Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Dysphagia 2 - Anatomy & Physiology > Dysphagia 5 - Instrumental Testing > Flashcards

Dysphagia 5 - Instrumental Testing Flashcards

1
Q

Identify the two types of swallowing testing.

A

Radiographic & non-radiographic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the eight types of non-radiographic swallowing tests.

A 
FEES, FEEST
Upper GI endoscopy
Manometry
Ph probe 
Ultrasound
EMG
Cervical auscultation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name the six types of radiographic swallowing tests.

A 
Pharyngoesophagram/Barium Swallow
Upper GI series
Modified Barium Swallow
Scintigraphy (Milk Scan)
CT scan
MRI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define FEES.

How is it conducted?

Who conducts a FEES procedure?

Identify the advantages of the FEES procedure.

Disadvantages of FEES?

A

Fiberoptic endoscopic evaluation of swallowing

Uses a narrow flexible tube inserted into nasal passage to point of the larynx

SLP conducts this procedure

Advantages
Quick
Transportable
Allows visual of residue, pooling, aspiration

Disadvantages
No visual of oral or pharyngeal stages
“white out” phase
Requires training (usu. ENT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define FEEST.

T/F - FEEST is NOT associated w/ FEES procedure.

Explain the use of this procedure.

What does it evaluate?

A

Fiberoptic Endoscopic Sensory Test (FEEST)

False

This procedure uses calibrated puffs of air * delivered to pharynx/larynx (i.e. VF sensitivity testing their cough)

It evaluates presence or absence of vocal folds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the purpose of an Upper GI endoscopy.

A

Same as FEES except images hypopharynx, esophagus, stomach, and duodenum

GI performs using conscious sedation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the dynamics of using manometry.

A

Catheter w/sensors into nose to level of UES & LES

Measures esophageal motility, pressures, & coordination

Gives info re: peristalsis

Dry & water swallows done

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the dynamics of a Ph Study.

A

Designed to dx reflux
Tube in nose to LES; in place 24 hours
Determines level of acid in lower esophagus
Less than 4.5 acidic (neutral ph is 7.0)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the dynamics of an ultrasound.

A

Visual of oral/oral pharyngeal structures
Tongue, floor of mouth, hyoid, larynx (see shadows)
Timing relation between oral and pharyngeal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the advantages of using an ultrasound?

Disadvantages of using ultrasound?

A

Advantages

  • Noninvasive, portable, no radiation
  • Helps assess oral prep and oral
  • Biofeedback

Disadvantages

  • Doesn’t detect aspiration
  • Difficult to interpret
  • It requires highly specialized training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does EMG stand for?

What does it examine?

What does an EGG measure?

A

Electromyography

Evaluates electrical activity in muscle, muscle contraction

Measures movement of vocal folds during phonation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does MBS stand for?

What does VFSS stand for?

A

Modified barium swallow study (MBS)

Videofluorographic swallow study (VFSS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Identify the goals of conducting a MBS.

A

Evaluates oral, pharyngeal, & early esophageal structures

Assess swallowing of various materials

Patient’s reaction to secretions (silent aspiration)

Adequacy of airway protection

Impact of compensatory therapy maneuvers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the indications for a MBS?

A

Review 10-1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Review MBS procedures

A

10-1
10-2
10-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What checklist is used during a MBS observation?

Describe the actions of a SLP before swallow is initiated during a MBS observation.

A

Penetration-Aspiration scale

Examine anatomy for abnormalities & deviations

  • View all anatomy including cervical vertebra, UES
  • Watch for movement disorders e.g., spasms, tremors
17
Q

What three basic movement patterns are examined during a MBS?

A

Phonation
Falsetto
Trumpet maneuever

18
Q

What three aspects are considered during a bolus movement of a swallow in a MBS?

A

Does the bolus hesitate? Where? How long? (OTT)
Where is bolus head during ph. reflex trigger? (PTT)
Does bolus enter the airway? When?

19
Q

Identify the five neuromuscular events taking place during a MBS.

A

Lip seal, oral tongue movement

Velopharyngeal closure

Hyoid/laryngeal elevation

BOT movement & airway closure

Cricopharyngeal opening

20
Q

What is discussed immediately after the swallow in a MBS?

A

Is there post swallow residue? Where?

If aspiration, identify cause. Ask why?

Consequences of impaired swallow

Trial compensatory maneuvers

21
Q

What area is reviewed if post=swallow residue is discovered during a MBS?

A

Oral—review oral tongue movement

Valleculae—review BOT movement

Pyriform sinus—review laryngeal elevation & PES opening

Pharyngeal wall—review pharyngeal wall movement

22
Q

Identify three consequences of an impaired swallow.

A

Spillage
Residue
Misdirection

23
Q

What areas are reviewed in swallowing report by a SLP?

A

Indicate problems, symptoms, causes by stage

Describe the effects of therapy strategies

Recommendations

  • Oral or NPO
  • Feeding strategies
  • Therapy procedures and goals
24
Q

An Esophagram is AKA (?).

This test provides images from the (?) to (?).

T/F - This test is DIFFERENT from a MBS.

What does the patient swallow during this test?

It provides a visual of (?) & (??).

A

Pharyngeoesophagram

Oropharynx to LES

False - Same as “traditional barium swallow”

Patient swallows large cup of barium

Visual of motility or structural disorders

25
Q

What type of study is the same as an esophagram?

What is the difference of this type of study?

What does this type of study reveal?

A

Upper GI study

UGS includes stomach & Juojenum

Reveals ulcers, tumors, hernias, scarring, blockage, muscle abnormalities

26
Q

What is another name for a “Milk Scan”?

What does this type of test produce?

Describe the process to use this test.

What does it measure? Quantify?

A

radionuclide imaging

  • Radioactive material mixed in a liquid given
  • Observe passage from mouth to stomach
  • Measures gastric emptying, may detect GERD
  • Quantifies aspiration
27
Q

Describe the dynamics of a MRI/CT scan.

A

Great detail and images of structures
Identifies problems in anatomy
Not real time

Dysphagia 2 - Anatomy & Physiology (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions