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Dysphagia Exam with All Questions with% Correctly Answered (A Rated Exam)
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Dysphagia Exam with All Questions with%Correctly Answered (A Rated Exam)
List the least restrictive to most restrictive drinks in IDDSI. - ANSWER Thin, slightly thick, mildly
thick, moderately thick, extremely thick
List the least restrictive to most restrictive foods in IDDSI. - ANSWER Liquidised, pureed, minced
and moist, soft and bite-sized, easy to chew, and regular
What diet is appropriate for patients who have severe dysmotility or spams of the esophagus? -
ANSWER Slick diet
Why do you modify diets? - ANSWER Improve safety, Make it easier for the patient, Prevent
penetration/aspiration
What are the two systems of diet modification used? - ANSWER National Dysphagia Diet (NDD)
and International Dysphagia Diet Standardization Initiative (IDDSI)
What is defined as the resistance of a substance to flow under an applied force? Usually
refers to liquids and affected by temperature, the concentration and molecular weight of a
solute, and the amount of suspended matter in the fluid. - ANSWER Viscosity
What are the two types of commercial thickeners for a modified diet? - ANSWER Starch based
and Gum (xanthan or guar) based
,What are some advantages of gum thickeners in modified diets? - ANSWER Stability over time,
heat stable, can be frozen, if aspirated it clears from the lungs more readily than starch, due to
cellulose backbone it passes through the body like fiber, and adds no calories.
During a swallow, if there is a reduced range of tongue motion, what consistency/viscosity
do you use? - ANSWER Thicker liquids intiatally and then thinner liquids
During a swallow, if there is a reduced tongue strength, what consistency/viscosity do you use?
- ANSWER Thinner liquids
During a swallow, if there is a reduced tongue base posterior movement,
what consistency/viscosity do you use? - ANSWER Thinner liquids
During a swallow, if there is a reduced pharyngeal wall contraction consistency/viscosity do you
use? - ANSWER Thinner liquids
During a swallow, if there is a cricopharyngeal dysfunction, what consistency/viscosity do
you use? - ANSWER Thinner liquids
During a swallow, if there is reduced tongue coordination, what consistency/viscosity do
you use? - ANSWER Thicker liquids
During a swallow, if there is a delayed pharyngeal swallow, what consistency/viscosity do
you use? - ANSWER Thicker liquids and thicker foods
During a swallow, if there is reduced airway closure, what consistency/viscosity do you use? -
ANSWER Thicker liquids and thicker foods
, During a swallow, if there is a lack of awareness of liquids in the mouth, what
consistency/viscosity do you use? - ANSWER Thicker liquids, heavier foods, more flavorful or
spicy items.
During a swallow, if there is a lack of awareness of liquid in the pharynx, what
consistency/viscosity do you use? - ANSWER Thicker liquids, heavier foods
Why does fluid thickening not necessarily protect patients against pulmonary aspiration? -
ANSWER Saliva aspiration can still occur and laryngo-pharyngeal reflux can occur with
aspiration
Why does high fluid viscosity may aggravate swallowing difficulties in some patients? - ANSWER
It increases the force required by the tongue to move the bolus.
Thickening liquids may result in less consumption which may increase the risk of what? -
ANSWER Dehydration and reduced calorie intake.
According to protocol 201, patients with dysphagia can suffer from what adverse effects when
consuming thickened liquids? - ANSWER Aspiration, dehydration, increased hospital stays,
and death
According to protocol 201, the probability of the development of pneumonia is significantly
higher in those receiving what NDD modified diet versus what? - ANSWER Honey Thick
Liquid vs. Nectar Thick Liquid
What NDD modified diet may be easier to clear from the airway than more viscous liquids?
- ANSWER Nectar Thick Liquid
What is defined by SLP's according to a patient's amount of difficulty in forming and
propelling it as a cohesive bolus in a safe and timely fashion? - ANSWER Texture
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