Chapter 5 Flashcards
- Can a screening test of swallowing can be done by a nurse, speech-language pathologist, or occupational therapist?
-Yes, it can
- Is dysphagia best assessed by a team of professionals rather than a single clinician or therapist?
-Yes
- 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?
-No it isn’t, videoflouroscopic examination is more sensitive than the modified blue dye test to determine aspiration
- Can a valid and reliable self-assessment tool help a clinician to better understand the impact of dysphagia on a patient?
-Yes, it can
- Is it true that respiration has no influence on swallowing function and therefore need not be considered during patient examination?
-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
- Can assessment of gait during patient assessment for swallowing be done by a speech-language pathologist?
-Yes, it can
- Does normal swallowing require the presence of a normal gag reflex?
-No it doesn’t, the importance of the gag reflex isn’t known
- Does the presence of facial asymmetry contribute to oral phase dysphagia?
-Yes, it contributes
- Can laryngeal elevation be assessed by a clinician during the clinical swallow evaluation?
-yes, it can
- Is a trial swallow of water not always necessary when doing a clinical swallow evaluation?
-Correct: it is not always necessary
- 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?
-The first swallow should be 5ml
- Is the clinical swallow evaluation with pulse oximetry equal to a modified barium swallow in detecting patients who are aspirating?
-No, it isn’t, and these are both indirect ways to assess the airway. They cannot directly assess aspiration.
- Is a thorough clinical evaluation of swallowing generally satisfactory to start rehabilitative swallow therapy?
-No, the effects of rehabilitative swallow techniques are best verified under instrumental evaluation
- Is silent aspiration generally identifiable during a comprehensive clinic swallowing evaluation?
-No, silent aspiration can’t always be determined with a clinical swallowing evaluation. It can only accurately be determined with instrumental techniques.
15.Can the clinical swallow evaluation identify signs and risks of aspiration?
-Yes, it can
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
D-Evidence of fluid in lungs
Swallowing screenings cannot assess evidence of fluid in the lungs
- What information is part of taking a case history? (4 things)
- Family history of swallowing disorders
- Medications and dosages
- Recent weight changes
- Evidence of trauma
18. Which of the following is NOT part of the oral examination for dysphagia? A-Tongue elevation B-Tongue sensation C-Resonance D-Cough
D-Cough
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
B-Soft palate evaluation
- 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-Should not be relied upon to detect silent aspiration
look this one up
- Other than swallowing function, what should clinicians take note of? (5 things)
Clinicians should take not of the patient’s:
- Airway
- Cognition/alertness/endurance
- Ability to follow instructions
- Body tone/size/posture/positioning
- Self-feeding potential
- What 2 signs indicate increased aspiration risk during trial swallows?
- Voice change
- Weak cough
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
D-None of the above
study this one
- 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:
(study this one)
- Before a comprehensive swallowing assessment, a screening test may be conducted to _____________
-Determine the need for a full assessment and any other referrals
- An assessment tool to determine the patient’s perception of reflux is the _____
-reflux symptom index
- The first issue to identify when doing a clinical swallow evaluation is to determine the _____
-chief complaint
- Describe silent aspiration.
The penetration of liquid, food, or another swallowed substance below the level of the vocal folds without eliciting coughing.
- Three signs of silent aspiration are?
- a weak or absent cough
- changes in body temperature
- voice w/ wet, hoarse quality
- During the oral examination, the three features of each organ that are assessed are:
- strength
- range of motion
- sensory functions
- The 3-oz Water Swallow Test is only recommended for patients who can meet the following two criteria:
- who can sit up
- are awake and mentally aware
- A thorough clinical swallow examination should include: (4 things)
- A case history
- Physical examination
- Oral, pharyngeal and laryngeal examination
- Trial swallows
- Range and coordination of movement of the tongue can be assessed
via the following three tasks
-Elevating and depressing tongue
-Pushing tongue in and out
-Sweeping tongue left and right
(these occur in quick succession)
