swallowing

Question 1

dysphagia

Answer 1

a. Swallowing is moving the food from the mouth to the stomach.
b. Swallowing disorders occur in all age groups

Question 2

Suprahyoid muscles

Answer 2

laryngeal elevators

Question 3

Digastricus (Suprahyoid muscles)

Answer 3

means 2 bellies, anterior and posterior

Question 4

Mylohyoid (Suprahyoid muscles)

Answer 4

muscle forms the floor of the mouth

Question 5

Stylohyoid (Suprahyoid muscles)

Answer 5

a long and slender muscle that is lateral

and superficial to the digastricus posterior belly

Question 6

Geniohyoid (Suprahyoid muscles)

Answer 6

it is located superiorly to the mylohyoid

Question 7

larynx structures

Answer 7

1.Bottom to top that protect the airway
a.True vocal folds
b.False vocal folds
c.Aryepiglottic folds
Epiglotti

Question 8

larynx spaces and places

Answer 8

1. Valleculae
2. Pyriform sinuses
3. Aditus laryngeus, aditus, or vestibule
4. Anterior commissure
5. Posterior commissure

Question 9

a. Pharyngeal constrictors

Answer 9

i. Superior
ii. Middle
iii. Inferior

Question 10

a. Esophagus

Answer 10

i. UES
- Cricopharyngeus
ii. Peristaltic motion
iii. LES

Question 11

Infrahyoids muscles are

Answer 11

laryngeal depressors

Question 12

type of Infrahyoids muscles

Answer 12

1. Sternohyoid
2. Omohyoid
3. Thyrohoid
4. Sternothyroid

Question 13

1. Risk for dysphagia

Answer 13

a. Lack of muscle function
b. Lack of sensation
c. Lack of cough/clear reflex

Question 14

1. Dysphagia terms:

Answer 14

a. Aspiration
b. Penetration
c. Residue
d. Backflow

Question 15

1. Screening or beside clinical assessment

Answer 15

Typically identifies that the patient is aspirating, but not why.

Question 16

Signs and symptoms of aspiration

Answer 16

i. Coughing after swallowing
ii. History of pneumonia
iii. Diagnoses that put the patient at greater risk
iv. Food squirting out the tracheostomy
v. Checklist of Items for Dysphagia Screening

Question 17

Videoflouroscopic procedure (Physiological evaluation)

Answer 17

modified barium swallow

Question 18

Lateral and AP view (anterior-posterior) 2 purposes (physiological evaluation)

Answer 18

1. To determine the abnormalities in anatomy and physiology causing the patient’s symptoms
2. To identify and evaluate treatment strategies

Question 19

a. At least 3 consistencies of material used in the evaluation
(physiological eval)

Answer 19

i. Thin liquid
ii. Thick liquid or sort of a pudding
iii. Barium on a cracker

Question 20

Treatment strategies – swallowing maneuvers

Answer 20

a. Head positioning
b. Laryngeal manipulation
c. Food alterations
d. Multiple swallows
e. Swallow-cough
f. Food then a sip of liquid to clear, etc.
g. You look at these during physiological eval
h. Practicalities
i. Report that details findings

Question 21

Multi-disciplinary team:

Answer 21

a. SLP working as the swallowing therapist
b. Physician
c. Nursing staff, dietitian, occupational therapist, physical therapist, pharmacist, and radiologist