Dysphagia Book Quiz 4

Front 1

what kind of swallow occurs most frequently in stroke, head trauma and neurosurgical populations?

Back 1

delay in triggering pharyngeal swallow

Front 2

neurologic damage can occur because of (3 things)

Back 2

direct head injury, contra-coup damage, twisting of brainstem

Front 3

head injury exhibit a variet of oral disorders including

Back 3

reduced lip closure, reduced range of tonge motion, abnormal reflexes, delay/absent in triggering pharyngeal swallow

Front 4

neuromuscular abnormalities related to control of pharyngeal stage can also occur including

Back 4

reduced laryngeal elevation, airway entrance closure, tongue base motion, airway closure, cricopharyngeal opening, pharyngeal wall paresis, tracheoesophageal fistula, velopharyngeal port closure

Front 5

additional symptoms of head injury

Back 5

impulsivity, too much food in mouth, cognitive difficulties,

Front 6

if no head injury in cervical spinal cord injury problems will likey be ____ in nature

Back 6

pharyngeal

Front 7

poor laryngeal movement and CP opening when damgage is at cervical vertebrae _, _, _

Back 7

4, 5, or 6

Front 8

sensory awareness not present when cervical vertebra _ , _ damaged

Back 8

1 or 2

Front 9

sustained cervical spinal cord injury results in

Back 9

airway entrance closure issues secondary to reduction in laryngeal movement

Front 10

to heighten stimulation the central nervous system in order to trigger pharyngeal swallow use

Back 10

thermal tactile stimulation

Front 11

acousitic neuroma or tumor would concern us with cranial nerves

Back 11

IX, X, XII, VII, VIII

Front 12

patients with nerve damage benefit from

Back 12

posutre- head rotate, chin down
exercises- range of motion, resistance, effortful, falsetto, super-supraglottic

Front 13

poliomyelitis patients have problems in what stages

Back 13

oral and pharyngeal

Front 14

Guillain-Barre is a

Back 14

progressive viral disease causing paralysis

Front 15

cerebral palsy aspiration often

Back 15

before or after

Front 16

cervical osteophytes displace ______

Back 16

the posterior pharyngeal wall anteriorly

Front 17

inert substance improve ___ and can be used for patients with ___

Back 17

improve vocal fold closure

parkinson's
ALS
laryngectomy
reduced vf closure

Front 18

laryngeal suspension

Back 18

reduced laryngeal elevation

Front 19

dilatation of scar tissue

Back 19

to stretch open the cricopharyngeal region

Front 20

cricopharyngeal myotomy is ____, criteria is, and used for __

Back 20

permentently opens the sphincter

cp muscle dysfunction is dominant problem, must be able to move material through oral and pharyngeal stage, must be able to voluntarily close airway

patient's whose CP is in spasm with reduced laryngeal elevation and movement

Front 21

CP myotomy used in combination with what maneuvers

Back 21

mendelsohn, head turn

Front 22

procedures should not be done unless

Back 22

adequate trial of swallowing therapy has been completed

Front 23

epiglottic pull-down

Back 23

reversable occassionaly unsuccesful

Front 24

suturing the vocal folds together

Back 24

occassional unsuccessful not reversable

Front 25

laryngeal bypass or tracheoesophageal diversion

Back 25

seperates air and food passage

perminent

Front 26

total laryngectomy

Back 26

removal of hyoid bone and entire larynx

Front 27

oral feeding should be considered when ___ is aspirated or swallow takes __ or longer

Back 27

10%

10 seconds

Front 28

multidisciplinary teams necessary for 2 reasons

Back 28

rule out physiologic cause

complexity of dysphagic patients etiology, nature of problem, etc.

Front 29

multidisciplinary teams include

Back 29

swallowing therapist
radiologist
gastroenterologist
neurologist
otolaryngologist
pulmonologist
gerontologist
maxillofacial prosthodontist
dentist
PT
OT
dietician
attending physician
respiratory therapist
nurse

Front 30

Cervical Osteophytes are

Back 30

boney outgrowths on the cervical vertebra that can cause displacement of the posterior pharyngeal wall anteriorly

Front 31

scar tissue in the cricopharyngeal region is treated with

Back 31

dilatation procedure

Front 32

jejunostomy is

Back 32

a feeding tube placed directly into the jejunum through the abdominal wall

Front 33

botulinum toxin injection is used for disorders of

Back 33

cricopharyngeal muscle

Front 34

fundoplication is

Back 34

twisting the top of the stomach around the LES

Front 35

3 types of head injury

Back 35

coup-contracoup
coup
brainstem