Anatomy + Physiology Flashcards

(66 cards)

1
Q

Trigeminal V is a ___ type nerve. Its functions are:

A

Sensory AND Motor.
Facial Sensation + Jaw Mvmt (chewing and speech)

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2
Q

Name all 6 cranial nerves involved in speech/swallowing

A

Trigeminal V
Facial VII
Glossopharyngeal IX
Vagus X
Accessory (spinal) XI
Hypoglossal XII

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3
Q

Facial VII is a ___ type nerve. Its functions are:

A

Sensory AND Motor.
Taste in front 2/3 (sense); salivary glands + Facial expressions (motor)

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4
Q

Glossopharyngeal IX is a ___ type nerve. Its functions are:

A

Sensory AND Motor.

SensatN of post. 1/3 Tongue (taste/temp/position/pain),salivary glands, and pharynx sensatN (touch)

Laryngeal elevatN/pharyngeal dilation

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5
Q

Vagus X is a __ type nerve. Its functions are:

A

Sensory AND Motor.

Superior branch very important for swallow:
SensatN of base of tongue, vallecula, epiglottis, aryepiglottic folds, true and false VFs, pyriform sinuses and post. pharyngeal wall.

Motor - soft palate, pharyngeal constrictors, intrinsic laryngeal muscles, cricopharyngeus (speech/swallow, preventN of nasal regurgitation, airway closure, opening UES)

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6
Q

Accessory spinal XI is a ___ type nerve. Its functions are:

A

Motor.
Mvmt of the shoulder, arm and throat (palatopharyngeus muscle; courses along with Vagus X to elevate palate)

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7
Q

Hypoglossal XII is a ___ type nerve. Its functions are:

A

Motor.
Extrinisic + intrinsic muscles of the tongue

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8
Q

Extrinsic muscles of the tongue alter its position. Name the 4 muscles involved and their functions.

A

Genioglossus - depress + protrude
Hyoglossus - depress + retract
Styloglossus - elevate + retract
Palatoglossus - elevate post. tongue + lower velum

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8
Q

Intrinsic muscles of the tongue alter its shape. Name the 4 muscles involved.

A

Superior longitudinal
Inferior longitudinal
Transverse
Vertical

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9
Q

The ___ nerve innervates all muscles of the tongue except the ____ muscle.

A

Hypoglossal XII; palatoglossus

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9
Q

Why would paralysis of the Glossopharyngeal IX nerve be damaging for a swallow?

A
  • Not sending messages to the brain that there’s food on the back of the tongue + pharynx
  • Loss of motor control in half of pharynx to successfully swallow
  • Absent gag reflex –> increased risk of choking
  • Decreased taste –> less interest in eating?
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9
Q

The Recurrent Laryngeal Nerve is a branch from what cranial nerve?

A

Vagus X

Remember that the RLN touches all intrinsic muscles of the larynx except the cricothyroid

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10
Q
A
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11
Q

What cranial nerve innervates the tensor tympani?

A

Trigeminal V

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12
Q

What would happen if there were damage to the Hypoglossal XII nerve?

A

Tongue paralysis:
- Diminished intelligibility
- Swallowing problems (dec. oral prep, no pressure to propel bolus –> needs to reach the arches to trigger the response)

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13
Q

T/F: Damage to the Hypoglossal XII nerve can cause impaired taste.

A

False - that would be either the Glossopharyngeal IX or Facial VII

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14
Q

The cranial nerves are part of the
a) Central Nervous System
B) Peripheral Nervous System
C) Somatic Nervous System
D) Automatic Nervous System

A

Peripheral Nervous System
Both afferent and efferent:
Sensory are afferent, collecting info about the environment and bringing it to the CNS
Motor neurons are efferent, delivering messages from the CNS to muscles + glands

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15
Q

T/F: The CNS is made up of the brain and spinal cord.

A

True

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16
Q

The Automatic Nervous System controls ____ functions, such as:

A

Involuntary
Heart beat, digestion, breathing

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17
Q

The Somatic Nervous System is responsible for ____ functions, such as:

A

Voluntary
Skeletal muscle movement

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18
Q

The Sympathetic nervous system is part of the ____ nervous system. Its functions are:

A

Automatic Nervous System
Fight or flight; increases heart rate, prepares the body for stress

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19
Q

The Parasympathetic nervous system is part of the ____ nervous system. Its functions are:

A

Automatic.
Decreasing heart rate; “rest and digest”

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20
Q

The Brainstem controls ____. It contains 3 parts:

A

Vital functions
Midbrain + pons + medulla

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21
Q

The Midbrain is involved in controlling…

A

Eye movement
Arousal + Alertness
Hearing

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22
The Thalamus' role is the...
Main relay station btwn the cerebral cortex + brain stem
23
The Hypothalamus is involved in...
Regulating the body's temperature, heart rate, hunger & thirst
24
The Medulla is involved in...
Breathing, heartbeat, blood pressure & flow
25
The Pons is involved in...
Chewing, facial movement, blinking and balance
26
The Cerebellum is involved in...
Balance, posture, equilibrium, muscle mvmt
27
Broca's area (#__ and ___) is responsible for...
44 & 45 (Left hemisphere only) Speech production/motor speech
28
Wernicke's area (#__) is responsible for...
22 (Left hemisphere only) Language/auditory comprehension
29
The ___ system is the direct motor activation pathway that is primarily responsible for facilitating voluntary muscle mvmt such as speech.
Pyramidal system
30
Movement on the right side of the body is generally controlled by nerve fibers that originate in the ____, and vice-versa.
Left cerebral cortex
31
The _____ tract is critical to speech production.
Corticobulbar tract
32
Lower Motor Neurons are found in the ____ and ____ nerves. They are part of the ____ nervous system and are the final route by which neural impulses communicate with muscles.
Spinal and cranial Peripheral nervous system
33
Upper motor neurons are found within the ____ nervous system. They include the pathways of the pyramidal and extrapyramidal systems.
Central nervous system
34
The extrapyramidal system transmits impulses that control the: a) postural support b) fine motor mvmts c) both
a) postural support
35
Damage to the extrapyramidal system creates motor disturbances that fall under what type of disorder?
Involuntary movement disorders
36
The Lower motor neuron pathway comes from the _____ and _____ with a destination of the _____.
Originates in the brainstem and spinal cord Destination in the muscles
37
Signs of Lower motor neuron lesion
Damage = loss of ability to innervate skeletal msucles - Weakness (paralysis or paresis) - Hypotonia/flaccidity - Atrophy (wasting of tissue) - Fasciculations
38
Functions of the Lower Motor Neuron pathway
- Reflexes + muscle tone - Acts out upper motor neuron commands for voluntary mvmt and posture
39
Function of the Pyramidal system
Direct, voluntary, skilled movement
40
Function of the Extrapyramidal system
Control posture, tone, supports voluntary movement
41
Signs of UMN - pyramidal system lesion
- Spasticity - Limited ROM (rigidity) - Hypertonia - Hyperreflexia - Weakness (but not a primary sign) - Positive Babinski sign *No fasiculations*
42
Signs of extrapyramidal system lesion
- Hypokinesia from decrease in dopamine at substantia nigra (Parkinsonism - Bradykinesia, rigidity, festination, mask-like) - Hyperkinesia from decrease in acetylcholine due to BG (slow, writhing movements - athetosis, dystonia OR fast movements - chorea, tics, myoclonia)
43
The Upper Motor Neuron pathway starts at the ____ and ends at the ____.
Cortex Cranial and spinal nerves' nuclei
44
Name the 5 differences btwn breathing for life and breathing for speech
1. Inhalation through the nose vs. mouth 2. Ratio: Life = 40in/60out Speech = 10in/90out 3. Volume of air: L=10%; S=20-25% 4. Expiration muscles: Vital=passive; speech=uses intercostals and diaphragm *5. Vital - thoracic wall moves laterally? Speech - moves medially?
45
Muscle movement for vital inspiration
Diaphragm and external intercostals contract
46
Muscle movement for vital expiration
Passive! - diaphragm and external intercostals relax
47
Name the intrinsic muscles of the larynx. What is their overall purpose/function?
Cricothyroid Interarytenoids x2 Posterior Cricoarytenoid (PCA) Lateral Cricoarytenoid (LCA) Thyroarytenoid Function: Modifies the shape/configuration of the larynx; change change the pitch/tension
48
Name the infrahyoid muscles. What is their overall purpose?
Thyrohyoid Omohyoid Sternohyoid Sternothyroid Depressing hyoid bone/thyroid/larynx --> going to make voice lower
49
Name the suprahyoid muscles. What is their overall purpose?
Mylohyoid Geniohyoid Stylohyoid Digastric x2 Elevates the hyoid bone which will elongate the vocal folds and make pitch higher
50
Although the Extrapyramidal system is part of the Upper Motor Neuron pathway, "UMN lesions" refers only to the Pyramidal system. When there is a lesion to the Extrapyramidal system, we would refer specifically to damage to the...
-Cerebellum -Basal ganglia -Substantia nigra
51
Which lesion site is *spasticity* associated with? a) Substantia Nigra b) Upper Motor Neuron c) Central Grey Nucleus d) Lower Motor Neuron
b) Upper Motor Neuron
52
Which lesion site is *fasiculations* associated with? a) Upper Motor Neuron b) Substantia Nigra c) Lower Motor Neuron d) Central Grey Nucleus
c) Lower Motor Neuron
53
The symptom of *hypotonia* is associated with cerebellar lesions and what other probable lesion site? a) Upper Motor Neuron b) Lower Motor Neuron c) Central Grey Nucleus d) Substantia Nigra
b) Lower Motor Neuron
54
Le symptôme de l’atrophie est associé à quel site de lésion probable? a) Upper Motor Neuron b) Le cervet c) Les NGC d) Lower Motor Neuron
d) Lower Motor Neuron
55
A deviation of the tongue to the left (no fasiculations or atrophy) is associated with with what nerve? a) Trigeminal nerve V b) Facial nerve VII c) Vagus nerve X d) Hypoglossal nerve XII
d) Hypoglossal XII
56
The symptom of weakness on the inferior right side of the face is associated with a lesion to what nerve?
Facial nerve VII
57
The symptom of weakness on the inferior right side of the face is associated with a lesion to the UMN or LMN?
UMN
58
What is the proper name for the vocalis muscle, or the innermost part of the vocal folds?
Thyroarytenoid muscle
59
T/F: Esophageal cancer is part of Head&Neck cancer
False
60
Patients should seek medical evaluation if hoarseness extends beyond ___
2 weeks
61
A total laryngectomy removes __
Everything from hyoid bone to first tracheal ring
62
Larynx moves __ and __ to open the esophageal sphincter
Up and forward
63