Feeding and Swallowing

Question 1

Voluntary; activities of mastication, propelling food bolus to back of the mouth toward pharynx

Answer 1

Preparatory or oral phase of swallowing

Question 2

Involuntary initiation of the swallow reflex; food propelled into the esophagus

Answer 2

Pharyngeal phase of swallowing

Question 3

Food propelled down esophagus by skeletal muscle proximally, and smooth muscle distally; regulated by intrinsic innervation

Answer 3

esophageal phase

Question 4

Taste sensation but not discrimination is diminished w/ normal aging. T/F

Answer 4

True

Question 5

Reduced chewing efficiency and efficacy is normal part of aging. T/F

Answer 5

False. But it is common.

Question 6

Difficulty of voluntary transfer of food from mouth to pharynx

Answer 6

oral dysphagia

Question 7

problems w/ reflexive transfer of food bolus from pharynx to initiate involuntary esophageal phase while simultaneously protecting the airway.

Answer 7

Pharyngeal dysphagia

Question 8

sensation of food being stuck after swallow

Answer 8

esophageal dysphagia

Question 9

misdirection of oral or gastric contents into the airway

Answer 9

aspiration

Question 10

Is feeding tube a risk for aspiration

Answer 10

Yes

Question 11

Can assess oropharyngeal dysphagia w/

Answer 11

VDE, nasopharyngeal laryngoscopy

Question 12

Two interventions for dysphagia

Answer 12

Swallow therapy, diet modification

Question 13

Median survival after PEG

Answer 13

<1 year

Question 14

Reason for pt weight loss w/ gastrostomy tube?

Answer 14

Inadequate caloric intake. Patient had not completed feedings 2/2 fecal urgency.

Question 15

Appropriate next step for managing AD patient who is not eating well on her own?

Answer 15

Program of careful hand feeding

Question 16

First line tx for aspiration PNA

Answer 16

supplemental O24