Swallowing Flashcards

1
Q

What are the phases of swallowing?

A

Oral preparatory phase

Pharyngeal phase

Oesophageal phase

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2
Q

Is the oral preparatory phase voluntary or involuntary?

A

Voluntary

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3
Q

What happens in the oral preparatory phase?

A

Tongue pushes bolus posteriorly and superiorly towards pharynx

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4
Q

When does the pharyngeal phase begin?

A

When the bolus touches the wall of the pharynx

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5
Q

Is the pharyngeal phase voluntary or involuntary?

A

Involuntary

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6
Q

What happens in the pharyngeal phase?

A

Soft palate moves upwards, closes the nasopharynx

The pharyngeal muscles contract, reduce lumen of pharynx

Larynx moves upwards

Vocal cords adduct, close airways

Epiglottis lies over opening of larynx

Upper oesophageal sphincter relaxes

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7
Q

Why does the soft palate move upwards and close off the nasopharynx?

A

To prevent the bolus from moving upwards into the nasal cavity

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8
Q

Why do the pharyngeal constrictor muscles contract and reduce the lumen of the pharynx?

A

To push the bolus downwards

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9
Q

How does the larynx move upwards?

A

Contraction of suprahyoid muscles

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10
Q

Why do the vocal cords adduct and close the airways?

A

To prevent the bolus from entering the airways

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11
Q

Why does the epiglottis lie over the opening of the larynx?

A

To prevent the bolus from entering the airways

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12
Q

Why does the upper oeosphageal sphincter relax?

A

To open up the oesophagus so the bolus can pass into it

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13
Q

When does the oesophageal phase begin?

A

When the bolus has passed the upper oesophageal sphincter and entered the oesophagus

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14
Q

Is the oesophageal phase voluntary or involuntary?

A

Involuntary

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15
Q

What happens in the oesophageal phase?

A

Upper oesophageal sphincter contracts

Oesophagus muscular wall pushes bolus down by peristalsis

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16
Q

What happens in peristalsis in the oesophagus?

A

Smooth muscle above bolus contracts
smooth muscle below bolus relaxes

this pushes the bolus down the oesophagus

17
Q

What is the control of swallowing?

A

Neural control

  • mechanoreceptors
  • sensory nerve fibres
  • autonomic nerve fibres
  • pharyngeal constrictor muscles
18
Q

Where are the mechanoreceptors involved in the control of swallowing located?

A

Pharynx

19
Q

What carries sensory information from the pharynx to the CNS?

A

CN9 Glossopharyngeal nerve

20
Q

Where in the CNS does the CN9 glossopharyngeal nerve carry sensory information from the pharynx to?

A

Medulla

21
Q

What carries motor information from the medulla to the pharyngeal constrictor muscles?

A

CN10 vagus nerve

22
Q

What does the neural control of swallowing follow the same pathway as?

A

Gag reflex

23
Q

What is dysphagia?

A

Difficulty swallowing

24
Q

What is a common cause of dysphagia?

A

Stroke

25
Q

Why can a stroke cause dysphagia?

A

Damages the part of the brain involved in the neural control of swallowing