Exam 3 Flashcards

1
Q

The process of swallowing

A

Deglutition

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2
Q

Pharyngeal constrictor function

A

Propel bolus to esophagus

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3
Q

Hyoid bone function

A

Upward and forward movement to mechanically elevate larynx

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4
Q

Epiglottis function

A
  • Retroflexes with laryngeal elevation and tongue retraction
  • Covers/protects laryngeal vestibule
  • directs bolus down lateral pharynx
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5
Q

Cricopharyngeus (CP) function

A

Pinches shut to separate pharynx from esophagus to prevent backflow
-pharyngeal plexus of CN 9 and 10

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6
Q

Transmit time of esophagus and what wave?

A
  • 8- 20 sec

- peristaltic wave

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7
Q

What extends form the opening of larynx down to ventricular(false) vocal folds?

A

Laryngeal vestibule

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8
Q

What does the Medulla do?

A
  • holds CN IX, X, XI, and XII

- central planner for the swallow reflex

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9
Q

Which cranial nerves does the Pons hold?

A

CN V and VII

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10
Q

What is involved in smell and tase drive appetite? Also, what receptors are for taste buds?

A
  • gustation

- chemicoreceptors

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11
Q

Oral prep

A
  • mastication
  • bolus formation
  • voluntary
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12
Q

Oral phase

A
  • velar elevation
  • involuntary
  • ends when bolus contacts sensory receptors
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13
Q

Pharyngeal phase

A
  • valves close
  • laryngeal elevation
  • epiglottic retroflextion
  • base of tongue retraction
  • reflex phase
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14
Q

Esophageal phase

A

Bolus moves efficiently from the UES through the esophagus and LES through a series of peristaltic contractions

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15
Q

Dysphasia

A

Impairment in chewing/ swallowing

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16
Q

Swallow assessment of dysphasia.

Swallow treatment

A
  • clinical/ bedside swallow evaluation
  • instrumental evaluation
  • behavioral strategies
  • diet modification
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17
Q

Videofluoroscopy (MBS)

A
  • Define the abnormalities in anatomy and physiology
  • identify dysphagia symptoms
  • evaluated potential treatment
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18
Q

Videoendoscopy (FEES)

A

-endoscopic image of pharynx

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19
Q

Outer third of the outer ear

A

Cartilaginous tube

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20
Q

Middle third of the outer ear

A

Bony section of the temporal bone

21
Q

Inner third of the outer ear

A

Isthmus is a narrow opening

22
Q

What are the three occicles of the middle ear?

A

Malleus, incus, and stapes

23
Q

What does the Eustachian tube do?

A

Drains fluid from middle ear when opened; articulates to nasal cavity

24
Q

Muscles of the middle ear

A

Stapedeus = stapes

Tensor typani = malleus

25
Q

Which cranial nerve runs through the middle ear?

A

CN VII

26
Q

Perilymph fluid of inner ear

A

Fills bony labyrinth

27
Q

Endolymph fluid of inner ear

A

Fills cochlear duct/ membrane

28
Q

Which cranial nerve runs through the modiolus/ helicatrema

A

CN VIII- acoustic/ auditory nerve

29
Q

What do the semicircular canals do?

A

Sensory organs for balancing, propriception, and movement

30
Q

Where is the organ of Corti?

A

Found on basilar membrane (floor of cochlear duct)

31
Q

What is the cilia and what receptor does it have?

A
  • inner and outer hair cells

- mechanicoreceptors

32
Q

Afferent

A
  • Cochlear and vestibular ducts translate movement of cilia to CN VIII
  • sensory input to brain
  • hearing and balance/ movement
33
Q

Efferent

A
  • CV VIII also sends signal to cochlea and vestibular organs

- cilia stiffen to attenuate movement

34
Q

Eating and sound organs constitute a ______________ of sound energy

A

Transducer

35
Q

What is the auditory mechanism frequency range?

A

Around 10 octaves spanning 20-20,000Hz

36
Q

What are the 3 impedance matching mechanisms that equal a gain of 31 dB?

A
  • area ration provides a 25 dB gain
  • level advantage provides a 2 dB gain
  • bucking of TM provides a 4-6 dB gain
37
Q

What does the inner ear do?

A

Performs frequency and temporal acoustic of incoming acoustical signal

38
Q

Basilar membrane shape is affected by…?

A

Frequency and intensity

39
Q

What causes excitation of outer hair cells? Inner hair cells?

A
  • shearing effect on cilia

- fluid flow and endolymph turbulence

40
Q

Action potential

A

Electrical reaction resulting from difference in hair and endolymph electrical charges

41
Q

The frequency to which a neuron responds best

A

Characteristic frequency

42
Q

When can we not perceive differences in pitch?

A

At increments below 5%

43
Q

Core in the Heschl’s gyrus

A
  • primary auditory area on brain

- receives input directly from medial geniculate

44
Q

Belt in the Heschl’s gyrus

A
  • seems responsive to sound in space

- associated with somatosensory input and frontal visual process

45
Q

Parabelt in the Heschl’s gyrus

A

Integrated sound with visual input

46
Q

What decodes pitch/ loudness and timing of sound?

A

Dorsal superior temporal gyrus (core)

47
Q

Where are sounds integrated with phonological system?

A

Superior temporal sulcus

48
Q

What is benign paroxysmal positional vertigo and how is it treated?

A
  • provides patient with spinning perception that occurs suddenly relative to body position
  • treated by epley maneuver by moving the crystals from the ampulla to the vestibule