SLP 626 ACTUAL EXAM 1 PRACTICE 2025
LATEST COMPLETE QUESTION AND DETAILED
ANSWER GRADED A+ 100% VERIFIED
Why is a thorough evaluation critical?
safety – to determine if a patient can swallow safely and to prevent aspiration
nutrition – to recommend a diet that meets the patient’s nutritional and hydration needs
treatment planning – to gather a baseline for therapy goals
communication – to provide clear and consistent information to the medical team
What is a Clinical Swallow Evaluation?
also known as clinical dysphagia evaluation (CDE); not always called “bedside” swallow evaluation
anymore because it is not always done bedside
purpose – to gain a comprehensive understanding of a patient’s swallowing function
scope – non-instrumental, clinical assessment
components – multi-step process involving patient history, physical examination, and trials of PO
goal – to identify signs and symptoms of dysphagia and risk for aspiration
crucial first step in dysphagia management
multi-faceted assessment, not just a feeding trial
guides clinical decision-making, but has limitations
essential for ensuring patient safety and quality of life
,What are the components of a CSE?
- chart review
- patient interview
- oral motor examination
What is the objective of a chart review in the CSE?
objective → to understand the patient’s medical history prior to evaluation
key information:
primary diagnosis,
history of dysphagia or pneumonia, nutritional status and hydration, respiratory status
What role does the larynx play in swallowing?
- must be closed off quickly and completely when we swallow to avoid airway compromise and obstruction
- muscles are pulled up and out so epiglottis is moved closer to posterior laryngeal wall; don't have to
move as far to close airway
What muscles make up the floor of the mouth (FOM)?
- mylohyoid
- geniohyoid
- anterior belly of the digastric muscles
,also known as suprahyoid muscles -- attachments to the mandible anteriorly and the hyoid bone
posteriorly
What are the suprahyoid muscles necessary for?
- superior and anterior movement of the hyolaryngeal complex
- moving the larynx up and out of the way during swallowing, and deflecting the epiglottis to cover off the
entrance of the larynx
What is swallowing?
the entire process of bringing foods to the oral cavity, manipulating it, and propelling it back into the
pharynx and through to the esophagus
also known as deglutition
What is dysphagia?
difficulty swallowing, "weak" swallowing, or disordered swallowing
- sign of an underlying medical condition; it is not a disease
- impact: can lead to dehydration, malnutrition, aspiration, pneumonia, and reduced QOL
What is a bolus?
mass of food mixed with saliva that is swallowed
What is aspiration?
the inhalation of food, liquid, or other foreign material into the larynx and down the airway instead of the
esophagus to the stomach
, Dysphagia is caused by the disruption of...
the neurological or peripheral control of movements involving the muscles of the oral cavity, pharynx,
larynx, esophagus, or respiratory system.
Those with dysphagia have issues coordinating...
respiration and swallowing
What is the medical impact of dysphagia?
- aspiration pneumonia
- airway obstruction
- dehydration
- malnutrition
- weight loss
- failure to thrive (insufficient weight gain)
- death
What is aspiration pneumonia?
lung infection which occurs when food, saliva, liquid, or vomit enters the lungs; can cause irritation,
edema, etc. of the lungs
the “perfect storm” → aspiration + bacterial inoculum + compromised host defenses = pneumonia
Why is dehydration an issue that arises with dysphagia?
usually overlooked/missed; patients less likely to drink water because it feel uncomfortable or may have
cognitive deficits or weak limbs that prevent them from drinking on their own
How does dysphagia impact quality of life?
- social isolation - a lot of events integral to maintain social relationships revolve around food; patient is
unable to participate as much
LATEST COMPLETE QUESTION AND DETAILED
ANSWER GRADED A+ 100% VERIFIED
Why is a thorough evaluation critical?
safety – to determine if a patient can swallow safely and to prevent aspiration
nutrition – to recommend a diet that meets the patient’s nutritional and hydration needs
treatment planning – to gather a baseline for therapy goals
communication – to provide clear and consistent information to the medical team
What is a Clinical Swallow Evaluation?
also known as clinical dysphagia evaluation (CDE); not always called “bedside” swallow evaluation
anymore because it is not always done bedside
purpose – to gain a comprehensive understanding of a patient’s swallowing function
scope – non-instrumental, clinical assessment
components – multi-step process involving patient history, physical examination, and trials of PO
goal – to identify signs and symptoms of dysphagia and risk for aspiration
crucial first step in dysphagia management
multi-faceted assessment, not just a feeding trial
guides clinical decision-making, but has limitations
essential for ensuring patient safety and quality of life
,What are the components of a CSE?
- chart review
- patient interview
- oral motor examination
What is the objective of a chart review in the CSE?
objective → to understand the patient’s medical history prior to evaluation
key information:
primary diagnosis,
history of dysphagia or pneumonia, nutritional status and hydration, respiratory status
What role does the larynx play in swallowing?
- must be closed off quickly and completely when we swallow to avoid airway compromise and obstruction
- muscles are pulled up and out so epiglottis is moved closer to posterior laryngeal wall; don't have to
move as far to close airway
What muscles make up the floor of the mouth (FOM)?
- mylohyoid
- geniohyoid
- anterior belly of the digastric muscles
,also known as suprahyoid muscles -- attachments to the mandible anteriorly and the hyoid bone
posteriorly
What are the suprahyoid muscles necessary for?
- superior and anterior movement of the hyolaryngeal complex
- moving the larynx up and out of the way during swallowing, and deflecting the epiglottis to cover off the
entrance of the larynx
What is swallowing?
the entire process of bringing foods to the oral cavity, manipulating it, and propelling it back into the
pharynx and through to the esophagus
also known as deglutition
What is dysphagia?
difficulty swallowing, "weak" swallowing, or disordered swallowing
- sign of an underlying medical condition; it is not a disease
- impact: can lead to dehydration, malnutrition, aspiration, pneumonia, and reduced QOL
What is a bolus?
mass of food mixed with saliva that is swallowed
What is aspiration?
the inhalation of food, liquid, or other foreign material into the larynx and down the airway instead of the
esophagus to the stomach
, Dysphagia is caused by the disruption of...
the neurological or peripheral control of movements involving the muscles of the oral cavity, pharynx,
larynx, esophagus, or respiratory system.
Those with dysphagia have issues coordinating...
respiration and swallowing
What is the medical impact of dysphagia?
- aspiration pneumonia
- airway obstruction
- dehydration
- malnutrition
- weight loss
- failure to thrive (insufficient weight gain)
- death
What is aspiration pneumonia?
lung infection which occurs when food, saliva, liquid, or vomit enters the lungs; can cause irritation,
edema, etc. of the lungs
the “perfect storm” → aspiration + bacterial inoculum + compromised host defenses = pneumonia
Why is dehydration an issue that arises with dysphagia?
usually overlooked/missed; patients less likely to drink water because it feel uncomfortable or may have
cognitive deficits or weak limbs that prevent them from drinking on their own
How does dysphagia impact quality of life?
- social isolation - a lot of events integral to maintain social relationships revolve around food; patient is
unable to participate as much
