Oral/Pharyngeal musculature Test # 3 10/6/16 Flashcards

1
Q

What are three basic types of muscles found in the pharynx?

A
  • Palate
  • Elevators
  • Constrictors
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2
Q

Damage to what nerve causes Bell’s Palsy?

A

CN VII

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3
Q

What is Bell’s Palsy?

A
  • Weakness/paralysis of muscles on 1 side of face
  • Dry eye
  • Loss of taste
  • Sensitivity to sound
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4
Q

What do you find in the oral cavity?

A
  • Hard Palate
  • Soft palate and uvula
  • Palatoglossal arch
  • Palatine tonsil
  • Palatopharyngeal arch
  • Frenulum
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5
Q

What is the fauces?

A

-The arched opening in back of mouth leading to pharynx

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6
Q

What muscle do you use to pucker your lips?

A

Orbicularis Oris

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7
Q

What nerve innervates the orbicularis oris?

A

CN VII Mandibular branch

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8
Q

Where does the orbicularis oris originate and insert?

A
  • Deep surface of skin (Superior: Maxilla Inferior: Mandible)
  • Mucous membrane of lips
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9
Q

What are the three muscles of the floor of the mouth?

A
  • Mylohoid
  • Geniohyoid
  • Anterior Digastric
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10
Q

Where does the mylohyoid originate and insert?

A
  • Mandible (mylohyoid line)

- Hyoid bone (body)

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11
Q

What innervates the mylohyoid?

A

Mylohyoid nerve branch of CN V3

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12
Q

Where does the Geniohyoid originate and insert?

A
  • Mandible (inferior genial spines)

- Body of the hyoid bone

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13
Q

What innervates the geniohyoid?

A

Innervated by C1 from Ansa Cervicalis but joins up with CN XII

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14
Q

Where does the Anterior Digastric originate and insert?

A
  • Mandible (Digastric fossa)

- Body of Hyoid bone

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15
Q

What innervates the anterior digastric muscle?

A

Mylohyoid nerve of CN V3

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16
Q

What are two other muscles that contribute to the surrounding regions of the oral floor?

A
  • Stylohyoid

- Posterior Digastric

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17
Q

Where does the Posterior Digastric insert and originate?

A
  • Temporal bone (mastoid notch and medial to mastoid process)
  • Body of the hyoid bone
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18
Q

What innervates the Posterior Digastric muscle?

A

-Facial nerve CN VII

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19
Q

Where does the stylohyoid originate and insert?

A
  • Temporal bone (Styloid process)

- Body of the hyoid bone

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20
Q

What innervates the stylohyoid muscle?

A

-Facial nerve CN VII

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21
Q

What are the four extrinsic muscles of the tongue?

A
  • Genioglossus
  • Hyoglossus
  • Styloglossus
  • Palatoglossus
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22
Q

Where does the Genioglossus originate and insert?

A
  • Superior genial spine (Mandible)

- Hyoid body, posterior tongue, ventral surface of tongue

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23
Q

What innervates the Genioglossus?

A

CN XII Hypoglossal

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24
Q

Where does the Hyoglossus originate and insert?

A
  • Greater horn of Hyoid bone

- Lateral tongue between styloglossus and inferior longitudinal

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25
Q

What innervates the Hyoglossus?

A

CN XII Hypoglossal

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26
Q

Where does the styloglossus originate and insert?

A
  • Styloid process

- Dorsolateral tongue

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27
Q

What innervates the styloglossus?

A

CN XII Hypoglossal

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28
Q

Where does the Palatoglossus originate and insert?

A
  • Palatine aponeurosis

- Lateral tongue

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29
Q

What innervates the palatoglossus muscle?

A

-CN X Vagus via pharyngeal plexus

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30
Q

What are the four intrinsic tongue muscles?

A

-Superior longitudinal muscle
-Inferior longitudinal muscle
Transverse muscle
-Vertical Muscle

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31
Q

Where does the superior longitudinal muscle insert/originate?

A

Thin layer of muscle inferior to the dorsal mucosa and near epiglottis

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32
Q

Where does the inferior longitudinal muscle insert/originate?

A

-Superior to genioglossus and hyoglossus

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33
Q

Where does the transverse muscle insert/originate?

A

-Lateral to lingual septum and lateral tongue

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34
Q

Where does the vertical muscle insert/originate?

A

-Anterior tongue

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35
Q

What innervates all the intrinsic tongue muscles?

A

CN XII Hypoglossal

36
Q

What is the function of the genioglossus?

A

Protrusion of the tongue

37
Q

What is the function of the hyoglossus?

A

Depresses the tongue

38
Q

What is the function of the styloglossus?

A

Elevate and retract the tongue

39
Q

What is the function of the palatoglossus?

A

Elevate the root of tongue

40
Q

What is the function of the superior longitudinal muscle?

A

Shortens tongue

41
Q

What is the function of the inferior longitudinal muscle?

A

Shorten tongue

42
Q

What is the function of the transverse muscle?

A

Narrow tongue

43
Q

What is the function of the vertical muscle?

A

Widen and flatten tongue

44
Q

A lesion of what nerve causes a patient to “lick your wounds” paralysis of the tongue on one side?

A

CN XII Hypoglossus

45
Q

What to you find on both sides of the palatine tonsils?

A
  • Palatoglossal arch

- Palatopharyngeal arch

46
Q

What are the three foramen found on the hard palate?

A
  • Incisive foramen
  • Greater palatine foramen
  • Lesser palatine foramen
47
Q

What nerve exits the incisive foramen?

A

-Nasopalatine

48
Q

What nerve exits the greater palatine foramen?

A

Greater palatine nerve

49
Q

What nerve exits the lesser palatine foramen?

A

Lesser palatine nerve

50
Q

What are the nasopalatine, greater palatine, and lesser palatine nerves a branch of?

A

-The maxillary branch of the Trigeminal nerve

51
Q

What are the four muscles of the soft palate?

A
  • Tensor veli palatini
  • Levator veli palatini
  • Uvular muscle
  • Palatoglossus
52
Q

What innervates the tensor veli palatini muscle?

A

CN V3

53
Q

What innervates the levator veli palatini muscle?

A

CN X

54
Q

What does the tensor veli palatini muscle wrap around?

A

Pterygoid Hamulus

55
Q

What is another muscle that acts on the palate?

A

Palatopharyngeus

56
Q

What is the function of the palatoglossus muscle?

A

Pulls tongue superiorly

57
Q

What is the function of the palatopharyngeus?

A

Elevate pharynx and larynx

58
Q

What palate acting muscles does CN X (Vagus) innervate?

A
  • Uvular
  • Palatoglossus
  • Palatopharyngeus
  • Levator veli palatini
59
Q

What are the three pharyngeal constrictor muscles?

A
  • Superior pharyngeal constrictor
  • Middle pharyngeal constrictor
  • Inferior pharyngeal constrictor
60
Q

What nerve innervates the pharyngeal constrictor muscles?

A

Vagus nerve CN X

61
Q

What are the three elevator muscles of the pharynx?

A
  • Salpingopharyngeus
  • Palatopharyngeus
  • Stylpharyngeus
62
Q

Which of the three elevator muscles is innervated by CN X?

A

Salpingopharyngeus

-Palatopharyngeus

63
Q

Which of the three elevator muscles is innervated by CN IX?

A

Stylpharyngeus

64
Q

What is responsible for sensory innervation of the Nasopharynx?

A

V2

65
Q

What is responsible for sensory innervation of the oropharynx?

A

CN IX

66
Q

What is responsible for sensory innervation of the laryngopharynx?

A

CN X

67
Q

What are the four arteries that supply the pharynx?

A
  • Ascending pharyngeal
  • Superior Thyroid
  • Inferior Thyroid
  • Some branches of facial and maxillary arteries
68
Q

What are four functions of the larynx?

A
  • Prevent material from entering airway
  • Phonation
  • Breathing
  • Cough reflex
69
Q

What occurs in the cough reflex?

A

Temporary closure of vocal folds to build up air pressure

70
Q

What occurs in breathing?

A

Abduction of vocal cords, glottis opens, airway opens

71
Q

What occurs in phonation?

A

-Tensing, abducting, adducting vocal folds causes air to vibrate during exhalation

72
Q

What do four features do you find in the larynx?

A
  • Thyroid cartilage
  • Cricoid cartilage
  • Epiglottis
  • Arytenoid cartilage
73
Q

What three ligaments do you find in the larynx?

A
  • Thyrohyoid
  • Cricothyroid
  • Vocal
74
Q

What innervates the larynx?

A

CN X

75
Q

What innervates the cricothyroideus muscle?

A

External laryngeal of the superior laryngeal of the vagus nerve

76
Q

What does the internal laryngeal nerve innervate?

A

Sensory above vocal cords

77
Q

What does the recurrent laryngeal nerve motor innervate?

A

-Laryngeal muscles

78
Q

What sensory innervation does the laryngeal nerve do?

A

-Sensory below vocal cords

79
Q

What are the laryngeal muscles that the recurrent laryngeal nerve innervates?

A
  • Thyroarytenoid
  • lateral cricoarytenoid
  • Transverse arytenoid
  • Oblique arytenoid (X-shape)
80
Q

T/F

The cricoarytenoid joint is a synovial joint

A

True

81
Q

What does the cricoarytenoid joint do?

A

Abduct and Adduct vocal ligaments

82
Q

What muscle pulls thyroid cartilage anteriorly increasing tension in vocal ligaments?

A

Cricothyroideus

83
Q

Which tongue muscle is not innervated by CN XII?

A

Palatoglossus CN X

84
Q

Which palate muscle is not innervated by CN X

A

Tensor veli palatini CN V3

85
Q

Which pharyngeal muscle is not innervated by CN X?

A

Stylopharyngeus CN IX

86
Q

If you had a lesion on the mandibular branch of the trigeminal nerve what functions would you lose?

A

-Tongue sensation on anterior 2/3