This quiz focuses on the Oral Prep Stage of swallowing, assessing knowledge on issues like decreased labial seal, weak mastication musculature, and reduced tongue coordination. It is crucial for learners in medical and speech pathology fields to understand these dysfunctions to better diagnose and treat oral diseases.
Reduced tongue coordination
Weak mastication musculature
Reduced oral sensation
Reduced buccal tension
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Delayed pharyngeal swallow
Absent pharyngeal swallow
Also could be result of limited CP
Option4
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Absent pharyngeal swallow
Also could be result of limited CP opening
Delayed pharyngeal swallow
Reduced pharyngeal contraction
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Cricopharyngeal dysfunction
Esophageal diverticulm
Tracheoesaphageal fistula
Relfux
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Reflux/GERD
Partial or total obstruction in esophagus
Esophageal diverticulum
Esophageal motility dysfunction
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Tracheoesophageal fistula
Reduced laryngeal dysfunction
Reflux/GERD
Partial or total obstruction in esophagus
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Droop
Drooling
Dry lips
Food on the outside of the mouth
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Dentition
Dry mouth
Oral care
Halitosis
Dry caked mucus on mouth
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Lateralization-alternating rate, ROM
Elevation/depression-alternating rate, ROM
Tongue click on roof of mout
Pain with opening
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ROM (3 finger widths minimum)
Pain with opening
Chewing assessed during p.o trials
Gag reflux
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Symmetry
Gag reflex
Is nasality present
Regurgitation
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Elevation with or without protraction
Rate of elevation
Movement fluidity
Gurgling
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Place stethoscope on side of neck and listen to breathing on each side, listen to swallow
Gurguling? have patient clear
Still gurgling patient unable to clear
Check for phonation
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True
False
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Have a patient say ah after every presentation
Listen for wet gurgly voice
Look for watery eyes and runny nose
Listen for delayed cough
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Residue in oral cavity
Spill of food from mouth
Coughing
Report of residue in throat
Regurgitation
Piecemeal deglutition
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Fatigue
Appetite
Oral care (do they have teeth)
Hydration
Shortness of breath
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Diet level recommendations for solids and liquids
Supervision for intake
How to administer medications
Aspiration precautions
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No radiation
Clear view of all structures
Assess airway closure
Doesn't visualize oral prep or oral stage
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Cant see during swallow
Limits VP closure
Must define problem based upon location of residue
Clear view of all structures
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You can view the motor aspects of the pharyngeal swallow
You can see mastication and oral phase
Triggering of the pharyngeal swallow is due to position of the bolus
Cant view structures directly
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Hard to assess fatigue
Barium changes food consistency
Presence of aspiration does not indicate aspiration pheumonia
Contrast issues
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True
False
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Hospitalization
Confusion
Fever
Weight loss
Lethargy
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Order FWP
SLP helps in deciding who is a candidate
Water is freely offered
Oral care before first meal
Water is permitted until first bite of food
No water during a meal (thickened liquid only)
Meds given with prescribed liquid level or puree
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After meals there is oral care
Wait 30 minutes until thin liquid is presented
Tube feeders can have water anytime as ling as oral care is performed
Option4
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Super Coughers
Those with active pneumonia
Brainstem infarcts
Parkinsonism
Reduced tongue movement or strength
Reduced tongue base retraction
Reduced laryngeal elevation
Unilateral pharyngeal paralysis
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When signs and symptoms are inconsistent with findings
Need to confirm a suspected medical diagnosis
Safety and efficiency of the swallow are in question
Specific information is needed for Swallow Rehab Candidate
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Nose to stomach
Direct to stomach
Direct to Jejunum
Option4
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True
False
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Physical presence in nose, pharynx, and esophagus
Potential for reflux
Liquid diet may be expensive
Allows them to still swallow for 3 weeks
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True
False
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Nose to stomach
Direct to jejunum
Option3
Option4
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Infeectin
Gerd
Does not stop aspiration of secretions
Should not be used a cure for aspiration
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True
False
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Patients with head and neck cancer
Acute stroke with dysphagia persistent for 6 weeks after hospital discharge
ALS patients
Malignant bowl obstruction
Some one who aspirates
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To control the flow of food or liquid and to eliminate or reduce the patient's symptoms
To aid the patient in effective swallowing
To test new swallowing processes
Option4
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Chin up-used to drain food with the aid of gravity-used for oral phase deficit
Head rotation-rotate head to damaged side-used with those who have a unilateral pharyngeal wall or vocal fold weakness
Chin down-tongue base and epiglottis pushed closer to the posterior pharyngeal wall- used for patients with delayed trigger of the swallow
Head tilt-Tilt head to good side-gravity flows food to good side-used with patients used with patients who have unilateral oral and pharyngeal impairment
Lying down-trying to avoid aspiration by gravity-used when residue in the pharynx is aspirated-patient needs to suck out of straw and cough before sitting up
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Direct dysphagia therapy
Indirect dysphagia therapy
Option3
Option4
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Indirect dysphagia therapy
Direct dysphagia therapy
Option3
Option4
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Oral motor exercises
Range of motion exercises
Procedures to heighten sensory input
Swallow maneuvers
Increased sensation techniques
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Super-supraglotitc
Effortful swallow
Supraglottic swallow
Mendelsohn Maneuver
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