pharynx and tonsils :) Flashcards

1
Q

what is the pharynx partial surrounded by

A

muscle

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2
Q

shape of pharynx

A

inverted cone

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3
Q

what is the pharynx shared by

A

respiratory and GI tract

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4
Q

where does the pharynx run

A

behind nasal and oral cavity

continuous with oesophagus

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5
Q

where is the uvula

A

back of the soft palate

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6
Q

what is continuous with the nasal cavity

A

posterior nasal aperture

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7
Q

descriptive divisions of the pharynx

A

nasopharynx
oropharynx
laryngopharynx

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8
Q

nasopharynx

A
extends from nose to soft palate
contains
- pharyngeal tonsil
- opening of auditory tubes
- tubal tonsisl
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9
Q

oropharynx

A

soft palate to top of epiglottis

level with bodies of 2nd and upper part of 3rd cervical vertebra

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10
Q

lateral wall of oropharynx

A

palatopharyngeal arch and palatine tonsil

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11
Q

how does the oropharynx opening into the mouth

A

through oropharyngeal isthmus

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12
Q

laryngopharynx

A

epiglottis to cricoid cartilage (continuous with oesophagus)
extends from 2rd to 6th cervical bodies
inlet in upper anterior wall

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13
Q

how does the laryngopharyx change

A

during swallowing elevated by hyoid elevators

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14
Q

circular muscles of the phayrnx

A

superior constritor
middle constrictor
inferior constrictor

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15
Q

superior constricotor insertions and attachments

A

inserts into the pterygoid plate buccinator and mandible

posteriorly attaches to the raphe

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16
Q

middle constrictor insertions

A

hyoid bone pharyngeal raphe

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17
Q

inferior constrictor

A

split into 2 parts inc cricopharyngeus

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18
Q

inferior constrictor attacments

A

thyroid and cricoid cartilages

pharyngeal raphe

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19
Q

what does the cricopharyngeus act as

A

sphincter to stop ingestion of air

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20
Q

where do all the circular muscles join at

A

pharyngeal raphe posterioally

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21
Q

function of the circular muscles

A

act to propel food through pharynx by muscular action

22
Q

longitudinal muscles of phayrn

A

stylopharyngeus
salpingophayngeus
palatopharyngeus

run on outside and merge with circualr

23
Q

stylopharyngeus

A

decends from styloid process, runs lateral to superior constrictors, fuse with middle constructors then go to thyroid cartilage

24
Q

salpingopharyngus

A

arises from eustation tube

25
Q

palatopharyngeus

A

from soft palate to merge with thyroid cartilage

26
Q

function of the longituinal muscles

A

elevate the larynx

shorten and widen pharynx during swallowing

27
Q

innervation of the pharyngeal muscles

A

pharyngeal plexus/ vagus
spreads under lining and to muscles
APART from stylopharyngeus 9

28
Q

what is the pharyngeal plexus composed of

A

pharyngeal branches of glossopharyngeal nerves
pharyngeal branches of vagus nerves
branches from external pharyngeal nerves
sympathetic fibres from superior cervical ganglion

29
Q

what is glossopharyngeal CN IX generally supply type

A

sensory

30
Q

what does vagus generally supply type

A

motor

31
Q

sensory innervation to nasopharynx

A

maxillary nerve V2 of trigeminla CN V

32
Q

sensory innervation to orophaynx

A

glossopharyngeal nerve 9

33
Q

sensory innervation to laryngopharns

A

vagus

34
Q

motor innervation to muscles of pharynx

A

all muscles innervate by vagus and plexus

expect for stylopharyngeus CN IX

35
Q

what happens if nerve supply of pharynx is damaged

A

dysphagia
glossopharyngeal - difficultily initiating swallowing (sensory)
vagus - (motor) difficulty in smooth transit

36
Q

what opens into the nasopharynx

A

auditory tube

37
Q

why ar children more prone to ear infectons

A

tube is horizontal (-pressure allows bacteria to be dwarn in)

38
Q

the groups of tonsillar tissue

A

palatine tonsils
pharyngeal tonsils (adenoids)
lingual tonsils
tubal tonsils

39
Q

where do the palatine tonsils lie

A

either side of the arches in the mouth
(palatopharyngeal and palatoglossal arch)
in oropharynx

40
Q

what happens when tonsils are infected

A

accumulations of lymphoid tissue(lymphocytes) lying under mucosa that lines the pharynx
-can be enlarged

41
Q

purpose of the lymphoid tissue

A

protective to GI tract and respiratory tracts by lymphocytes producing antibodies

42
Q

where are the pharyngeal tonsils

A

posterior wall of nasopharynx

43
Q

tubal tonsisl

A

may or may not be present

around entrance to auditory tube

44
Q

lingual tonsisl

A

under mucosa of posterior third of tongue

45
Q

what is the tonsillar ring

A

protective ring protecting the opening of the pharynx

46
Q

tonsillitis

A

viral or bacterial
inflammed
increased production of lympocyes in tonsillar tissues

47
Q

what does pharyngeal tonsil (adenoids) enlargement interfere with

A

soft palate elevation

48
Q

interference with soft palate elevation can lead to

A

sinisitis
auditory tube dysfunction
middle ear infections

49
Q

what can enlargement of palatine tonsils lead to

A

interference with soft palate elevation leading to hypernasilaity

50
Q

what can pharyngeal and tubal tonsillar enlargement do

A

prevent auditory tube opening

- middle ear infections

51
Q

what is tonsillectomy used for

A

chronic tonsillitis