Adult Dysphagia (Comps) Questions With Complete
Solutions
A 57-year-old male with a left CVA presents with tongue
deviation to one side.
Which side would the deviation be? Correct Answer right
A 62-year-old male reports choking on thin liquids, but has no
difficulty with solids, purees, or thick liquids. He displays a
breathy vocal quality. What can be assumed? Correct Answer
poor vocal fold closure
A 76-year-old females with right CVA presents with a left facial
drop with a flaccid cheek.
Name a specific muscle that would be responsible for the flack
appearance of the cheek. Correct Answer buccinator
A disease of the nervous system that weakens muscles and leads
to poor control. Correct Answer ALS
A little expandable balloon that is attached to a trach tube and
pumped up to create a good seal. Correct Answer cuff
A LMN lesion of CN VII would likely manifest as what type of
observed deficit? Correct Answer flaccid facial paralysis
A motor planning disorder that involves the inability to
sequence motor movements. Correct Answer apraxia
,A normative swallow would receive what score on the PAS
scale. Correct Answer 1
A one-way valve that lets a person breathe in through the trach
tube, but not out Correct Answer passy-muir valve
A patient presents with aspiration pneumonia. What does this
mean? Correct Answer they have an infection in the lungs
A patient presents with food pocketing located in the anterior
sulcus. What can you conclude about their oral control? Correct
Answer poor oral control and bolus cohesion
A patient presents with post-swallow residual in the left
pyriform sinus, but not the right. What strategy should be used
to avoid residual? Correct Answer turn head to the left
A patient with a glossectomy resection would have the most
trouble with... Correct Answer oral AP propulsion and bolus
cohesion
A patient with Bell's Palsy would likely present with... Correct
Answer food pocketing
A procedure that involves placing a small flexible scope into the
nose and curving it so that it hangs in the nasopharynx,
overlooking the vocal folds. Correct Answer FEES
A rare condition where a patient swallowed something, barfed it
up, and then swallowed it again (as a result of a behavioral
issue) Correct Answer rumination syndrome
, A rehabilitative strategy that uses lemon glycerin swabs within
the oral cavity to stimulate nerves in the brain to assist with their
swallowing function. Correct Answer deep pharyngeal
neuromuscular stimulation
A resistance device that contains a balloon filled with air placed
within the oral cavity. The object is for the patient to strengthen
muscles of the tongue by resisting the balloon. Correct Answer
IOPI
A severe esophageal spasm that suggests some dysfunction of
the esophagus during peristalsis (Hint: warm beverages help)
Correct Answer nutcracker esophagus
A situation where medicine or an approach may not be used
because it may cause harm to the patient Correct Answer
contraindication
A surgical procedure where a disc is taken out and hardware is
replaced into the cervical spine area. Correct Answer anterior
cervical discectomy
All lingual muscles are innervated by which cranial nerve?
Correct Answer XII
An esophageal stricture often found immediately superior to GE
junction Correct Answer Shatzki Ring
An IDDSI level of 2 is most closely related to... Correct Answer
honey
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