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SLP477- Disorders of Swallowing > Chapter 5 > Flashcards

Chapter 5 Flashcards

1
Q
  1. Can a screening test of swallowing can be done by a nurse, speech-language pathologist, or occupational therapist?
A

-Yes, it can

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2
Q
  1. Is dysphagia best assessed by a team of professionals rather than a single clinician or therapist?
A

-Yes

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3
Q
  1. Is the Modified Blue Dye Test a safe and equal alternative to the video fluoroscopic examination for determining the presence of aspiration in tracheostomized patient?
A

-No it isn’t, videoflouroscopic examination is more sensitive than the modified blue dye test to determine aspiration

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4
Q
  1. Can a valid and reliable self-assessment tool help a clinician to better understand the impact of dysphagia on a patient?
A

-Yes, it can

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5
Q
  1. Is it true that respiration has no influence on swallowing function and therefore need not be considered during patient examination?
A

-It is NOT true: respiration needs to be examined, it is tightly related to swallowing and important to consider as swallowing and airway protection are important

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6
Q
  1. Can assessment of gait during patient assessment for swallowing be done by a speech-language pathologist?
A

-Yes, it can

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7
Q
  1. Does normal swallowing require the presence of a normal gag reflex?
A

-No it doesn’t, the importance of the gag reflex isn’t known

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8
Q
  1. Does the presence of facial asymmetry contribute to oral phase dysphagia?
A

-Yes, it contributes

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9
Q
  1. Can laryngeal elevation be assessed by a clinician during the clinical swallow evaluation?
A

-yes, it can

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10
Q
  1. Is a trial swallow of water not always necessary when doing a clinical swallow evaluation?
A

-Correct: it is not always necessary

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11
Q
  1. If a trial swallow of water is to be done at the clinical swallow evaluation, what should the amount of water for the first swallow be?
A

-The first swallow should be 5ml

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12
Q
  1. Is the clinical swallow evaluation with pulse oximetry equal to a modified barium swallow in detecting patients who are aspirating?
A

-No, it isn’t, and these are both indirect ways to assess the airway. They cannot directly assess aspiration.

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13
Q
  1. Is a thorough clinical evaluation of swallowing generally satisfactory to start rehabilitative swallow therapy?
A

-No, the effects of rehabilitative swallow techniques are best verified under instrumental evaluation

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14
Q
  1. Is silent aspiration generally identifiable during a comprehensive clinic swallowing evaluation?
A

-No, silent aspiration can’t always be determined with a clinical swallowing evaluation. It can only accurately be determined with instrumental techniques.

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15
Q

15.Can the clinical swallow evaluation identify signs and risks of aspiration?

A

-Yes, it can

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16
Q 
16. The swallowing screening procedure can assess all of the following EXCEPT
A-History of pneumonia
B-Strength of cough
C-Safety of swallowing
D-Evidence of fluid in lungs
A

D-Evidence of fluid in lungs

Swallowing screenings cannot assess evidence of fluid in the lungs

17
Q
  1. What information is part of taking a case history? (4 things)
A
  • Family history of swallowing disorders
  • Medications and dosages
  • Recent weight changes
  • Evidence of trauma
18
Q 
18. Which of the following is NOT part of the oral examination for dysphagia?
A-Tongue elevation
B-Tongue sensation
C-Resonance
D-Cough
A

D-Cough

19
Q 
19. Which of the following is NOT part of the pharyngeal/laryngeal
examination for dysphagia?
A-Laryngeal elevation
B-Soft palate evaluation
C-Loud phonation
D-Cough
A

B-Soft palate evaluation

20
Q
  1. The clinical swallow evaluation
    A-Should not be relied upon to detect silent aspiration
    B-Has been proven to have high sensitivity and specificity for detecting aspiration
    C-Can be as effective as a modified barium swallow in detecting penetration and aspiration
    D-Can be an effective method to assess all types of patients
A

A-Should not be relied upon to detect silent aspiration

look this one up

21
Q
  1. Other than swallowing function, what should clinicians take note of? (5 things)
A

Clinicians should take not of the patient’s:

  • Airway
  • Cognition/alertness/endurance
  • Ability to follow instructions
  • Body tone/size/posture/positioning
  • Self-feeding potential
22
Q
  1. What 2 signs indicate increased aspiration risk during trial swallows?
A
  • Voice change

- Weak cough

23
Q

23.The clinical swallow evaluation does NOT address
A-Swallow safety
B-Nutritional status
C-Impact of any dysphagia in quality of life
D-None of the above

A

D-None of the above

study this one

24
Q
  1. Give an example in each of the following categories in the ICF
    framework when evaluating swallowing function.
    a-Body structures and functions that are related to swallowing:
    b-Body functions that may influence eating or drinking behaviors:
    c-Swallowing activities and participation:
    d-Activities and participation in events related to eating or drinking:
    e-Personal and environmental factors that may affect swallowing:
A

(study this one)

25
Q
  1. Before a comprehensive swallowing assessment, a screening test may be conducted to _____________
A

-Determine the need for a full assessment and any other referrals

26
Q
  1. An assessment tool to determine the patient’s perception of reflux is the _____
A

-reflux symptom index

27
Q
  1. The first issue to identify when doing a clinical swallow evaluation is to determine the _____
A

-chief complaint

28
Q
  1. Describe silent aspiration.
A

The penetration of liquid, food, or another swallowed substance below the level of the vocal folds without eliciting coughing.

29
Q
  1. Three signs of silent aspiration are?
A
  • a weak or absent cough
  • changes in body temperature
  • voice w/ wet, hoarse quality
30
Q
  1. During the oral examination, the three features of each organ that are assessed are:
A
  • strength
  • range of motion
  • sensory functions
31
Q
  1. The 3-oz Water Swallow Test is only recommended for patients who can meet the following two criteria:
A
  • who can sit up

- are awake and mentally aware

32
Q
  1. A thorough clinical swallow examination should include: (4 things)
A
  1. A case history
  2. Physical examination
  3. Oral, pharyngeal and laryngeal examination
  4. Trial swallows
33
Q
  1. Range and coordination of movement of the tongue can be assessed
    via the following three tasks
A

-Elevating and depressing tongue
-Pushing tongue in and out
-Sweeping tongue left and right
(these occur in quick succession)

SLP477- Disorders of Swallowing (7 decks)

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