Dysphagia Quiz Logemann Ch 6, 11, 12, 13

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1. A patient with right sided pharyngeal weakness may have improved swallowing function using: (check all that apply)
head turn to left
head turn to right
head tilt to left
head tilt to right
none of the above


2. A chin-tuck position (check all that apply):
increases the vallecular space
increases the airway entrance
improves tongue base movement
reduces risk of aspiration before the swallow
none of the above


3. A reclining or lying position may be appropriate for patients who exhibit aspiration:
before the swallow
during the swallow
after the swallow
none of the above


4. A patient with reduced CP dilation may benefit from: (check all that apply)
chin tuck position
Mendelsohn maneuver
supraglottic swallow maneuver
thin liquids
thickened liquids


5. A patient with a delayed swallow reflex may benefit from: (Check all that apply)
chin tuck position
Mendelsohn maneuver
supraglottic swallow maneuver
thin liquids
thickened liquids


6. Tongue exercises might be prescribed to reduce vallecular retention.
True
False


7. The purpose of thermal stimulation is to:
increase the strength of swallow reflex
increase the speed of the swallow reflex
heighten sensitivity for the swallow
all of the above
2 and 3 only


8. The falsetto exercise might be prescribed for someone who demonstrates:
delayed swallow reflex
reduced tongue strength
reduced laryngeal elevation
reduced laryngeal closure
none of the above


9. To reduce the risk of aspiration after the swallow due to residual material at the airway entrance, a patient might complete the:
supraglottic swallow maneuver
the Mendelsohn maneuver
the Masako maneuver
none of the above


10. It is possible to "hold your breath" with an open airway.
True
False


11. Which of the following techniques would be compensatory in nature (check all that apply):
chin tuck
supraglottic swallow
Mendelsohn swallow
thermal stimulation
Falsetto exercises


12. Which of the following techniques are remedial or therapeutic in nature? (check all that apply)
chin tuck
supraglottic swallow
Mendelsohn swallow
thermal stimulation
Falsetto exercises


13. A myotomy is a procedure used to treat:
reduced sensitivity
reduced laryngeal elevation
reduced CP dilation
reduced airway closure
none of the above


14. Fundoplication is a treatment for:
Reduced laryngeal elevation
Esophageal dysmotility
Reduced laryngeal closure
GER
none of the above


15. Logemann recommends that dysphagia treatment should be terminated if swallowing function plateaus for 3 weeks.
True
False


16. The speech language pathologist is responsible for making appropriate referrals when etiology of swallowing dysfunction is unknown.
True
False


17. Patients with tracheostomy are most likely to exhibit swallowing dysfunction with the cuff:
inflated
deflated


18. Patients s/p total laryngectomy are not at risk for dysphagia.
True
False


19. Which of the following strategies should be attempted first?
chin tuck
supraglottic swallow
tongue exercises
thickened liquids


20. Which strategy should be tried next?
chin tuck
supraglottic swallow
tongue exercises
thickened liquids