Pharynx and Larynx Flashcards

(70 cards)

1
Q

covering of pharynx

A

pharynobasilar fascia

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2
Q

what is pharynx

A

tube between respiratory and digestive systems

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3
Q

lining of nasopharynx

A

pseudo stratified columnar epithelia with cilia

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4
Q

lining of oropharynx

A

stratified squamous

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5
Q

lining of laryngopharynx

A

stratifed squamous epithelia

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6
Q

buccopharyngeal fascia

A

covering for movement

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7
Q

structures lateral to pharynx

A

CN IX, X, XI, XII
jugular vein
internal carotid
sympathetic trunk

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8
Q

attachment of superior constrictor

A

pterygomandibular raphe

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9
Q

attachment for middle constrictor

A

hyoid

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10
Q

attachment for inferior constrictor

A

cricoid cartilage

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11
Q

components of inferior constrictor

A

thyropharyngeus

cricohparyngeus

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12
Q

weakest point on pharyngeal constrictors

A

lower inferior constrictor- possible diverticulum formation

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13
Q

3 pharynx elevators

A

stylopharyngeus
salpingopharyngeus
palantopharyngeus

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14
Q

pharynx blood supply

A

branches of maxillary and external carotid arteries

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15
Q

pharyngeal arch 3 innervation

A

CN IX

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16
Q

pharyngeal arch 4 innervation

A

superior laryngeal, X

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17
Q

pharyngeal arch 6 inneravtion

A

inferior laryngeal

CN X

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18
Q

what does CN IX innervate

A

stylopharyngeus
taste to posteiror 1/3 of tongue
parasympathetic- otic and ganglion and parotid gland
general sensation to posterior 1/3 of tongue, pharynx, auditory tube, tympanic cavity, mastoid air cells, external ear

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19
Q

afferent gag reflex

A

IX

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20
Q

efferent gag reflex

A

X

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21
Q

testing for gag reflex

A

tough posterior tongue

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22
Q

what does CN X innervate

A
salpingopharyngeus
palantopharyngeus
pharynx constrictors
larynx muscles
cough reflex
efferent of gag, vomit, sneeze
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23
Q

CN X damage

A
saggy soft palate
contralateral uvula deviation
dysphagia
horseness
dysphonia
no reflexes
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24
Q

CN IX damage

A

loss of taste and sensory to posterior 1/3 of tongue

afferent gag reflex

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25
which tonsils are removed in tonsilectomy
pallatine tonsils | pharyngeal if enlarged (adenoids)
26
which tonsils have local flushing
lingual
27
otitis media
ear infection spread from nasopharynx to middle ear via Eustachian tube
28
what nerve is at risk in tonsilectomy
CN IX
29
where can a retropharyngeal space infection spread
mediastinum and diaphragm
30
source of respiratory diverticulum
foregut
31
endoderm of larynx form
epithelial lining and glands
32
what is most of larynx from
mesoderm
33
valsalva maneuver
closing rima glottidis to increase intra-abdominal pressure
34
rima glottidis
opening between true vocal folds
35
vellecula
part of larynx between the tongue root and epiglottis
36
vestibule of larynx
opening into trachea
37
significance of piriform recess
where fishbones can get stuck
38
choana
opening between nasal cavity and pharynx
39
sacculae
extension of ventricle between true and false vocal folds
40
covering of false vocal fold
pseudo stratified ciliated columnar epithelia
41
covering of true vocal folds
stratified squamous peithleium
42
single cartilages of larynx
epiglottic thyroid cricoid **all cross midline
43
epiglottic cartilage
spoon shaped and elastic
44
thyroid cartilage
v shaped over thyroid | laryngeal prominence
45
cricoid cartilage
lowest cartilage on larynx
46
paired cartilages of larynx
arytenoid cuneiform corniculate
47
arytenoid cartilage
triangluar | behind thyroid
48
cuneiform cartilage
posteior most bumps on cartilage across from the epiglottis
49
corniculate cartilage
bumps next to cuneiform cartilage
50
cricothyroid muscle function and innervation
tenses vocal folds to make high voice | external laryngeal nerve
51
transverse arytenoid and aryepiglottic muscles function and innervation
closes rima glottides and pulls the epiglottis down | recurrent laryngeal
52
posterior cricoarytenoid muscle function and innervation
abduction of true vocal folds and open rima glottides | recurrent laryngeal
53
vocalis and thyroarytenoid muscle function and innervation
shorten vocal cords | recurrent laryngeal
54
lateral cricoarytenoid muscle and innervation
adducts vocal cords and closes rima glottidis | recurrent laryngeal nerve
55
internal laryngeal nerve supplies
upper 1/2 of larynx mucosa lower pharynx taste to epiglottis and tongue root
56
damage to internal laryngeal nerve
numb upper 1/2 of larynx loss of taste to epiglottis and tongue root no cough reflex
57
external laryngeal nerve supplies
cricothyroid muscle | inferior constrictor muscle
58
damage to external laryngeal nerve
no high pitched voice
59
testing of external laryngeal nerve
patient says "eeee"
60
what artery runs with internal laryngeal nerve
superior laryngeal artery
61
what artery runs with the external laryngeal nerve
superior thyroid artery
62
what artery runs with the inferior/recurrent laryngeal nerve
inferior thyroid artery
63
inferior laryngeal nerve supplies
lower 1/2 of larynx sensory | motor to intrinsic muscles EXCEPT cricothyroid
64
damage to inferior laryngeal nerve
numb lower larynx no vocal fold adduction hoarsness
65
testing of recurrent laryngeal anerve
patient says "aaa" | cough reflex
66
arteries to clamp during thyroidectomy
supeiror laryngeal superior thyroid inferior thyroid
67
cricothyrotomy
incision through cricothyroid membrane
68
tracheostomy
incision through tracheal cartilage
69
tracheotomy
incision without removal of tracheal cartilage
70
what vein do you have to watch doing a cricothyrotomy
anterior jugular vein