Quiz 2- Cause/Effect

Question 1

Pocketing due to difficulty with buccal tension in gathering food is a result of what? Which phase?

Answer 1

Weak labial strength (oral preparatory phase)

Question 2

Leakage of material out of the oral cavity is a result of what? Which phase?

Answer 2

Weak labial strength (oral preparatory phase)

Question 3

Oral pocketing in lateral or anterior sulci is a result of what? Which phase?

Answer 3

Week lingual strength/motility/range of motion. (oral prep phase)

Question 4

Difficulty manipulating food into a bolus is a result of what? Which phase?

Answer 4

Weak lingual strength/motility/range of motion. Oral prep phase

Question 5

What is lingual stasis a result of? Which phase?

Answer 5

Weak lingual strength/motility/range of motion. Oral prep phase

Question 6

What is premature spillage of material into the pharyngeal area a result of? Which phase?

Answer 6

Weak lingual strength/motility/ROM. Oral prep phase

Question 7

What is tongue pumping a result of? Which phase?

Answer 7

Poor tongue motility/control. Oral prep phase

Question 8

Increased oral transit time is a result of what? Which phase?

Answer 8

Poor tongue motility/control. Oral prep phase

Question 9

Tongue thrusting is a result of what? Which phase?

Answer 9

Poor tongue motility/control. Oral prep phase

Question 10

Nasal penetration of material or nasal regurgitation is a result of what? Which phase?

Answer 10

Poor Velo-pharyngeal closure: velum must retract and raise to close off V-P port once a swallow is initiated.

Pharyngeal phase

Question 11

What is the strategy for poor Velo-pharyngeal closure?

Nasal regurgitation or nasal penetration

Answer 11

Hard swallow

Question 12

What causes penetration or aspiration of material? Which phase?

Answer 12

And swallow delay. Pharyngeal phase

Question 13

What is the strategy for a swallow delay that results in penetration or aspiration?

Answer 13

Chin tuck

Question 14

What is the cause of poor supra-glottic pressure and residue coating the tongue base?
Which phase does this occur in?

Answer 14

Decreased posterior tongue retraction. Pharyngeal phase

Question 15

What are some strategies for poor supraglottic pressure a.k.a. decreased posterior tongue retraction?

Answer 15

Hard swallow, repeat/extra swallows, alternate solids with liquids

Question 16

What is the cause of poor epiglottic inversion, which in turn results in:

A. Residue in the valleculae
B. Decreased airway protection

Answer 16

Decreased laryngeal elevation or decreased hyoid excursion. Pharyngeal phase

Question 17

What is the cause of poor cricopharyngeal opening, which in turn results in:

A. Residue in the pyraform sinuses
B. Back flow of material into laryngeal vestibule from CP.

Answer 17

Decreased laryngeal elevation or decreased hyoid excursion. Pharyngeal phase

Question 18

What is the cause of residue in the valleculae?

Answer 18

Decreased epiglottic inversion. Pharyngeal phase

Question 19

What causes decreased airway protection with possible aspiration and decreased supraglottic pressure?

Answer 19

Poor vocal fold closure. Pharyngeal phase

Question 20

What is the strategy for Tour vocal fold closure?

Answer 20

Super supraglottic swallow

Question 21

Residue in the pyraform sinuses and laryngeal vestibule is a result of what?

Answer 21

Poor cricopharyngeal sphincter opening (CP opening)

Question 22

What is the cause of back flow of material from the cricopharyngeal sphincter?

Answer 22

Poor cricopharyngeal sphincter opening (CP opening)

Question 23

What is the cause of more residue on one side?

Answer 23

Unilateral pharyngeal weakness

Question 24

What are some structural anomalies?

Answer 24

Zenker’s Divergiculum

C-P bar (happens when CP doesn’t relax)

Osteophytes

Swelling s/p surgery

Question 25

Difficulty taking material from the utensil is a result of what? Which phase?

Answer 25

weak labial strength. Oral preparatory phase