DYSPHAGIA EXAM 1 (CH. 1-4) UPDATED QUESTIONS AND CORRECT
ANSWERS
(T/F) A normal swallow is possible even if all swallowing organs are not normal. - CORRECT
ANSWER✅✅✅True
(T/F) Most people will occasionally aspirate some food or fluid. - CORRECT ANSWER✅✅✅True
(T/F) Aspiration pneumonia is the result of a pulmonary infection. - CORRECT ANSWER✅✅✅True
(T/F) The normal individual does not require as much water as the neurologically impaired person. -
CORRECT ANSWER✅✅✅False. All individuals require enough water & other fluids to prevent
dehydration.
(T/F) Chewing is more difficult for people who lack adequate hydration. - CORRECT
ANSWER✅✅✅True
(T/F) People at risk for aspiration should not take liquids. - CORRECT ANSWER✅✅✅False. Under
controlled swallowing situations, it is possible for persons at risk for aspiration to learn to manage small
sips with various exercises & postures.
(T/F) Malnutrition will decrease the speed of recovery in stroke patients. - CORRECT
ANSWER✅✅✅True
(T/F) Malnutrition can be found in all patients with a neurological disease. - CORRECT
ANSWER✅✅✅False. With the aid of non-oral feeding & with proper nutrition management, they
can maintain a healthy recovery.
(T/F) Unplanned weight loss is a welcome event for overweight people who are over the age of 60. -
CORRECT ANSWER✅✅✅False. Unplanned weight loss in an otherwise healthy individual is a
symptom of dysphagia & should be explored initially by the primary care physician.
,(T/F) The study of pneumonia rates pre & post early intervention by Odderson & colleagues suggests
that the cost of an early intervention program reduces the overall cost of treating pneumonia. -
CORRECT ANSWER✅✅✅True
(T/F) Hospitals will benefit from early intervention programs because the cost of non-oral feeding is
more expensive than oral feeding. - CORRECT ANSWER✅✅✅True
(T/F) Adult patients undergoing surgery to the kidneys, liver, or hips may experience dysphagia after
these procedures. - CORRECT ANSWER✅✅✅True
(T/F) The incidence of swallowing disorders in CVA patients is about 42%. - CORRECT
ANSWER✅✅✅True
(T/F) Cortical strokes result in dysphagia more than any other type of stroke. - CORRECT
ANSWER✅✅✅False. Brainstem strokes.
(T/F) Approximately 20% of stroke patients die due to aspiration pneumonia in the first year after the
stroke. - CORRECT ANSWER✅✅✅True
(T/F) Elderly individuals over the age of approximately 80 years are likely to have dysphagia even
without knowing it. - CORRECT ANSWER✅✅✅True
Differences between individuals with normal swallowing & those with dysphagia - CORRECT
ANSWER✅✅✅1. Foods may become lodged in the throat.
2. Patients may experience regurgitation.
3. Patients may experience slower eating than normal.
What are the differences between dysphagia & aphagia? - CORRECT ANSWER✅✅✅1. Dysphagia
means the patient has difficulty swallowing.
2. Aphagia means the patient cannot swallow anything including liquids.
3. In dysphagia, patients may be able to survive on a limited diet
4. In aphagia, patients will starve if they try to eat by mouth.
, Aspiration occurs when foods or liquids - CORRECT ANSWER✅✅✅Enter the airway below the level
of the true vocal folds & enter the trachea & or lungs.
How is aspiration different from aspiration pneumonia? - CORRECT ANSWER✅✅✅1. Aspiration may
involve food or liquid entering the airway but the patient can cough it out.
2. Aspiration may occur in such small amounts that it will not soil the lungs.
3. Aspiration pneumonia occurs when enough foreign material enters the lungs & cause infection.
Silent aspiration - CORRECT ANSWER✅✅✅Silent aspiration occurs when food or liquid enters the
airway without the patient feeling it & therefore doesn't cough it out. In normal individuals the sensory
system triggers a response to cough.
3 contributors to dehydration - CORRECT ANSWER✅✅✅1. Medications
2. Lack of adequate water intake
3. Fear of choking on liquids
3 reasons why dysphagia increases the severity of the primary disease or sickness of a patient - CORRECT
ANSWER✅✅✅1. Patient can't regain strength due to lack of eating or drinking
2. The risk of lung infection may alter the course of the disease
3. The patient has more difficulty coping with the primary disease due to distraction of the swallowing
problem
3 reasons for starting a swallowing intervention program early during the hospital admission of a patient
following a CVA - CORRECT ANSWER✅✅✅1. It will most likely reduce the possibility of aspiration,
allowing the patient to eat more safely
2. The patient won't lose energy due to lack of nutrition
3. Reduction of pneumonia rates
What evidence did Wasserman & colleagues give for aggressive treatment of patients following surgery
for cancer in the head or neck areas? - CORRECT ANSWER✅✅✅1. Accuracy in reporting patient
status
ANSWERS
(T/F) A normal swallow is possible even if all swallowing organs are not normal. - CORRECT
ANSWER✅✅✅True
(T/F) Most people will occasionally aspirate some food or fluid. - CORRECT ANSWER✅✅✅True
(T/F) Aspiration pneumonia is the result of a pulmonary infection. - CORRECT ANSWER✅✅✅True
(T/F) The normal individual does not require as much water as the neurologically impaired person. -
CORRECT ANSWER✅✅✅False. All individuals require enough water & other fluids to prevent
dehydration.
(T/F) Chewing is more difficult for people who lack adequate hydration. - CORRECT
ANSWER✅✅✅True
(T/F) People at risk for aspiration should not take liquids. - CORRECT ANSWER✅✅✅False. Under
controlled swallowing situations, it is possible for persons at risk for aspiration to learn to manage small
sips with various exercises & postures.
(T/F) Malnutrition will decrease the speed of recovery in stroke patients. - CORRECT
ANSWER✅✅✅True
(T/F) Malnutrition can be found in all patients with a neurological disease. - CORRECT
ANSWER✅✅✅False. With the aid of non-oral feeding & with proper nutrition management, they
can maintain a healthy recovery.
(T/F) Unplanned weight loss is a welcome event for overweight people who are over the age of 60. -
CORRECT ANSWER✅✅✅False. Unplanned weight loss in an otherwise healthy individual is a
symptom of dysphagia & should be explored initially by the primary care physician.
,(T/F) The study of pneumonia rates pre & post early intervention by Odderson & colleagues suggests
that the cost of an early intervention program reduces the overall cost of treating pneumonia. -
CORRECT ANSWER✅✅✅True
(T/F) Hospitals will benefit from early intervention programs because the cost of non-oral feeding is
more expensive than oral feeding. - CORRECT ANSWER✅✅✅True
(T/F) Adult patients undergoing surgery to the kidneys, liver, or hips may experience dysphagia after
these procedures. - CORRECT ANSWER✅✅✅True
(T/F) The incidence of swallowing disorders in CVA patients is about 42%. - CORRECT
ANSWER✅✅✅True
(T/F) Cortical strokes result in dysphagia more than any other type of stroke. - CORRECT
ANSWER✅✅✅False. Brainstem strokes.
(T/F) Approximately 20% of stroke patients die due to aspiration pneumonia in the first year after the
stroke. - CORRECT ANSWER✅✅✅True
(T/F) Elderly individuals over the age of approximately 80 years are likely to have dysphagia even
without knowing it. - CORRECT ANSWER✅✅✅True
Differences between individuals with normal swallowing & those with dysphagia - CORRECT
ANSWER✅✅✅1. Foods may become lodged in the throat.
2. Patients may experience regurgitation.
3. Patients may experience slower eating than normal.
What are the differences between dysphagia & aphagia? - CORRECT ANSWER✅✅✅1. Dysphagia
means the patient has difficulty swallowing.
2. Aphagia means the patient cannot swallow anything including liquids.
3. In dysphagia, patients may be able to survive on a limited diet
4. In aphagia, patients will starve if they try to eat by mouth.
, Aspiration occurs when foods or liquids - CORRECT ANSWER✅✅✅Enter the airway below the level
of the true vocal folds & enter the trachea & or lungs.
How is aspiration different from aspiration pneumonia? - CORRECT ANSWER✅✅✅1. Aspiration may
involve food or liquid entering the airway but the patient can cough it out.
2. Aspiration may occur in such small amounts that it will not soil the lungs.
3. Aspiration pneumonia occurs when enough foreign material enters the lungs & cause infection.
Silent aspiration - CORRECT ANSWER✅✅✅Silent aspiration occurs when food or liquid enters the
airway without the patient feeling it & therefore doesn't cough it out. In normal individuals the sensory
system triggers a response to cough.
3 contributors to dehydration - CORRECT ANSWER✅✅✅1. Medications
2. Lack of adequate water intake
3. Fear of choking on liquids
3 reasons why dysphagia increases the severity of the primary disease or sickness of a patient - CORRECT
ANSWER✅✅✅1. Patient can't regain strength due to lack of eating or drinking
2. The risk of lung infection may alter the course of the disease
3. The patient has more difficulty coping with the primary disease due to distraction of the swallowing
problem
3 reasons for starting a swallowing intervention program early during the hospital admission of a patient
following a CVA - CORRECT ANSWER✅✅✅1. It will most likely reduce the possibility of aspiration,
allowing the patient to eat more safely
2. The patient won't lose energy due to lack of nutrition
3. Reduction of pneumonia rates
What evidence did Wasserman & colleagues give for aggressive treatment of patients following surgery
for cancer in the head or neck areas? - CORRECT ANSWER✅✅✅1. Accuracy in reporting patient
status
