EXTRA cards

Question 1

Where is the swallow triggered by?

Answer 1

past sensory receptors of anterior faucial arches and base of tongue

Question 2

If the swallow response is not triggered

Answer 2

airway protection and bolus propulsion events will NOT occur

Question 3

Explain how bolus moves through pharynx

Answer 3

segmental constriction of pharynx = increase in pressure behind bolus, and opening of UES = decrease in pressure in front of bolus (Boyle’s law)

Question 4

Pharynx boundaries:
oropharynx boundaries:
laryngopharynx boundaries:

Answer 4

base of skull behind nasal cavity to UES

behind faucial pillars to hyoid bone

posterior to larynx from hyoid to esophagus at C6

Question 5

Valleculae is space between

• spaces created on either side of ?
  pyriform: either side of ?

Answer 5

base of tongue and epiglottis
-hyoepiglottic ligament

thyroid cartilage, bottom of pharynx right above UES

Question 6

Laryngeal vestibule is

Answer 6

supraglottic space between aditus and Ventricular vocal folds

Question 7

Why is progressive contraction not peristalsis for pharyngeal stage?

Answer 7

muscular semicircle and made up of striated or voluntary muscle

Question 8

UES is the boundary between ?

Answer 8

pharynx and esophagus

Question 9

Maximum pharyngeal constriction always occured after ?

Answer 9

UES max. opened

Question 10

Recurrent laryngeal nerve is part of?
-they look for this to make sure ?
much higher risk of ? because ?

Answer 10

Vagus (X)
sure they don’t cut or damage it
-dysfunction of larynx because swelling may be present on recurrent laryngeal nerve

Question 11

Thicker tube for enteral feeding: used to ? can also?

small yellow tube is called ?

• true ?
• really really ? minimal ?

Answer 11

drain gastric content and can also feed and hydrate individual through same tube

• dobhoff
• NG tube for feeding
• pliable and slippery and small / impact on swallow

Question 12

Bolus - meal sized bolus is more ? helps keep ?

continuous : pushing through ?
-typically for people who have ?

Answer 12

naturalistic/ circadian rhythm and toileting regular

through millimeters of feeding throughout day
-GI issues and can’t tolerate whole meal in stomach

Question 13

Mechanically ventilated
anything below ?
-below 70?

Answer 13

90 out of field of practice - call someone

-call 911

Question 14

Do not test?

only ?

Answer 14

all 12 CN

5 assoc. with speaking and swallowing

Question 15

Odynophagia means:

Answer 15

painful swallow

Question 16

person gurgling and no coughing -

Answer 16

sensory deficit in CN X