Oral Prep Stage (Oral Disease)

83 Questions | Total Attempts: 39

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Disease Quizzes & Trivia

Questions and Answers
  • 1. 
    What are the components of a oral mechanism exam
  • 2. 
    Oral Prep Stage (Anterior spill of bolus, drooling)
    • A. 

      Weak Mastication musculature

    • B. 

      Reduced tongue cordination

    • C. 

      Decreased labial seal

    • D. 

      Reduced buccal tension

  • 3. 
    (Oral Prep Stage) Decreased mastication 
    • A. 

      Weak mastication musculature

    • B. 

      Poor lingual lateralization

    • C. 

      Reduced buccal tension

    • D. 

      Reduced tongue coordination

  • 4. 
    (Oral Prep Stage) Buccal pocketing and excessive oral residue
    • A. 

      Reduced tongue coordination

    • B. 

      Weak mastication musculature

    • C. 

      Reduced oral sensation

    • D. 

      Reduced buccal tension

  • 5. 
    (Oral Prep Stage) Coughing before the swallow
    • A. 

      Reduced tongue coordination to hold bolus in oral cavity

    • B. 

      Reduced tongue elavation

    • C. 

      Reduced anterior to posterior tongue movement

    • D. 

      Delayed pharyngeal swallow

  • 6. 
    (Oral Stage) Food catches in mouth, slowed oral transit time
    • A. 

      Reduced anterior to posterior tongue movement

    • B. 

      Reduced tongue elivation

    • C. 

      Swallow apraxia-repeated tongue pumping

    • D. 

      Disorganized anterior to posterior tongue movement

  • 7. 
    (Oral Stage) Slow eating, worse with solids, slow oral transit time
    • A. 

      Reduced anterior to posterior tongue movement

    • B. 

      Swallow apraxia

    • C. 

      Repeated tongue pumping

    • D. 

      Disorganized anterior to posterior tongue movement

  • 8. 
    (Pharyngeal Stage) Food catches at the base of the tongue, delayed hyolaryngeal eleveation
    • A. 

      Delayed pharyngeal swallow

    • B. 

      Absent pharyngeal swallow

    • C. 

      Also could be result of limited CP

    • D. 

      Option4

  • 9. 
    (Pharyngeal Stage) Food doesn't go down, no hyolaryngeal elevation
    • A. 

      Absent pharyngeal swallow

    • B. 

      Also could be result of limited CP opening

    • C. 

      Delayed pharyngeal swallow

    • D. 

      Reduced pharyngeal contraction

  • 10. 
    (Pharyngeal Stage) Food caught up, residue in pharynx
    • A. 

      Reduced pharyngeal contraction, tongue base movement or laryngeal elevation

    • B. 

      Reduced anterior to posterior tongue movement

    • C. 

      Swallow apraxia

    • D. 

      Delayed pharyngeal swallow

  • 11. 
    (Pharyngeal Stage) Coughing/choking after the swallow, gurgly vocal quality, excessive secretion-spillover from pyriform sinuses and valleculae or CP bar.
    • A. 

      Cricopharyngeal dysfunction

    • B. 

      Reduced laryngeal elevation

    • C. 

      Reduced laryngeal closure

    • D. 

      Reduced epiglottic inversions

  • 12. 
    (Pharyngeal Stage) Coughing/ choking during the swallow 
    • A. 

      Reduced laryngeal closure

    • B. 

      Reduce laryngeal elevation

    • C. 

      Reduced epiglottic inversion

    • D. 

      Reflux or GERD

  • 13. 
    (Pharyngeal/Esophageal stages) Residue in pyriform sinuses, decreased CP opening
    • A. 

      Cricopharyngeal dysfunction

    • B. 

      Esophageal motility dysfunction

    • C. 

      Esophageal diverticulum

    • D. 

      Tracheoesphageal

  • 14. 
    (Pharyngeal/Esophageal Statge) Regurgitation of food, coughing after the swallow, collection of material in side pocket of the esophagus or pharynx
    • A. 

      Cricopharyngeal dysfunction

    • B. 

      Esophageal diverticulm

    • C. 

      Tracheoesaphageal fistula

    • D. 

      Relfux

  • 15. 
    (Esophageal Stage) Regurgitation, coughing after the swallow
    • A. 

      Reflux/GERD

    • B. 

      Partial or total obstruction in esophagus

    • C. 

      Esophageal diverticulum

    • D. 

      Esophageal motility dysfunction

  • 16. 
    (Esophageal Stage) Coughing/choking after the swallow, material passes from the esophagus to the trachea
    • A. 

      Tracheoesophageal fistula

    • B. 

      Reduced laryngeal dysfunction

    • C. 

      Reflux/GERD

    • D. 

      Partial or total obstruction in esophagus

  • 17. 
    Ever had treatment or swallowing problems before? Coughing/choking when eating? Coughing/choking when sleeping? Problems drooling? Types of foods/liquids that cause problems?
  • 18. 
    Does food get stuck in throat/mouth? Location where they typically eat?
  • 19. 
    __________ does the problem typically happen?  _________ did the problem start?
  • 20. 
    _______ typically eats with the patient?   Must the patient be fed by someone else?
  • 21. 
    Special feeding techniques? Diet modification already in place? Cognitively intact to remember and follow direction.
  • 22. 
    What do we look at when we visually inspect  the face
    • A. 

      Droop

    • B. 

      Drooling

    • C. 

      Dry lips

    • D. 

      Food on the outside of the mouth

  • 23. 
    What do we visually inspect with regards to oral 
    • A. 

      Dentition

    • B. 

      Dry mouth

    • C. 

      Oral care

    • D. 

      Halitosis

    • E. 

      Dry caked mucus on mouth

  • 24. 
    What do we assess with the lips in an oral motor assessment 
    • A. 

      Purse/retraction

    • B. 

      Alternation rate

    • C. 

      ROM

    • D. 

      Tongue click on roof of mouth

    • E. 

      Closure have the patient puff out cheeks

  • 25. 
    What doe we assess in oral mechanism with the tongue
    • A. 

      Lateralization-alternating rate, ROM

    • B. 

      Elevation/depression-alternating rate, ROM

    • C. 

      Tongue click on roof of mout

    • D. 

      Pain with opening

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