D1 Part 3

Front 1

several technologies can be used to image the oropharyngeal reagion: (name all 4)

Back 1

ultrasound, videoendoscopy, videofloroscopy, scintigraphy

Front 2

ultrasound studies of the oral cavity have been used to observe _______ funciton and to measure ___________, as well as motion of the _______

Back 2

tongue function, oral transit times, motion of the hyoid bone

Front 3

ultrasound cannot visualize _______

Back 3

the pharynx

Front 4

the inibility to image the pharynx has limited the application of ultrasound to the study of _____ stages of the swallow

Back 4

oral

Front 5

videoendoxcopy has been used to examine

Back 5

the anatomy of the oral cavity and pharynx from above, and to examine the pharynx and larynx before and after swallowing

Front 6

endoscopy does not visualize the _____ stage of the swallow

Back 6

oral

Front 7

the advantage of videoendoscopy is that

Back 7

there is no radiation exposure

Front 8

the videoendoscopy can be used to test _____ awareness by touching the pharyngeal and laryngeal structures

Back 8

sensory

Front 9

endoscopy can be used to provide biofeedback to the patient who is having difficulty

Back 9

learning the airway closure maneuvers

Front 10

the most frequently used technique in the assessment of oropharyngeal swallow is

Back 10

videofluoroscopy

Front 11

videofluoroscopic studies provide information on _________

Back 11

bolus transit times, motility problems, and amount and etiology of aspiration

Front 12

videofluoroscopy enables visualization of (3)

Back 12

1. oral activity during chewing and oral stage of swallowing 2. the triggering of the pharyngeal swallow 3. the motor aspects of the pharyngeal swallow

Front 13

the videofluoroscopy procedure is called a

Back 13

modified barium swallow

Front 14

the modified barium swallow is not designed to _________, but to understand____

Back 14

not to determine whether someone aspirates, but to understand why they aspirate

Front 15

once the abnormalities in the patient's anatomy or swallow physiology have been identified, the clinician should

Back 15

introduce treatment strategies during the radiographic study in order to facilitate safe and more effective oral intake

Front 16

scintigraphy is a nuclear medicine test in which the patient swallows

Back 16

measured amounts of radioactive substance

Front 17

scintigraphy can measure

Back 17

the amount of aspiration and residue. but, the physiology of the mouth and pharynx is not visualized

Front 18

scintigraphy can be diagnostic for

Back 18

esophageal aspects of swallowing dysfunction

Front 19

electromyography records information from

Back 19

muslces of the floor of the mouth or from muscles involved in laryngeal elevation

Front 20

surface EMG of these muscles has been used as a marker of the

Back 20

onset of swallow

Front 21

electroglottography (EGG)

Back 21

is designed to track vocal fold movement by recording the impedance changes as the volcal folds move

Front 22

Cervical auscultation is

Back 22

listening to and recording the sounds of swallowing, and the sounds of respiration

Front 23

pharyngeal manometry allows measurement of

Back 23

intrabolus pressures and the timing of the pharyngeal contractile wave.

Front 24

accurate interpretation of pharyngel manometry generally requires _________ of the bolus position in relation to the manometric sensors,

Back 24

visualization

Front 25

the pressure sensors in pharyngeal manometry are placed

Back 25

tonge base, upper esophageal sphincter, and cervial esophagus.

Front 26

if understanding the patient's pharyngeal anatomy is the question, then

Back 26

rigid videoendoscopy is the best procedure

Front 27

if defining the presence (but not the cause) of aspiration is the goal, then

Back 27

flexible fibertropic videoscopy is the procedure

Front 28

if understanding pharyngeal physiology in relation to symptoms is the goal, then

Back 28

videofluoroscopy should be used

Front 29

if pressure generated during swallowing is the info needed

Back 29

then pharyngel manometry would be used.