Swallowing

Question 1

A study that is used to quantify the time and frequency of gastroesophageal reflux into the esophagus is called?

A. esophageal reflux monitoring study
B. GER monitoring study
C. pH probe or intraluminal pH monitoring study
D. UGI series

Answer 1

C. pH probe or intraluminal pH monitoring study

This measures stomach acid that enters and remains in the esophagus

Question 2

A technique used by some SLPs during swallow assessments in which a stethoscope is placed over the thyroid cartilage to amplify sounds during swallowing is called…

A. scintigraphy
B. videofluoroscopy
C. FEES
D. cervical auscultation

Answer 2

D. cervical auscultation

-Cervical auscultation assesses how the pt’s swallow sounds

-Scintigraphy/ Radionuclide scanning will scan an individual after drinking or receiving a small amt of radioactive material to produce an image

-videofluoroscopy- pt swallows small amount of liquid barium and the SLP records the swallow

-FEES- used to evaluate swallowing. A thin, flexible tube is passed through the nose to visualize swallowing

Question 3

A pt has mild to moderate oral dysphasia and has been doing oral-motor exercises that he believes are helping. You explain that the following is NOT a goal of oral motor control exercises…

A. increase movement of the base of tongue
B. increase range of tongue movements
C. increase buccal tension
D. increase the range of lateral movements of the jaw

Answer 3

A. increase movements of the base of the tongue

Oral-motor exercises can be extremely beneficial for pts with oral phase dysphasia. Answers B, C, and D would be the primary focus throughout treatment of oral phase dysphagia.
A would not be appropriate for a more successful completion of the oral phase.
One of the goals of this phase is to propel the bolus backwards, which is done by the tongue lifting and pushing backwards. Exercises to increase tongue ROM would promote successful posterior movement of the bolus

Question 4

The description of the different phases of normal swallow suggest…

Answer 4

In spite of being analyzed in terms of phases, swallowing typically is a continuous process

Question 5

The disorders of the pharyngeal phase of swallow include:

Answer 5

Delayed or absent swallowing reflex

Question 6

You have a patient who has a weak pharyngeal swallow with very minimal laryngeal elevation and excursion following stimulation, caus aspirate frequently and making it unsafe for her to have a regular diet. She was initially given a nasogastric tube to provide nutrition; ho consistently removes it due to discomfort. The following is another potential option to provide the patient with adequate nutrition

Answer 6

Gastroectomy tube

Question 7

An 84-year-old woman is having difficulties swallowing. She had a stroke 2 months ago and is now being seen as an outpatient. She complains that
“food keeps getting stuck in her throat.” Her husband mentions that when she swallows a large bolus, she coughs often. He mentions that his wife is very frustrated and cannot eat steaks and other solid foods.” He also mentions that she gets very embarrassed when they go out to restaurants to eat dinner because she can only order soups, apple sauce, and other soft foods, as she is afraid of coughing if she eats solid foods.

While the clinician was conducting the examination in the radiology department to determine whether there was a delay in the pharyngeal swallow reflex, she most likely would have selected the following treatment technique with the patient?

Also During the study in the radiology department, the clinician mentioned to her student intern that the following technique would result in widening of the vallecula space

Answer 7

head down/chin tuck