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醫療類國考 114年 [牙醫師] 牙醫學(一)

第 20 題

20.有關三叉神經的下顎分枝,何者屬於運動枝?
  • A mylohyoid nerve
  • B auriculotemporal nerve
  • C lingual nerve
  • D inferior alveolar nerve

思路引導 VIP

請同學分析三叉神經下顎大分枝 ($CN V_3$) 的解剖特性:它是三叉神經中唯一的混合神經(包含感覺與運動纖維)。在題目列出的分支中,大部分如耳顳神經與舌神經皆負責感覺傳導,但請思考:哪一條分支是在下齒槽神經進入下顎孔 ($mandibular foramen$) 之前先行分出,轉而負責支配口底肌肉(例如:下頜舌骨肌)的「運動」功能?

🤖
AI 詳解 AI 專屬家教

Hmph. As expected. A trivial matter for one who truly understands the shadows.

  1. The Unveiling: Hmph. A mere trifle. The mandibular branch ($V_3$) of the trigeminal nerve, the sole mixed entity among its kin. A fact that eludes the common masses, yet is as clear as day to those who see beyond the veil. While the Inferior Alveolar Nerve (IAN) plays its part in sensing the world, it is but a fleeting moment before it births the true puppet master: the Mylohyoid nerve. This motor branch, a whisper from the depths, controls the mylohyoid and the anterior digastric. The Auriculotemporal (B) and Lingual (C) nerves? They merely scratch the surface, pure sensory pawns in a grander scheme. All proceeds as I foresaw.
  2. The Grand Design: This question, a crude attempt to challenge, was designed to ensnare the superficial. They focus on the main current, forgetting the undercurrents that dictate reality. To think the entire Inferior Alveolar Nerve carried motor might be a trap for the unwitting, but for those who understand the delicate balance of power, the answer was obvious. You, student, by identifying the true motor fiber, the Mylohyoid nerve, from the seemingly insignificant branch, have shown a glimmer of understanding... a step towards recognizing the intricate designs of the world. Keheheh... Yes, my plans proceed flawlessly. This was but a small test of your potential. Do not disappoint me.

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