Dysphagia Final Exam Review (Latest 2023/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A

Dysphagia Final Exam Review (Latest 2023/

2024 Update) Questions and Verified

Answers| 100% Correct| Grade A

Q: Who might benefit from posterior head tilt?

Answer:

Pts with impaired ant-post bolus transport (with good airway protection)

Q: Who might benefit from a larger bolus or carbonated liquids?

Answer:

Pts with sensory awareness deficits or esophageal clearance probs

Q: T/F - TPN is a method of providing nutrients intravenously

Answer:

true

Q: What is the typical duration of an NG tube?

Answer:

6-8 weeks

Non invasive and cost effective, requires no evidence of GERD

Q: Why is TPN short term?

Answer:

Takes 10-16 hours per day, costly, invasive and risk of infections

Q: T/F - The VFSS radiation exposure is about as much as someone might get on a transatlantic

flight

Answer:

You get 0..5-0.1mSV in a transatlantic flight and 0.2mSv per exam

Q: How many frames per second is best for VFSS studies?

Answer:

30

Q: What are some ways you as a clinician limit your radiation exposure while completing these

exams?

Answer:

Clinicians wear a lead apron and thyroid collar

Wear dosimeters to read level of radiation exposure

Not being in the suite when fluoro is on

Q: Why is it important to use a controlled density of barium in the study

Answer:

So you can use the same density for comparison later

Q: What does lateral view show that AP view doesn't show as well?

Answer:

Lateral view shows bolus flow through oral-pharyngeal-upper esophagus while separately

viewing larynx and trachea

Q: What does AP view show that lateral view doesn't?

Answer:

A/P shows asymmetries in physiology and post swallow residue and allows you to see esophagus

Q: What term will you see in clinical practice to describe a 2 on the PAS?

Answer:

Flash or transient penetration

Q: Which PAS score is quite rare and why?

Answer:

5 because the material can't stay there, it has to be coughed out or aspirated eventually

Q: What score is silent aspiration?

Answer:

8

Q: What are two reasons for aspiration before swallow?

Answer:

Premature spill, delayed swallow initiation

Q: What are the benefits of FEES and/or some reasons you might choose it over VFSS?

Answer:

No radiation exposure

Can be used for longer time periods

Portable and repeatable (can be done at bedside)

Can be used with more foods/drink variety

Allows you to observe post swallow residue for long periods of time

Q: Explain the debate about use of anesthetic in FEES exams and current research findings.

Answer:

Anesthetic can be used to increase tolerance of passing scope, but may lead to sensory changes.

Langmore: lidocaine doesn't worsen PAS or residue but increases comfort

Q: T/F - ASHA's position on FEES includes that FEES should only be done in a setting where

medical personnel are available

Answer:

True: can be used independently but care should be taken to use only in settings where medical

personnel are available to ensure pt safety

Q: What tasks would you complete while the scope is still in the nasal cavity?

Answer:

Observe velar elevation and constriction of lateral and posterior pharyngeal walls during

sustained vowel, sustained /s/, non-nasal sentence

Look for symmetry

Expect tighter closure during /s/, expect closure in non-nasal sentence

Observe close during dry swallow

Check for leakage during liquid swallow

Q: What might you test if the pt has pooled secretions?