Dysphagia Quiz 7
Dysphagia Mastery Quiz
Test your knowledge of dysphagia assessment and treatment strategies! This quiz consists of 10 meticulously crafted questions designed for clinicians and students alike who are keen to deepen their understanding of swallowing disorders.
Whether you're just starting in the field or are an experienced practitioner, this quiz will cover:
- Clinical evaluation techniques
- Postural strategies for dysphagia
- Neuroplasticity principles
- Diet modification approaches
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?
Head tilt to the stronger side
Neck flexion
Head tilt back
Head turn to the weaker side
If a patient has right side pharyngeal weakness characterized by increased residue in the pyriform sinus, which postural change might be appropriate?
Turning the head to the right
Turning the head to the left
Chin down posture
Head rotation plus chin down
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?
Optimize intra oral placement to the unaffected side
Chin down posture
Modify the viscosity of liquids
DPNS
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?
Restorative
Surgical
Compensatory
None of the above
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?
Smaller meals eaten more frequently throughout the day
VitalStim therapy
Sensory stimulation (cold and sour bolus)
Recommending IDDSI 1 and IDDSI 5
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?
IDDSI 5
IDDSI 7
IDDSI 4
All of the above
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?
Age matters
Repetition matters
Use it or lose it
Use it and improve it
Which of the following would be inappropriate to recommend for a patient with dysphagia due to poor base of tongue retraction?
Use of the chin tuck strategy
Lingual sweep of lateral sulci
Swallowing multiple times for one bolus
Effortful swallow
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?
Facial nerve (VII)
Trigeminal nerve (V)
Glossopharyngeal nerve (IX)
Hypoglossal nerve (XII)
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
Send him for a follow up instrumental examination
Change him to IDDSI 0 and educate on oral care.
Recommend he continue IDDSI level 2 long-term Correct!
Begin to discuss long-term management options for chronic dysphagia to determine his values and wishes
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