Quiz 3

Question 1

What are the muscles of the floor of the mouth?

Answer 1

Mylohoid, Geniohyoid, Stylohyoid, & Digastric Belly (Anterior/Posterior)

Question 2

What are some structures involved in swallowing? What do they do?

Answer 2

Lips: hold food in the mouth
Tongue: propels bolus back
Hyoid: move up and forward, closing upper airway
Larynx: closes from bottom up, prevents food from going into airway
Epiglottis: folds over to protect the airway
Teeth: mastication of the food
UES: allows bolus into esophagus
Velum: closes to protect nasal, enables pressure in pharynx

Question 3

What is medication that has a big effect on swallowing?

Answer 3

Antibiotics - can cause confusion, disorientation, dysarthria, dysphagia, and weakness

Question 4

What are components to look for in a case study?

Answer 4

Chief complain, present/past illness, medications, trauma, type of dysphagia (food, liquid, pills), onset/progression, family/social history

Question 5

What are some benefits of a chin tuck?

Answer 5

For a patient with oral or pharyngeal dysphagia.

• Helps with decreased base of tongue control
• Widens vallecula and narrows airway entrance
• Protects trachea opening from aspiration by moving airway below the tongue base and epiglottis

Question 6

What is the head tilt used for, reason behind using it, and how you would execute it?

Answer 6

Used for a unilateral oral impairment to aid in control of the bolus, normally tilt to strong side, gravity pulls bolus to side of oral cavity with greater muscle tone
-Instruct the patient to tilt their head to strong side (model this)

Question 7

What are 3 swallowing maneuvers that you could recommend?

Answer 7

Supraglottic Swallow
Effortful Swallow
Masako Swallow

Question 8

Explain the Supraglottic Swallow.

Answer 8

• To close chords before/after the swallow
• Take a deep breath and hold it, hold while swallow, then cough
• “Breath in, hold it, swallow, then cough”

Question 9

Explain the Effortful Swallow.

Answer 9

• To increase posterior motion and pressure of tongue base, to reduce residue
• Squeeze hard with all your muscles when you swallow
• “Pretend you have a golf ball stuck in your throat! Work hard to get it down!”

Question 10

Explain the Masako Swallow.

Answer 10

• To increase superior constrictor (glossopharyngus), increase retraction of tongue base and anterior bulge of posterior pharyngeal wall
• NOT done with food, hold tongue between teeth while you swallow
• “Bit down on your tongue, then swallow”