COMD 722 Dysphasia Midterm
Study Guide
Exam Review 2024
1. The normal swallow: a rapid and overlapping sequence of neurologically con- trolled
movements involving the muscles of the oral cavity, the pharynx, larynx, esophagus and
stomach.
2. What is Dysphagia?: difficulty swallowing, difficulty safely moving a bolus, it is a symptom
3. Etiologies of Dysphagia: Neurological, Progressive Neurologic, Connective Tis- sue/Rheumatoid
Disease, Iatrogenic, Structural, Other
4. Neurologic Etiologies: stroke, TBI, motor neuron disease, myasthenia graves
5. Progressive neurologic etiologies: parkinsons, Huntington's, als, pap, wilsons, dementia
6. Connective tissue etiologies: polymyositis, dermatomyositis, progressive sys- temic sclerosis,
sjogren's disease, scleroderma
7. Iatrogenic etiologies: XRT, chemo, intubation, cervical spine fusion, CABG, medication
8. Feeding disorder: difficulty getting food to the mouth
9. eating disorder: anorexia, bulemia
10.Incidence: the reported frequency of occurrence over a period of time
11.Prevalence: number of cases in a population during a shorter period of time and usually in a
specific setting
12.Impact of Dysphagia on quality of life: aspiration, pneumonia, dehydration, malnutrition,
weight loss, general health, psychological well being, financial well being
13.what is aspiration: food pass into the airway, past the level of the true vocal folds down
into the trachea
14.what is silent aspiration: food pass into the airway, past the level of the true vocal folds,
down into the trachea with NO sensory response such as coughing
15.aspiration pneumonia: the pulmonary infection requiring medical attention
16.dehydration: lack of sufficient water in the body to maintain a healthy level of fluid in the
body's tissues
17.malnutrition: lack of sufficient nutrients to maintain health
18.weight loss: loss of muscle mass producing severe weakness, affection daily activities and
plain stain on vital organs
19.impact of dysphagia on general well being: decline in overall we'll being, difficulty fighting
medical conditions
20.impact of dysphagia on psychological well being: limits social interaction, leads to isolation
21.impact of dysphagia on financial well being: increase in budget for special foods, adaptive
devices, therapy, and assessments
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, COMD 722 Dysphasia Midterm
Study Guide
Exam Review 2024
22.clinical management includes: screening, clinical exam, imaging exam, and treatment
23.levels of care: acute care, subacute care, rehabilitation setting, and skilled nursing
facility or home health
24.acute care: prevalence of 13%, intensive care unit patients, Length of stay is short, and
assessment done ASAP
25.subacute care: requires less intensive care, plan formatted, stay is 5-28 days, D/C to home,
rehab, of LTC
26.rehabilitation setting: -medically stable
-therapy continued
-1 month duration
-D/C to home or SNF
27.skilled nursing facility/home health: -40-60% of residents
-patients are often d/c to LTC facilities
-screening residents periodically is essential
-feeding difficulties
-malnutrition & dehydration are concerns
28.home health: may still require therapy or monitoring
29.Four phases of normal swallowing: Oral preparatory, oral, pharyngeal, esophogeal
30.what stage of swallowing requires mastication: oral preparatory
31.what stage of swallowing is the delivering phase: oral stage
32.what stage of swallowing stimulates taste & temp: oral stage & saliva
33.what stage begins at vallecula and ends when the PES/UES closes: pharyn- geal stage
34.what is PES: posterior esophageal sphincter
35.what is UES: upper esophageal sphincter
36.what nerves are in the muscle of the tongue: hypoglossal nerve
37.what are the 2 facial nerves: buccinator and orbiculares oris
38.what nerve innovates the muscles for chewing: trigeminal nerve
39.t/f: tongue in concert with the teeth, soft palate, and buccal muscles moves the bolus posteriorly:
true
40.during the oral stage, the velum: elevates
41. during what swallowing stage is the bolus pushed to oropharynx: oral stage
42.what are receptors activated by when swallowing: saliva
43.Levator veli palatini: Raises soft palate
44.Tensor veli palatini: Stretches soft palate
45.Palatoglossus: Raises back of tongue
46.Palatopharyngeus: Shuts off nasopharynx
Study Guide
Exam Review 2024
1. The normal swallow: a rapid and overlapping sequence of neurologically con- trolled
movements involving the muscles of the oral cavity, the pharynx, larynx, esophagus and
stomach.
2. What is Dysphagia?: difficulty swallowing, difficulty safely moving a bolus, it is a symptom
3. Etiologies of Dysphagia: Neurological, Progressive Neurologic, Connective Tis- sue/Rheumatoid
Disease, Iatrogenic, Structural, Other
4. Neurologic Etiologies: stroke, TBI, motor neuron disease, myasthenia graves
5. Progressive neurologic etiologies: parkinsons, Huntington's, als, pap, wilsons, dementia
6. Connective tissue etiologies: polymyositis, dermatomyositis, progressive sys- temic sclerosis,
sjogren's disease, scleroderma
7. Iatrogenic etiologies: XRT, chemo, intubation, cervical spine fusion, CABG, medication
8. Feeding disorder: difficulty getting food to the mouth
9. eating disorder: anorexia, bulemia
10.Incidence: the reported frequency of occurrence over a period of time
11.Prevalence: number of cases in a population during a shorter period of time and usually in a
specific setting
12.Impact of Dysphagia on quality of life: aspiration, pneumonia, dehydration, malnutrition,
weight loss, general health, psychological well being, financial well being
13.what is aspiration: food pass into the airway, past the level of the true vocal folds down
into the trachea
14.what is silent aspiration: food pass into the airway, past the level of the true vocal folds,
down into the trachea with NO sensory response such as coughing
15.aspiration pneumonia: the pulmonary infection requiring medical attention
16.dehydration: lack of sufficient water in the body to maintain a healthy level of fluid in the
body's tissues
17.malnutrition: lack of sufficient nutrients to maintain health
18.weight loss: loss of muscle mass producing severe weakness, affection daily activities and
plain stain on vital organs
19.impact of dysphagia on general well being: decline in overall we'll being, difficulty fighting
medical conditions
20.impact of dysphagia on psychological well being: limits social interaction, leads to isolation
21.impact of dysphagia on financial well being: increase in budget for special foods, adaptive
devices, therapy, and assessments
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, COMD 722 Dysphasia Midterm
Study Guide
Exam Review 2024
22.clinical management includes: screening, clinical exam, imaging exam, and treatment
23.levels of care: acute care, subacute care, rehabilitation setting, and skilled nursing
facility or home health
24.acute care: prevalence of 13%, intensive care unit patients, Length of stay is short, and
assessment done ASAP
25.subacute care: requires less intensive care, plan formatted, stay is 5-28 days, D/C to home,
rehab, of LTC
26.rehabilitation setting: -medically stable
-therapy continued
-1 month duration
-D/C to home or SNF
27.skilled nursing facility/home health: -40-60% of residents
-patients are often d/c to LTC facilities
-screening residents periodically is essential
-feeding difficulties
-malnutrition & dehydration are concerns
28.home health: may still require therapy or monitoring
29.Four phases of normal swallowing: Oral preparatory, oral, pharyngeal, esophogeal
30.what stage of swallowing requires mastication: oral preparatory
31.what stage of swallowing is the delivering phase: oral stage
32.what stage of swallowing stimulates taste & temp: oral stage & saliva
33.what stage begins at vallecula and ends when the PES/UES closes: pharyn- geal stage
34.what is PES: posterior esophageal sphincter
35.what is UES: upper esophageal sphincter
36.what nerves are in the muscle of the tongue: hypoglossal nerve
37.what are the 2 facial nerves: buccinator and orbiculares oris
38.what nerve innovates the muscles for chewing: trigeminal nerve
39.t/f: tongue in concert with the teeth, soft palate, and buccal muscles moves the bolus posteriorly:
true
40.during the oral stage, the velum: elevates
41. during what swallowing stage is the bolus pushed to oropharynx: oral stage
42.what are receptors activated by when swallowing: saliva
43.Levator veli palatini: Raises soft palate
44.Tensor veli palatini: Stretches soft palate
45.Palatoglossus: Raises back of tongue
46.Palatopharyngeus: Shuts off nasopharynx
