During MBSS, which stage would you check the adequacy of epiglottic inversion/retroflexion?
Pharyngeal Stage
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25
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25
Name some overall BENEFITS of feeding tubes.
Increased life span/ability to recover/possibility of returning to useful functioning/QOL/psychological & physiological state/resistance to infection
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10
Why do people aspirate when there is a delayed swallow?
The bolus fills the pyriform sinuses/when space is filled it'll go into the larynx
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15
Which cranial nerve is primarily associated with the jaw, lip, and hyolaryngeal excursion?
V: Trigeminal
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15
This maneuver involves putting liquid in the mouth, holding it, swallowing it, then coughing to clear the epiglottis...
Supraglottic swallow
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25
What is direct treatment and what are some examples of direct treatment approaches?
tx focused on changing the swallowing physiology to restore function and directed at improving neuromuscular control; rehab tx like auditory feedback etc
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25
What is the preferred assessment given to patients with tracheostomy tubes?
Blue Dye Swallowing Test
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25
List the 4 mechanisms of airway protection.
1) hyoid/laryngeal elevation 2) epiglottic retroflexion 3) adduction of true VFs 4) closure of laryngeal vestibule
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20
What is the ultimate goal of management for PO patients with dysphagia?
ideally resume prior level of diet or tolerate least restrictive diet
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15
What are some cons to the FEES?
only sees what's happening in the pharynx & camera gets blocked during swallow
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T or F?: Patients with decreased alertness and poor cough reflex are not at risk for aspiration pneumonia if they are being tube fed.
FALSE
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15
T or F?: When performing a "head turn", the pt. should turn their head TOWARD the side where the residue is.
TRUE
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10
T or F?: A medically fragile patient is a good candidate for MBSS?