FEES

Question 1

What is FEES

uses 
visualizes 
swallowing process evaluated with 
visualizes 
results of the exam guide ?

Answer 1

flexible endoscope, passed trans nasally

pharynx and larynx

various foods textures and liquid consistencies

strategies and maneuvers

dietary and therapeutic management of patients

Question 2

FEES is comprehensive assessment of swallowing 
it includes five components: 
1. observation of ?
2. observation of the ? 
observation of ? 
direct assessment of ? 
5. response to ?

Answer 2

anatomy involved in oropharyngeal stage of swallowing

movement and sensation of critical structures in hypo pharynx

secretions

swallowing function for food and liquid

therapeutic maneuvers and intervention to improve swallow

Question 3

When Medicare reimbursement for FEES is more than ?

saves on ?

Answer 3

double that for MBSS

transport and radiology expenses

Question 4

FEES has a slight advantage over VFSS to detect ?

Answer 4

aspiration, penetration and residues

Question 5

PROS and CONS of FEES

PROS: 
can be done at 
does not require 
... view 
... can be viewed 
better view of 
potential for 
no 
.. not required 
... effective 

cons:
can be ?
primarily examines ?
… during swallow

Answer 5

bedside 
physician to be present 
color view 
tissues and pathologies 
reflux 
extended exam 
radiation exposure 
barium 
cost effective 

uncomfortable
pharyngeal phase of swallow
white-out

Question 6

MBS: 
pros: 
.. observation 
... component 
better recognized by ? 

cons: 
requires ? 
.. must be present 
must use ? 
.. exposure 
... time 
scheduling can be ? 
cost is typically

Answer 6

oral phase
esophageal component
physicians

transport out of facility 
radiologist 
barium 
limited 
difficult in SNF setting 
higher than FEES