Assessment of Swallowing UPDATED Exam Questions and CORRECT Answers
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Course
Assessment of Swallowing
Institution
Assessment Of Swallowing
Assessment of Swallowing UPDATED
Exam Questions and CORRECT Answers
screening, clinical evaluation, and instrumental evaluation - Correct Answer- What are the 3
ways one can assess swallowing?
screening - Correct Answer- given broadly to groups of people to determine if any of them
have the...
Assessment of Swallowing UPDATED
Exam Questions and CORRECT Answers
screening, clinical evaluation, and instrumental evaluation - Correct Answer- What are the 3
ways one can assess swallowing?
screening - Correct Answer- given broadly to groups of people to determine if any of them
have the condition in question (pass/fail)
- easy to administer, inexpensive, accuracy; high sensitivity, low specificity
high sensitivity = few false negative results; should help rule out the disorder
low specificity = identify more patients than have the disorder - Correct Answer- Explain
what high sensitivity and low specificity means with screening.
no, (e.g., nurse may do this) - Correct Answer- Is it only SLP's who can do a swallow
screening?
1. Risk of pneumonia is 11 times higher for patients with severe dysphagia and aspiration
2. Hospitals using mandatory and formal dysphagia screening have lower pneumonia rates
than those without a screening
3. Health incentive and financial incentive to screen high risk patients - Correct Answer- Why
do we do swallow screenings? (3)
To determine:
1. The likelihood that dysphagia is present
2. The need for formal swallow evaluation
3. Whether it is safe to feed the patient orally (for the purposes of nutrition, hydration, and
administration of medication)
4. Whether the patient requires referral for nutritional or hydrational support - Correct
Answer- What are the goals of a swallow screening? (4)
1. A known history of dysphagia
2. A medical diagnosis that frequently involves swallowing impairment (e.g., stroke)
,3. Reduced level of consciousness
4. Overt signs of difficulty swallowing or aspiration
5. Complaints of difficulty swallowing - Correct Answer- Screening procedures are usually
used to determine whether any of the following represent a risk of dysphagia and/or a reason
to maintain an NPO status for the patient: ...? (5)
1. Interview or questionnaire
2. Observation of the signs and symptoms of oropharyngeal dysphagia
3. Formulation of appropriate recommendations, including the need for a full swallow
function assessment
4. Communication of results and recommendations to the team responsible for the
individual's care - Correct Answer- What compromises a screening? (4)
Screening requires little examiner expertise or interpretation - Correct Answer- Who should
screen?
1. The Toronto Bedside Swallowing Screening Test (TOR-BSST)
- Health care professionals
2. Gugging Swallowing Screen
- SLPs
3. Massey Bedside Swallowing Screening
- Nurse administered
4. Modified Mann Assessment of Swallowing Ability (MASA)
- Physician administered (Neurologist) - Correct Answer- What are the different types of
screening tools? Who are they typically used with?
- Widely used clinical screening to determine the risk of aspiration
, - Patients are given 3 ounces of water and asked to drink the entire amount
- Not appropriate for every patient - Correct Answer- Describe the 3 Ounce Water Swallow
Test.
inability to consume the entire 3 ounces or coughing or throat clearing within 1 minute of test
administration - Correct Answer- How does one fail the 3 ounce water swallow test?
1. Orientation and command following
What is your name?
Where are you right now?
What year is it?
2. Command following
Done in conjunction with oral‐mechanism exam
Open your mouth
Stick out your tongue
Smile
3. 3‐ounce water swallow test (part of the Yale Swallow Protocol) - Correct Answer- Describe
the Yale Swallow Protocol and it's 3 parts.
screening = pass/fail (e.g., 3 ounce water test)
clinical = more in depth assessment (e.g., beside swallow eval.)
instrumental = using an instrument (e.g., FEES) - Correct Answer- What is the difference
between screening, clinical, and instrumental?
Clinical evaluation - Correct Answer- the initial form of testing performed by physicians and
establishes the patient-clinician relationship; same for the SLP
1. Instrumental diagnosis and management may not be available or feasible
2. Should precede instrumental testing to help determine the best intervention - Correct
Answer- Clinical swallow evaluation is completed for two reasons:
1. Examine structure and function
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