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25 Cards in this Set
- Front
- Back
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which specific swallow maneuver asks the patient to take a bite, hold it in their mouths as they quickly exhale then swallow while holding their breath and immediately cough following deglutition? |
The supraglottic swallow- Prevents aspiration by closing the airway at the level of the voical folds. |
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Which specific swallow maneuver helps increase the postierior motions of the tongue & increases pharyngeal pressure by asking the patient to swallow hard like they have a grape in their throat? |
The effortful swallow. |
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You are working with a patient who requires alternate means hydration/nutrition. In talking with the MD he makes a decision to perform a medical procedure to insert a feeding tube into the pts stomach through an opening in the abdomen. What is this procedure called? |
A gastrostomy. |
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You are working in your adult externship and your supervisor recommends that you target exercises that will improve muscle strength in the absence of food. What tpe of treatment is your supervisor suggesting? |
Indirect tx- no food is involved in this treatment. |
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Your working in a nursing home and you observe a patient at meal time. You observe the pt with regular/thin PO diet. During the meal you notice the patient has moderate oral stasis in the anterior and lateral sulci. Your patient is aware of the stasis; however, he can not move his tongue to fully clear the sulci. Instead he uses his finger.What kind of exercises may you recommend for your client? |
Target indirect therapy targeting lingual lateralization, protrusion, retraction, elevation and depression to improve the clients lingual ROM. |
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Which type of therapy would invole you presenting your client with food and liquids during your therapy session? |
Direct therapy. |
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Your patient is presented with a cup and straw. You pour nectar thickened liquids into the cup and instruct the pt to take a sip. Upon taking a sip you notice your client isnt able to seal his lips around the straw. What stage of swallowing should you target in therapy? |
The oral stage. |
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You recieve orders from your supervisor to work with a patient to address tongue thrust. What phase of swallowing is your client experiencing a disorder in? |
The oral prepatory stage. |
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You are working PRN in a rehabilation facility. The SLP that currently is coving this caseload, called out sick. You have only been left the daily notes for this client form the last 2 days. You read that the SLP was teaching the client to tilt their head forward while swallowing. Which phase of the patients swallow is impaired? |
The pharyngeal phase. |
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A patient is currently recieving alternate means nutrition/ hydration through via nasgastric feeding tube. Where is this tube inserted and how long is meant to be used? |
A nasogastric feeding tube is inserted through the nose to the pharynx, esophagus and into the stomach. Nasogastric feedings are only used for short durations and should not be used long term. |
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What chewing patern should a 7-9 month old child be exhibiting? |
A rotary/diagonal chewing pattern. |
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you are assigned to treat a 13 month old child who is still demonstrating a suckling pattern during meals. Which pattern should a child this age be exhibiting? |
A true sucking pattern. |
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Ture or False:
Two treatment teqniques that can be used with a patient who is apirating following penetration into the larngeal vesitule are chin tuck and thickened liquds? |
True. Bolus size is another treatment technique you may see as well. |
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You are doing your adult externship at a hospital and you are observing your supervisor conduct a FEES, you observe the client aspirate before the swallow, because of a delayed trigger in her swallow. You supervisor asked you to recomment two therapy techniques to utilize with this client. What should you suggest? |
I would suggest thermal stim or sour bolus. |
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You are presneting a client with nectar thickened liquids while your supervisor is conductiong and endoscopy evaluation. You both notice the client has residue in the pyriforms following her swallow. What may be the issue? |
Reduced laryngeal elevation. |
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Given the short term goal: Pt will swallow hard in 3/5 trials independently. What is likely the physiological cause of this goal?? |
decreased movement of the posterior pharyngeal wall. |
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Is it functional to use food/ liquids during vital stim? |
yes. |
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In a patient who is an 80 year old male would you expect to see a fast swallow the same as a 15 year old in relation to timing? |
No. A normal characteristic related to normal aging is a slowed swallow. |
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Before you can treat a client you must determine if they require your skilled services. Should you contact a doctor to get permision for a screening? |
No , screenings do not require MD orders. |
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Are you allowed to bill for screenings? |
No, it is a non billable service. |
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You are a SLP working in a rehab facility. Your case load is overwhelmingly packed for the day so you ask a brand new nurse to conduct a screening for you; despite not being trained. Is this ok? |
NO! onlyy nursing staff who have been trained to conduct screenings for dysphagia are allowed to assist you. |
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Can student clincians perform endoscopies? |
No. Only SLPS who are certified endoscopists can perform them with MD orders. |
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A new admit has arrived at the hospital post CVA. You quickly ask the family members some questions about the patients prior diet, eating abilites and difficulties with meal time, then you conduct a face to face evaluation with the client. Have you conducted all of the assessments you need to begin? |
No, the SLP must perform a chart review to find out the location of the CVA to have an idea of what cranial nerves may have been affected as well as any prior medical conditions, allergies etc.
you will also need MD orders for evaluation and treament of this client and combine all of your observational and anecdotal information together to make a professional judgement based on the clients need for evaluation and treatment. |
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You walk into a patients room and notice they are cronicly coughing. Does overt symptom alone suggest aspiration? |
No, coughs can be related to other pathologies. |
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Does a screening identify the nature of the problem? |
No further evaluation will be needed. |
