{"id":129826,"date":"2023-12-04T10:59:42","date_gmt":"2023-12-04T10:59:42","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=129826"},"modified":"2023-12-04T11:00:51","modified_gmt":"2023-12-04T11:00:51","slug":"dysphagia-final-exam-review-latest-2023-2024-update-questions-and-verified-answers-100-correct-grade-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/04\/dysphagia-final-exam-review-latest-2023-2024-update-questions-and-verified-answers-100-correct-grade-a\/","title":{"rendered":"Dysphagia Final Exam Review (Latest 2023\/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A"},"content":{"rendered":"\n

Dysphagia Final Exam Review (Latest 2023\/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A<\/p>\n\n\n\n

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Dysphagia Final Exam Review (Latest 2023\/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A<\/h1><\/figcaption><\/figure>\n\n\n\n

Dysphagia Final Exam Review (Latest 2023\/
2024 Update) Questions and Verified
Answers| 100% Correct| Grade A
Q: Who might benefit from posterior head tilt?
Answer:
Pts with impaired ant-post bolus transport (with good airway protection)
Q: Who might benefit from a larger bolus or carbonated liquids?
Answer:
Pts with sensory awareness deficits or esophageal clearance probs
Q: T\/F – TPN is a method of providing nutrients intravenously
Answer:
true
Q: What is the typical duration of an NG tube?
Answer:
6-8 weeks
Non invasive and cost effective, requires no evidence of GERD
Q: Why is TPN short term?
Answer:<\/p>\n\n\n\n

Takes 10-16 hours per day, costly, invasive and risk of infections
Q: T\/F – The VFSS radiation exposure is about as much as someone might get on a transatlantic
flight
Answer:
You get 0..5-0.1mSV in a transatlantic flight and 0.2mSv per exam
Q: How many frames per second is best for VFSS studies?
Answer:
30
Q: What are some ways you as a clinician limit your radiation exposure while completing these
exams?
Answer:
Clinicians wear a lead apron and thyroid collar
Wear dosimeters to read level of radiation exposure
Not being in the suite when fluoro is on
Q: Why is it important to use a controlled density of barium in the study
Answer:
So you can use the same density for comparison later
Q: What does lateral view show that AP view doesn’t show as well?
Answer:<\/p>\n\n\n\n

Lateral view shows bolus flow through oral-pharyngeal-upper esophagus while separately
viewing larynx and trachea
Q: What does AP view show that lateral view doesn’t?
Answer:
A\/P shows asymmetries in physiology and post swallow residue and allows you to see esophagus
Q: What term will you see in clinical practice to describe a 2 on the PAS?
Answer:
Flash or transient penetration
Q: Which PAS score is quite rare and why?
Answer:
5 because the material can’t stay there, it has to be coughed out or aspirated eventually
Q: What score is silent aspiration?
Answer:
8
Q: What are two reasons for aspiration before swallow?
Answer:
Premature spill, delayed swallow initiation<\/p>\n\n\n\n

Q: What are the benefits of FEES and\/or some reasons you might choose it over VFSS?
Answer:
No radiation exposure
Can be used for longer time periods
Portable and repeatable (can be done at bedside)
Can be used with more foods\/drink variety
Allows you to observe post swallow residue for long periods of time
Q: Explain the debate about use of anesthetic in FEES exams and current research findings.
Answer:
Anesthetic can be used to increase tolerance of passing scope, but may lead to sensory changes.
Langmore: lidocaine doesn’t worsen PAS or residue but increases comfort
Q: T\/F – ASHA’s position on FEES includes that FEES should only be done in a setting where
medical personnel are available
Answer:
True: can be used independently but care should be taken to use only in settings where medical
personnel are available to ensure pt safety
Q: What tasks would you complete while the scope is still in the nasal cavity?
Answer:
Observe velar elevation and constriction of lateral and posterior pharyngeal walls during
sustained vowel, sustained \/s\/, non-nasal sentence
Look for symmetry
Expect tighter closure during \/s\/, expect closure in non-nasal sentence
Observe close during dry swallow
Check for leakage during liquid swallow
Q: What might you test if the pt has pooled secretions?
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