Tongue Flashcards

1
Q

What are the functions of Tongue?

A

(i) taste, (ii) speech, (iii) chewing, (iv) deglutition, and
(v) cleansing of mouth.

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2
Q

Tongue is basically divided into

A

1) A root
2) A tip
3) A body
Upper surface called dorsum
Inferior surface

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3
Q

What are the attachment of root of tongue?

A

Root is attached to styloid process and soft palate above.
To mandible and hyoid bone below.

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4
Q

Dorsum of tongue is divided into

A

Anterior two-third - Oral part
Posterior one-third - pharyngeal part
Small posteriormost part

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5
Q

Describe oral part of tongue.

A

Superior surface which has median furrow and is covered with papillae.
Inferior surface covered with smooth mucous membrane and has median fold called the
frenulum linguae.

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6
Q

Describe pharyngeal part of tongue.

A

It contains only lymphoid follicles which constitute lingual tonsil and forms anterior wall of oropharynx.

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7
Q

Describe posteriormost part of tongue.

A

It is posteriormost part of tongue and is connected to tongue by folds of mucous membranes.
Median glossoepiglotic fold
Left glossoepiglotic fold
Right glossoepiglotic fold

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8
Q

What is glossitis?

A

Ulceration
of the mouth cavity .

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9
Q

What is acute glossitis?

A

Enormous swelling of tongue due to presence of a rich network of lymphatics and
of loose areolar tissue in the substance of tongue.

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10
Q

Which part of tongue can be used to observe jaundice?

A

Undersurface of tongue.

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11
Q

Waldeyer ring is formed by

A

It’s part is formed by lingual tonsil in posterior one-third.

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12
Q

What are the papillae of tongue?

A

Projections of mucous membranes or corium on surface of anterior two-third which contains taste buds.

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13
Q

What are the four types of papillae?

A

Circumvallate papillae
Fungiform papillae
Filiform papillae
Foliate papillae

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14
Q

What is role of middle fibrous septum in tongue?

A

It divides the tongue in right and left halves with each half containing 4 Extrinsic and 4 Intrinsic muscles.

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15
Q

Name 4 Intrinsic muscles of tongue with their actions.

A

Superior longitudinal - shortens tongue with dorsum concave.
Inferior longitudinal - shortens tongue with dorsum convex.
Transverse - Make tongue narrow and elongated.
Vertical - Make tongue broad and flattened.

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16
Q

Name 4 Extrinsic muscles of tongue with their actions.

A

Genioglossus - protrudes the tongue
Hyoglossus - Depressed the tongue
Styloglossus - retracts the tongue
Palatoglossus - elevates the tongue

17
Q

What is nerve supply of muscles of tongue?

A

Palatoglossus is supplied by cranial root of accessory nerve.
Rest all extrinsic and intrinsic muscles are supplied by hypoglossal nerve.

18
Q

What is sensory nerve supply of tongue?

A

Anterior two-third
Lingual nerve for general sensation
Chorda tympani is nerve of taste

Posterior one-third
Glossopharyngeal is nerve of general sensation and taste.

Posteriormost part by vagus nerve

19
Q

Nerve of muscles of tongue leave cranial cavity through

A

Hypoglossal nerve leaves cranial cavity through hypoglossal canal.

20
Q

Carcinoma of tongue is more dangerous in posterior one-third due to

A

It is dangerous due to bilateral lymphatic spread.

21
Q

Sorbitrate is taken sublingually for immediate
relief from angina pectoris because

A

It is absorbed fast
because of rich blood supply of the tongue and
bypassing of portal circulation.

22
Q

Genioglossus is called the ‘safety muscle of the
tongue’ because

A

if it is paralysed, the tongue will
fall back on the oropharynx and block the air
passage.

23
Q

Which muscle is used for testing integrity of hypoglossal nerve?

A

Palatoglossus muscle
If right side paralysed , tongue protrusion will deviate to right.

24
Q

Taste from circumvallate papillae is carried by which nerve?

A

These are 10 to 12 in number whose taste is carried by 9th cranial nerve.

25
Q

What is origin of development of parts of tongue?

A

Anterior two-third from 1st arch - lingual and chordae tympani nerve
Posterior one-third from 3rd arch - supplied by 9th nerve
Posteriormost part develops from 4th arch - supplied by vagus nerve

26
Q

Bulk of tongue is made of which muscles?

A

Straited muscles

27
Q

Mucous membrane or corium which is layer of connective tissue is lined by

A

Stratified squamous epithelium

28
Q

Describe Histology of dorsum of tongue.

A

Dorsum of tongue is divided into 3 parts. Oral, pharyngeal and inferior part.
Oral part forms papillae and adherant to muscles.
Pharyngeal part is rich in lymphoid follicles.
Inferior surface has serous and mucous glands.