Dysphagia A Rated Exam with Questions
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T or F: During a FEES, the clinician should observe anatomical structures during quiet
and forced respiration, coughing, speaking, and dry swallows before swallowing
trials with food and drink.
True
Potential clinical indications for FEES generally include all of the following EXCEPT:
A.Hypernasality
B.Abnormal vocal quality
C.Lateral buccal stasis
D.Difficulty managing secretions
E.Issues with transportation to radiology
C.Lateral buccal stasis
T or F: You will see a "white-out" at the moment of swallowing during
the Videofluoroscopic Swallowing Study (VFSS).
False
The pharyngeal musculature consists of both circumferential and vertical muscles
of the pharynx. Name two vertical muscles of the pharynx.
1.Palatopharyngeus
2.Salpingopahryngeus
, T or F: The Yale Swallow Protocol has both high sensitivity for detecting the presence of
aspiration and an acceptable specificity rating (ability to detect a true negative).
True
T or F: Increased incidence of aspiration is a normal age-related change in
swallow function.
False
What is the name of the muscle that is the main component of the
Pharyngoesophageal Segment (PES) that at rest keeps the PES closed by being in
a state of tonic contraction?
cricopharyngeus
Describe 3 dysfunctional components of the pharyngeal phase of the swallow
as observed during this VFSS.
1. Reduced pharyngeal wall contraction - pharyngeal stripping wave
2. Inadequate flexibility of the epiglottis, resulting in residue remaining on
the valleculae,
3. PES dysfunction. Not opening as it should (not opening wide enough or not
staying open long enough) resulting in residue in the pyriform sinuses.
T or F: Silent aspiration is usually a sign of loss of the ability of the true vocal folds
to abduct during the swallow.
False
T or F: The oral and pharyngeal phases of swallowing are voluntary phases, so if one
is working, the other also is working normally
False
According to the American Speech-Language-Hearing Association (ASHA), the
objectives of instrumental assessment of dysphagia are to:
A.Visualize swallowing-related structures and secretions
B.Assess swallowing-related structures and their functions
C.Assist in determining which feeding method should be
recommended D.Trial different swallowing management strategies
E.All of the above
E.All of the above
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