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Dysphagia Test | Study Questions with 100% Correct Verified Answers
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Dysphagia Test | Study Questions with100% Correct Verified Answers
What could be breaking down if there is residue in the left lateral sulcus?
- lingual control
- poor tension in buccal (facial nerve)
- left labial weakness
Residue in the hard palate?
- tongue is not stripping well/ little tongue elevation
Residue on the tongue base may indicate?
tongue base is not retracting well resulting in poor pressure
residue along the posterior pharyngeal wall may indicate?
poor pharyngeal constrictors
Residue on the UES may indicate?
UES is not opening
Need what type of evaluation to see and diagnose dysphagia?
Instrumental evaluation
FEES includes
a scope through the nose to see what is occurring in VF with barium/swallowing
facial innervates the
-obicularis oris
-buccinator
helps with oral containment anteriorly and the linguavelar seal
trigeminal innervates
masseter
- helps with mastication
Hypoglossal innervates the
tongue (motor only)
, Glossopharyngeal innervates the
posterior tongue, pharynx, and larynx
Vagus innervates the
velum, pharynx, and esophagus which is important for swallowing.
Important for velopharyngeal seal, pharyngeal constrictors, and elevation of larynx!!
3 reasons the cricopharyngeus opens
1. relaxation of UES tone
2. Elevation of the larynx (helps pull UES open)
3. pulsion force of the bolus (tongue base and pharyngeal constrictors causing force)
What is the transit time for esophageal stage?
8-20 seconds
What is the transit time for
What contributes to diagnosis?
- medical diagnosis
- case history review and patient/caregiver interview
- results of oral mech
-signs and symptoms of dysphagia from clinical swallow eval or instrumental study
Dysphagia
impairment of emotional, cognitive, sensory and/or motor acts involved with transferring
a substance from the mouth to the stomach, resulting in failure to maintain hydration and
nutrition, and/or posing a risk of choking and aspiration
PO (by mouth)
placement of food in the mouth for nutrition and hydration
Bolus
the food, liquid, or other material placed in the mouth for ingestion
ASpiration
occurs when food/liquid (bolus) penetrates the airway below the true vocal folds
Silent aspiration
approximately 50% of patients who aspirate do not cough in response to aspiration
Laryngeal penetration
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