Swallowing Flashcards
A 75-year-old patient with a history of chronic obstructive pulmonary disease underwent a three-vessel coronary artery bypass graft surgery. The patient needed to be intubated for three days following surgery. After extubation, the medical team requested a swallow consultation to determine if it was safe for the patient to take oral medications and initiate oral nutrition. Based on the patient’s condition, which of the following assessment procedures is most appropriate for an SLPS L P to practice?
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Kimberly, a patient who suffered a brain stem stroke and has had a fairly successful recovery, complained of food sticking in her throat and needing to swallow two to three times to clear liquid and solid boluses. She underwent a videofluoroscopic swallowing study that showed a limited duration of upper esophageal sphincter opening. The SLPS L P decides to employ an intervention plan that includes the Mendelson maneuver. Which of the following strategies is most likely to be effective in accomplishing this goal?
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During videofluoroscopic evaluation of an adult patient, the SLPS L P notices material in both pyriform sinuses after the patient swallows. Upon review, the SLPS L P sees that both pyriform sinuses clear during the pharyngeal swallow but then refill quickly as the structures return to rest. Which of the following statements best explains this observation?
During videofluoroscopic evaluation of an adult patient, the SLPS L P notices material in both pyriform sinuses after the patient swallows. Upon review, the SLPS L P sees that both pyriform sinuses clear during the pharyngeal swallow but then refill quickly as the structures return to rest. Which of the following statements best explains this observation?
Which of the following risk factors has the highest independent predictive value for pneumonia in elderly people with dysphagia?
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Which of the following statements best explains why thickened liquids for adult patients with dysphagia should be used with caution?
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Which THREE of the following statements are true regarding the treatment of swallowing disorders?
Thickened liquids cause dehydration because they require more water to be metabolized.
The chin-down posture eliminates thin-liquid aspiration from the pyriform sinuses.
Supraglottic swallow may cause cardiac arrhythmia in patients with coronary artery disease or stroke history.
Mass practice and task specificity are important principles of exercise therapy.
Periodontal disease due to poor oral hygiene increases aspiration risk in people with dysphagia.
Shaker and jaw-opening exercises are designed to increase the upper esophageal sphincter opening.
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