Dysphagia Quiz 7

A 61 y/o man complains of difficulty chewing and presents with weakness of masticatory muscles on the left side. You take him for a VFSS and confirm aspiration with thin liquids. What strategy will you try?

If a patient has right side pharyngeal weakness characterized by increased residue in the pyriform sinus, which postural change might be appropriate?

A patient in a nursing home is being treated for dysphagia post CVA. The patient is oriented and can follow directions. The patient has poor bolus preparation due to weakness on the right side, and a FEES showed good pharyngeal and laryngeal control. What compensatory technique does the clinician elect to try?

Susan has just completed a CSE and FEES. No significant weakness was found during the CSE. She has been placed on IDDSI 6 and IDDSI 2 as a result of a pattern of aspiration with IDDSI 0 due to inconsistent laryngeal vestibule closure. What treatment approach is appropriate?

You are working with a patient with myasthenia gravis for the patient's presenting dysphagia. Knowing a symptom of MG is often fatigue, what would be the most likely effective method of intervention?

An SLP that works in a skilled nursing facility has received an order for a CSE. The only information that can be found in the patient's medical records regarding his/her swallowing status is that the patient is on a mechanical soft/thin liquid diet upon discharge from the acute care hospital. Which of the following consistencies are appropriate to bring to the CSE?

After performing both bedside evaluation and instrumental assessment on a patient, the SLP has determined the primary feature of her patient's dysphagia is characterized by a weak swallow. In order to improve the swallow, the SLP has determined that the best treatment approach is to have the patient engage in swallowing-based exercise using boluses, with a minimum of three different swallowing exercises in each session. Which of the following principles of neuroplasticity is NOT explicitly targeted in the clinician's description?

Which of the following would be inappropriate to recommend for a patient with dysphagia due to poor base of tongue retraction?

A 76 y/o male presented to the ER with the chief complaint of not being able to move his tongue (he communicated this in writing). A CVA is suspected. What cranial nerve is involved?

Jack has come to your inpatient rehab facility on IDDSI level 2 following a CVA. 90 days into his course of stay, despite good participation in resistive training exercises, he continues to show overt signs and symptoms of aspiration and doesn't seem to be improving. You should