The primary purpose of a dysphagia screening is to:
Identifying patients at high risk who need instrumental eval
Determine aspiration severity
Identify indiv. who require a full swallowing evaluation
Diagnose the swallowing disorder
A wet or gurgly vocal quality after swallowing MOST strongly suggests:
Vocal fold nodules
Laryngeal penetration or possible aspiration
Cranial nerve IX (glossopharyngeal) lesion
Esophageal reflux
During a bedside swallow evaluation, the MOST important safety component is assessing:
Maximum phonation time
Diadochokinesis
Tongue strength
Secretion management & airway protection
A key limitation of a bedside swallow exam is:
It cannot directly visualize pharyngeal physiology
It is invasive
It overestimates aspiration
It requires specialized equipment
In infants, the BEST indicator of dysphagia during feeding is:
Coughing, oxygen desaturation, or color changes
Slow oral transit
Increased drooling
Severity level of gag reflex
A clinician suspects esophageal dysphagia. The MOST appropriate next step is:
Oral motor exam only
FEES
Mandible ROM testing
Referral for GI consultation
Poor mastication during the clinical exam MOST likely results from dysfunction of:
CN V (trigeminal)
CN X (vagus)
CN IX (glossopharyngeal)
CN XII (hypoglossal)
Excessive anterior spillage during the oral phase is commonly due to:
Reduced vocal fold closure
Poor lip seal
Weak jaw closure
Impaired timing of swallow reflex
A water swallow test is MOST useful for:
Evaluating epiglottic inversion
Identifying patients at high risk who need instrumental eval
Confirming silent aspiration
Determining Upper Esophageal Sphincter dysfunction
An SLP observes prolonged chewing time and fatigue. A likely contributing factor is:
Oral apraxia
Lingual discoordination and weak mastication
Reduced labial sensation
Reduced laryngeal elevation
Videofluoroscopic Swallow Study (VFSS) is the gold-standard test for evaluating:
Excessive residue or spillage before the swallow
Aspiration with no effort to eject material
Oral, pharyngeal, & some esophageal phases
Trismus
The BEST procedure for assessing secretion management is:
Scintigraphy
Videofluoroscopic Swallow Study (VFSS)
Ultrasound
Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
Aspiration that occurs before the swallow is usually due to:
Weak vocal fold adduction
Reduced epiglottic inversion
Poor esophageal motility
Delayed swallow initiation
Aspiration during the swallow typically results from:
Premature bolus loss to pharynx
Incomplete laryngeal closure
Backflow from esophagus
Reduced Upper Esophageal Sphincter opening
Aspiration after the swallow is MOST often associated with:
Delayed reflex
Vocal fold paralysis
Cricopharyngeal spasms
Residue spilling into the airway
During FEES, the “white-out” period corresponds to:
Premature spillage
Bolus transport
Epiglottic inversion
Upper Esophageal Sphincter opening
