Quiz 2

Question 0

Possible swallowing disorders associated with total latyngectomees include

Answer 0

The development of a fistula immediately following surgery and leaking around or through a prothsis if they are a TEP user

Question 1

Treatment options for a patient with cricopharyngeal dysfunction may include

Answer 1

Dilation or myotomy

Question 2

Scar tissue at the base of the tongue is a common pharyngeal stage disorder following latyngectomee. T or F

Answer 2

True

Question 3

If a patient was experiencing aspiration during the swallow,which of the following swallowing disorders might you expect to see on MBSS?

Answer 3

Incomplete/absent laryngeal elevation

Question 4

Following g radiation therapy (XRT) for head and neck cancer patients often experience unpleasant side effects. What is one side effect…

Answer 4

Xerostomia

Question 5

Before working with an oral cancer patient it is important to know

Answer 5

The nature and extent of resection/surgery as well as the reconstruction

Question 6

Total laryngectomy patients are not at risk for aspiration due to the separation of respiratory and gastrointestinal systems. T or F

Answer 6

False

Question 7

Xterm storia is defined as restricted jaw movement resulting in limited mouth opening. T or F

Answer 7

False

Question 8

The Mendelssohn. Maneuver would be propriate for some in with stasis in the valleculae. T or F

Answer 8

False

Question 9

In their study on dysphasia in the laryngectomy population, List et al 1966 found that at 6 notches 80% of laryngectomees were comfortable eating outside the home. T or F

Answer 9

True

Question 10

Laser excision is often the treatment for a pseudo epiglottis that develops following total laryngectomy surgery. T or F

Answer 10

True

Question 11

If a patient exhibited bilateral reduced pharyngeal wave contra iodine resulting in stasis thruiiughiut the pharynx following a solid bolus swallow, what compensatory strategy might be helpful?

Answer 11

Alternate liquids/solids, if patient is safe for liquids

Question 12

A patient with an anterior floor of mouth lesion that has been excised and closed with a portion of the tongue may have difficulty with cupping a bolus and movement of the anterior portion of the tongue. What might you try to help manage the oral predatory stage of the swallow?

Answer 12

Syringe liquids/ purée foods to the posterior oral cavity.

Question 13

If you observed a patient with a cervical osteophyte during an MBSS that is significantly interfered with the passage of all consistencies through the pharynx, the appropriate management would be teaching the chin tuck maneuver to widen the valleculae space. T or F

Answer 13

False

Question 14

When prescribing bolus control exercises for a patient there is a hierarchy of tasks. Which of the following exercises would be first?

Answer 14

Manipulating a licorice whip

Question 15

Measurement of swallowing timings and pressures demonstrates that following total laryngectomy

Answer 15

Pharyngeal transit time and tongue driving force is increased

Question 16

For patients with reduced pharyngeal wave contra in and aspiration after the swallow on pharyngeal residue, which of the following g maneuvers would,be appropriate

Answer 16

Effortful swallow

Question 17

In theory the chin tuck maneuver widens the valleculae space during swallowing.

Answer 17

True

Question 18

Indirect dysphasia therapy does not include

Answer 18

Thin liquid swallows using the supra glottic swallow maneuver

Question 19

If you observed a delayed swallow response on an MBSS you might be concerned about the following

Answer 19

Aspiration or penetration prior to the swallow

Question 20

Indirect therapy for dysphasia involves the use of food/ liquid with specific instruction on posturing maneuvers. T or F

Answer 20

False

Question 21

If a patient had reduced oral sensitivity which of the following might you suggest to manage the problem

Answer 21

Cold/sour bolus

Question 22

Functional oral motor movement excesses are an example of direct swallowing therapy.

Answer 22

False

Question 23

Thermal tactile stimulation is the recommended therapy for reduced pharyngeal wave contraction. T or F

Answer 23

False

Question 24

One of the concerns with primary closures during surgery for oral cancer is the development of a fistula. T or F

Answer 24

True