Intervention

Question 1

What are body posture adjustments?

Answer 1

side lying and upright

Question 2

What does side lying do for swallowing?

Answer 2

reduces effects of gravity either during the swallow or on post swallow residue

Question 3

Which side goes down in side lying and why?

Answer 3

stronger side down to use gravity to propel bolus toward stronger side and may increase opening of UES

Question 4

Why do you use upright positioning?

Answer 4

may help those with reflux

Question 5

Which of the body posture adjustments aren’t as common?

Answer 5

side lying

Question 6

What are the various head posture adjustments?

Answer 6

head extension, flexion/chin tuck, rotation/turn

Question 7

Why would you use head extension/raising chin?

Answer 7

helps move bolus into pharynx

Question 8

Why would you use chin tuck?

Answer 8

may facilitate airway protection as it improves laryngeal vestibule closure and reduces distance between hyoid and larynx

Question 9

Why would you use head rotation?

Answer 9

turn toward weaker side (if there is vocal fold involvement) want the adducting one to overcompensate for the one that is paralyzed

Question 10

Which are the kinds of thickness?

Answer 10

pudding thick, honey thick, nectar thick, slightly thick, thin

Question 11

What is IDDSI level 4?

Answer 11

pudding

Question 12

What is IDDSI level 3?

Answer 12

honey (moderately) thick

Question 13

What is IDDSI level 2?

Answer 13

nectar (mildly thick)

Question 14

What are the IDDSI levels based on?

Answer 14

flow rates through a syringe

Question 15

What is IDDSI level 3 FOOD?

Answer 15

liquidised

Question 16

What is IDDSI level 4 FOOD?

Answer 16

pureed

Question 17

What is IDDSI level 5?

Answer 17

minced and moist

Question 18

What is another way to say minced and moist?

Answer 18

mechanically altered

Question 19

What is IDDSI level 0?

Answer 19

thin liquid

Question 20

What is IDDSI level 6?

Answer 20

soft and bite-sized (one step below regular, has to be able to be easily smooshed with a fork)

Question 21

Who would need an IDDSI 4?

Answer 21

those with oral prep and mastication issues, someone with Myasthenia Gravis, motor-planning difficulty, difficulty chewing and coordinating, someone who doesn’t initiate a chew

Question 22

What is IDDSI level 7 FOOD?

Answer 22

regular food

Question 23

Who would need an IDDSI 6?

Answer 23

someone with dental problems/dentures, blindness, anyone who has difficulty cutting their food (they can just scoop and go), tremors, fatigue,

Question 24

What does IDDSI stand for?

Answer 24

International Dysphagia Diet Standardization Initiative

Question 25

What is the other measuring tool for diets?

Answer 25

National Dysphagia Diet

Question 26

During cervical ausculation of swallowing, clinician primary listens for:

Answer 26

The presence and timing of 3 bursts of sound

Question 27

An infant w low caloric consumption affecting weight gain and growth would have a diagnosis of:

Answer 27

failure to thrive

Question 28

Which finding would be most predictive of pharyngeal dysphagia after a patient has suffered a stroke:

Answer 28

breathy phonation

Question 29

Which of the following patient characteristics is least likely to predict development of aspiration pneumonia?

Answer 29

wet voice after swallowing

Question 30

Which phase of swallowing is characterized by cupping of the tongue to gather the bolus and move it posteriorly?

Answer 30

oral phase

Question 31

The free water protocol is recommended because:

Answer 31

aspirating water is less harmful than aspirating other liquids, drinking only thickened liquids reduces QoL,

Question 32

Which position is most likely to facilitate a safe swallow for someone with neuromuscular weakness or incoordination?

Answer 32

sitting outright

Question 33

Which postural technique would you use for a patient with poor tongue base strength for bolus propulsion?

Answer 33

chin down

Question 34

A bottle few infant requires thickened formula but requires 50 minutes but requires 50 minutes to finish a feeding. The SLP should:

Answer 34

test a faster-flowing nipple

Question 35

The 3-ounce water challenge is a screening for swallowing that assesses what:

Answer 35

ability to consume 3 oz of water without interruption, coughing and choking, wet vocal quality (but not the trigger cause you can’t see it at the bed side)