VPI
Dysphagia
Phases of a swallow
Velopharyngeal Valve
Structure/Cleft
100

An anatomical/structural defect that prevents needed closure refers to what?

a. Velopharyngeal insufficiency

b. Velopharyngeal incompetency

c. Tracheoesophageal speech

 a. Velopharyngeal insufficiency

100

What is the term for the difficulty of swallowing or inability to swallow?

a. Resonance  

b. Dysphagia  

c. VPI 


b. Dysphagia  

100

Accepting of food/drink, food in the mouth is combined with saliva and chewed if necessary, then formed into a bolus, tongue pushes food to the rear of the oral cavity happen in which phase?

a. Esophageal phase  

b. Pharyngeal phase 

c. Oral phase

                                                       


    

c. Oral phase

100

During normal  blank   velum rests against tongue keeping passages open

a. swallowing

b. abduction 

c. breathing

c. breathing

100

No hard palate for linguapalatal contact so they don’t produce those sounds, no oral airflow so no stop consonants and all will be distorted by nasalized productions, and hearing loss will distort sound and limit monitoring of own sound are all what?

a. Main ways speech can be affected due to a cleft palate 

b. Main ways speech can be affected due to resonance 

c. Main ways speech can be affected due to dysphagia

a. Main ways speech can be affected due to a cleft palate

200

A neuromotor deficit that leads to poor movement refers to what?

a. Velopharyngeal insufficiency

b. Velopharyngeal incompetency

c. Esophageal speech 

b. Velopharyngeal incompetency

200

An example of a symptom of dysphagia includes: 

a. Weight loss  

b. Dehydration  

c. Drooling  

d. Coughing during meals  

e. All of the above  

e. All of the above  

200

During what phase does the upper esophageal sphincter relax/open to allow food to enter the esophagus?

a. Oral phase 

b. Pharyngeal phase 

c. Esophageal phase                                                     


    

 

b. Pharyngeal phase

200

Velopharyngeal valves job is to close off nasal cavity from oral cavity

a. True 

b. False 

a. True

200

Surgical management of cleft palate includes...

a. Normal speech should be the most important goal in the therapeutic plan. 

b. Regardless of degree/severity surgery on cleft lip and/or palate must be done to correct the structure. 

c. plastic surgeon lead 

d. All of the above  

d. All of the above

300

Faulty closure of VP valve and causes hypernasality and nasal emission describe what?

a. Dysphagia 

b. Cleft palate

c. Velopharyngeal inadequacy

c. Velopharyngeal inadequacy

300

Which is an example of why dysphagia can occur?

a. Heart attack

b. Parkinsons 

c. Stroke 

d. B and C

d. B and C

300

A challenge of the pharyngeal phase includes:

a. Impaired soft palate may allow food/drink to pass through the nose                                      

b. Weakened lip muscles may decrease ability to seal the lips and drink from a straw or cup

c. Weakened tongue and jaw muscles may decrease ability to adequately chew food

                                                       


    

c. 

a. Impaired soft palate may allow food/drink to pass through the nose

300

Velum, lateral pharyngeal wall, and posterior pharyngeal wall must be coordinated for what?

a. A proper swallow

b. Breathing

c. Normal velopharyngeal closure

c. Normal velopharyngeal closure

300

A submucous cleft is a congenital defect that affects underlying structures of palate, not on the oral surface (you cannot see it but can ID it)

a. True

b. False 

a. True

400

What is the cause of Velopharyngeal Inadequacy?

a. Mislearning 

b. Insufficiency

c. Incompetency

d. All of the above

d. All of the above

400

What are treatment options for dysphagia?

a. Diet, exercises, and feeding guidelines  

b. Surgery 

c. Feeding guidelines only 

a. Diet, exercises, and feeding guidelines  

400

Poor tongue strength and motility may cause food to be pocketed in the mouth or leave residue on the hard palate or allow food to fall prematurely into the pharynx is an example of what?

a. challenge of the oral phase

b. challenge of the pharyngeal phase

c. challenge of the esophageal phase 


                                                       


    

a. challenge of the oral phase

400

Swallowing, gagging, and vomiting are examples of what?

a. Pneumatic activities 

b. Nonpneumatic activities

b. Nonpneumatic activities

400

A congenital defect that affects underlying structures of palate, not on the oral surface is...

a. Cleft palate

b. Cleft lip

c. Submucous cleft

c. Submucous cleft

500

Chief complaint, vocal hygiene, resonance, and vocal quality are all a part of what?

a. VHI

b. Voice evaluation

c. CAPE-V

b. Voice evaluation

500

Feeling congested after you eat or drink, having a gurgling or "wet sounding" voice when you eat, and choking while or after you eat or drink are all signs of what?

a. Resonance 

b. Voice disorder

c. Aspiration

c. Aspiration

500

The bolus passes through the UES/cricopharyngeal muscle during what phase?

a. Oral phase 

b. Pharyngeal phase

c. Esophageal phase

                                                       


    

c. Esophageal phase

500

When nasal phonemes are produced in the middle of speech the velum is pulled up so that sound can enter nasal cavity.

a. True 

b. False

b. False

500

How can you ID a submucous cleft? 

a. Bifid uvula  

b. Thin, bluish appearance of the midline of the soft palate  

c. Median deficiency or bony notch in the posterior border of the hard palate  

d. All of the above  

d. All of the above