General
Aspiration
CN review
100

What is dysphagia? 

Difficulty or the inability to swallow

100

True/False: Aspiration is when food, liquid, or saliva enter the airway through the vocal folds. 

True

100

What CN if damaged will likely lead to decreased chewing/mastication, decreased jaw movement and decreased sensation? 

Trigeminal V

200

True/False: Dysphagia is a major health concern if a patient presents with this disorder. 

True

200

True/False: A temperature spike after eating or drinking is not a sign of aspiration. 

False

200

This CN if damaged will lead to decreased facial sensation, drooling and residuals in the oral cavity?

Facial nerve VII

300

Provide TWO symptoms of dysphagia. 

Possible answers may include: 

- Complaints of multiple or painful swallows

- Prolonged eating time

- Weight loss

- Dehydration

- Difficulty with secretions

- Drooling 

- Choking

- Coughing during meals

- Wet, gurgly vocal quality

- Food avoidance

- Pocketing of food in cheeks

- Holding food or liquid in mouth 

300

What evaluation technique allows you to visually see aspiration?

Videofluoroscopic Swallow Study (VFSS)/Modified Barium Swallow (MBS)

300

Disorder of this CN will cause delayed pharyngeal trigger, decreased laryngeal elevation, decreased velopharyngeal closure and possible aspiration. 

Glossopharyngeal IX

400

What are the four phases of swallowing?

1. Oral preparatory phase

2. Orla transit

3. Pharyngeal phase

4. Esophageal phase


400

What is the primary characteristic of silent aspiration?

The body does not show outward signs of aspiration

400

Damage of this CN causes 

Decreased palatal/pharyngeal/laryngeal
movement
Decreased vocal fold closure
Decreased pharyngeal sensation 

Vagus X

500

What is one of the leading causes of hospitalization and death among the elderly who are hospitalized or in nursing homes? 

Aspiration pneumonia

500

If you observe signs and symptoms of aspiration in a bedside swallow evaluation what may be appropriate for the patient? 

Instrumental assessment

500

Damage to this Cranial nerve will

Decrease lingual ROM and strength

 Decreased bolus consolidation

Decreased front to back movement of

bolus

 Oral residue




Hypoglossal XII