Sphincter this, Sphincter that
I can't risk it.
GERD/LPR
Healthy or Not :(
OH NO!/Fix this, please.
100
T/F. There is one sphincter in the esophagus.
True or False
False
There are 2: UES and LES
100
T/F. Laryngopharyngeal Reflux symptoms present the same in infant/children and adults.
True or false
False
similar: hoarseness, chronic cough
similar: hoarseness, chronic cough
100
T/F. GERD and LPR are the same thing?
True or False
False
Gastroesophageal Reflux Disease (GERD) involves the lower esophageal sphincter (LES) and Laryngopharyngeal Reflux (LPR) involves the upper esophageal sphincter (UES).
100
Fill-in. Name 1 fresh fruit or vegetable with lower acidic levels as listed in presentation?
apple, banana, baked potato, broccoli, cabbage, green beans, or peas
100
T/F. Once you have Laryngopharyngeal Reflux (LPR), you will definitely have it the rest of your life.
True or False
False
Symptoms could possibly go away within a few months with proper diet, lifestyle/behavior changes, and/or medication/s.
200
T/F. The lower esophageal sphincter (LES) normally keeps the top of your stomach closed.
True or False
True
It relaxes and opens when you're swallowing.
200
T/F. Lying flat (supine) or exercising after eating helps reduce the effects of reflux.
True or False
False
Don't eat 2 to 3 hours before lying down and sleep propped up with a pillow. Exercising to soon could reduce reflux.
200
M/C. Heartburn is a common symptom in:
a) GERD
b) LPR
a) Gastroesophageal Reflux Disease (GERD)
200
M/C. It's Valentine's Day, the love of your life is sick in bed. He or she wants dessert, but has severe trouble with reflux...... You run to the market to grab.... what? (according to the presentation)
a) a Snickers bar
b) red liquorice
c) tomorrow's groceries (They'll be fine.)
d) lollipops
b) red liquorice (a lower acidic level vs. other sweets)
200
T/F. Completely eliminating acidic foods and beverages everyday is one treatment approach.
True or False
False
Limiting when possible is recommended.
300
T/F. Laparoscopic Antireflux Surgery is used to strengthen and reinforce the lower esophageal sphincter (LES) and in turn, helps reduce Laryngopharyngeal Reflux (LPR) symptoms.
True or False
True.
Laparoscopic Antireflux Surgery may be recommended if diet, lifestyle/behavior changes, and medications are not successful.
300
T/F. Peppermint can be a contributing factors in LPR.
True or False
True.
300
T/F. A contributing factor for GERD is a Hiatal hernia.
True or False
True
Hiatal hernia: when the stomach bulges up into the chest through the hiatus in the diaphragm intended for the esophagus where it attaches to the stomach.
300
T/F. Children may eat McDonald's all the time because reflux does not affect them? Laryngopharyngeal Reflux is an old person's disease.
True or False
False
Infants and children may experience reflux more frequently than adults because their upper and lower esophageal sphincter muscles aren’t strong enough to close. This may improve as they age.
300
Changing our behavior can be difficult, what could you recommend to your patient with LPR to reduce their acidity level immediately?
a) tell them to stop complaining --> there are bigger issues in the world
b) recommend they smoke some marijuana
c) eat 5 small meals during the day
c) eat 5 small meals during the day
We need to listen with a caring heart.
Smoking anything is a contributing factor.
400
M/C. What cranial nerves are involved with the motor and sensory function of the Upper Esophageal Sphincter (UES)?
a) facial (CN VII) & hypoglossal (CN XII) nerves
b) glossopharyngeal (CN IX) & vagus (CN X) nerves
c) vagus (CN X) & hypoglossal (CN XII) nerves
b) branches of the glossopharyngeal (CN IX) and vagus (CN X) nerves.
400
Fill-in. Laryngopharyngeal Reflux (LPR) is referred to as the “silent reflux" because only _______% of patients report heartburn.
35%
400
Fill-in. What does LPR stand for?
Laryngopharyngeal Reflux
400
T/F. Baked potato chips are okay to eat with Laryngopharyngeal Reflux (LPR).
True or False.
True
Baked, NOT fried..... Sorry!
400
Fill-in. Name one general medication that may increase stomach acid.
NSAIDs- (e.g. aspirin, ibuprofen (Advil, Motrin) and naproxen (Aleve), Vitamin C, Asthma medicines (e.g. Theophylline), Anticholinergic medicines, Blood pressure medicines (e.g. Beta Blockers or Calcium Channel Blockers), & Progesterone: Provera (e.g. Birth control pills)
500
Fill-in. What is the name of the primary muscle of the upper esophageal sphincter that is involved in Laryngopharyngeal Reflux (LPR) --> inferior to the larynx?
It works similar to a rubber band.
The cricopharyngeal part of the inferior pharyngeal constrictor is the primary muscle of the upper esophageal sphincter (UES).
500
T/F. It is recommended to take aspirin if you have Laryngopharyngeal Reflux (LPR) and you've eaten a large meal with spicy or fried foods.
True or False
False
Aspirin can be a contributing factors to Laryngopharyngeal Reflux.
500
T/F. Stomach acid and Pepsin can travel to the back of the nasal airway in Laryngopharyngeal Reflux (LPR).
True or False
True
Yes, it can travel to the back of the pharynx (throat) and larynx (voice box), and even into the back of your nasal airway, at times.
500
Fill-in. Name one beverage that should be avoided.
Liquor, coffee, and carbonated drinks
These beverages should ALL be avoided due to their high acidic levels.
500
Fill-in. Name one of the instruments or procedures used in diagnosing Laryngopharyngeal Reflux (LPR)
laryngoscope, barium swallowing study, endoscope, or esophageal pH impedance test