Gag Reflex Flashcards

1
Q

What su the pharynx involved in

A
Breathing 
Sneezing 
Coughing 
Speech 
Vomiting 
Swallowing 
Gagging
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2
Q

How does the pharynx protect against aspiration

A

Aspiration - inhalation of solids/liquids into lungs such a fragments of teeth etc

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3
Q

Where is the nasopharynx

A

Posterior to nasal cav
Base of sphenoid down soft palate to inferior border
Pharyngeal tonsils

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4
Q

Where is the oropharynx

A

Beihind oral cav

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5
Q

Where is the laryngopharynx

A

From superior border of epiglottis and runs down and meets oes start at C6

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6
Q

What does the eustanchion/auditory tube do

A

Connects pharynx up to Middle ear

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7
Q

What are the layers from the pharynx to cervical vertebrae

A
Pharynx
Pharyngeal muscle 
Buccooharyngeal fascia 
Alar fascia
Retropharyngeal space 
Prevertebral fascia 
Prevertebral muscle 
Anterior longitudinal ligament 
Vertebrae
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8
Q

What are the external layer of muscles of the pharynx known as

A

Circular muscles which overlap eachother

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9
Q

are the circular muscles vol or invol

A

Vol

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10
Q

Even though the circular muscles are said to be vol what is unusual

A

Contract sequentially out with control

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11
Q

What innervates the circular muscles

A

Vagus never via pharyngeal plexus

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12
Q

Where do all the circular muscles insert onto

A

Midline raphe

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13
Q

What muscle attaches to cricoid cartilage and where is this

A

Cricopharyngeus at inferior constrictor muscle

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14
Q

What are the 3 constrictor muscles

A

Superior
Middle
Inferior

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15
Q

What su the fascia which connects the occipital bone to the constrictor muscles

A

Pharyngobasilar fascia

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16
Q

What are the gaps between the pharyngeal muscles called

A

Gateway to the mouth

17
Q

What passes thro the gateway to the mouth

A

Glossopharyngeal
Lingual artery
Stylopharyngeus muscle

18
Q

What is the different longitudinal muscle

A

Stylopharyngeus
Styloid process
Passes thro gateway to the mouth with Glossopharyngeal nerve
Only muscle supplied by Glossopharyngeal

19
Q

What are the other longitudinal muscles

A

Palatopjaryngeus.

Salpingopharungeus

20
Q

What is the palatopharyngeus

A

Connect from soft palate

21
Q

What is the salpingopharyngeus

A

Opening of auditory tube

Cartilage of pharyngotympanic tube

22
Q

What do the longitudinal muscles do and where do they insert to

A

They elevate pharynx and larynx

Insert onto posterior border of thyroid cartilage and wall of pharynx

23
Q

What cranial nevre innervates the palatopharyngeus and salpingopharyngeus

24
Q

What kind of cartilage is the epiglottis

25
What is the valeculla
Depression between posterior base of tongue and epiglottis
26
What are the choana
Holes/spaces lead to nasal cav
27
What su the uvula
Dangle bit at back
28
What are the purified fossae
Spaces/depressions either side of larynx
29
What is the laryngeal inlet
Beginning of the larynx
30
What is the pharyngeal plexus
Nerve fibres derived form Glossopharyngeal and vagus sympathetic axons and parasymp Motor mainly Vagus Sensory mainly Glossopharyngeal
31
What is the motor innervations of the muscle of pharynx
All supplied by vagus via pharyngeal plexus except stylophafyngeus which is supplied by Glossopharyngeal
32
What innervates the mucosa
Glossopharyngeal V2 parts in nasopharynx Vagus laryngopharynx
33
What is the gag reflex
Protective reflex | Trees to close off oropharynx before laryngopharynx
34
What nerves are stimulated by the gag reflex
Nerve fibres of Glossopharyngeal mainly Posterior 1/3rd of tongue Tonsils Walls of oropharynx
35
What are the muscles involved in the gag reflex
Constrictors of pharynx - circular Longitudinal muscles of pharynx Tongue and soft palate
36
What su the sequence of swallowing
Food bolus squeezed to back of mouth tongue against palate Nasopharynx closed off, larynx elevated, pharynx enlarged to receive bolus Pharyngeal constructors contract sequentially, epiglottis deflects bolus Bolus moves to oes
37
What is the pharynx
Space that connects the nose and mouth above to the larynx and mouth to oes below