Dysphagia

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What muscles are involved in UES proximity shortening?

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1

What muscles are involved in UES proximity shortening?

Superior, Inferior, Middle Constrictors, Salpingopharyngeus, Stylopharyngeus, Palatopharyngeus, Posterior Belly of Digastric, Stylohyoid.

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2

The Superior, Inferior and Middle constrictors are innervated by...

Pharyngeal plexus

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3

The stylopharyngeus is innervated by...

Facial (CN VII)

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4

The salpingopharyngeus is innervated by...

Pharyngeal plexus

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5

The palatopharyngeus is innervated by...

Pharyngeal plexus

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6

Swallowing is a pressure based system. It relies on valve closure to maintain and release pressure. These valves are...

lips, velopharyngeal port, larynx and UES.

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7

What is the term used to describe the movement in the hyoid bone and what does it open?

Hyoid excursion, the UES

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8

What innervates the cricopharyngeus muscle?

The recurrant laryngeal branch of the vagus (CN X) nerve

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9

At rest, the cricopharyngeus muscle is...

Tonically contracted

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10

Which muscle acts in a pair with the anterior belly of digastric?

Mylohyoid

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11

The mylohyoid is innervated by...

Trigeminal (CN V)

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12

The anterior belly of digastric is innervated by...

Trigeminal (CN V)

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13

The geniohyoid is innervated by...

Ansa cervicalis

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14

Which muscles are responsible for anterior movement of the hyoid bone?

Mylohyoid, anterior belly of digastric, geniohyoid

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15

Which muscles are responsible for superior movement of the hyoid bone?

Stylohyoid, posterior belly of digastric, middle pharyngeal constrictor, thryohyoid.

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16

The stylohyoid is innervated by...

Facial (CN VII)

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17

Posterior belly of digastric works closely with...

Stylohyoid

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18

The posterior belly of digastric is innervated by...

Facial (CN VII)

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19

The thyrohyoid is innervated by...

Ansa cervicalis

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20

What are the methods of airway protection?

Approximation of the back of the tongue to the palaste, adduction of the vocal folds, arytenoid tilt over the posterior glottis, quadrangular membrane compression, epiglottis tilt.

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21

What muscles are involved in the back of the tongue approximation to the palate?

Palatoglossus, styloglossus, posterior belly, stylohyoid, glossopharyngeus

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22

The styloglossus is innervated by...

Hypoglossal (CN XII)

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23

How does the back of the tongue approximation to th epalate protect the airway?

It stops the bolus from sliding off the tongue and into the pharynx.

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24

What muscles adduct the artenoids, then vocal folds?

Interarytenoids, lateral cricoarytenoids, thryoarytenoids

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25

The lateral cricoarytenoids and interarytenoids are innervated by...

the recurrent laryngeal branch of the vagus (CN X) nerve

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26

A healthy swallow will occur ____ or ______ as another layer of airway protection (exhaled air can push fluid or food away from the airway entrance)

mid-inhalation, just before exhalation

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27

Salivary flow is stimulated by these glands...

submandibular, sublingual, parotid

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28

The submandibular and sublingual salivary glands are innervated by...

Facial (CN VII)

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29

The parotid salivary gland is innervated by...

Glossopharyngeal (CN IX)

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30

The jaw closer muscles are...

masseter and temporalis

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31

The masseters and temporalis are innervated by....

Trigeminal (CN V)

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32

The jaw openers are...

Anterior belly of digastric, mylohyoid, geniohyoid, lateral ptergyoid

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33

The lateral and medial pterygoids are innervated by...

Trigeminal (CN V)

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34

As the bolus enters the __ __ muscles of the tongue drop to form a little cup.

Intrinsic lingual

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35

The intrinsic lingual muscles are innervated by...

Glossopharyngeal (CN IX)

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36

Orbicularis oris is innervated by...

Facial (CN VII)

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37

Jaw closers and jaw openers work _____.

antagonistically

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38

Olfactory and Optic sensory information travels to the ____, where a reaction is attached.

limbic system

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39

After the limbic system, olfactory and optic sensory information goes to the ___ lobe where _____ _____ decides whether you actually want it or not.

frontal, executive functioning

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40

After going to the frontal lobe for executive functioning, the olfactory and optic sensory information goes to the _____ where a motor plan is created.

NTS

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41

In the oral cavity, touch is modulated. Everything UP from the tongue is innervated by the ____ branch of the ____ nerve.

maxillary, trigeminal

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42

In the oral cavity, touch is modulated. Everything DOWN from the tongue is innervated by the ____ branch of the ____ nerve.

mandibular, trigeminal

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43

Touch for the posterior 1/3 of tongue and faucial pillars is innervated by...

Glossopharyngeal (CN IX)

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44

Taste in the anterior 2/3 of tongue is innervated by...

Facial (CN VII)

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45

Taste in the posterior 1/3 of tongue is innervated by...

Glossopharyngeal (CN IX)

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46

What is the marker that the pharyngeal swallowing response has started?

Hyoid excursion

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47

The oesophagus has positive or negative pressure at rest?

negative

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48

The puffy tissue of the glottis containing the false vocal folds is called the...

quadrangular membrane

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49

What innervates the larynx?

The superior laryngeal nerve of vagus (CN X)

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50

Premature spillage is an impairment of the ____ system.

motor

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51

Delayed pharyngeal swallow is an impairment of the ____ system.

sensory

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52

Pre-swallow pooling is an impairment of the ____ system

motor

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53

The NTS is located in the ___ ____

dorsal medulla

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54

The NA is located in the ____ ____

medulla oblongata

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55

The NTS processes what kind of information, and does what with it?

sensory information, creates a motor plan

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56

The "messenger" neurons between the NA and NTS are known as....

interneurons (or master interneurons)

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57

The primary motor nucleus for which nerves is located in the ventral medulla?

Glossopharyngeal (IX), Vagus (X) and Spinal accessory (XI)

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58

The NA is incharge of....

executing the motor plan

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59

Ingestive swallowing requires...

cortical input from the NTS

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60

Hyoid excursion facilitates what epiglottic movement in order to....

Epiglottic tilt, protect the airway

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61

Decreasing pharyngeal lumen uses muscles...

Superior, Middle, Inferior pharyngeal constrictors

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