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Speech & Language Healthcare Set

Terms in this set (47)

Globus is a symptom of which condition?
GERD
Which of the following has the phases of the swallow in their correct order?
1. Oral prep
2. Oral Transfer
3. Pharyngeal
4. Esophageal
The default long term goal for treating dysphagia is to reduce s/s to less than 10% because everyone has s/s of dysphagia every once in a while, so that's considered normal?
True
Which of the following are NOT essential aspects of rehabilitative exercises?
Functional Clarity
Rebecca is 89 years old and has mod/severe dementia. She no longer can feed herself and sits at the "feeder" table at the nursing home. Her denture don't fit so well so she never wears them to meals. She is currently on mechsoft/thin diet. She has been losing weight. You come observe her at a meal and an extremely prolonged oral phase. The staff complains that it takes way too long to feed her. What do you think is the best course of action to consider at first, based on what we've learned so far?
Rebecca seems to have oral phase deficits. Downgrade Rebecca to pureed/thin to reduce instances of choking, and to reduce effort and time required for prep and transit. Hopefully this will allow Rebecca to sustain sufficient nutrition.
What is a supraglottic swallow part of?
Compensatory treatment for dysphagia
During mastication, which structures are working the hardest?
Tongue
GERD is a disorder related to which swallow phase?
Esophageal
Lip closure exercise is part of?
Rehabilitative treatment for dysphagia
Lip seal is not necessary for efficient chewing
False
Vallecular stasis is pharyngeal phase problem. It can be assessed using a bedside eval.
False
The CTAR (chin-tuck against resistance) works on strengthening what?
Submental and strap muscles involved in pharyngeal swallow stage
Stefan is 72 years old and is recovering from a right hemisphere stroke that left him with left neglect. He has no muscle weakness. Stefan seems cognitively intact and has shown no communication deficits. What dysphagia-related issue is he most at-risk for?
Pocketing the left side
Dysphagia puts people at risk for?
All of these:
-Dehydration & Malnutrition
-Pneumonia and pneumonitis
-Death
Although it is not the optimal instrument to use for a comprehensive evaluation of the swallow, the pulse oximeter can be somewhat useful in determining swallow function because?
It can sometimes help determine whether there is a direct effect on breathing by measuring oxygen level before, during and after a swallow.
The cricopharyngeus muscle re-contracting after relaxing for the swallow is part of which phase?
Esophageal
Mendelsohn maneuver is not indicated for someone with any condition that leads to quick fatigue of muscles.
True
What oral structures(s), when contacted by bolus, triggers the pharyngeal stage?
Faucial Pillars
Which of the following is NOT part of the healthy pharyngeal phase of the swallow?
VFs abduct
A diet that is regular/thin is the most upgraded (unrestricted)
True
NPO means
Nothing by mouth
The pharyngeal phase of swallow is extremely complex and involves several structures working together in sequence. It all happens in about?
One second
Of the following, which is a disorder with the oral prep phase?
Choking on large bolus
Which is the CTAR (chin tuck against resistance) superior to the head-lift (shaker)?
All of the above
-Better specificity
-Better overload
-Easier to complete
Pocketing and residue indicate a dysfunction of which stages of the swallow?
Oral
Which of the following methods of assessment would be considered a "bedside eval"?
Assessment of swallow involving orofacial exam and small amounts of food and water
There are some s/s of aspiration that we can see without an x-ray
True
Over half of nursing home residents likely have dysphagia
True
Mastication happens at which stage of the swallow?
Oral prep
Bolus residue at the level of the pyriform sinuses is an issue often directly caused by premature spillage
False
Dysphagia is a disorder specific to the oropharyngeal phases of swallow
False
Head turn and tilt are part of?
Compensatory treatment for dysphagia
Hyolaryngeal excursion can only be determined through and x-ray of the swallow
False
Slow oral prep and transfer are inconvenient but are not a serious concern
False
Which of these is ALWAYS safer?
Downgraded solids
Tongue sweep is the act of moving bolus to the back of the oral cavity
False
Staff & caregiver education is most related to which aspect of dysphagia treatment
Compensatory treatment
What is an effortful swallow part of
It can be compensatory or an exercise for rehab
An x-ray of a swallow that doesn't visualize the vocal folds is not very useful
True
Of the following, which is a list of only esophageal phase occurences?
1. Peristalsis
2. CP relaxing
3. Soft palate raising
4. Vocal Folds closing tightly
Control of oral secretions (saliva) is NOT an issue for someone getting nourishment through non-oral means (feeding tube)
False
What difficulty does the chin tuck help with?
Premature spillage
Of the following s/s of dysphagia which can only be assessed during a meal?
Coordination of breathing and swallowing
Dysphagia can significantly increase the caregiver burden
True
Of the following, which phases of the swallow are involuntary?
Pharyngeal and esophageal
Of the following, which is not a disorder that is expected to result in dysphagia?
Aphasia
Poor dentition always indicates presence of oral phase dysfunction
False
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