Test 4

Question 1

Know what the process of preparing food for swallowing is

Answer 1

mastication

Question 2

Know how many phases of swallowing as currently identified in the literature

Answer 2

4

Question 3

Know what part of swallowing involves tasting

Answer 3

gustation oral prep

Question 4

Know what reflex is responsible for a newborn turning her head toward the stimulus and opening her mouth

Answer 4

rooting reflex

Question 5

Know what it is called when a bolus enters the larynx but does not pass through the glottis

Answer 5

penetration

Question 6

Know what different muscles help to move the pharynx during swallowing

Answer 6

pharyngeal muscles: palato pharyngeous, saloingopharyngeous,

Question 7

Know what muscles are responsible for lingual movement

Answer 7

geneoglossus, styloglossus, palatoglossus

Question 8

Know the name for bad breath

Answer 8

halitosis

Question 9

Know what GERD can lead to (what kind of cancer)

Answer 9

esophageal cancer

Question 10

Know common symptoms of GERD

Answer 10

cough, vocal horseless, pulmonary issues, asthma, bad breath, overweight

Question 11

Know behavior modification strategies for GERD/LPR

Answer 11

LOSE WEIGHT
• AVOID FATTY FOODS ETC
• ELEVATE HEAD OF BED WHILE SLEEPING????
• NO EATING 4 HRS BEFORE BEDTIME
• AVOID TIGHT CLOTHES WHICH CONSTRICT THE STOMACH • DON’T EXERCISE IMMEDIATELY AFTER A MEAL
• 4-6 SMALLER MEALS RATHER THAN LARGE
• BEWARE OF MEDICATIONS WITH SIDE EFFEcts

Question 12

Know whether a person with a sensitive gag reflex will more likely have dysphagia

Answer 12

no

Question 13

Know what retching may be triggered by

Answer 13

bad smells

Question 14

Know whether speech therapy exercises will improve esophageal dysphagia

Answer 14

yes

Question 15

Know what the mentalis does

Answer 15

flatten cheeks and move food to molars

Question 16

Know what 5ml is equal to

Answer 16

1 tsp

Question 17

Know whether swallow timeliness is a factor in dysphagia management or not

Answer 17

yes

Question 18

Know whether speech therapy exercises can improve hyolaryngeal elevation and excursion

Answer 18

yes

Question 19

Know what the buccinator does

Answer 19

flatten cheeks and move food to molars

Question 20

Know what H2 blockers do

Answer 20

lower pH in stomach, help neutralize stomach- they are the quick response

Question 21

Know what Nexium is an example of

Answer 21

proton pump inhibitors

Question 22

Know what a hiatal hernia is

Answer 22

when top of the stomach goes through the diaphragm and pops up into the chest through the opening in the diaphragm

Question 23

Know whether babies will ever have reflux issues

Answer 23

yes

Question 24

Know symptoms of dysphagia

Answer 24

Having pain while swallowing (odynophagia)
Being unable to swallow
Having the sensation of food getting stuck in your throat or chest or behind your breastbone (sternum)
Drooling
Being hoarse
Bringing food back up (regurgitation)
Having frequent heartburn
Having food or stomach acid back up into your throat
Unexpectedly losing weight
Coughing or gagging when swallowing
Having to cut food into smaller pieces or avoiding certain foods because of trouble swallowing

Question 25

Know what cranial nerve innervates the esophagus

Answer 25

10

Question 26

Know what a picture of aspiration looks like vs. penetration

Answer 26

aspiration, past the glottis

Question 27

Know what a FEES test is/looks like

Answer 27

colored

Question 28

Name the anatomical structure in which the pooling of the substance is (she will show a picture of this)

Answer 28

either piriform sinus or velecula

Question 29

Know what a swallow test is called and the technical name for it

Answer 29

FEES- fiberoptic endoscopic evaluation of swallowing black and white modified barium swallow study

Question 30

Know the different phases of swallowing and what they look like in a picture

Answer 30

oral prep, oral phase, pharyngeal phase, esophageal phase

Question 31

Know what the sphincter muscle on tip of the esophagus is called

Answer 31

Upper esophageal sphincter

Question 32

Know the structure that helps to protect the airway during swallowing

Answer 32

epiglottis

Question 33

Know the largest lingual muscle

Answer 33

tongue