Clinical Relevance Of The Gag Reflex 2 Flashcards

1
Q

What si the pharynx involved in

A
Breathing 
Speaking 
swallowing 
Coughing 
Sneezing 
Vomiting 
Gagging
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2
Q

What is aspiration

A

Inhalation of solid/liquid into lungs
Usually fragments of teeth, amalgam material

Pharynx protects against this

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3
Q

What are the parts of the pharynx

A

Nasopharynx
Oropharynx
Laryngopharynx

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4
Q

What si the nasopharynx

A

Posterior to nasal cav
Base sphenoid bone down soft palate
Pharyngeal tonsils

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5
Q

Where si the oropharynx

A

Behind oral cav

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6
Q

Where is the laryngopharynx

A

Form sup border of epiglottis and rus down and meets oes starts about c6

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7
Q

What are the components of the RESP tract

A

Nasal cav
Oral cav
Larynx
Trachea

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8
Q

What si the alimentary canal

A

Oral cav
Oesophagus
Pathway for food

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9
Q

What are the layers form the pharynx to the vertebrae

A
Pharynx 
Pharyngeal muscle 
Buccooharyngeal fascia 
Alar fascia 
Retropharyngeal space 
Prevertebral fascia 
Prevertebral muscle 
Vertebra
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10
Q

Why is the retropharyngeal space of importance

A

Let’s pharynx and larynx move relative to vertebrae
Clinically imp as adipose tissue and lymphatics
May cause spread of infection

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11
Q

What are the external muscles of the pharynx

A

Circular muscles

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12
Q

How are the circular muscles related to eachother

A

Overlap eachother

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13
Q

Are circular muscles vol or invol

A

Vol

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14
Q

What is unusual about the contraction of the circular muscles

A

Sequential

Invol

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15
Q

What innervates the circular muscles

A

Vagus

Pharyngeal plexus

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16
Q

Where do the circular muscles insert onto

A

The midline raphe

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17
Q

What si the fascia between the superior circular muscle and the occipital bone

A

Pharyngo- basilar fascia

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18
Q

What a re the circular muscles

A

Superior
Middle
Inferior

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19
Q

What are the attachments of the superior circular muscles

A

Pterygoid hamulus
Pterygomandibular raphe
Mylohyoid line

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20
Q

What are the attachments of the Middle circular muscle

A

Greater horn of sphenoid

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21
Q

What a re the attachments of the inferior circular muscle

A
Thyroid cartilage ( oblique line) 
Cricoid cartilage
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22
Q

What are the gaps between the circular muscles

A

Gateway to the mouth

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23
Q

What travels through the gateway to the mouth

A

Lingual artery
Stylophafyngeus
Glossopharyngeal nerve

24
Q

What are the the internal muscles of the pharynx

A

Longitude dinar

25
What are the longitudinal muscles of the pharynx
Stylophafyngeus Palatopharyngeus Salpingopharyngeus
26
What is the different longitudinal muscle
Stylophafyngeus
27
Where does the stylophafyngeus insert from and travel through
Form styloid process | Travel through gateway to the mouth with Glossopharyngeal nerve
28
What innervates the stylophafyngeus
Only one supplied by Glossopharyngeal
29
Where does the cricopharungeaus connect from
Connect from soft palate
30
Where does the salpingopharyngeus connect form and what is it made from
Opening of auditory tube | Cartilage of pharyngotympanic tube
31
Where do all longitudinal muscles insert onto
Posterior border of thyroid cartilage and wall of pharynx
32
What si the action of the longitudinal muscles to the pharynx and larynx
Elevate
33
What innervates the salpingopharyngeus and cricopharungeaus
Vagus
34
What kind of cartilage is the epiglottis
Elastic
35
What si the valeculla
Depression between posterior base of tongue and epiglottis
36
What a re choana
Holes spaces lead to nasal cav
37
What si the uvula
Muscularis uvulae Dangle Skeletal muscle
38
What are trh pisiform fossa
Spaces depressions either side of larynx
39
What sit he laryngeal inlet
Beginning of the larynx
40
What composes the pharyngeal plexus
Nerve fibres form vagus and Glossopharyngeal, symp axons and parasymp axons
41
What are the MAIN motor and sensory contributions to the pharyngeal okexus
Motor mainly vagus | Sensory mainly Glossopharyngeal
42
What supplies the motor innervation to the muscle of the pharynx
All vagus excluding stylophafyngeus which is innervated by Glossopharyngeal
43
What innervates the mucosa of the pharynx
Mainly Glossopharyngeal Parts nasopharynx V2 Parts laryngopharynx vagus
44
What si the sensory innervation of the nasopharynx
V2 just anterior and superior to auditory tube | Glossopharyngeal
45
What si the sensory innervation of the oropharynx
Glossopharyngeal | Tonsilar fossa and posterior tongue
46
What is the sensory of the laryngopharynx
Glossopharyngeal just SUPEIROR to epiglottis | Vagus
47
What kind of reflex is the gag reflex
Protective
48
What nerves does the gag reflex stimulate
Mainly Glossopharyngeal Post 1/3rd tongue Tonsils Wall oropharynx
49
What does the gag reflex attempt to do
Close off oropharynx before laryngopharynx
50
What are the muscles involved in the gag reflex
Constructors if the pharynx Longitudinal muscles of pharynx Tongue soft palate
51
What is the first step of swallowing
Food bolus squeezed to back of mouth | Tongue against palate
52
What is the second stage of swallowing
Nasopharynx closed off Larynx elevated Pharynx enlarged to recieve bolus
53
What si the third stage of swallowing
Pharyngeal constructors contract sequentially | Epiglottis deflects bolus
54
What si the final stage of swallowing
Bolus moves into oes
55
What is the pharynx
Space that connects mouth/nose above to the larynx | Mouth to the oes