Oral Prep Stage (Oral Disease)

83 Questions | By Jbunney | Updated: Mar 21, 2022 | Attempts: 125

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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