Tonsils & Adenoids Flashcards

1
Q

Waldeyer’s tonsillar ring is a ring of _________________ in the ____________ layer of oropharynx and nasopharynx

A

Waldeyer’s tonsillar ring is a ring of lymphoid aggregation in the subepithelial layer of oropharynx and nasopharynx

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2
Q

Waldeyer’s tonsillar ring is a ring of lymphoid aggregation in the subepithelial layer of _____________ and ______________

A
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3
Q

Tonsils & adenoids contain concentrations of ____________ but are devoid of __________ lymphatic vessels

A

Tonsils & adenoids contain concentrations of lymphocytes but are devoid of efferent lymphatic vessels

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4
Q

What are the main tonsils

A

Palatine tonsils
Pharyngeal tonsils
Lingual tonsils

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5
Q

What are pharyngeal tonsils aka

A

Adenoids

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6
Q

Where are palatine tonsils located

A

sit within the muscular anterior and posterior tonsillar pillars (palatoglossus and palatopharyngeus)

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7
Q

Where are pharyngeal tonsils (adenoids) located

A

positioned in the midline of the posterior pharyngeal wall

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8
Q

Where are lingual tonsils located

A

posteriorly at the base of the tongue

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9
Q

What is the name of the area where the palatine tonsils meet inferiorly with the lingual tonsils

A

plica triangularis

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10
Q

What is the fossa of rosenmuller

A

space created lateral to the adenoid and posteromedial to the eustachian tube orifice

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11
Q

What is the gerlach’s tonsil located

A

within the lip of the fossa of Rosenmuller, goes into Eustachian tube

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12
Q

The palatine tonsil is composed of____________ epithelium with _________ and ______________

A

The palatine tonsil is composed of stratified squamous epithelium with deep crypts and lymphoid follicles

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13
Q

Base of the tonsil is separated from underlying muscle by a __________________________

A

Base of the tonsil is separated from underlying muscle by a dense collaginous hemi-capsule

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14
Q

Adenoids is composed of _______________________________ epithelium with some stratified squamous epithelium and also a ____________ deep to the stratified squamous layer

A

Adenoids is composed of ciliated pseudostratified columnar epithelium with some stratified squamous epithelium and also a transitional layer deep to the stratified squamous layer

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15
Q

What is the function of the ciliated pseudostratified columnar in adenoids

A

mucociliary clearance

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16
Q

What is the function of the transitional layer in adenoids

A

Antigen processing

17
Q

What happens to the ciliated pseudostratified columnar vs stratified squamous epithelium with chronic infection

A

ciliated pseudostratified columnar - thins
stratified squamous - thickens

18
Q

The adenoids have deep _____ with ______ crypts

A

The adenoids have deep folds with few crypts

19
Q

Summarise the histology of the upper aerodigestive tract

A

Where food goes / high use / trauma
→Squamous
→Oral, pharyngeal, vocal cords, oesophagus

Where air goes
→Columnar
→Nose, PNS, Larynx, Trachea