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36 Cards in this Set
- Front
- Back
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The muscles which form the floor of the mouth include the _, _, and _; all of which attach to the _ and _.
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geniohyoid, mylohyoid, ABD
Hyoid and mandible |
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The large salivary glands are the _, _, and the _.
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parotid, submandibular, sublingal
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The muscle responsible for pulling the tongue base posteriorly and the posterior pharyngeal wall anteriorly is the _ which is the lowest part of the _
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glossopharyngeas
superior pharyngeal constrictor |
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For straw drinking, suction is created in the _.
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oral cavity
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Normal age effects on swallow include _ and _.
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increase in residue
delay in trigger |
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Videofluoroscopy provides information on _, _, and _ of aspiration.
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Mobility, timing, etiology
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At minimum, the protocol for the MBS should include two swallows of _, _, _, _, _, _, _, and _
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1ml
3ml 5ml 10ml cup drinking pudding cookie |
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Treatment strategies should be introduced when _ and _
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aspirating
residue |
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According to Jones et al (1985), esophageal problems can give symptoms of _.
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pharyngeal dysphagia
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Leder & Ross (2000) found that there (was or was not) a causal relationship between aspiration and tracheotomy.
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was not
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Kahrilas et al (1988) found that the UES opened _ and _ as bolus volume increased.
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wider
longer |
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Welch et (1992) found that chin tuck posture narrowed three dimensions of the pharynx:
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narrowed laryngeal opening
tongue base to pharyngeal wall entrance to airway |
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According to Horner & Massey (1988)aspiration following stroke is often _
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silent
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Three factors that contribute to opening the UES in the order that they occur are:
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CP muscle relaxes
larynx elevates and goes forward opening the UES pressure pushes bolus down |
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Airway closure occurs first at the _, then at the _, and then at the _.
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true vocal folds
airway (false vocal folds, arytenoids, base of epiglottis) epiglottis |
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There are three spaces in the phayrnx which can collect food if the swallow is abnormal. These are the:
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valleculae
left pyriform sinus right pyriform sinus |
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Pressure is always applied to the _ of the bolus during the pharyngeal swallow.
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tail
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The tongue is divided into two areas: the _ under _ neural control and the _ under _ neural control.
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oral; cortical
base; brainstem |
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A person who holds food between the midline of the tongue and the hard palate with the tongue elevated is called a _.
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tipper
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a person who holds the food on the floor of the mouth in front of the tongue is called a _.
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dipper
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A dipper is more frequently seen in _ indviduals and can slightly _ oral transit time.
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older
increase |
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Residue in the valleculae is a symptom of _.
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decreased base of tongue movt
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Residue in the lateral sulcus is a symptom of_.
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decreased buccal tension
paralysis or scarring of the cheek |
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Residue in one pyriform sinus is a symptom of
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unilateral dysfunction of the phayrngeal wall
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Random tongue movts are a symptom of
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apraxia of swallow
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Therapies w/o current evidence include:
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electrostimulation
laryngeal stimulator ?deep pressure? |
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Residue on the pharyngeal walls indicates:
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decreased bilateral pharyngeal contraction
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A symptom of delayed pharyngeal swallow is
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aspiration before swallow
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Residue in both pyriform sinuses indicates
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reduced anterior laryngeal elevation
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The triggerpoint for the pharyngeal swallow is located where
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the jaw crosses base of tongue
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Increasing residue in the mouth as the bolus gets thicker is a symptom of
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reduced tongue strength
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Residue on top of the airway is a symptom of
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decreased cp muscle opening
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swallowing varies systematicaly with two factors
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food consistency
food volume? |
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Can you distinguish reduced tongue base action and delayed pharyngeal swallow on a still radiograph?
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no
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What do you say to a dr when you want an order for a MBS?
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I need to find the cause for this patient's swallowing discomfort.
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What do you not say to a dr when you want an order for a MBS?
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I need to find out if this patient is aspirating.
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