Dysphagia: Clinical Swallowing Evaluation

Coughing on trial food attempts; material entering the airway on radiographic study are signs of

Both atrophy and fasciculation are consistent with __________involvement.

The physical evaluation portion of the clinical examination includes what 3 things?

The patient is required to swallow 150 mL of water and observations are made on the number of swallows, time, residue

Bolus entering or exiting the nasal cavity as seen on radiographic swal- lowing studies are signs of

Only ______ to _______ of patients who aspirate are correctly identified after clinical examination. Why???

What are the standardized assesments for oropharyngeal dysphagia?

Another valuable use of the clinical examination is to use it as a(n)__________ measure.

Which of these is a significant predictor of aspiration?

Radiographic studies showing aspiration of saliva or lung abnormality are signs of

Objective measurements or observations of behaviors that people elicit during a physical examination.

7-point scale that documents a patient's functional eating status ranging from reliance on tube feeding - no restriction

Food spilling from the lips; excessive mastication of soft food; poor dentition; tongue, jaw, lip weakness are signs of

Patients who have undergone a surgical wrap of the lower esophageal sphincter (LES) to control GERD may be dysphagic.

Mouth dryness; lip or tongue weak- ness are signs of

What are the standardized screeners to detect oropharyngeal dysphagia?

Which dysphagia screening protocols have sufficient reliability and validity? (choose 1)

Elements that are particularly important to note during physical examination include: (choose 1)

Tiring with foods that require mastication may be consistent with _________ impairment.

Bedside feeding data should be gathered for _____ meals because the eating circumstances may vary.

A standardized test developed to clinically asses patients' functional eating skills in a natural environment.

The clinical evaluation of swallowing is to be distinguished from the ____ evaluation which might include external tests

Radiographic studies identifying excessive residue in the mouth, pharynx/esophagus after completed swallow are signs of

What was the first clinical test of swallowing with psychometric integrity. Has subtests that are compared to a sample.

Globus LPR sensation, hoarseness, chronic cough, dysphagia/odynophagia, and chronic throat clearing may indicate

Undigested food in mouth; radiographic studies showing food returning from the esophagus; mucosal irritation

Lip or tongue weakness; infrequent swallows are signs of

Which of the following are reasons for performing a clinical evaluation for a swallowing disorder? (choose 1)

When assessing the oral cavity, what are you looking for?

Abnormal tongue strength, hyoid excursion, respiratory patterns, and pharyngeal residue will most likely indicate:

What are the 3 components of a clinical evaluation of a patient with dysphagia? (choose 1)

When patients report globus sensation with chest pain/heartburn, they are likely to have an esophageal ______ disorder

The larynx is evaluated during physical by assessing articulation using _____________.

Signs of a cognitive deficit while swallowing include:

Patients who have undergone surgical relaxation of the PES or LES should have the circumstances of the outcome explored.

Most clinicians ______ the medical team to achieve partial weaning from the ventilator support before attempting PO feed

For most patients, the comprehensive evaluation should be considered a _____ evaluation.

Patients who report dysphagia localized in the neck and pharynx may indicate issues in the _______

What cranial nerve causes high risk with surgeries like thyroidectomy, cardipulmonary, cervical spine, & upper airway.

What is the best substance to use for a trial swallow?

________ tubes are placed when the medical team requires access to the lungs to maintain pulmonary toilet.

A good screening test has high __________ and high _________ value.

It is important to not whether the patient is in and can maintain an ________ position.

Patients with what disease often underreport their swallowing difficulties?

During a CN exam, the examiner is looking for abnormalities such as:

How do you examine the presence and extent of laryngeal elevation?

The gag reflex provides information about cranial nerves __________ and ____________.

What is the most frequent cause of dysphagia?

What aspects of the diet level should be noted?

Hypernasality suggests impaired _______ function.

The medical term used to define a "lump in the throat".

____________ tubes are inserted through the nose into the stomach and are easily visible

After given a test bolus deep suctioning is performed through trach site every 15 m for an hour and observed for color

Globus sensation is often associated with a dysphagic person who reports food sticking at the level of the _____________

When assessing the oropharynx, what are you looking for?

Because ________ and deglutition share common interactions, any compromise to this system may decompensate swallowing.

Radiographic studies identifying transport beyond the normal standard are signs of

The clinical evaluation of swallowing often is referred to as the ___________ examination.