Swallowing Flashcards

1
Q

There are more than ___ nerves and muscles that account for the swallowing process

A

30

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1
Q

Swallowing/deglutition

A

The transfer of material - food/liquid/bolus - from the MOUTH to the esophagus

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2
Q

List the three swallowing phases in order and their MAIN goal

A
  1. Oral - prepares the bolus and transported it to the pharyngeal cavity
  2. Pharyngeal - bolus moves through the pharynx to the esophagus
  3. Esophageal - bolus is transported from esophagus
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3
Q

WHAT is needed along/in the pharyngeal phase to keep swallowing? (hint : think MOVE)

A

Sequential muscle contraction - muscles keep moving ALL the way down

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4
Q

T or F : when we swallow, there is NO airway protection

A

FALSE, the epiglottis, the vocal folds and the larynx allow for protection

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5
Q

T or F : In airway protection, the larynx makes first a forward motion and then an elevated motion

A

F, it is UPWARD then FORWARD

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6
Q

What are the three steps needed for airway protection? (hint : think EVIL and inverting)

A
  1. Epiglottis INVERTS to cover larynx
  2. Vocal folds close
  3. Larynx goes upward and then MOVES forward
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7
Q

T or F : Dysphagia refers to the therapy process that someone goes through after having aphasia which can help control the mental strain after having a stroke

A

False, dysphagia is the DIFFICULTY of swallowing

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8
Q

Dysphagia - provide the meaning + the two broader implications of the word

A

Any issue with the chewing/passage of food through the MOUTH or THROAT that makes an oral intake difficult

  1. Strange/bad movement of material to digestive system
  2. Inhalation of material intended for the digestive system which causes the reaction of coughing
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9
Q

T or F : SLPs only really look at oral and esophageal functions/processes

A

False, oral and pharyngeal

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10
Q

Which of the following is NOT an example of oral dysphagia seen in class?

A
  1. Extended chewing
  2. Overwhelming senses
  3. Spillage of food through the lips
  4. The delayed start of swallowing
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11
Q

Oral and pharyngeal dysphagia, of the examples seen in class, have 2 problems in common, name them

A
  1. Reduced sensation
  2. Accumulation of food residue in the respected area
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12
Q

T or F : the entry of food/liquid into the AIRWAY is an example of pharyngeal dysphagia

A

True

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13
Q

Name the 3 examples of esophageal dysphagia seen in class

A
  1. Regurgitating
  2. (Acid) Reflux - caused by relaxation at the wrong time
  3. Anatomical problems
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14
Q

Give an example of an esophageal anatomical issue (hint : has eso.. in the name and think of one of Aquila’s characteristics)

A

Esophageal stricture/narrowing

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15
Q

As a _____ type of cause of dysphagia, cleft lip is an example of a _____ _________

A

anatomical; congenital abnormality

16
Q

Provide the 3 discussed ANATOMICAL causes of dysphagia

A
  1. Cervical osteophytes
  2. Congenital abnormalities
  3. Head and/or neck cancer
17
Q

T or F : Malnutrition is a cause of dysphagia

A

False, it is an IMPLICATION

18
Q

Provide the discussed PHYSIOLOGICAL causes of dysphagia (Hint : NARAL)

A
  1. Neurodegenerative conditions (Parkinson, dementia)
  2. ACQUIRED brain injury
  3. Respiratory conditions
  4. Autoimmune disease (Sjogren)
  5. Laryngeal pathology (artificial airways)
19
Q

T or F : these days, we are NOT able to make artificial processes (e.g. airways)

A

False, endotracheal intubation is an example of this

20
Q

T or F : AGE is a normal cause of dysphagia

A

True

21
Q

How to we assess dysphagia? (3)

A
  1. Screening
  2. Clinical assessment
  3. Diagnostic assessment
22
Q

Which form of assessment for dysphagia is best? Why? (think diagnosis)

A

diagnostic assessment; allows patient to know more about how to TREAT their issue effectively

23
Q

T or F : dysphagia is very capable of causing disruption to one’s daily social life

A

True

24
Q

What are the 3 main goals in treating/managing dysphagia

A
  1. Eliminating risks (also for other med conditions)
  2. Enabling ease/efficiency for oral intake
  3. Getting a safe route for good nutrition/hydration and medication
25
Q

In swallowing assessments, what does VFSS and FEES stand for?

A

videofluoroscopy swallow study; fiberoptic endoscopic evaluation of swallowing

26
Q

What is a MAIN difference between videofluoroscopy and fiberoptic endoscopic assessments in swallowing

A

VFSS looks at the side view of the face so that you can see the food go down and FEES looks through the NASAL passages to the throat, looking at the vocal folds

27
Q

The 5 treatment strategies for swallowing problems

A
  1. Behavioural (exercises, diet, etc)
  2. Alternative Feeding (feeding tube)
  3. Rehabilitative (active)
  4. Pharmacological (doses)
  5. Surgical (reconstruction)