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Anatomy and physiology of swallowing

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  • The primary muscle responsible for lip closure during swallowing is:
    Palatoglossus
    Orbicularis oris
    Buccinator
    Masseter
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  • Which structure prevents anterior spillage of the bolus?
    Vagus reflex pathways
    Epiglottis
    Lips & labial musculature
    Uvula
  •  15
  • The oral preparatory stage is under control of:
    Vagus reflex pathways
    Voluntary cortical control
    Brainstem only
    Cerebellum only
  •  15
  • The muscle that elevates and retracts the velum during oral transit is:
    Lips & labial musculature
    Palatopharyngeus
    Levator veli palatini
    Palatoglossus
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  • Buccinator function during swallowing is to:
    Prevent pocketing in the lateral sulci
    Close the velopharyngeal port
    Elevate the larynx
    Propel the bolus through the Upper Esophageal Sphincter
  •  15
  • Tongue elevation against the hard palate is primarily achieved by the:
    Styloglossus
    Genioglossus
    Palatoglossus
    Hyoglossus
  •  15
  • A reduced anterior–posterior tongue movement affects which stage?
    None
    Oral transit
    Esophageal
    Pharyngeal
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  • The oral transit stage ends when:
    Velum closes
    Tongue base meets posterior pharyngeal wall
    Hyoid elevates
    Bolus enters valleculae
  •  15
  • Mastication is MOST dependent on which cranial nerve?
    CN Xll
    CN VII
    CN V
    CN lX
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  • Reduced lingual lateralization would MOST affect:
    Bolus formation
    Upper Esophageal Sphincter opening
    Epiglottic inversion
    Laryngeal closure
  •  15
  • The pharyngeal swallow is primarily triggered when the bolus reaches the:
    Faucial pillars
    Velum
    Palatine tonsil
    Buccinator muscle
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  • Velopharyngeal closure prevents:
    Aspiration
    Nasal regurgitation
    Cricopharyngeal spasm
    Globus sensation
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  • The muscle forming the primary structure of the Upper Esophageal Sphincter is the:
    Cricopharyngeus
    Aryepiglottic muscle
    Thyroepiglottic muscle
    Stylopharyngeus
  •  15
  • Hyolaryngeal elevation contributes MOST to:
    Airway closure & Upper Esophageal Sphincter opening
    Velopharyngeal seal
    Tongue base retraction
    Nasal airflow
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  • Laryngeal closure during swallowing proceeds in what order?
    True folds → arytenoids → epiglottic tilt
    Epiglottis → arytenoids → true vocal folds
    Epiglottis → arytenoids → true vocal folds
    True vocal folds → false vocal folds → laryngeal vestibule
  •  15
  • Epiglottic inversion occurs primarily due to:
    Preventing pocketing in the lateral sulci
    Airway closure & Upper Esophageal Sphincter opening
    Tongue base retraction & laryngeal elevation
    Contraction of the epiglottic muscle
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