Dysphagia Book Quiz 1

Front 1

areas involved in deglutination

Back 1

oral cavit
pharynx
larynx
esophogus

Front 2

Palatine Tonsils

Back 2

between anterior and posterior faucial arches

Front 3

Mouth floor Muscles

Back 3

mylohyoid
geniohyoid
anterior belly of the digastric

Front 4

Hyoid bone suspended by

Back 4

mouth floor muscles
posterior belly of diagstric
stylohyoid

Front 5

larynx to hyoid bone connected w/

Back 5

thyrohyoid ligament

Front 6

Oral Tongue

Back 6

tip, blade, front, center, back
Cortical control
12th hypoglossal

Front 7

Pharyngeal Tongue (base of tongue)

Back 7

circumvallate papillae to hyoid bone
brainstem control
10th vagus

Front 8

Salivary Glands

Back 8

parotid glands
submandibular glands
sublingual glands

Front 9

Role of saliva

Back 9

maintain oral moisture, reduce tooth decay, assists in digestion, natural neutralizer of stomach acid

Front 10

Pharyngeal structures involved in degulutition

Back 10

Pharyngeal constrictors
superior, medial, inferior

Front 11

Glossopharyngeus muscle

Back 11

responsible for tongue base retraction

Front 12

Pyriform Sinuses

Back 12

formed by the space between the inferior constrictor and thyroid cartilage

Front 13

Upper Esophageal Sphincter formed by
2 main functions

Back 13

cricoid lamina and cricopharyngeal region
allow bolus to enter
prevent backflow

Front 14

UES pressure

Back 14

most pressure immediately prior to swallow and during inspiration

Front 15

Esophogus' two layers

Back 15

inner circular
outer longitudinal

Front 16

larynx in swallowing

Back 16

keeps food from entering the airway

Front 17

topmost structure of the larynx is the ____

Back 17

epiglottis

Front 18

Epiglottis is attached into the hyoid bone and the valleculae is divided by the _____

Back 18

hyoepiglottic ligament

Front 19

Wedge-shaped space formed between the base of the tongue and the epoglottis ______

Back 19

valleculae

Front 20

What are the pharyngeal recesses or side pockets?

Back 20

valleculae and two pyriform sinuses

Front 21

Opening to the larynx is the ____ and bound by ___, ___, ____, and _____

Back 21

laryngeal vestibule

epiglottis, aryepiglottic folds, arytenoid cartilage, false vocal folds

Front 22

cricoarytenoid and interarytenoid muscles adduct the arytnoids an close_____

Back 22

the true vocal folds across the top of the airway

Front 23

during swallow arytnoids

Back 23

adduct and tilt anteriorly

Front 24

space b/w true and false vocal folds

Back 24

larngeal ventricle

Front 25

the last level of airway protection is the _____

Back 25

true vocal folds

Front 26

4 phases of deglutition

Back 26

oral preparatory
oral phase
pharyngeal phase
esophageal phase

Front 27

respiration _____ during the pharyngeal phase

Back 27

haults

Front 28

swallowing frequency is greatest during ____ and least during ____

Back 28

eating
sleep

Front 29

dippers

Back 29

20% of normal swallowers

Front 30

Tongue Thrust Pattern

Back 30

bolus pushes out of mouth or against tongue and anterior teeth

seen in CP or frontal lobe damage

Front 31

normal oral stage requires

Back 31

intact labial, palatal and buccal muscles, lingual movement, and ability to breath through nose

Front 32

Trigger point

Back 32

At latest when base of tongue crosses mandible

at anterior faucial arches for normal young

Front 33

Sensory portion of pharyngeal swallow, nerves

Back 33

IX, X, XI

Front 34

Motor portion of pharyngeal swallow, nerves

Back 34

IX, X

Front 35

steps after trigger in pharyngeal swallow

Back 35

elvation/retraction of velum
elevation/anterior mvtm. of hyoid and larynx
closure of larynx
open cricopharyngeal sphincter
ramping of base of tongue
progressive contraction in pharyngeal constrictors

Front 36

velarpharyngeal closure allos for ___ in the pharynx

Back 36

pressure buildup

Front 37

larynx and hyoid elevation and anterior movement contribute to what?

Back 37

elevation- closure of airway
anterior movement- opening of UES

Front 38

Cricopharyngeal opening steps
(UES)

Back 38

tension in cricopharyngeal muscle=sphincter release
laryngeal anterior superior motion= sphincter begins to open
larynx moves up= sphincter open
Pressure of bolus determines how wide

Front 39

Tongue base should make complete contact with _____ during swallow

Back 39

pharyngeal wall

Front 40

Peristalsis

Back 40

progressive contraction of muscular tube. (esophagus)

NOT the pharynx (thats progressive contraction but not a muscular tube)

Front 41

Pressure is always applied to the ____ of the bolus

Back 41

tail

Front 42

If no pharyngeal swallow is triggered

Back 42

food may get stuck in the valleculae or pyriform sinuses

water may bounce into the open airway.

OR drain from valleculae to the aryepiglottic folds to the pyriform sinus

Front 43

Pharyngeal transit time measured from

Back 43

trigger point through cricopharyngeal juncture into the esophogus

Front 44

purpose of epiglottis

Back 44

direct food around airway rather than over airway

Front 45

2 difference in infant vs adult swallowing

Back 45

infat: less laryngeal elevation, posterior pharyngeal wall moves further anteriorly

Front 46

with age _____ of bones and cartilage

Back 46

ossification
thyroid, cricoid, hyoid

Front 47

Cervical arthritic changes may impinge on the ____ wall, decreasing ____

Back 47

pharyngeal
flexibility

Front 48

difference b/w necessary movement and actual movement

Back 48

reserve

Front 49

When airway is closed during swallow it is known as the

Back 49

apneic period

Front 50

respiration interupted during the ___ stage

Back 50

exhalation, so that when it begins again exhalation will clear extra residue

Front 51

___ creates the biggest changes in oralpharyngeal swallow

Back 51

bolus volume

Front 52

as viscosity increase
pressure ____
muscle activity ___

Back 52

increases
increases

Front 53

patients with respiratory problems may not be able to ____

Back 53

cup drink

Front 54

4 components necessary fr swallow

Back 54

1. oral propulsion of bolus into pharynx
2. airway closure
3. UES opening
4. tongue base-pharyngeal wall propulsion

Front 55

Palatine Tonsils

Back 55

b/w faucial arches

Front 56

Lingual Tonsils

Back 56

@ base of tongue

Front 57

Adnoids

Back 57

posterior pharyngeal wall