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SLP477- Disorders of Swallowing > Chapter 4 > Flashcards

Chapter 4 Flashcards

1
Q
  1. Can contraction of scars from surgical excision result in dysphagia long after surgery?
A

Yes, it can

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2
Q
  1. Is dysphagia following surgery related to the area where the surgery was done?
A

No, it can occur in areas other than where it was done

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3
Q
  1. Are high vagal lesions common after skull base surgery?
A

No, lower cranial neuropathies are common

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4
Q
  1. Is injury to Cranial Nerve XII following surgery likely to result in loss or partial loss of sensation?
A

Yes, it is

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5
Q
  1. Is the tongue alone capable of propelling the bolus to the anterior faucial arches?
A

No it isn’t, the tongue needs a contact point, otherwise the bolus moves away via gravity

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6
Q
  1. Is surgery for tumors of the soft palate the best management technique to improve oral phase swallowing?
A

-No, it isn’t. It’s best to fit patients with a prosthetic device

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7
Q
  1. Is laryngeal elevation reduced when the genioglossus and glossopharyngeal muscles are involved in the surgery?
A

-Yes, it is reduced

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8
Q
  1. Does a tracheotomy tube provide an additional mechanism to aid in laryngeal elevation?
A

No, trach tubes usually result in tracheal lowering

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9
Q
  1. Is Zenker’s diverticulum best treated with medication to control gastroesophageal reflux?
A

No, it is usually treated w/ surgery (like a cricopharyngeal myotomy) to control acid reflux

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10
Q
  1. Surgery of the palate causes a swallowing disorder due to what 3 things?
A
  • Bolus transfer
  • Reduced propulsion
  • Regurgitation
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11
Q
  1. Following skull base surgery for a neoplasm that involves a high vagal injury, the patient will experience what?
A

-Vocal fold paralysis

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12
Q 
12. Injury to Cranial Nerve VII is likely to result in all BUT one of the following:
A-Drooling
B-Chewing
C-Vocal fold weakness
D-Compaction of food
A

C-Vocal fold weakness

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13
Q
  1. Floor of the mouth surgery for oral cancer interferes primarily with what stage of swallowing?
A

-Oral preparatory

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14
Q
  1. Surgery for cancer of the tongue resulting in partial glossectomy will effect propulsion if… (2 things)
A
  • The tongue does not protrude on oral motor testing

- The lip seal is impaired

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15
Q
  1. Surgery to remove tumors on the hard palate results in… (3 things)
A
  • Oral phase dysphagia
  • Hyper-nasal speech
  • Regurgitation
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16
Q
  1. Surgery to the hypopharyngeal walls results in (4 things)
A
  • Partial loss of sensation in the hypopharynx
  • Buildup of food in the hypopharynx
  • Aspiration of liquids
  • Aspiration of solids
17
Q 
17. The need for a tracheostomy tube increases the likelihood of aspiration due to all EXCEPT
A-Lowered air resistance
B-Reduced subglottic air pressure
C-Reduced lingual elevation
D-Loss of sense of smell
A

-Reduced lingual elevation

18
Q
  1. What is the primary valve for preventing fluids or foods from entering the lungs?
A

-Vocal folds

19
Q
  1. What is the most common reason for not treating a patient with surgery for a Zenker’s diverticulum?
A

-Due to other medical problems, patient is unable to tolerate anesthesia

20
Q
  1. Dysphagia after cervical spine surgery is… (3 things)
A
  • Common in the early postoperative period
  • Often self-limited
  • Often due to injury to the recurrent laryngeal nerve
21
Q
  1. Dysphagia after cervical spine surgery is due to (4 things)
A
  • Scarring of the retrophayngeal space
  • Disruption of the pharyngeal plexus
  • Edema
  • Pain
22
Q
  1. After skull base surgery patients may suffer aspiration due to which 2 things?
A
  • Injury to the vagus

- Deconditioning

23
Q
  1. What do patients with a Zenker’s diverticulum often present with?
A

-Regurgitation

24
Q
  1. Dysphagia in patients with cancer of the upper aerodigestive tract is… (3 things)
A
  • Often present at the time of diagnosis
  • Often intractable
  • Corrected with the successful treatment of the cancer
25
Q
  1. The term given to lip damage resulting in difficulty placing food in the mouth and on the tongue is _____
A

microstomia

26
Q
  1. Voice changes, liquid aspiration, and piriform sinus pooling may all be attributed to injury to which cranial nerve?
A

CN X Vagus

27
Q
  1. A valve used to increase subglottic air pressure in patients fitted with a tracheostomy tube is called ___
A

expiratory speaking valve / passy muir

28
Q
  1. The Passy Muir or expiratory speaking valve contributes to improved swallowing in two ways. What are they? :
A
  • increasing subglottic pressure

- restoring proprioceptive cues during bolus preparation

29
Q
  1. A pouch near the cricopharyngeus muscle that collects food particles and is caused by muscle weakness is called a _____
A

-Zenker’s diverticulum

30
Q
  1. What is the main purpose of the tracheotomy tube?
A

to bypass an obstruction, allowing the patient to breathe

SLP477- Disorders of Swallowing (7 decks)

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