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15
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A key advantage of VFSS over FEES is that VFSS:
Does not require radiation
Provides a dynamic view of all the swallowing stages
Can be done at bedside
Allows direct viewing of vocal folds
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15
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In bottle-feeding intervention, external pacing is MOST appropriate when the infant:
Has reduced hunger cues
Consumes too little volume
Fatigues after solids
Sucks continuously without pausing to breathe
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15
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A preterm infant demonstrating âarching, pulling away, and grimacingâ during feeding is showing signs of:
Stress cues indicating autonomic instability
Aspiration without distress
Generating negative intraoral pressure for sucking
Disorganized suckâswallow pattern
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15
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In infants, the BEST indicator of dysphagia during feeding is:
Coughing, oxygen desaturation, or color changes
Increased drooling
Slow oral transit
Severity level of gag reflex
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15
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Appropriate therapy for infants with poor suckâswallowâbreathe coordination includes:
Thickened solids
Side-lying bottle hold
Facilitate muscle contraction in weak swallowing musculature
Pacing & controlled flow nipple systems
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The extrusion (tongue-thrust) reflex must disappear before:
Introduction of spoon-feeding
Self feeding with forks and spoons
Drinking thin liquids
Initiating cup drinking
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Diet modifications are MOST appropriate when:
The patient refuses all other therapy
The disorder is rapidly improving
Immediate airway safety is a concern
Strengthening exercises are ineffective
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A patient undergoing radiation therapy complains of increasing dryness and difficulty clearing food. The SLP should suspect:
Upright or semi-upright feeding and frequent burping
Hyperfunctional laryngeal closure
Xerostomia contributing to reduced bolus formation
Early UES over-relaxation
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A persistent tonic bite reflex MOST interferes with:
Bottle feeding
Strengthening tongue base retraction
Spoon-feeding due to strong, involuntary jaw closure
Suckâswallowâbreathe coordination
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The primary purpose of the sucking reflex is to:
Support early nutrition & regulate pressure during feeding
Teach breathing coordination
Strengthen tongue base retraction
Develop chewing
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15
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The BEST procedure for assessing secretion management is:
Ultrasound
Scintigraphy
Videofluoroscopic Swallow Study (VFSS)
Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
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The Shaker (head-lift) exercise promotes improved:
Pharyngeal wall contraction
UES opening by strengthening suprahyoids
Esophageal clearance
Tongue base retraction and pharyngeal pressure
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Surface electromyography (sEMG) biofeedback is MOST helpful for:
Measuring UES opening diameter
Monitoring muscle effort during swallow exercises
Xerostomia contributing to reduced bolus formation
Weak mastication
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