Deck 11: Disorders of Swallowing

Question 1

The primary symptoms of dysphagia in are reduced pharyngeal peristalsis and delayed swallowing reflex.

A) Multiple sclerosis
B) Stroke
C) HIV/AIDS
D) Parkinson disease

Answer 1

A

Question 2

Swallowing disorders increase the risk of choking and may lead to

A) Obesity
B) Improved nutrition
C) Aspiration
D) Intubation

Answer 2

C

Question 3

Which of the following can occur in disorders of the pharyngeal phase of swallowing?

A) If peristalsis is slow or absent, the complete bolus might not be transported to the stomach.
B) An open velopharyngeal port can lead to substances going into and out of the nose.
C) If the lips do not seal properly, drooling can occur.
D) The muscles of the tongue might not function purposefully or efficiently enough to move food to the teeth.

Answer 3

B

Question 4

In the phase of swallowing, the base of the tongue and the pharyngeal wall move toward one another to create pressure needed to project the bolus into the pharynx.

A) Oral preparation
B) Oral
C) Pharyngeal
D) Esophageal

Question 5

Children with have behaviors that can interfere with feeding, including social withdrawal, impaired communication, stereotypic behaviors, and sensory hypersensitivity.

A) Spina bifida
B) HIV/AIDS
C) Intellectual disability
D) Autism spectrum disorder

Question 6

In , oral transport may be impaired by a front-to-back rolling pattern of the tongue.

A) Stroke
B) Amyotrophic lateral sclerosis
C) Spinal cord injury
D) Parkinson disease

Question 7

is sometimes an early sign of amyotrophic lateral sclerosis.

A) Poor tongue movement
B) Loss of food during the oral phase
C) Pharyngeal phase dysphagia
D) Reduced laryngeal elevation

Question 8

In the phase of swallowing, the bolus is moved from the front to the back of the mouth.

A) Oral preparatory
B) Oral
C) Pharyngeal
D) Esophageal

Question 9

Explain how structural and physiological abnormalities such as those seen in cleft lip/palate, Pierre Robin syndrome, Treacher Collins syndrome, esophageal atresia, and pyloric stenosis negatively affect feeding and swallowing.

Question 10

is the most common cause of neurogenic pediatric dysphagia.

A) Cerebral palsy
B) Fragile X
C) Down syndrome
D) Fetal alcohol syndrome

Question 11

Children with _ have difficulty with oral secretions and exhibit odynophagia.

A) Autism spectrum disorder
B) HIV/AIDS
C) Intellectual disability
D) Spina bifida

Question 12

In the phase of swallowing, the tongue and cheeks move food to the teeth to form a solid bolus.

A) Oral preparation
B) Oral
C) Pharyngeal
D) Esophageal

Question 13

Which of the following can occur in disorders of the oral preparation/oral phase of swallowing?

A) Residue on the esophageal walls can result in infection and nutritional problems.
B) If the swallow is not triggered or is delayed, material may be aspirated.
C) Insufficient saliva impedes adequate bolus formation.
D) Poor tongue mobility may result in insufficient pressure in the pharynx.

Question 14

Up to of adults over age 55 experience swallowing difficulties.

A) 7%
B) 22%
C) 3%
D) 10%

Question 15

In the phase of swallowing, muscles move the bolus in peristaltic contractions into the stomach.

A) Oral preparation
B) Oral
C) Pharyngeal
D) Esophageal

Question 16

is the cause for about a third of deaths following stroke.

A) Denial of illness
B) Malnutrition
C) Pneumonia
D) All of the above combined

Question 17

Infants and children with swallowing disorders might experience the following:

A) Poor parent-child relationships
B) Inadequate growth
C) Difficulty learning
D) All of the above

Question 18

is a congenital malformation of the spinal column typically involving associated neural damage, resulting in limited sensation and motor control difficulties; it may result in dysphagia.

A) Spinal stenosis
B) Cerebral palsy
C) Neuralgia
D) Spina bifida

Question 19

The outcomes of a swallowing disorder at any age include

A) Respiratory infection
B) Malnutrition
C) Fatigue
D) Ill health
E) All of the above

Question 20

Radiation for cancer of the mouth, throat, or larynx may result in

A) Mouth sores
B) Reduced swallowing reflex
C) Diminished salivation
D) All of the above

Question 21

In , a flexible laryngoscope is placed through the nose and into the pharynx so that the swallow can be examined.

A) Videofluoroscopy
B) Scintigraphy
C) Fiber-optic endoscopic evaluation of swallowing
D) Ultrasound

Question 22

The position is recommended for patients with poor tongue mobility.

A) Head tilt
B) Chin tuck
C) Head rotation
D) Head back

Question 23

How can depression and social isolation in old age result in dysphagia?

Question 24

What factors should be considered for placement of food and liquid in the mouth?

Question 25

A primary indication of dysphagia in newborns is

A) Lack of attachment
B) Cognitive impairment
C) Failure to thrive
D) Irritability

Question 26

patients have a higher incidence of esophageal dysphagia.

A) Dementia
B) Spinal cord injury
C) ALS
D) Stroke

Question 27

It is possible to conduct a swallow evaluation with a patient who has a tracheostomy tube.

Question 28

A bedside swallow evaluation is contraindicated if

A) The client is not alert
B) The client has a history of aspiration
C) A & B
D) None of the above

Question 29

In , a transducer that generates and receives sound waves is placed below the chin for views of the oral cavity and on the thyroid notch for visualizing the laryngeal area.

A) Videofluoroscopy
B) Scintigraphy
C) Fiber-optic endoscopic evaluation of swallowing
D) Ultrasonography

Question 30

refer(s) to involuntary, repetitive facial, tongue, or limb movements.

A) Tremor
B) Tardive dyskinesia
C) Fasciculations
D) Tics

Question 31

The cognitive effects of _ may impede attention and orientation to food.

A) Stroke
B) ALS
C) Dementia
D) Spinal cord injury

Question 32

What are the four diet levels for dysphagia and the levels of liquid?

Question 33

In , barium is coated onto or mixed into the food or beverage so that the movement of the bolus can be examined via X-ray.

A) Videofluoroscopy
B) Scintigraphy
C) Fiber-optic endoscopic evaluation of swallowing
D) Ultrasonography

Question 34

What does the SLP pay attention to when observing feeding as it occurs normally?

Question 35

is a lack of cough when food or liquid enters the airway.

Question 36

The position is recommended for patients with delayed pharyngeal swallow.

A) Head back
B) Head rotation
C) Head tilt
D) Chin tuck

Question 37

What are the three areas of concern that might result in a dysphagia referral?

Question 38

During the bedside swallow evaluation, an inability to cough may indicate

A) Difficulty closing the larynx to protect the airway
B) Inadequate velopharyngeal closure
C) A & B
D) None of the above

Question 39

The identifies 80-98% of patients who are aspirating, but possibly not those who experience silent aspiration.

A) 3-ounce water swallow test
B) Videofluoroscopic swallow study
C) Bedside swallow evaluation
D) Dysphagia checklist

Question 40

When examining laryngeal function, the SLP should look for which of the following?

A) General body position and tone
B) Hoarse, gurgly, or breathy voice quality before/during/after the swallow
C) Motor difficulties, such as tremor
D) All of the above

Question 41

is used when there is pharyngeal or oral residue.

A) Super-supraglottic swallow
B) Supraglottic swallow
C) Double or multiple swallow
D) Effortful swallow

Question 42

is a feeding tube placed in the stomach through a hole in the abdomen.

A) Nasogastric tube
B) Pharyngostomy
C) Esophagostomy
D) Percutaneous endoscopic gastrostomy tube

Question 43

When is the Mendelsohn maneuver used and what is the procedure?

Question 44

What is the procedure for the supraglottic swallow?

Question 45

is a feeding tube placed into the esophagus through a hole in the chest.

A) Nasogastric tube
B) Pharyngostomy
C) Esophagostomy
D) Percutaneous endoscopic gastrostomy tube

Question 46

Swallowing physiology and range of motion can be improved through

A) Surgery
B) Exercise
C) Electrical stimulation
D) None of the above

Question 47

is a feeding tube inserted into a stoma, which extends into the pharynx.

A) Nasogastric tube
B) Pharyngostomy
C) Esophagostomy
D) Percutaneous endoscopic gastrostomy tube

Question 48

Treatment for dysphagia is reported to be beneficial in at least of cases.

A) 90%
B) 80%
C) 30%
D) 50%

Question 49

Surgical procedures that may help with dysphagia include

A) Suturing the vocal folds shut
B) Elevating the larynx
C) Removing growths on the cervical spine
D) All of the above

Question 50

Medications always have harmful effects on swallowing.

Question 51

Clients who require more than _ seconds to swallow a bolus or who aspirate more than _ will likely require at least some nonoral feeding.

A) 10, 10%
B) 40, 40%
C) 20, 20%
D) 5, 5%

Question 52

is used for individuals who do not fully close the glottis or close the glottis late.

A) Multiple swallow
B) Double swallow
C) Effortful swallow
D) None of the above