The Mouth and Oesophagus Flashcards

1
Q

What are the three phases of swallowing?

A
  1. Oral Phase
  2. Pharyngeal Phase
  3. Oesophageal phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the role of the Oral Phase in swallowing and is it voluntary or reflexive?

A
  • Preparation of the bolus and transportation of the bolus into the pharynx
  • Tongue pressed against hard pallet to push bolus towards pharynx
  • Voluntary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the role of the Pharyngeal Phase in swallowing and is it voluntary or reflexive?

A
  • transport of bolus through the upper oesophageal sphincter into the oesophagus
  • reflexive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the role of the Oesophageal Phase in swallowing and is it voluntary or reflexive?

A
  • transport through the lower oesophageal sphincter
  • reflexive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fuction of the mouth

A

-mastication
- chemical digestion
-lubrication of food bolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the role of longitudinal muscle in the oesophagus?

A

Oesophageal shortening increases density of muscle fibres above the food bolus, causing stronger contraction above that area.

This mechanism aids in propelling the food bolus down the oesophagus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of muscle is found in the top 1/3 of the oesophagus?

A

Striated muscle

This part of the oesophagus is responsible for voluntary control during swallowing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of muscle is found in the middle 1/3 of the oesophagus?

A

Mixed muscle (transition zone)

This zone contains both striated and smooth muscle, transitioning between voluntary and involuntary control.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What type of muscle is found in the bottom 1/3 of the oesophagus?

A

Smooth muscle

This section is primarily responsible for involuntary movements and peristalsis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the function of circular muscle in the oesophagus?

A

Propulsive peristaltic contractions

These contractions help move the food bolus down the oesophagus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What type of epithelium is found in the oesophagus?

A

Squamous Epithelium

This type of epithelium provides protection against mechanical and chemical injury.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the two types of mouth secretions?

A

Serous secretions and mucus secretion

Serous secretions are enzyme-rich, while mucus secretion lubricates food and protects the GI tract lining.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the function of salivary amylase?

A

Responsible for starch digestion

Salivary amylase is an enzyme found in serous secretions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the role of lysozyme in mouth secretions?

A

Bactericidal

Lysozyme helps to kill bacteria in the mouth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do mucins mix with to create mucus?

A

Water

Mucins are glycoproteins that when mixed with water form mucus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the primary function of mucus in the gastrointestinal tract?

A

Lubricates food and protects GI tract lining

Mucus plays a crucial role in facilitating the passage of food and protecting the lining from damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which glands are responsible for secreting enzymes and mucins?

A

Submandibular and submaxillary glands

These glands play a significant role in the digestive process.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What do sublingual glands primarily secrete?

A

Mucins (mucus)

Sublingual glands contribute to lubrication in the mouth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What type of glands are the parotid glands, and what do they produce?

A

Serous glands that produce enzymes

Parotid glands are the largest salivary glands, primarily secreting enzyme-rich fluid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What nervous system mediates swallowing?

A

Parasympathetic

21
Q

How is the central nervous system involved in swalling

A

Involved during fight or flight to divert blood away from GIT

22
Q

What triggers the Pharyngeal Phase?

A

Contact with tonsillar pillars and pharyngeal wall

23
Q

How long does the Pharyngeal Phase last?

A

1 second to complete

24
Q

Which areas of the nervous system are involved in the Pharyngeal Phase?

A

High cortical centres, brain stem and cranial nerves

25
How many muscles are involved in the Pharyngeal Phase?
29 muscles involved
26
What is one of the key actions during the Pharyngeal Phase?
Closure of the nasopharynx
27
What happens to the hyoid and larynx during the Pharyngeal Phase?
Elevation of hyoid and larynx
28
What structures are closed to protect the airways during the Pharyngeal Phase?
True vocal folds, laryngeal entrance and epiglottis
29
What is the Oesophageal Phase?
The phase of swallowing that involves the transport of food through the esophagus.
30
What is the role of Long Reflex in the oesophageal phase?
Involves premotor neurons in the solitary tract sending projections to the caudal and rostral parts of the dorsal motor nucleus of the vagus.
31
What is the function of the Caudodorsal Motor Nucleus (CDMN) of the vagus?
Inhibitory; it inhibits all oesophageal activity (deglutitive inhibition).
32
What is the function of the Rostrodorsal Motor Nucleus (RDMN) of the vagus?
Excitatory; it activates a contraction wave sequentially down excitatory neurons.
33
What is meant by deglutitive inhibition?
The process where CDMN activation inhibits all oesophageal activity.
34
What mediates the Short Reflex in the oesophageal phase?
Inhibition predominantly by Vasoactive Intestinal Peptide (VIP) and Nitric Oxide (NO), excitation by tachykinins.
35
Which substances are involved in the excitation of the Short Reflex?
Tachykinins, including Substance P, Substance K (Neurokinin A), and Neurokinin B.
36
How is the Short Reflex mediated?
By the Myenteric plexus with no CNS involvement.
37
Fill in the blank: The CDMN is activated during _______ which results in the inhibition of oesophageal activity.
[deglutitive inhibition]
38
True or False: The Short Reflex involves central nervous system (CNS) involvement.
False
39
What is the Oesophageal Phase?
The phase of swallowing that involves the transport of food through the esophagus.
40
What is the role of Long Reflex in the oesophageal phase?
Involves premotor neurons in the solitary tract sending projections to the caudal and rostral parts of the dorsal motor nucleus of the vagus.
41
What is the function of the Caudodorsal Motor Nucleus (CDMN) of the vagus?
Inhibitory; it inhibits all oesophageal activity (deglutitive inhibition).
42
What is the function of the Rostrodorsal Motor Nucleus (RDMN) of the vagus?
Excitatory; it activates a contraction wave sequentially down excitatory neurons.
43
What is meant by deglutitive inhibition?
The process where CDMN activation inhibits all oesophageal activity.
44
What mediates the Short Reflex in the oesophageal phase?
Inhibition predominantly by Vasoactive Intestinal Peptide (VIP) and Nitric Oxide (NO), excitation by tachykinins.
45
Which substances are involved in the excitation of the Short Reflex?
Tachykinins, including Substance P, Substance K (Neurokinin A), and Neurokinin B.
46
How is the Short Reflex mediated?
By the Myenteric plexus with no CNS involvement.
47
Fill in the blank: The CDMN is activated during _______ which results in the inhibition of oesophageal activity.
[deglutitive inhibition]
48
True or False: The Short Reflex involves central nervous system (CNS) involvement.
False