Anatomy & Histology · single question

A sensory nerve block is placed at the base of a tongue lesion prior to biopsy. Which nerve was anesthetized to provide pain relief?

  1. Lingual nerve (branch of CN V3)
  2. Glossopharyngeal nerve (CN IX)
  3. Chorda tympani
  4. Hypoglossal nerve (CN XII)
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Correct answer: A. Lingual nerve (branch of CN V3)

  • A. Correct. The LINGUAL NERVE (a branch of the mandibular division of CN V3) provides general somatic SENSORY innervation (touch, pain, temperature) to the anterior two-thirds of the tongue. Blocking it at the tongue base produces anesthesia for biopsy.
  • B. Incorrect. CN IX provides sensory innervation to the POSTERIOR one-third of the tongue — not the standard block for anterior/lateral tongue biopsy.
  • C. Incorrect. The chorda tympani carries taste from the anterior tongue (joining the lingual nerve) and parasympathetic fibers — not the general pain sensation nerve.
  • D. Incorrect. The hypoglossal nerve (CN XII) is the MOTOR nerve of the tongue — it has no sensory function.

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