Pharynx Flashcards

Pharynx + larynx

1
Q

Nerve supply :

  1. Ant 2/3 tongue taste
  2. Circumvallete papillae
  3. Post 1/3 tongue sensation+ taste
  4. Posterior most tongue
A
  1. Chorda tympani
  2. glossopharyngeal
  3. Glossopharyngeal
  4. Vagus - sup laryngeal
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2
Q

All muscles of the tongue are supplied by _____ nerve except ______ which is supplied by _____

A
  1. Hypoglossal
  2. Palatogloosus
  3. Plharyngeal plexus ( vagus )
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3
Q

Mandibular nerve sensory branches ?

A

Auriculotemporal

Inf alveolar

Lingual

Buccal

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4
Q

Motor supply of mandibular nerve to which muscles

A

Muscles of mastication

Tensor palati

Tensor tympani

Mylohyoid

Ant belly of diagastric

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5
Q

Freys syndrome is due to inj to which nerve ?

A

Auriculotemporal

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6
Q

Contents of oral cavity are all except

  1. Hard palate
  2. floor of mouth
  3. Vestibule
  4. Soft palate
  5. Buccal mucosa
A

Soft pallate

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7
Q

Shape of nasopharynx

A

Oval

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8
Q

Extent of diff parts of pharynx

A

Nasopharynx - BOS TO HARD PALATE

oropharynx - HARD PALATE TO HYOID

laryngopharynx - HYOID TO LOWER BORDER OF CRICOID

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9
Q

True or false

  1. Nasopharynx lines by stratifies sq epithelium
  2. Oropharynx lined by ciliated columnar
  3. Soft palate line by 2 diff epithelium
  4. Adenoids lined by ciliated columnar
A
  1. Nasopharynx lines by ciliated columnar
  2. Oropharynx lined by stratified sq
  3. Soft palate line by 2 diff epithelium
  4. Adenoids lined by ciliated columnar
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10
Q

Contents of waldeyers ring

A
Adneoids
Palatal tonsil
Lingual tonsil
Tubal tonsil
Nodules in post. Pharyngeal wall
Lateral pharyngeal bands
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11
Q

Muscles of pharynx are covered
Ant by ____
Post by __

A

Phayngobasillar

Buccopharyngeal

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12
Q

What is foramen of morgagni ?

What are its contents ?

Clinical significance ?

A

Space between sup constrictor and BOS

CONTENTS -  TAALA
TENSOR PALATI
ASCENDING PHARYNGEAL ARTERY
ASCENDING PALATINE BRANCH
LEVATOR PALATI
AUDITORY TUBE

EXTENSION OF NASOPHARYNGEAL CARCINOMA INTO THIS SPACE CAUSE TROTTERS TRIAD

  • NEURALGIA
  • PALATAL PARALYSIS
  • CHL
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13
Q

Name the muscles of pharynx

A

Stylo
Salpingo. Pharyngeus
Palato

Sup, middle and inf constrictor

                                      Thytopharengeus Inf contrictor ---{     
                                      Cricopharyngues
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14
Q

Killian dehisence is weakness which may cause

A

Zenkers diverticulum

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15
Q

70 year old with complain of of hoarseness cough lung complications halitosis dysphagia and regurgitation of undigested food

Boyce sign is positive

What is diagnosis

A

Zenkers diverticulum

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16
Q

Nerve between sup and middle constrictor

Nerve between middle and inf constrictor

Nerve between inf constrictor and oesophagus

A
  1. 9
  2. Sup laryngeal and internal laryngeal
  3. Recurrent laryngeal
17
Q

Name 5 spaces of pharynx

A

Retro pharyngeal

Danger space

Prevertebral space

Para PHARYNGEAL space

Peri tonsillar space

18
Q

MC site of angiofibroma

A

Sphenopalatine foramen

19
Q

Plummer Vinson synd in woman ass with cancer at which site

A

Post cricoid

20
Q

Pyriform fossa lymphatic drainage is to ?

A

Jugulodiagastric lymph nodes

21
Q

Signs of adenoid hypertrophy

A
Pinched nose
Nasolabial crease absent
Nasal obstruction
Sleep apnea
Aprosexia
SOM / recurrent AOM
Mouth breathing ... Arched palate and crowded teeth
22
Q

What is management of adenoid hypertrophy

A

ACUTE
Anti allergen
Antibiotics
Steroid nasal spray

CHRONIC
surgery

23
Q

What is management of adenoid hypertrophy

A

ACUTE
Anti allergen
Antibiotics
Steroid nasal spray

CHRONIC
surgery

24
Q

Imp surgery notes in adenoidectomy

A
  1. Rose position ( atlanto occipital extension )
  2. Boyle and Davis mouth gag joined with draffin bipod stand
  3. Hot methods … 1. Coablation. 2. Cautery
  4. Cold methods … 1. Microdebrider. 2. Curettage
25
Q

Which is the complication of adenoidectomy

  1. Hypertension
  2. Hemmorhage
  3. Arrythmias
  4. Coroner’s clot
  5. Eustachian tube injury
  6. Sublaxation of atlanto occipital joint
  7. recurrence
  8. collapse of pharyngeal wall
A
  1. Hemmorhage
  2. Coroner clot
  3. Sublaxation of atlanto occipital joint
  4. ET injury
26
Q

Management of thornwaldts bursitis

A
  1. Antibiotics

2. Marsupulization ( preffered )