02.1 Salivation and Swallowing Flashcards

1
Q

What innervates the masseter muscle?

A

Branch of the trigeminal nerve.

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2
Q

What are the three functions of saliva?

A

Lubricates food.
Starts carbohydrate digestion.
Protects oral environment.

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3
Q

What is xerostomia?

A

Insufficient saliva production

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4
Q

What is the pH of saliva?

A

High

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5
Q

What is the pH of saliva when stimulated by the parasympathetic nervous system?

A

Increases pH to make it more alkaline

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6
Q

What is the tonicity of saliva?

A

Hypotonic.

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7
Q

Where does the modification of secreted salvia occur?

A

Duct cells.

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8
Q

What happens during saliva modification?

A

Duct cells remove electrolytes, no water leaves as the gap junctions are tight.

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9
Q

What are the three paired salivary glands?

A

Parotid glands.
Sublingual glands.
Submaxillary glands.

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10
Q

Describe the contents of the parotid gland saliva.

A

Serous

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11
Q

Describe the contents of the sublingual saliva.

A

Mucus saliva.

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12
Q

Describe the contents of the submaxillary glands.

A

Mix of serous and mucus secretion.

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13
Q

What happens to saliva tonicity at a high flow rate?

A

Becomes less hypotonic as the rate at which duct cells can modify the contents is limited.

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14
Q

What are the three phases of swallowing?

A

Voluntary phase (tongue moves the bolus back)
Pharyngeal phase
Oesophageal phase

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15
Q

Which part of the oesophagus is under somatic control?

A

Upper third

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16
Q

What movements must occur in the pharyngeal phase to prevent aspiration?

A

Inhibition of breathing
Raising the larynx
Closure of the glottis
Opening of the oesophagus

17
Q

What is odynophagia?

A

Pain on swallowing

18
Q

What is achalasia?

A

Primary dysphagia caused by motility problems of the smooth muscle preventing peristalsis in the oesophageal phase.

19
Q

How is reflux back from the stomach prevented?

A

Lower oesophageal sphincter.
The acute angle of entry to the stomach.
Right crus of the diaphragm.

20
Q

What is Barrett’s oesophagus?

A

Metaplastic change from stratified squamous epithelia to gastric epithelia.

21
Q

What can Barrett’s oesophagus lead to?

A

Adenocarcinoma.

22
Q

What is GORD?

A

Gastro-oesophageal reflux disease.

23
Q

What muscle is used to provide force during mastication?

A

Masseter muscle