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21 Cards in this Set
- Front
- Back
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name the first phase of the swallow
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oral prep
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name the second phase of the swallow
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oral
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name the third phase of the swallow
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pharyngeal
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name the fourth phase of the swallow
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esophageal
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at what anatomical level/site is the pharyngeal phase of the swallow triggered?
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once the bolus passes the anterior faucial pillars
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during what phase of swallowing is the bolus formed?
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oral prep
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during what phase of the swallow is the bolus transported posteriorly by the tongue?
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oral
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at the beginning of what phase does the bolus pass through the cricopharyngeal sphincter?
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esophageal
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list some causes of dysphagia
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-TBI
-CVA/strokes -progressive neurological disorders/diseases -cancer of the mouth, throat, esophagus -as a result of damage caused during surgery -prescription side-effects -genetic causes |
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true or false...indirect Tx for dysphagia involves the presentation of food/liquid to the patient
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false
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true or false...use of swallowing techniques/maneuvers are considered direct Tx
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false
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list some indirect swallowing techniques/maneuvers
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-mendelsohn
-supraglottic swallow -super supraglottic swallow -effortful swallow |
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true or false...oral motor excercises are a form of direct Tx and involve the presentation of food/liquid
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false
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true or false...SLPs do not provide direct Tx for patients with esophageal phase dysphagia
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true...they may counsel the patient, but esophageal disorders are addressed by medical professionals
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what is the gold standard in regards to instrumentation/assessment of dysphagia?
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MBS/videoflouroscopic assessment
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name the anatomical site in the mouth in which food/bolus may gather
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sulci
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name the anatomical site in the pharynx located between the base of the tongue and the epiglottis where food/residue may gather
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valleculae
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impaired ability to move the tongue/impaired range of tongue movements would cause difficulty with what phase of the swallow?
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oral prep
oral |
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impaired ability to achieve adequate lip closure would cause difficulty with what phase of the swallow?
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oral prep
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impaired pharyngeal constrictions would cause difficulty with what phase of the swallow?
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pharyngeal
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list some key components of a swallowing/dysphagia screening and/or evaluation
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-case Hx
-assessment of voice, speech, langauge, writing skills -laryngeal exam -test swallows -positioning -videoflourographic assessments -endoscopic assessment -observations of patient eating -observations of facial/oral structures, including ROM, elevation, symmetry |
