Laryngeal and Pharyngeal Function Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What effect does experimental laryngeal stimulation have on blood pressure?

  • It has no effect on blood pressure.
  • It causes bradycardia.
  • It leads to hypertension. (correct)
  • It consistently causes hypotension.

What is the role of the superior laryngeal nerve in cardiovascular responses?

  • It mediates afferent sensory input. (correct)
  • It regulates muscle activity.
  • It enhances lung capacity.
  • It blocks arrhythmias.

Which physiological condition may stimulate receptors in the larynx, leading to cardiac arrhythmias?

  • Asthma attack
  • Hypertension
  • Obstructive sleep apnea (correct)
  • Chronic bronchitis

What are likely consequences of bradycardia and ectopy in clinical scenarios?

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

What is the impact of the transection of the superior laryngeal nerve in experimental settings?

<p>Eliminates cardiovascular responses. (A)</p> Signup and view all the answers

How does the position and shape of the glottis vary with the production of different vowels?

<p>They change to facilitate phonation complexity. (D)</p> Signup and view all the answers

Which muscle activity is being monitored according to the content?

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

What is significant about the organization of laryngeal motor neurons after RLN injury?

<p>It alters significantly even with nerve alterations. (B)</p> Signup and view all the answers

What is a potential effect of negative airway pressure in patients with obstructive sleep apnea?

<p>Stimulation of cardiac arrhythmias (D)</p> Signup and view all the answers

What role does auditory feedback play in phonatory control during speech?

<p>It is unnecessary for everyday speech use. (A)</p> Signup and view all the answers

How do prelingually deaf people typically develop their speech patterns?

<p>They develop abnormal speech patterns. (C)</p> Signup and view all the answers

What separates the control pathways for spontaneous and learned vocalization in humans?

<p>Learned vocalization is controlled by the nucleus ambiguus pathway. (A)</p> Signup and view all the answers

What type of speech primarily relies on passive expiration?

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

What is the primary requirement for shouting and singing compared to normal speech?

<p>Deeper prephonatory inspiration (D)</p> Signup and view all the answers

What muscle activation primarily facilitates the oropharyngeal passage?

<p>Palatoglossal muscles (A)</p> Signup and view all the answers

What was the main idea behind the neurochronaxic hypothesis presented by Husson?

<p>Glottic vibrations arise from rhythmic neural impulses. (C)</p> Signup and view all the answers

Which activity is reported to be highest during forced nasal breathing with the mouth open?

<p>Oropharyngeal passage activity (A)</p> Signup and view all the answers

Which theory of phonation is widely accepted today?

<p>Myoelastic-aerodynamic theory (D)</p> Signup and view all the answers

What physiological changes can occur due to stimulation of the larynx?

<p>Changes in heart rate and blood pressure (A)</p> Signup and view all the answers

What is a potential clinical issue for patients with functional dysphonia?

<p>Insufficient prephonatory inspiration (C)</p> Signup and view all the answers

What is widely assumed about the respiratory function of the pharyngeal constrictors during general anesthesia?

<p>They are not well understood. (D)</p> Signup and view all the answers

How does the presence of organic voice disorders impact patients with respiratory issues?

<p>It complicates treatment for the glottic defect. (C)</p> Signup and view all the answers

What does normal phonation require?

<p>Satisfaction of five specific conditions (A)</p> Signup and view all the answers

What does endotracheal intubation primarily affect during induction of general anesthesia?

<p>Both respiration and circulation (A)</p> Signup and view all the answers

What vocal training aspect is critical for improving vocal output?

<p>Controlling inspiratory airflow (D)</p> Signup and view all the answers

Which trace indicates intraesophageal pressure in the provided figure related to upper airway occlusion?

<p>Bottom trace (C)</p> Signup and view all the answers

What effect does transection of the superior laryngeal nerve (SLN) likely have on arterial blood pressure during upper airway occlusion?

<p>Decreased blood pressure (D)</p> Signup and view all the answers

What can lead to stress-induced injury of the vocal folds in patients with functional dysphonia?

<p>Excessive strain during speech (A)</p> Signup and view all the answers

What factor complicates the symptoms for a patient with laryngeal paralysis and emphysema?

<p>Limited capacity to compensate for glottic defects (D)</p> Signup and view all the answers

Which muscle activity is monitored through electromyography during the study of upper airway occlusion?

<p>Posterior cricoarytenoid and diaphragm (A)</p> Signup and view all the answers

What is the significance of measuring Pes as an indicator of respiratory effort?

<p>It demonstrates respiratory effort. (C)</p> Signup and view all the answers

What is indicated by the 'body-cover' concept in phonation?

<p>The mucosal wave propagates independently from the vocal fold's body. (A)</p> Signup and view all the answers

How does the pattern of vibration change during phonation?

<p>It varies depending on the pitch and vocal register. (B)</p> Signup and view all the answers

What occurs as the superior edges of the vocal folds begin to separate?

<p>Airflow generates negative pressure at the lower edges. (D)</p> Signup and view all the answers

Which model accounts for the temporal relationship in vocal fold closure and separation?

<p>The two-mass model by Ishizaka and Flanagan. (D)</p> Signup and view all the answers

What is a characteristic of the vocal fold's structure during phonation?

<p>It vibrates in three dimensions. (A)</p> Signup and view all the answers

Where does the mucosal wave begin during vocal fold vibration?

<p>On the inferomedial aspect of the vocal fold. (C)</p> Signup and view all the answers

What happens to airflow during the separation of the superior edges of the vocal folds?

<p>Airflow increases through the divergent glottis. (D)</p> Signup and view all the answers

What does a relatively static 'body' of the vocal fold imply about its function?

<p>The vibration occurs mainly in the mucosal cover. (C)</p> Signup and view all the answers

What effect does increased airflow through the glottis have on vocal fold closure?

<p>It promotes closure of the inferior glottis. (A)</p> Signup and view all the answers

Flashcards

Expiratory airflow

The movement of air out of the lungs during exhalation.

Inspiratory airflow

The movement of air into the lungs during inhalation.

Esophageal pressure

The pressure within the esophagus, often used to measure breathing.

Laryngeal stimulation

Direct stimulation of the larynx (voice box).

Signup and view all the flashcards

Bradycardia

Slow heart rate.

Signup and view all the flashcards

Hypotension

Low blood pressure.

Signup and view all the flashcards

Superior laryngeal nerve

A nerve involved in cardiovascular responses triggered by laryngeal stimulation.

Signup and view all the flashcards

Oropharyngeal passage activation

The process of opening the oropharyngeal passage, primarily achieved by contracting palatoglossal muscles, bringing together faucial arches, and lifting the base of the tongue.

Signup and view all the flashcards

Forced nasal breathing

Breathing through the nose with exertion. The oropharyngeal activation is the highest during this.

Signup and view all the flashcards

Laryngeal stimulation effect

Stimulating the larynx can change heart rate and blood pressure.

Signup and view all the flashcards

Endotracheal intubation

Insertion of a tube through the trachea into the lungs during general anaesthesia to provide breathing support.

Signup and view all the flashcards

Pharyngeal constrictors' function

Limited information is known about how these muscles function during respiration during general anesthesia.

Signup and view all the flashcards

Upper airway occlusion

Blocking the upper airway (e.g., breathing blockage).

Signup and view all the flashcards

Superior Laryngeal Nerve (SLN) transection

Cutting the nerve, which directly impacts blood pressure.

Signup and view all the flashcards

Respiratory effort indicator

Intraesophageal Pressure (Pes) shows the effort needed for respiration.

Signup and view all the flashcards

Electromyographic (EMG) activity

Measurement of electrical activity in muscles, particularly diaphragm and posterior cricoarytenoid.

Signup and view all the flashcards

Vocal fold vibration

Vocal fold vibration isn't uniform; it's a three-dimensional process varying with pitch and vocal register.

Signup and view all the flashcards

Body-cover concept

The vocal fold's vibration involves the mucosa (cover) vibrating differently than the underlying tissue (body).

Signup and view all the flashcards

Mucosal wave

The vibration starts at the bottom middle of the vocal fold and moves upward.

Signup and view all the flashcards

Two-mass model

A model explaining the timing relationship between the upper and lower vocal fold edges during vibration.

Signup and view all the flashcards

Glottis divergence

The opening of the vocal folds during phonation.

Signup and view all the flashcards

Negative pressure

Airflow through the glottis creates lower pressure at the lower edge of the vocal folds.

Signup and view all the flashcards

Inferomedial aspect

The lower-middle part of the vocal fold.

Signup and view all the flashcards

Rostral direction

Toward the front of the vocal folds.

Signup and view all the flashcards

Vocal register

Different voice qualities (e.g., chest voice, head voice) associated with varying vibration patterns.

Signup and view all the flashcards

Tracheal pressure

Pressure in the trachea, which affects vocal fold vibration.

Signup and view all the flashcards

Glottis shape & vowel production

The shape of the glottis (voice box opening) changes when we produce different vowel sounds, implying a more complex role of the larynx in speech than previously thought.

Signup and view all the flashcards

Sensory input in speech

Auditory feedback plays a vital role in speech control, especially during learning. It's crucial for developing proper pronunciation and understanding how our speech sounds.

Signup and view all the flashcards

Learned vs. spontaneous vocalization

The brain has separate pathways for controlling speech and other learned vocalizations (like singing) compared to spontaneous sounds.

Signup and view all the flashcards

Corticobulbar projections & speech

Direct connections from the brain's cortex to the nucleus ambiguus (which controls vocal muscles) are essential for learned vocalizations, like speech, and are unique to humans.

Signup and view all the flashcards

RLN injury & speech

Damage to the recurrent laryngeal nerve (RLN) significantly affects the organization of laryngeal motor neurons, making full recovery from speech impairment challenging.

Signup and view all the flashcards

Passive expiration

A natural process of exhaling air that doesn't require effort. It's sufficient for normal conversation.

Signup and view all the flashcards

Active expiration

Exhaling air using muscles for a stronger and controlled release, needed for tasks like singing or shouting.

Signup and view all the flashcards

Breath support for voice?

The amount of air we need to power our voice. Normal speaking requires less than shouting or singing.

Signup and view all the flashcards

Neurochronaxic hypothesis

Outdated theory, stating that nerve impulses directly controlled vocal fold vibrations, which isn't supported by evidence.

Signup and view all the flashcards

Myoelastic-aerodynamic theory

The accepted theory explaining how our vocal cords vibrate by combining muscle tension and airflow.

Signup and view all the flashcards

Functional dysphonia

A voice disorder where the voice isn't working properly, but the physical structure is fine. May be caused by stress.

Signup and view all the flashcards

Organic voice disorder

A voice disorder caused by physical problems in the vocal folds or breathing system.

Signup and view all the flashcards

Vocal training

Learning to use your breath and voice effectively to improve vocal power and control.

Signup and view all the flashcards

Five conditions for normal phonation

There are five key factors that have to work together for healthy voice production, including breath control and vocal fold closure.

Signup and view all the flashcards

Importance of breath control

Proper breathing technique is crucial for strong voice output and minimizing vocal strain.

Signup and view all the flashcards

Study Notes

Laryngeal and Pharyngeal Function

  • The upper aerodigestive tract has competing functions of respiration and swallowing.
  • The anterior portions of the vocal folds are fixed at the anterior commissure.
  • Arytenoid cartilage movement causes all vocal fold motion.
  • The posterior cricoarytenoid muscle is the only muscle that actively opens the larynx.
  • The recurrent laryngeal nerve controls all intrinsic laryngeal muscles, except the cricothyroid muscle.
  • The cricothyroid muscle is controlled by the superior laryngeal nerve's motor branch.
  • The superior laryngeal nerve's internal branch gives sensory information from the larynx.
  • Exhaled air vibrates the vocal folds to create sounds.

Laryngeal Motion

  • Textbooks often depict membranous vocal fold motion in just the axial plane (like a windshield wiper).
  • Laryngeal motion is more complex than previously thought, with three-dimensional movement.
  • Changes in length, shape, and volume occur during laryngeal movement.
  • "Cadaveric" and "paramedian" terms inadequately describe the three-dimensional changes in glottis configuration during paralysis.
  • Laryngeal motion is a combination of its component parts.

Laryngeal Skeleton

  • The hyoid bone: U-shaped, connected to the base of skull and mandible through muscles/ligaments.
  • The thyroid cartilage: Largest laryngeal cartilage, V-shaped with two wings projecting posteriorly. The vocal folds attach to the anterior inner surface of the thyroid cartilage, while posterior ends connect to the arytenoid cartilages.
  • The cricoid cartilage: Complete, ring-shaped cartilage, the only complete rigid ring in the airway, widest posteriorly.
  • The arytenoid cartilages: Located atop the posterior rim of the cricoid cartilage, act like ball-and-socket joints, are the primary moving parts of the larynx.

Pharyngeal Function in Breathing

  • Upper airway: A pathway with points for altered shape/cross-sectional area.
  • The pharynx is the largest/most compliant region of the upper airway and can collapse passively.
  • Upper airway muscles work with respiratory pump muscles to maintain airway patency.
  • Upper airway muscles help determine whether air enters the nose or mouth.

Laryngeal Function in Speech

  • Phonation: production of sound by vibrating vocal folds.
  • Resonance: vocal tract amplification, shaping, and filtering of sound, creating different sounds. Articulation: shaping sounds into words via jaw, tongue, lips, and palate.
  • Breath support is critical for phonation. Vocal fold edges need to close/open at appropriate intervals
  • The process of phonation involves exhalation increasing subglottic pressure and causing vocal fold movement.
  • Vocal fold shape and tension influence pitch.
  • The larynx is important for producing a wide range of sounds and regulating airflow during speech, singing, and other vocalizations.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

L2 - MCQ
20 questions

L2 - MCQ

HonorableDalmatianJasper avatar
HonorableDalmatianJasper
Vocal Fold Mechanics
5 questions

Vocal Fold Mechanics

VersatileGoblin avatar
VersatileGoblin
Speech Science Lecture 9
35 questions

Speech Science Lecture 9

SatisfactoryOsmium avatar
SatisfactoryOsmium
Speech Science: Lecture 9
51 questions

Speech Science: Lecture 9

SatisfactoryOsmium avatar
SatisfactoryOsmium
Use Quizgecko on...
Browser
Browser