Airway Obstruction and Laryngeal Reflex Anatomy

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Questions and Answers

What is the primary reason why the tongue can cause airway obstruction?

  • It has underlying tissue and muscle, which relaxes when the brain is suppressed. (correct)
  • It lacks underlying tissue and muscle.
  • It is not affected by brain suppression.
  • It is disconnected from the mandible.

Which maneuver effectively addresses airway obstruction caused by the tongue?

  • Abdominal thrusts
  • Head tilt
  • Jaw thrust (correct)
  • Cricoid pressure

Which of the following is NOT a primary function of the larynx?

  • Protecting the vocal cords
  • Facilitating sound and speech
  • Releasing saliva (correct)
  • Controlling tension of vocal cords during breathing

Which single cartilage of the larynx acts as a flap over the trachea to prevent food from entering?

<p>Epiglottis (B)</p> Signup and view all the answers

Which of the following is a paired laryngeal cartilage?

<p>Corniculate cartilage (C)</p> Signup and view all the answers

What type of nerves transmit sensory information during the pharyngeal reflex?

<p>Vagus and glossopharyngeal nerves (B)</p> Signup and view all the answers

The Medulla Oblongata, which is involved in the gag reflex is close to which other control centers?

<p>Cardiac, Salivary and Vomiting centers (C)</p> Signup and view all the answers

Which structure listed, is NOT found in the larynx?

<p>Trachea (D)</p> Signup and view all the answers

Flashcards

Tongue as an Airway Obstruction

The tongue is a major cause of airway obstruction when someone is unconscious. This is because its tissue and muscles relax, blocking the airway.

Jaw Thrust Maneuver

The jaw thrust maneuver opens the airway by pulling the tongue forward, away from the back of the throat.

Pharyngeal Reflex (Gag Reflex)

The pharyngeal reflex is triggered when foreign objects touch the back of the tongue. It causes gagging, which helps to expel the object.

Larynx Function

The larynx is a complex structure in the throat that plays a crucial role in breathing, speaking, and protecting the airway.

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Larynx Anatomy

The larynx is made up of several cartilages, including the hyoid bone, epiglottis, thyroid cartilage, cricoid cartilage, arytenoid cartilage, corniculate cartilage, and cuneiform cartilage.

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Epiglottis Function

The epiglottis acts as a flap that covers the trachea (windpipe) during swallowing, preventing food from entering the lungs.

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Arytenoid Cartilage Function

Arytenoid cartilages are essential for vocal cord movement, enabling us to speak and create different sounds.

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Laryngeal Reflex

The laryngeal reflex is triggered when foreign objects or substances reach the larynx. It causes a strong cough, helping to expel the irritant from the airway.

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Study Notes

Airway Obstruction

  • Tongue is a major cause of airway obstruction, especially during sedation or unconsciousness.
  • The tongue's connection to the mandible makes a jaw thrust an effective treatment.
  • Pharyngeal reflex (gag reflex) is triggered by foreign objects entering the back of the tongue.
  • Sensory nerves (vagus and glossopharyngeal) send messages to the medulla oblongata.
  • This reflex center is near vomiting, saliva, and cardiac centers, which may be stimulated during gagging.

Laryngeal Reflex

  • This reflex prevents objects from entering the trachea by closing the vocal cords.
  • Sensory nerves (superior laryngeal nerve) detect foreign objects on the mucosa and send a message to the brain stem's medulla.
  • The medulla sends a message down the recurrent laryngeal nerve.
  • The recurrent laryngeal nerve contracts the thyroarytenoid muscles, closing the vocal cords.

Larynx Anatomy

  • Important for protecting vocal cords, facilitating speech/sound, and coughing.
  • The larynx includes nine cartilages, three paired and three unpaired.
  • The unpaired cartilages are the epiglottis (flap over trachea), thyroid (largest--Adam's apple), and cricoid (signet ring shape).
  • Arytenoid cartilages control vocal cord movement.
  • Corniculate and cuneiform cartilages play a role in vocal cord tension.

Bronchus Anatomy

  • The bronchus angle is important for the placement of an endotracheal tube.
  • The right bronchus is angled more anteriorly (towards the chest), while the left is more posterior (towards the back).

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