quiz 3

Question 1

The muscles of the floor of the mouth

Answer 1

• Mylohyoid: Flat triangular muscles that form the floor of the mouth
• Geniohyoid: Arises from lower jaw
• Stylohyoid: Arises from styloid process, Inserts into hyoid bone
• Digastric Belly (has 2 parts)

Question 2

Hyoid:

Answer 2

•U- figured bone between the root of the tongue and the larynx. Embedded in base of tongue, Foundation of the tongue

Question 3

Tongue

Answer 3

Includes tip, blade, center and back; Used during speech and oral swallow; Voluntary control

Question 4

Soft palate

Answer 4

posterior part of palate

Question 5

Larynx:

Answer 5

vocal box –>protect the airway

Question 6

Salivary glands

Answer 6

Maintains oral moisture, Reduces tooth decay; Assists in digestion; Neutralizes stomach acid

Question 7

Pharyngeal constrictors:

Answer 7

responsible for tongue base retraction AND simultaneous anterior bulging of posterior pharyngeal wall

Question 8

Esophagus:

Answer 8

connects throat to stomach

Question 9

Analgesics (pain killers):

Answer 9

Pain –> Ulceration of mouth, throat burning, mucosal hemorrhage, glossitis and dry mouth

Question 10

Antibiotics:

Answer 10

Infection –>
Glossitis, stomatitis, esophagitis, confusion, disorientation, dysarthria, dysphagia (antivirals), weakness, lingual/facial dyskinesia, xerostomia, xerophonia, lingual edema

Question 11

Antihistamines:

Answer 11

Allergies:
Drying effect of aerodigestive tract mucosa, decreasing gastrointestinal motility during swallow, ataxia, incoordination, dystonia, bruxism

Question 12

Vitamins

Answer 12

Hypervitaminosis, fissures of the lips, dry mouth, abdominal discomfort

Question 13

Anticonvulsants

Answer 13

Anti-seizure, mood stabilizer, pain –>

1. Dry mouth, sweating, hypotension, tremor
2. Ataxia, slurred speech and dystonia, 3. glossitis, stomatitis, dry mouth

Question 14

Review the parts of a case study

Answer 14

• Identify chief complaint or define current status
• Type of dysphagia-liquids, foods, pills
• Onset, progression
• Recent pneumonia and probable causes
• Recent hospitalizations-reasons
• Associated symptoms- voice changes/weaknesses
• Present and past- illnesses, surgery, trauma
• Medications + reason
• Trauma
• Family history
• Social history

Question 15

chin tuck benefits

Answer 15

a. For oral phase, helps with decreased base of tongue control
b. For pharyngeal issues, widens vallecula, narrows airway entrance
c. Protects trachea opening from aspiration by moving airway below the tongue base and epiglottis

Question 16

chin tuck reason

Answer 16

reduced posterior motion of tongue base + delay in triggering pharyngeal swallow

Question 17

Head tilt reason

Answer 17

inefficient oral transit

Question 18

Head tilt benefits

Answer 18

uses gravity to clear oral gravity
Lateral
Generally tilt to intact side
Gravity pulls bolus to side of oral cavity with greater muscle tone

Question 19

Mendelsohn Maneuver

Answer 19

Goal is to increase extent/duration of laryngeal elevation
 Increase duration / width of CP opening
Directions
 Swallow several times – feel Adam’s apple move
 When you feel it lift, don’t let it drop. Hold it up with your muscles for a few

Question 20

Effortful Swallow

Answer 20

 Goal is to increase posterior motion and pressure of tongue base
 Reduce residue
Directions
 Squeeze hard with all your muscles when you swallow.
 “Pretend you have a golf ball stuck in your throat! Work hard to get it down.”

Question 21

Supraglottic Swallow

Answer 21

 Goal is to close cords before/during the swallow
Directions
 Take a deep breath and hold it
 Hold while swallow, then cough

Question 22

Masako

Answer 22

 Goal is to increase superior constrictor – glossopharyngus
 Increase retraction of tongue base and anterior bulge of posterior pharyngeal wall
 Not done with food
Directions
 Hold tongue between front teeth while you swallow.