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Phases of Swallowing
4 phases of swallowing: oral prep, oral, pharyngeal, esophageal
| Question | Answer |
|---|---|
| Labial seal is key to the success of this phase | oral prep. |
| This stage ends with the occurrence of an involuntary reflex | oral |
| If this phase increases beyond its typical "less than one second" criterion, the risk of aspiration is greatly increased | pharyngeal |
| This phase consists of four synchronized physiological actions | pharyngeal |
| This phase has the goal of creating a cohesive bolus | oral prep. |
| Relaxation of the cricopharyngeus muscle occurs at what phase | pharyngeal |
| labial seal is key to the success of this phase | oral prep |
| velar elevation, pharyngeal parystalsis and laryngeal elevation and cricopharyngeal (UES) opening are the four synchronized actions during the esophageal phase T/F | False. Velar elevation, pharyngeal parystalsis and laryngeal elevation and cricopharyngeal (UES) opening are the four synchronized actions during the PHARYNGEAL phase |
| This phase is characterized by tongue elevation to the hard palate from anterior to posterior movement pattern | oral |
| Rotary movement of tongue is most common in what phase? | oral prep. |
| larynx and pharynx are at rest during this phase leaving airway open for breathing | oral prep. and esophageal |
| Breathing stops during | oral and pharyngeal phase |
| This phase is disordered if it takes longer then 20 seconds to occur | esophageal |
| Phases characterized by paristaltic action mediated by CN X-Vagus | esophageal Could also be pharyngeal because CN X does innervate constrictor muscles. |
| The bolus divides appropriately in this phase | pharyngeal Bolus travels to UES via lateral channels, goes around sides of the epiglottis. Meets again at cricopharyngeus. |
| Decreased laryngeal elevation is likely to cause aspiration or penetration in what phase | pharyngeal |
| A spastic cricopharyngeus muscle is likely to interfere with this phase | esophageal and pharyngeal, esophageal because we won't get bolus in. UES opening is also sign of pharyngeal phase. |
| This phase will be most susceptible to disorder from disruption in the smooth motion that characterizes this phase. | oral |
| Coordinated and anterior tongue motion is most important in this phase | oral |
| chest pain is symptom of this phase | esophageal, air bubbles in esophagus can cause pain as well as muscle spasms |
| Decreased salivation would affect this phase most | oral prep |
| Abnormal epiglottic function will cause disruption of this phase, primarily | pharyngeal |
| decreased laryngeal closure indicates disorder in this phase | pharyngeal |
| premature spilling of bolus from oral cavity due to disordered velopharyngeal movement during this phase | oral prep During oral prep velum causes posterior barrier by lowering velum often making complete contact with tongue base. |
| Inappropriate biting of the cheeks is an indicator of disorder of this phase | oral prep, happens when buccal (cheek) muscle loses tongue due to neurology or surgery. |
| Nasal regurgitation is a symptom of disorder in this phase | pharyngeal (this is when velum is supposed to lift) then parastaltic action will push bolus up. |
| A Zenker's diverticulum is most likely to affect this phase | esophageal |
| Decreased tongue base retraction is typically going to be a symptom of dysphagia in this phase | pharyngeal, when laryngeal elevation occurs tongue pushes posteriorly and cleans out vallecula-tongue base sweeps posteriorly over epiglottis |
| Vallecula residue is often sign of weak tongue base. True/False | True, during phrayngeal phase when laryngeal elevation occurs, the tongue pushes posteriorly and cleans out vallecula-tongue base sweeps posteriorly over epiglottis |
| Aspiration occurs most often due to disorder of what phase | pharyngeal, the most susceptible to aspiration |
| abnormal hold positions are disorders of this phase | oral prep |
| limited mandibular movement are disorders of this phase | oral prep |
| 4 major muscles of mastication | temporalis, masseter, internal and external pterygoids |
| Coating of the pharyngeal wall after swallow is disorder of what phase | pharyngeal, caused by lack of pharyngeal parystalsis |
| Pyriform sinus residue is disorder of what phase | pharyngeal, because of lack of laryngeal elevation that tips and empties |
| reflux affects what phase most | esophageal, can slow esophageal phase, can cause pain |
| Incomplete tongue to palate contact affects what phase most | oral |
| Inability to make bolus affects what stage | oral prep |
| lack of teeth affects what stage | oral prep |
| disturbed parystaltic (squeezing) action of tongue affects what stage | oral |
| Parystaltic wave is created when you swallow T/F? | T, parystaltic wave can be measured from mouth all the way to the anus, swallowing creates movement in the intestines |
| Increased duration of time to complete this phase are likely to cause aspiration or penetration BEFORE the swallow | oral |
| Aspiration during the swallow is most likely caused during what phase | Pharyngeal |
| Aspiration after the swallow is most likely caused during what phase | esophageal |
| Piecemeal deglutition may be sign of premature occurrence of this phase | pharyngeal, can also be sign of apraxia (incordination) |
| deglutition is another word for | swallowing |
| Increased residue of pharynx | pharyngeal |
| retraction and elevation of velum must occur during this phase | pharyngeal |
| occurs with relaxation of cricopharyngeus | esophageal |
| This phase ends with closing of distal sphincter | esophageal- Distal sphincter (lower esophageal sphincter) |
| This phase begins at anterior faucial pillars | pharyngeal, can also begin as far back as vallecula |
| This stage contains pharyngeal paristalsis | pharyngeal |
| This phase contains stripping action | oral |
| Three valves of vocal tract must provide airway closure during | pharyngeal |
| metacognitive decision making processes are most active during this phase | oral prep |
| It is not appropriate to have an open airway during this phase | pharyngeal |
| A moment of apnea occurs during this phase | pharyngeal |
| This phase requires the bolus to remain midline | oral |
| This phase requires intact masseter and temporalis function | oral prep |
| This phase is most likely to demonstrate defecits of velopharyngeal function | pharyngeal phase |
| This phase most likely improves when downgraded to thick or thin liquids | esophageal phase |
| This phase relies the most on cranial nerve XII | oral phase |
| Relaxation of UES is hallmark of this phase | Pharyngeal |
| Tongue to hard palate contact is critical for this phase | oral |
| altering an eating utensil or cup is most likely to affect this phase | oral prep |
| Retroflection of the epiglottis is typically seen during this phase | pharyngeal |
| T/F. Upper Motor Neuron disorders are know to cause flacid muscle responses | False. Upper motor neuron disorders are know to cause SPASTIC motor disorders, lower motor neuron disorders cause flacid musle repoonse. |
Created by:
shayc09
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