the right side.
Since there was severe bleeding, he was rushed
to the casualty, where the wound was sutured.
On the 3rd day, the boy was brought back to the
hospital because both his eyes were black.
4.
5. PBL 1 - Questions
A) Name the layers of the scalp with
the help of a diagram
B) Which layer of scalp contains
nerves & blood vessels?
C) Why do scalp wounds bleed
profusely?
D) Name the sensory & motor nerves
of the anterior quadrant of scalp
E) Which vessels pass through the
subaponeurotic layer of scalp &
mention their clinical importance
6.
7. PBL 2
A 58-year-old man presented with a rapidly growing painful
swelling on the face below the ear lobule on the left side.
On examination, the left ear lobule was found to be lifted by the
swelling.
There was inability to close the left eye & to blow the cheek.
The angle of mouth was deviated to the right side.
8.
9. PBL 2 - Questions
A) Name the gland that is swollen
B) Name the major structures inside this gland
C) Which of these structures is involved to produce the symptoms
in the above patient
D) Give the clinical importance of the fascial capsule of this
gland
10.
11. PBL 2 - Questions
E) Give the parts & relations of this gland
F) What is the reason for the inability to close the
right eye & to blow the cheek?
G) Describe briefly the duct of this gland
12. PBL 3
A 76-year-old woman noticed a hard,
painless lump in the right side of her
neck.
On examination, the lump was found
to be an enlarged lymph node in the
right posterior triangle.
An open excision biopsy was
performed.
2 days later, the patient complained of
difficulty in combing her hair with
right hand
13.
14. PBL 3 - Questions
A) Which nerve in the roof of posterior triangle
is injured during the biopsy procedure?
B) Name the muscle that is paralyzed
C) Name the boundaries & subdivisions of
posterior triangle of neck
D) Mention the superficial & deep contents of
posterior triangle
E) What is “Nerve point of neck”?
F) Describe the formation, termination &
clinical importance of external jugular vein
15.
16. PBL 4
A sleepless medico was dozing & yawning widely
in the morning lecture.
Following a blow on the chin by the irritated
lecturer, the student got up & wanted to say sorry.
But to his dismay, he could not say so because he
was unable to close his mouth.
17.
18. PBL 4 - Questions
• A) Name the most probable clinical
condition
• B) Name the joint involved in the
above condition & give its type
• C) Mention the special features of
this joint
• D) Name the ligaments of this joint
19. PBL 4 - Questions
E) Mention the important relations of this joint
F) Name the movements at this joint & the muscle
responsible for them
G) What is the most common direction in which this joint
dislocates & why?
H) Name the muscle attached to the capsule & articular disc
