Neurological
Head and Neck
Esophageal
Pediatric
Ask me anything?
100

Neurological causes of dysphagia will account for what percentage of your caseload as an SLP?

What is ~75%?

100

Removal of part of the tongue is referred to as what?

What is glossectomy?
100

The wavelike muscular contraction of the esophagus is called...

What is peristalsis?

100

Which sensory modality develops first in infants?

What is touch?

100

What is the equipment called that is surgically placed to bypass an airway obstruction in the oral cavity or larynx?

What is a trache?
200

What is an example of a neurodegenerative cause of dysphagia that responds well to therapy?

What is PD, PD+, MS, etc.

200

What are some side effects associated with radiation exposure?

What is xerostomia, odynophagia, mucositis, fibrosis, osteoradionecrosis, fatigue, edema, etc.

200

What type of foods do patients with eosphageal dysphagia typically complain of having difficulty with?

What are meats, breads and things with peals?

200

What is a cause of pediatric dysphagia?

What is CL&P, prematurity, Down's syndrome, CP, laryngomalacia, etc.

200
What happens after a patient is able to tolerate a PMV on the end of a trache for 24 hours?

It is often removed per your recommendation?

300

What is a concern when working with a patient who has ALS and dysphagia?

What is quality of life, diet modifications, PEG tube education, oral hygiene, etc?

300

What is the name of the prosthetic that can be placed s/p a laryngectomy that can provide the ability for the patient to phonate independently?

What is a tracheoesophageal puncture?

300

What is the condition called when a patient has a diverticulum at the level of the UES that often causes halitosis?

What is a Zenker's diverticulum?

300

What is a technique that could be used to promote self-regulation/homeostasis in an infant?

Kangaroo care, mom's breastmilk, mom/dad's smell, soft soothing sounds, positive touch.

300

What is an alaryngeal method of speech?

What is TEP, esophageal speeck or AAC?

400

A patient has a peripheral neurological impairment like muscular dystrophy. Where in the esophagus may this patient experience the most dysphagia?

What is the proximal esophagus?

400

How does placement of a PEG tube differ for patients s/p H&N cancer compared to a patient with neurodegenerative disease?

What is a PEG tube in H&N cancer is generally temporary?

400

Provide a justification for why an SLP needs to evaluate the esophagus?

What is you miss 100% of things you don't look for OR few other professions check the esophagus at all!

400

Provide a recommendation for a child with a feeding aversion?

Create a plan, follow that plan, escape extinction, tactile play/experimentation, CHOP program, etc.

400

What is a sign of dysphagia we may see in a patient with radiation fibrosis at the level of the UES?

What is an inability to relax/open?

500

A patient presents to your clinic with history of a recent stroke and COPD. What are some considerations/recommendations important for this patient?

What is: 1) stroke is not degenerative and they will likely respond well to therapy, 2) get them to the LRD asap, 3) check respiratory swallowing coordination and possible retraining. Anything else?

500

What are some treatment options associated with trismus?

What is a stack of tongue depressors, dynasplint, etc to open oral opening?

500

What is a way to evaluate esophageal function or incorporate it into your clinic?

What is the REST protocol, manometry, etc.?

500

What is one technique that can be used to control bolus delivery to a child?

What is side-lying, thicken formula, nipple hole modification, etc.