Pharynx And Oesophagus (swallowing) Flashcards

1
Q

What is formed during the process of chewing food?

A

A bolus

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2
Q

What is the act of transferring the bolus from the mouth to the oesophagus called?

A

Swallowing

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3
Q

What are the two stages swallowing can be divided into?

A

Pharyngeal stage and oesophageal stage

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4
Q

Describe the pharyngeal stage of swallowing

A

The initiation of swallowing is voluntary. The muscles of the tongue push the bolus posteriorly and the oral cavity opens into the oropharynx

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5
Q

What happens when the bolus of food contacts the back of the pharynx?

A

The swallow reflex is triggered

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6
Q

What rises to block off the nasopharynx?

A

The soft palate (palatine muscles covered in mucosa)

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7
Q

Where does the elevation of the larynx move to?

A

It moves the epiglottis over the laryngeal opening

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8
Q

What is the larynx lifted by?

A

It is lifted by the muscles of the neck (suprahyoid muscles) to close off the airway

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9
Q

What do the pharyngeal constrictors do?

A

They contract sequentially to push down the pharynx and into the oesophagus

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10
Q

Describe the oesophageal stage of swallowing

A

Once food has entered the oesophagus, the involuntary action of the smooth muscle pushes the food towards the stomach

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11
Q

Where does the oesophagus finish?

A

Passes from the pharynx all the wall down to the stomach, passing through the diaphragm at the vertebral level of T10

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12
Q

What is found at the junction between the oesophagus and the stomach?

A

A physiological sphincter called the lower oesophageal sphincter

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13
Q

What has to happen to the lower oesophageal sphincter to allow food to enter?

A

It has to relax

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14
Q

How does the oesophagus enter the stomach?

A

It enters at an acute angle

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15
Q

What do the bands of muscles from the diaphragm increase?

A

Tension as the oesophagus passes through the oesophageal hiatus

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16
Q

What is a hiatus hernia?

A

It occurs when the upper part of the stomach squeezes through a gap between the oesophagus and the diaphragm

17
Q

When is hiatus hernia present?

A

When it causes a reflux of stomach contents into the oesophagus (gastro-oesophageal reflux)

18
Q

What is reflux treated by?

A

Drugs and altering lifestyle

19
Q

What do antacids do?

A

They neutralise the refluxed stomach contents reducing pain and damaging effects of the acids

20
Q

How can reflux be avoided?

A

Eating smaller meals, raising the upper body when sleeping and reducing caffeine, alcohol and spicy meals

21
Q

What type population does hiatus hernia affect?

A

Overweight middle aged women, elderly people, pregnant women - can almost always be resolved by losing weight