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submitted by โˆ—zincy7(29)
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REFERENCES:

WHILE SWALLOWING (see Laryngeal closure from Swallowing)

...true vocal fold closure that is the primary laryngopharyngeal protective mechanism to prevent aspiration during swallowing

  • Logic = Normal function; prevents food from going into trachea instead of esophagus. You dont want to aspirate food when you swallow, so you close your glottis and VCs

IMMEDIATELY AFTER IRRITATION (see Coughing - paragraph about the mechanism of the cough, step 3)

...The glottis closes (muscles innervated by recurrent laryngeal nerve) and the vocal cords contract to shut the larynx.

  • Logic = REFLEX to prevent aspiration of foreign body from going further into trachea.

WHILE COUGHING (see Coughing - paragraph about the mechanism of cough, step 5)

...The vocal cords relax and the glottis opens, releasing air at over 100 mph.

  • Logic = To help expel the foreign body out.

FUN FACT

(From Swallowing Wiki)

Since the true vocal folds adduct during the swallow, a finite period of apnea (swallowing apnea) must necessarily take place with each swallow. When relating swallowing to respiration, it has been demonstrated that swallowing occurs most often during expiration, even at full expiration a fine air jet is expired probably to clear the upper larynx from food remnants or liquid. The clinical significance of this finding is that patients with a baseline of compromised lung function will, over a period of time, develop respiratory distress as a meal progresses

... The respiratory center of the medulla is directly inhibited by the swallowing center for the very brief time that it takes to swallow. This means that it is briefly impossible to breathe during this phase of swallowing and the moment where breathing is prevented is known as deglutition apnea.

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alimd  Well he was eating and laughing at the same time, so it makes sense that his vocal cords were opened during swallowing, right?! +1
meryen13  @alimd well i thought the same but remember its asking while swallowing not while chewing and laughing. I have to remind myself to don't overthink and answer what exactly they're looking for. sometimes they give you all these random info and they ask about something else... same as this q. +3
chaosawaits  The part that confused me was "immediately after laryngeal irritation." I essentially narrowed it down to that and then went with the 50:50 choice that seemed most reasonable. I still have no idea how you're supposed to know that. +
chaosawaits  Oh, I think I finally got it. You get the irritation, which makes you want to cough. Epiglottis closes to build pressure. While coughing, the epiglottis opens and the epiglottis closes during swallowing because the body doesn't like storing food in the lungs. +1



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