.png){kind=logo}
Dysphagia Final Exam Review (Latest 2026/2027 Update) Questions and Verified Answers| 100% Correct| Grade A
Dysphagia Final Exam Review (Latest 2026/
2026 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:
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:
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
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?
.png)