Dysphagia 1

Anatomy

100

The lips, hard palate, and mandible are just three anatomical structures that are used in this phase of the swallow.

What is the oral prep/oral phase

200

The tongue is divided into these two parts.

What are

• Oral Tongue:Tip, blade, base; Under volitional control
• Pharyngeal Tongue: Tongue base; Under involuntary control from medullary swallow complex

300

These are the three types of pharyngeal constrictors.

What are inferior, medial, and superior

400

This anatomical structure is defined as the area right above the true vocal folds.

What is the laryngeal vestibule

500

This anatomical term refers to the space between the false vocal folds and the true vocal folds on each side.

What is the laryngeal ventricle

Phases

100

These are the phases of the swallow.

What are oral prep/oral, pharyngeal, and esophageal

200

This phase is responsible for masticating and manipulating the bolus.

What is the oral prep phase

300

The swallow is triggered when the bolus reaches this point in the oral phase of the swallow

What is when the bolus reaches the faucial arches

400

The esophageal phase can last THIS many seconds.

What is 8-20 seconds

500

This is the termination point of the oral prep phase.

What is the bolus is in the anterior hold position

Terms

100

Xerostomia means this.

What is dry mouth

200

This is another term for swallowing.

What is deglutition

300

Penetration means this.

What is the entry of bolus into laryngeal vestibule but not true vocal folds

400

Plication means this.

What is to cut a small portion where a tumor or disease is and sew tongue back together

500

This term refers to a surgical procedure that makes it easier for the UES to open.

What is myotomy

Dysphagia Evaluation

100

This type of swallow evaluation uses videofluoroscopy and barium to identify swallowing deficits.

What is a videofuoroscopic swallow study, modified barium swallow study, dysphagiagram, etc.

200

This is the evaluation method that claims that professional can hear the event of aspiration with a stethoscope.

What is cervical auscultation

300

This evaluation can be performed on people with trach tubes.

What is the (modified) Evans blue dye teset

400

These are soft signs of aspiration (three things)

What are coughing, mucosilliary response (runny nose/watery eyes), and apnea (stop breathing)

500

Describe the 3 ounce water test.

What is 

• Give patient 3 ounces of water
• Ask patient to drink the 3 ounces without stopping
• Aspiration is volume dependent
• If the patient coughs, clears throat, or is aphonic after swallow, then they fail the test
• If a patient fails the test then there is a problem
• If a patient passes the test that does not mean there is not a problem

Misc

100

These are the 5 purposes of swallowing.

What are hydration, nourishment, secretion management, airway protection, and socialization

200

The lateral pharyngeal constrictor movement is called this.

What is contraction

300

These are the three types of liquid consistency.

What are honey thick, nectar thick, and thin

400

If a person's swallow scores a 1-5 on the pen-asp scale, this event occured.

What is penetration

500

This term refers to the loss of taste.

What is aguesic