Head and Neck 5 Flashcards

1
Q

To which structure is the larynx continuous with superiorly?

A

Pharynx

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2
Q

What does the larynx continue as inferiorly?

A

Trachea

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3
Q

What is A?

A

Hyoid bone

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4
Q

What is B?

A

Epiglottis

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5
Q

What is C?

A

Thyroid cartilage

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6
Q

What is D?

A

Cricoid cartilage

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7
Q

What is E?

A

Epiglottis

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8
Q

What is F?

A

Thyroid cartilage

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9
Q

What is G?

A

Cricoid cartilage

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10
Q

What is H?

A

Cricoid cartilage

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11
Q

Prominance on which cartilage makes the “Adam’s apple”?

A

Arytenoid cartilage

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12
Q

Which cartilage of the larynx is a complete ring shape?

A

Cricoid cartilage

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13
Q

What is the space between the laryngeal cartilages occupied by?

A

Dense connective tissue membranes

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14
Q

What is A?

A

Thyrohyoid membrane

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15
Q

What is B?

A

Cricothyroid membrane

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16
Q

What is C?

A

Thyrohyoid membrane

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17
Q

What is D?

A

Cricothyroid membrane

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18
Q

What is E?

A

Vocal fold with vocal cord

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19
Q

What structures form the laryngeal inlet?

A

Epiglottis

Corniculate cartilage

Arytenoid cartilage

Aryepiglottic fold

Interarytenoid fold

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20
Q

The lumen of the larynx can be divided into 3 parts, what are these?

A

Vestibule - area between laryngeal inlet and the vestibular folds (or false vocal cords)

Middle part - lies between vestibular folds and the true vocal cords

Lower part - extends from vocal cords to lower border of cricoid cartilage

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21
Q

Which one is the true vocal cords?

A

A

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22
Q

What do intrinsic muscles of the larynx control?

A

Movement of the vocal folds as well as controlling the diameter of the laryngeal inlet

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23
Q

What can the laryngeal intrinsic muscles do to the vocal cords?

A

Make them tighten, or relax,

and to be abducted or adducted (from the midline and each other)

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24
Q

What is A?

A

Epiglottis

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25
What is B?
Vestibule of larynx
26
What is C?
Vestibular fold
27
What is D?
Interglottic space
28
What is E?
Vocal fold
29
What is F?
Intraglottic space
30
Nerve supply to the intrinsic muscles of the larynx is from what?
Recurrent laryngeal nerve (arises from CN X and has a different course on each side) except for cricothyroid muscle (which is from superior laryngeal nerve, branch of CN X)
31
What would happen if the recurrent laryngeal nerve was transected?
Unable to control vocal cords/wheeze
32
What is the sensory nerve supply to the mucous membrane of the larynx?
Internal laryngeal nerve
33
When are the vocal cords abducted?
Normal respiration
34
When are the vocal cords fully abducted?
Rapid breathing such as after exercise
35
When are the focal cords adducted?
Speaking/singing
36
The roof of the nasopharynx is formed from what?
Sphenoid bone
37
In relation to the larynx, the pharynx is?
Posterior
38
What prevents the bolus from entering the nasopharynx during swallowing?
Uvula and soft palate
39
What prevents the bolus from entering the larynx during swallowing?
Epiglottis
40
What are the layers of the pharynx?
1) Outer circular muscular layer 2) Inner longitudinal muscular layer 3) Middle fibrous layer 4) Inner mucous membrane
41
What is the outer circular muscle layer of the pharynx formed from?
Three constrictor (superior, middle and inferior) muscles
42
What is the inner longitidual muscle layer of the pharynx formed from?
Stylophayngeus Salpingopharyngeus Palatopharyngeus
43
What is A?
Superior constrictor
44
What is B?
Middle pharyngeal constrictor
45
What is C?
Inferior pharyngeal constrictor
46
What is D?
Oesophagus
47
What is E?
Cricothyroid muscle
48
What is F?
Thyrohyoid muscle
49
What is G?
Mylohyoid muscle
50
What is H/
Buconator
51
What is I?
Pterygo-mandibular ligament
52
What is J?
Maxillary bone
53
What does the pharynx receive innervation from?
Pharyngeal plexus
54
What nerves from the pharyngeal plexus?
Branches of vagus (CN X) and glossopharyngeal (CN IX)
55
What nerve supplies sensory innervation to the pharynx?
Glossopharyngeal (CN IX)
56
What nerve supplies most of the motor innervation to the pharynx?
Vagus nerve (CN X)
57
What is the role played by the constrictor muscles during swallowing?
Constrict walls of pharynx
58
What is the role played by the longitudinal layer of muscles during swallowing?
Elevate (shorten and widen) pharynx and larynx
59
What role is played by tongue and palate muscles during swallowing?
Propels bolus posteriorly and palate prevents entrance to nasopharynx
60
What lymphoid tissue protects the entrance to the oropharynx?
Pharyngeal lymphoid ring (Waldeyer's ring)
61
What is the purpose of the pharyngeal lymphoid ring?
Primary defects against pathogens from mouth/nose