Nyshla study jeopardy exam 1 Flashcards

1
Q

what is the difference between penetration and aspiration

A

penetration is into the laryngeal area but not below the vfs and aspiration is when food/liquids go into the laryngeal area and past the vfs`

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2
Q

t/f dysphagia is a primary medical diagnosis

A

false its a symptom of a underlying disease.

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3
Q

name three connective tissue/rheumatoid disorders that may contribute to dysphagia.

A

scleroderma, molymyostis, sjogren’s disease.

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4
Q

name 4 professionals that an slp might work with on a medical team managing dysphagia

A

primary physicians/ nurses, gastroenterologis, neurologis, otolaryngologist, radiologist, pharmacist, OT/PT, pulmonologist, dietician, detist, respiratory therapist.

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5
Q

name common signs and symptoms of someone suscpected to have dysphagia

A

coughing, long meal periods, unexplainable weight loss, recurrent pneumonia.

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6
Q

name 3 signs or symptoms of HNC.

A

oral lesions, new neck mass, globus sensation, dysphagia, tongue deviation, CN deficits, hoarseness, trismus, otalgia

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7
Q

what is the condition (s) a HNC paitent can develop when they have late toxicity years after treatment?

A

radiation fibrosis, late onset dysphagia.

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8
Q

what is the treatment term used for a HNC patient that has to undergo chemo on top of radiation therapy? (or triple modality treatment)

A

chemoradiotherapy.

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9
Q

what are the 2 primary modalities of treatment for HNC?

A

surgery and XRT (radiation therapy)

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10
Q

damage to this nerve may cause tongue fasiculations.

A

hypoglossal.

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11
Q

what CN sends parasympathetic signals to the brainstem to relax the UES?

A

CN IX glossopharyngeal

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12
Q

what muscle elevates the velum?

A

levator veli palatini.

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13
Q

what are the three levels of airway protection?

A

true vocal folds, ventricular folds, epiglottis

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14
Q

why is it necessary for the base of the tongue to contact the pharyngeal wall?

A

to build pressure and to create the peristaltic wave to drive the bolus down.

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15
Q

name the two face muscles involved in the oral prep phase and their functions?

A

orbicularis oris labial seal. buccinator cheek contraction to keep food from pooling in the mouth.

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16
Q

name the five functions/[rp[erties of saliva

A

lubricate bolus
oral moisture
reduce tooth decay
assist digestion
neutralize stomach

17
Q

name the four extrinsic muscles and the overall role of the extrinsic tongue muscles

A

hyoglossus, styloglossus, palatoglossus, genioglossis and their overall role is to aid in positioning of the tongue relative to the oral cavity and pharyngeal structures.

18
Q

what CN carries motor nerve fibers that innervate both intrinsic and extrinsic tongue muscles (except the palatoglossus)

A

Hypoglossal nerve XII

19
Q

name the 4 muscles of mastication

A

masseter, temporalis, medial and lateral petrygoids.

20
Q

masseter function

A

closes jaw and brings mandible up

21
Q

temporalis function

A

mvers jaw up forward or back

22
Q

medial and lateral petrygoids

A

(medial=work bilateral to close jaw
lateral=open, protrudes and side to side jaw movement)

23
Q

name the part of the tongue that is the driving force to propel the bolus posteriorly during this phase.

A

tongue tip

24
Q

what are the three extrinsic tongue muscles?

A

hyoglossus, styloglossus, and palatoglossus.

25
true or false: before or during the 2ns posterior tongue movement, respiration stops.
false it is the 1st posterior tongue movement.
26
when does wallow apnea occur?
when the bolus is at the level of the valleculae.
27
true or false: a safe swallow follows the exhale-swallow-exhale pattern?
true
28
true or false: the pharyngeal phase is voluntary
false
29