Oral Prep Stage (Oral Disease)
- 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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