Studied by 4 people
EMST can be suggested for
a. Patients with degenerative neurological disorders
b. Elderly individuals with sarcopenia
c. Children with neuromuscular disorders
d. All of the above
All of the above
Occupational therapists' role in dysphagia management involves
a. Assessment and management of oral care
b. Recommending environmental modifications to improve mealtime experience
c. Assessment of nutrition
d. Decision making on swallowing management
Recommending environmental modifications to improve \n mealtime experience
Changes in treatment may be affected by
a. Treatment technique
b. Passage of time
c. Strength of the patient
d. Types of food eaten
e. Only a, b, and c
f. a, b, c, d
a, b, c, d
Compensatory swallowing therapy involves all of the following except
a. Improving oral strength
b. Changing the size of the bolus to be swallowed
c. Stimulating lips/tongue
d. Modifying posture to improve airway closure
Changing the size of the bolus to be swallowed
Compensatory swallowing is limited by which of the following
a. Time since onset of dysphagia
b. Lack of evidence that shows it is efficacious \
c. Willingness to follow the recommendations
d. All of the above
Willingness to follow the recommendations
Swallowing postures are used as they have been shown to
a.Reduce penetration and aspiration
b.Improve bolus transit time during the oral and pharyngeal phases
c.Reduce residue post swallow
d.All of the above
Improve bolus transit time during the oral and pharyngeal phases
Thermal tactile oral stimulation is an exercise to stimulate
a.Tongue elevation
b.Oral awareness to the brainstem
c.Taste
d.All of the above
Oral awareness to the brainstem
The primary outcome from studies using the Shaker exercise is
a.Significant increase in the anterior excursion of the larynx
b.Reduced opening of the upper esophageal
sphincter
c.Decrease in the hypopharyngeal intrabolus pressure
d.No improvement in the types of liquid that patients with UES difficulty could swallow
Decrease in the hypopharyngeal intrabolus pressure
When should therapy begin for patients diagnosed with head and neck cancer?
a.As soon as the patient completes the requisite medical treatment
b.After the patient has recovered sufficiently from medical treatment
c.As soon as the diagnosis is made
d.After the patient is confirmed to be in remission
As soon as the diagnosis is made
Proper nutrition
A. Provides increased strength
B. Builds immune status
C. Prevents aspiration
D. Only A and B
E. A, B, and C
A, B, and C
Which professional is mainly responsible for monitoring the nutritional status
A. SLP
B. Medical doctor/ physician
C. Registered Dietician
D.Nurse
Registered Dietician
Standardization of foods through analysis of their properties will help in all of the following ways except
A. Reducing aspiration during testing
B. Improving test to test reliability
C. Allowing a comparison of FEES and MBS results more carefully
D. Calculating nutrition requirements.
Reducing aspiration during testing
The key to recommending thickened fluids is to
A. Protect the airway and ensure maximal swallow safety
B. Allow the patient to swallow without complaint
C. Minimize residue post swallow
D. A and C
A and C
Viscosity represents a characteristic of a liquid that can be described more simply as
A. Thickness
B. Resistance to flow
C. Degree of elasticity
D. Type of texture
Thickness
What factors might limit a patient's intake of recommended thickened fluids?
A. Limited access to thickened fluids
B. Patient is unused to the change in taste and texture
C. Patient feels that thickened fluids do not quench their thirst
D. All of the above
All of the above
Who may benefit from the Free Water Protocol?
A. All individuals who are on a modified diet
B. Only individuals who are mobile and have good cognitive functions
C. Elderly patients who have dementia
D. All of the above
Only individuals who are mobile and have good cognitive functions
Examples of minced and moist foods include
A. Thick and smooth cereal
B. Greek yogurt
C. Mashed banana
D. A and C
E. All of the above
A and C
For patients who require long-term nonoral feeding, gastrostomy tubes are preferred as:
A. They last longer and therefore require less replacing
B. They are more comfortable than other forms of enteral feeding
C. They are more fixed in place and do not dislodge easily
D. Patients do not find them as disfiguring
E. All of the above
F. All except D
All of the above
A squeeze may help in propelling the bolus into the oropharynx due to weakness in the tongue is one of the purposes of the:
A. Effortful swallow
B.super-supraglottic swallow
C. Mendelson maneuver
D. head tilt
Effortful swallow
This type of therapy is easiest for patients who have trouble with multiple stage commands, children, or patients with significant sensory loss:
A.tongue hold
B.supraglottic swallow
C. effortful swallow
D.chin tuck
E. head back posture
effortful swallow
Head back posture helps, improves or is used to/for
A. People with tongue paralysis or partial or total removal of the tongue due to oral cancer may benefit from this posture
B.airway protection by moving the tongue base and epiglottis posterior toward the posterior pharyngeal wall.
C. to promote the flow of the bolus to the more normal side of the pharynx or larynx
D. for patients who have unilateral oral or pharyngeal weakness
People with tongue paralysis or partial or total removal of the tongue due to oral cancer may benefit from this posture
Chin down posture/chin tuck helps, improves or is used to/for
A. Relies on gravity to move the bolus out of the oral cavity
B. airway protection by moving the tongue base and epiglottis posterior toward the posterior pharyngeal wall.
C.this posture is used in patients with unilateral pharyngeal or vocal fold weakness or impairment
D. patients who have unilateral oral or pharyngeal weakness
airway protection by moving the tongue base and epiglottis posterior toward the posterior pharyngeal wall.
Refers to exercises and techniques that aim to achieve long-term improvement in neuromuscular control of swallowing:
A.Rehabilitative swallow therapy
B.Compensatory swallow therapy
C.swallow posture therapy
D.Preventative swallow therapy
E. a and b
a and b
If a person has not had a Modified Barium Swallow Study, but has pooling of saliva or food in their throat, which might be noticed by a "wet" or "gurgly" voice quality what treatment method would work best?
A.Shaker exercise
B.rTMS
C.tDCS
D.vitalStim
E.Masako exercise
Masako exercise
This type of procedure is helps with laryngeal elevation and is kind of like acupuncture.
A.Intramuscular stimulation
B. rTMS
C. tDCS
D. vitalStim
E. Mendelsohn maneuver
Intramuscular stimulation
In making the transition to IDDSI from the NDD diet it is important to be aware that some of the NDD levels correspond to specific IDDSI levels. Level 3 of the IDDSI diet corresponds to what level of the NDD?
A. pudding thick
B.nectar thick
C.honey thick
D.spoon thick
honey thick
Level 4 of the IDDSI diet has bolus that sits in a mound or pile above the fork. The description for this level is:
A. moderately thick/liquidized
B.Extremely thick/pureed
C.soft & bite-sized
D. mildly thick
E. minced & moist
Extremely thick/pureed
What level of the IDDSI notes that the thumb nail is blanched to white?
A. minced & moist
B. mildly thick
C. level 4
D. soft and bite-sized
soft and bite-sized
The suggested target population for individuals who have slightly reduced tongue control is:
A.slightly thick
B.mildly thick
C. moderately thick
D. extremely thick
mildly thick
The suggested target population is mainly used in the pediatric population as a thickened drink:
A. slightly thick
B. mildly thick
C. moderately thick
D. extremely thick
E. thin
slightly thick
When the flow test leaves 1 to 4 ml in the syringe after 10 seconds this corresponds to what level IDDSI?
A. thin
B.mildly thick
C. moderately thick
D. extremely thick
E. slightly thick
slightly thick
A nasoduodenal tube is placed through the nose and then into the:
A. stomach
B. jejunum
C. mid-section of the small intestines
D. small bowel
small bowel
NJ tubes are used when patients have:
A. chronic vomiting
B. respiratory problems from reflux
C. poor stomach function
D. high risk of aspiration
E. all the above
all the above
This type of gastrostomy is performed for patients who cannot open their mouth wide enough for PEG often as a result of cancer:
A. PEG tube
B. surgical gastrostomy
C. PRG
D. PEJ tube
surgical gastrostomy
Note 
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