Yu

Question 1

physiological explanation for “food falling out mouth”

Answer 1

CN VII; poor lip closure due to muscle weakness; loss off sensation (pt is unaware food is in their mouth)

Question 2

physiological explanation for “bolus spreads through oral cavity”

Answer 2

CN XII; reduced tongue coordination to form bolus; reduced oral sensation; reduced buccal tension

Question 3

physiological explanation for “residue / food remains on the tongue or falls into sulcus”

Answer 3

CN XII; inability to lateralize bolus with tongue

Question 4

physiological explanation for “no lingual movement when food in mouth”

Answer 4

CN XII; sensation issue; verbal apraxia if noted random movement; dementia if food not recognized in the mouth

Question 5

physiological explanation for “residue on tongue”

Answer 5

CN XII; tongue weakness

Question 6

physiological explanation for “residue on hard palate”

Answer 6

CN XII; tongue weakness

Question 7

physiological explanation for “generalized difficulties in moving bolus in AP”

Answer 7

CN XII; tongue cannot move back properly; coordination and weakness of tongue musculature

Question 8

physiological explanation for “slow oral transit times”

Answer 8

CN XII; tongue cannot move back properly; coordination and weakness of tongue musculature

Question 9

physiological explanation for “delayed triggering of pharyngeal swallow”

Answer 9

CN IX, CN X; impaired sensation

Question 10

physiological explanation for “nasal regurgitation”

Answer 10

CN X; poor closure of VP port’ weakness with velar coordination

Question 11

physiological explanation for “residue on one or both sides of the pharynx”

Answer 11

paralysis on one or both sides of the pharynx

Question 12

physiological explanation for “premature spillage or residue in valleculae”

Answer 12

CN XII; poor tongue base contraction to PPW; weakness of base / back of the tongue

Question 13

physiological explanation for “reduced displacement of larynx”

Answer 13

poor upward and forward movement of suprahyoid muscles; weakness

Question 14

physiological explanation for “residue in pyriform sinuses bilaterally”

Answer 14

poor laryngeal coordination / elevation; weak muscle contraction on pharyngeal constrictors / muscles

Question 15

physiological explanation for “penetration and / or aspiration”

Answer 15

no airway protection; possible poor VF closure; delayed trigger; reduced laryngeal elevation

Question 16

name the maneuver recommended for “food falls out of mouth”

Answer 16

head tilt

Question 17

name the maneuver recommended for “bolus spreads through cavity”

Answer 17

head tilt

Question 18

name the maneuver recommended for “nasal regurgitation”

Answer 18

chin up

Question 19

name the maneuver recommended for “residue remains on tongue / falls into sulcus”

Answer 19

head tilt

Question 20

name the maneuver recommended for “residue on one or both sides of pharynx”

Answer 20

lateral head tilt; head turn; lying down

Question 21

name the maneuver recommended for “no lingual movement”

Answer 21

head tilt

Question 22

name the maneuver recommended for “premature spillage with residue in valleculae”

Answer 22

chin tuck; effortful swallow

Question 23

name the maneuver recommended for “lower displacement of the larynx”

Answer 23

lying down; head turn

Question 24

name the maneuver recommended for “residue on hard palate”

Answer 24

head tilt

Question 25

name the maneuver recommended for “penetration / aspiration”

Answer 25

supraglottic chin tuck, head turn

Question 26

name the maneuver recommended for “difficulty moving bolus anterior-posterior”

Answer 26

head tilt

Question 27

name the maneuver recommended for “trigger of the pharyngeal swallow”

Answer 27

supraglottic delayed pharyngeal swallow; increase bolus size; effortful swallow; cold, lemon swab (increased sensory input)

Question 28

name the maneuver recommended for “slow oral transit”

Answer 28

head tilt