DYSPHAGIA FINAL EXAM UPDATED QUESTIONS AND CORRECT
ANSWERS
Evidence-Based Practice - CORRECT ANSWER✅✅✅treatment based on best available evidence does
not rely on clinician experience or intuition. Important for clinician to understand efficacy. Failure to
use=less effective treatment/desired outcomes.
Two Common Treatment Considerations for Dysphagia - CORRECT ANSWER✅✅✅Airway Protection,
nutrition and hydration
Primary Concerns for Dysphasic Patients - CORRECT ANSWER✅✅✅safety (airway protection) and
Adequacy (individual's ability to ingest sufficient food/liquid by mouth to maintain nutrition/hydration.
Treatment Considerations Focusing on Patient Characteristics - CORRECT ANSWER✅✅✅Etiology,
Severity, Eating History, Psychosocial Factors, Anticipated medical course, caregiver factors
clinicians should consider - CORRECT ANSWER✅✅✅physical presence of technology and equipment,
clinicians knowledge of and skill in performing a specific technique, patient acceptance, anticipated
risks/benefits, and choice of technique should be considered in reference to long-term outcome and
immediate impact.
Functional Outcome - CORRECT ANSWER✅✅✅long term benefit of proposed technique, often
considered in reference to the goals of therapy.
Patient Empowerment - CORRECT ANSWER✅✅✅patient involvement, patient=partner in treatment
Treatment Options - CORRECT ANSWER✅✅✅Medical, Surgical, Behavioral
Medical - CORRECT ANSWER✅✅✅dietary modifications, pharmacologic management, combat
reflux, improve gastric motility, alter secretions. 1st level- over the counter antacids 2nd level- histamine
receptors antagonists' 3rd level- proton pumps inhibitors. Few medications to improve gastric motility
are available.
, Salivary secretions are important for swallowing. 2 types - CORRECT ANSWER✅✅✅watery and
thicker coating of the internal mucosa
Surgical- 3 categories - CORRECT ANSWER✅✅✅improve glottal closure, protect airway. Improve
opening of pharyngoesophageal segment (PES).
Improve Glottal Closure - CORRECT ANSWER✅✅✅medicalization thyroplasty and injection of
biomaterials
Protection of Airway - CORRECT ANSWER✅✅✅Stents, Laryngotracheal separations, Laryngectomy,
Trach Tubes, Feeding tubes
Improved PES Opening - CORRECT ANSWER✅✅✅Dilatation, Myotomy, Botox Injection
Dilatation - CORRECT ANSWER✅✅✅accomplished by stretching the lumen of the PES
->Tears tissue to create larger opening. Risks are involved-> tear past esophageal tissue, temporary
effect
Myotomy - CORRECT ANSWER✅✅✅technique in which fibers of cricopharyngeal muscle within PES
is separated
Botox Injection - CORRECT ANSWER✅✅✅relax the PES
Behavioral - CORRECT ANSWER✅✅✅Food modifications, volume, temperature, taste and smell,
feeding activity
Making Treatment Decisions: 3 aspects considered - CORRECT ANSWER✅✅✅Sources of
Information, Forming Meaningful Questions, Planning Individual Therapy
Severity of Dysphagia - CORRECT ANSWER✅✅✅functional level
ANSWERS
Evidence-Based Practice - CORRECT ANSWER✅✅✅treatment based on best available evidence does
not rely on clinician experience or intuition. Important for clinician to understand efficacy. Failure to
use=less effective treatment/desired outcomes.
Two Common Treatment Considerations for Dysphagia - CORRECT ANSWER✅✅✅Airway Protection,
nutrition and hydration
Primary Concerns for Dysphasic Patients - CORRECT ANSWER✅✅✅safety (airway protection) and
Adequacy (individual's ability to ingest sufficient food/liquid by mouth to maintain nutrition/hydration.
Treatment Considerations Focusing on Patient Characteristics - CORRECT ANSWER✅✅✅Etiology,
Severity, Eating History, Psychosocial Factors, Anticipated medical course, caregiver factors
clinicians should consider - CORRECT ANSWER✅✅✅physical presence of technology and equipment,
clinicians knowledge of and skill in performing a specific technique, patient acceptance, anticipated
risks/benefits, and choice of technique should be considered in reference to long-term outcome and
immediate impact.
Functional Outcome - CORRECT ANSWER✅✅✅long term benefit of proposed technique, often
considered in reference to the goals of therapy.
Patient Empowerment - CORRECT ANSWER✅✅✅patient involvement, patient=partner in treatment
Treatment Options - CORRECT ANSWER✅✅✅Medical, Surgical, Behavioral
Medical - CORRECT ANSWER✅✅✅dietary modifications, pharmacologic management, combat
reflux, improve gastric motility, alter secretions. 1st level- over the counter antacids 2nd level- histamine
receptors antagonists' 3rd level- proton pumps inhibitors. Few medications to improve gastric motility
are available.
, Salivary secretions are important for swallowing. 2 types - CORRECT ANSWER✅✅✅watery and
thicker coating of the internal mucosa
Surgical- 3 categories - CORRECT ANSWER✅✅✅improve glottal closure, protect airway. Improve
opening of pharyngoesophageal segment (PES).
Improve Glottal Closure - CORRECT ANSWER✅✅✅medicalization thyroplasty and injection of
biomaterials
Protection of Airway - CORRECT ANSWER✅✅✅Stents, Laryngotracheal separations, Laryngectomy,
Trach Tubes, Feeding tubes
Improved PES Opening - CORRECT ANSWER✅✅✅Dilatation, Myotomy, Botox Injection
Dilatation - CORRECT ANSWER✅✅✅accomplished by stretching the lumen of the PES
->Tears tissue to create larger opening. Risks are involved-> tear past esophageal tissue, temporary
effect
Myotomy - CORRECT ANSWER✅✅✅technique in which fibers of cricopharyngeal muscle within PES
is separated
Botox Injection - CORRECT ANSWER✅✅✅relax the PES
Behavioral - CORRECT ANSWER✅✅✅Food modifications, volume, temperature, taste and smell,
feeding activity
Making Treatment Decisions: 3 aspects considered - CORRECT ANSWER✅✅✅Sources of
Information, Forming Meaningful Questions, Planning Individual Therapy
Severity of Dysphagia - CORRECT ANSWER✅✅✅functional level
