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The purpose of pharyngeal constriction during the pharyngeal phase of swallowing is to:


A) open the cricopharyngeus
B) generate enough pressure to push the bolus through the pharynx
C) trigger the elevation of the larynx
D) clear the bolus from the laryngeal vestibule
E) invert the epiglottis

F) A) and E)
G) A) and D)

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D

Which of the following cranial nerves are developed embryologically from branchial arches?


A) III
B) VIII
C) VII
D) II

E) C) and D)
F) B) and C)

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Cranial nerve VIII:


A) has a visceral component
B) is a special sensory nerve
C) developed from somites
D) developed from branchial arches

E) B) and D)
F) B) and C)

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Pharyngeal contractions (peristalsis)are the major force that pushes the bolus through the pharynx in the pharyngeal phase of swallowing.

A) True
B) False

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Which of these cranial nerves does not have a visceral component?


A) III
B) V
C) VII
D) IX
E) X

F) C) and D)
G) C) and E)

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Which of the following is NOT a function of the superior laryngeal nerve of cranial nerve X?


A) sensory information from the epiglottis and larynx
B) innervation of the cricothyroid muscle
C) sensory information from the tip of the tongue
D) general sensation from the pharynx
E) general sensation from the external ear

F) B) and C)
G) A) and E)

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The __ stage of deglutition is voluntary and is approximately 1 second in duration.


A) oral preparatory
B) oral
C) pharyngeal
D) esophageal
E) both B and C

F) B) and C)
G) C) and D)

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Asking a patient to produce the phoneme /t/ is a good test of the strength of elevation of the tongue tip.

A) True
B) False

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Which of these nerves has a visceral component?


A) olfactory
B) optic
C) oculomotor
D) trochlear
E) abducens

F) B) and C)
G) A) and E)

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The vestibular nerve is exclusively afferent,receiving impulses from the utricle,saccule,and semicircular canals.

A) True
B) False

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A clinician has determined that a patient's vagus nerve has been damaged,affecting the contraction of the pharyngeal constrictor muscles.Knowing this,which type of swallowing assessment is indicated?


A) Have the patient swallow a liquid,semisolid,and solid in a clinic setting.
B) Test the sensation of taste.
C) Request a modified barium swallow.
D) Request an ultrasound to assess the oral stage of swallowing.

E) None of the above
F) All of the above

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Which of the following is NOT a function of the vagus nerve,recurrent laryngeal branch?


A) general sensation from the vocal folds
B) innervation of all the intrinsic muscles of the larynx
C) visceral sensation below the larynx
D) All of these are functions of the recurrent laryngeal branch of the vagus.

E) None of the above
F) A) and C)

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B

__ are the cranial nerves that innervate muscles involved in swallowing.


A) V,VII,IX,X,and XII
B) V,IX,X,XI,and XII
C) V,VII,VIII,IX,and X
D) VII,IX,X,XI,and XII

E) B) and C)
F) A) and B)

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The cochlear nerve is located in:


A) Scarpa's ganglion
B) the spiral ganglion
C) the lateral lemniscus
D) the medial geniculate body

E) All of the above
F) A) and B)

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A lesion in the superior laryngeal nerve would likely result in:


A) weakness of the laryngeal closure
B) a strained,strangled voice
C) an inability to change pitch
D) a hoarse,breathy voice

E) All of the above
F) None of the above

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The __ has a primary role in chewing.


A) branchial motor component of the facial nerve
B) maxillary nerve of the trigeminal
C) mandibular nerve of the trigeminal
D) hypoglossal nerve

E) None of the above
F) A) and B)

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A patient who cannot move the jaw to one side has a:


A) unilateral lesion of the facial nerve
B) unilateral lesion of the trigeminal nerve
C) bilateral lesion of the facial nerve
D) bilateral lesion of the trigeminal nerve
E) unilateral lesion of the spinal accessory nerve

F) C) and D)
G) A) and B)

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Which of the following muscles is NOT innervated by the hypoglossal nerve?


A) hyoglossus
B) intrinsic muscles of the tongue
C) genioglossus
D) styloglossus
E) All of these muscles are innervated by the hypoglossal nervE.

F) B) and E)
G) B) and C)

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E

Rarely are both focal folds completely paralyzed as a result of an upper motor neuron lesion.

A) True
B) False

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The __ provides efferent innovation to pharyngeal muscles.


A) nucleus solitarius
B) inferior salivatory nucleus
C) nucleus ambiguus
D) dorsal nucleus of the vagus
E) dorsal motor nucleus of the facial nerve

F) None of the above
G) A) and B)

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