SLP 477 CHAPTER 5 EXAM QUESTIONS
AND ANSWERS ALL CORRECT
A patient cannot reliably follow one-step directions and cannot maintain attention long
enough for bolus trials. The most immediate concern for the clinical swallow evaluation
is:
A. validity of findings and safety of trial swallows
B. need to increase bolus volume to compensate
C. need to prioritize cough training during the exam
D. need to discontinue case history - Answer- A. validity of findings and safety of trial
swallows
Which statement best captures appropriate use of cervical auscultation in dysphagia
evaluation?
A. It replaces instrumental testing when available
B. It is a stand-alone aspiration screening method
C. It is an adjunct that may add information when interpreted alongside other findings
D. It is primarily used to determine FOIS level - Answer- C. It is an adjunct that may add
information when interpreted alongside other findings
A patient demonstrates multiple swallows per bolus with increased effort. The most
plausible interpretation is:
A. improved pharyngeal clearance
B. pharyngeal residue requiring repeated clearance attempts
C. normal oral transit with no clinical meaning
D. improved airway protection - Answer- B. pharyngeal residue requiring repeated
clearance attempts
Which self-assessment tool is most specifically developed to evaluate dysphagia impact
in head and neck cancer populations?
A. Sydney Swallowing Questionnaire
B. MD Anderson Dysphagia Inventory
C. EAT-10
D. SWAL-CARE - Answer- B. MD Anderson Dysphagia Inventory
During laryngeal palpation, markedly reduced upward movement is most concerning
because it can be linked to reduced:
A. labial seal
B. bolus taste perception
C. upper esophageal sphincter opening and airway protection
D. dentition - Answer- C. upper esophageal sphincter opening and airway protection
, Evidence-based practice in dysphagia management is best defined as clinical decision
making that integrates:
A. clinical expertise only
B. patient preference only
C. published research only
D. best available evidence, clinician expertise, and patient or caregiver values - Answer-
D. best available evidence, clinician expertise, and patient or caregiver values
A swallowing screening is most accurately described as:
A. a brief process used to decide whether a full evaluation or referral is needed
B. an instrumental exam that visualizes bolus flow
C. a permanent diet assignment method
D. a test that determines etiology of dysphagia with certainty - Answer- A. a brief
process used to decide whether a full evaluation or referral is needed
Before beginning an oropharyngeal examination, the clinician should consider all of the
following patient factors except:
A. airway status
B. body tone, posture, and positioning
C. ability to follow instructions
D. hemoglobin A1c level - Answer- D. hemoglobin A1c level
Match the screening approach with its defining feature.
A. Toronto Bedside Swallowing Screening Test (TOR-BSST)
B. 3-oz Water Swallow Test
C. Yale Swallow Protocol
D. Modified Mann Assessment of Swallowing Ability (MMASA)
Designed for stroke survivors in acute and rehabilitation settings
Continuous water drinking challenge used to trigger clinical signs
Exclusion criteria plus brief cognitive screen and oral mechanism exam before water
Non-swallowing items used to generate a severity score - Answer- Designed for stroke
survivors in acute and rehabilitation settings
Answer: A. Toronto Bedside Swallowing Screening Test (TOR-BSST)
Continuous water drinking challenge used to trigger clinical signs
Answer: B. 3-oz Water Swallow Test
Exclusion criteria plus brief cognitive screen and oral mechanism exam before water
Answer: C. Yale Swallow Protocol
Non-swallowing items used to generate a severity score
AND ANSWERS ALL CORRECT
A patient cannot reliably follow one-step directions and cannot maintain attention long
enough for bolus trials. The most immediate concern for the clinical swallow evaluation
is:
A. validity of findings and safety of trial swallows
B. need to increase bolus volume to compensate
C. need to prioritize cough training during the exam
D. need to discontinue case history - Answer- A. validity of findings and safety of trial
swallows
Which statement best captures appropriate use of cervical auscultation in dysphagia
evaluation?
A. It replaces instrumental testing when available
B. It is a stand-alone aspiration screening method
C. It is an adjunct that may add information when interpreted alongside other findings
D. It is primarily used to determine FOIS level - Answer- C. It is an adjunct that may add
information when interpreted alongside other findings
A patient demonstrates multiple swallows per bolus with increased effort. The most
plausible interpretation is:
A. improved pharyngeal clearance
B. pharyngeal residue requiring repeated clearance attempts
C. normal oral transit with no clinical meaning
D. improved airway protection - Answer- B. pharyngeal residue requiring repeated
clearance attempts
Which self-assessment tool is most specifically developed to evaluate dysphagia impact
in head and neck cancer populations?
A. Sydney Swallowing Questionnaire
B. MD Anderson Dysphagia Inventory
C. EAT-10
D. SWAL-CARE - Answer- B. MD Anderson Dysphagia Inventory
During laryngeal palpation, markedly reduced upward movement is most concerning
because it can be linked to reduced:
A. labial seal
B. bolus taste perception
C. upper esophageal sphincter opening and airway protection
D. dentition - Answer- C. upper esophageal sphincter opening and airway protection
, Evidence-based practice in dysphagia management is best defined as clinical decision
making that integrates:
A. clinical expertise only
B. patient preference only
C. published research only
D. best available evidence, clinician expertise, and patient or caregiver values - Answer-
D. best available evidence, clinician expertise, and patient or caregiver values
A swallowing screening is most accurately described as:
A. a brief process used to decide whether a full evaluation or referral is needed
B. an instrumental exam that visualizes bolus flow
C. a permanent diet assignment method
D. a test that determines etiology of dysphagia with certainty - Answer- A. a brief
process used to decide whether a full evaluation or referral is needed
Before beginning an oropharyngeal examination, the clinician should consider all of the
following patient factors except:
A. airway status
B. body tone, posture, and positioning
C. ability to follow instructions
D. hemoglobin A1c level - Answer- D. hemoglobin A1c level
Match the screening approach with its defining feature.
A. Toronto Bedside Swallowing Screening Test (TOR-BSST)
B. 3-oz Water Swallow Test
C. Yale Swallow Protocol
D. Modified Mann Assessment of Swallowing Ability (MMASA)
Designed for stroke survivors in acute and rehabilitation settings
Continuous water drinking challenge used to trigger clinical signs
Exclusion criteria plus brief cognitive screen and oral mechanism exam before water
Non-swallowing items used to generate a severity score - Answer- Designed for stroke
survivors in acute and rehabilitation settings
Answer: A. Toronto Bedside Swallowing Screening Test (TOR-BSST)
Continuous water drinking challenge used to trigger clinical signs
Answer: B. 3-oz Water Swallow Test
Exclusion criteria plus brief cognitive screen and oral mechanism exam before water
Answer: C. Yale Swallow Protocol
Non-swallowing items used to generate a severity score
