Dysphagia

Question 1

valleculae

Answer 1

space between the epiglottis and base of the tongue

Question 2

pyriform sinuses

Answer 2

located above the cricopharyngeus muscle

Question 3

benefits of pharyngeal recesses

Answer 3

• allows food and liquid to hesitate and may protect against aspiration

Question 4

risks of pharyngeal recesses

Answer 4

• residue in the pharyngeal recesses may not clear, can spill over and result in aspiration

Question 5

purpose of modified barium swallow study

Answer 5

• evaluates oral-pharyngeal phases primarily and is for identifying causes of swallowing dysfunction for treatment planning

Question 6

purpose of standard barium swallow

Answer 6

• evaluates esophageal function

Question 7

aspiration pneumonia risks

Answer 7

• decayed teeth (oral bacteria)
• number of meds taken
• multiple medical diagnoses
• smoking
• swallowing saliva high in bacteria can cause aspiration pneumonia to develop

Question 8

potential risk factor of prescribing thickened liquids

Answer 8

• not well liked
• high refusal rate
• become thicker as they sit
• dehydration may develop leading to other medical problems

Question 9

advantages of tracheostomy tube during swallow evaluation

Answer 9

• allows us to see aspirated material

- easier to access to suctioning if needed

Question 10

Passy Muir Speaking valves

Answer 10

• used to facilitate communication and swallowing
• placed on trach tube and allows inhalation through the trach, exhalation is redirected through the vocal tract allowing the person to speak
• if trach tube has a cuff, cuff must be deflated prior to placement or pt wont be able to breath