The phases of swallowing include: A. Oral

The phases of swallowing include: A. Oral intake, esophageal transport and gastric intake B. Oral preparatory, Oral transport, pharyngeal phase and esophageal phase C. Oral preparatory, pharyngeal phase and esophageal phase D. Oral transport, pharyngeal phase and esophageal phase 2. 90% of dysphagia cases in acute stroke patients resolve within 2 weeks of neurological insults. A. True B. False 3. If your patient does not cough after eating or drinking, he/she does not have dysphasia and is not at risk for aspiration. A. True B. False 4. Damage to the Medulla oblongata and Pons as well as Cranial nerves IX, X and XI would affect which phase of swallowing: A. Oral transport B. Esophageal phase C. Gastric phase D. Pharyngeal phase 5. There are 12 steps in a full dysphagia screening assessment. You would consider the screen as a FAILED test (dysphagia/risk for aspiration) if the patient had/was: A. Facial droop, Alert, dry mouth and soft palate symmetry B. Impaired ability to follow commands, normal speech, strong cough and dry mouth C. Facial droop, lethargic, dry mouth and soft palate symmetry D. Lethargic, impaired ability to follow commands, moderate dysarthria and asymmetrical arch of soft palate 6. To optimize the Dysphagia assessment screening, you should elevate the head of the patient’s bed to: A. 90 degree angle B. 50-60 degree angle C. 45 degree angle D. 30 degree angle 7. Damage to pathways between the cerebral cortex and brain stem can result in loss of ability to swallow and need for a feeding tube: A. TRUE B. FALSE 8. Dysphonia is defined as A. Abnormal speech B. Abnormal voice C. No voice D. Garbled speech 9. Dysarthria is defined as A. Abnormal speech articulation B. Abnormal voice volume C. low voice D. Inappropriate word 10. Common etiologies/causes of Dysphagia include all of the following EXCEPT: A. Stroke B. Cancer of head and neck C. Severe dementia D. Myocardial Infarction 11. Swallowing is one of the most intricately coordinated functions of the Central Nervous System: A. TRUE B. FALSE 12. Signs and symptoms of dysphagia include: A. coughing B. food sticking in the throat C. upper respiratory infections D. All the above 13. Assessing for presence of dysphonia or dysarthria is important since they reflect: A. Posterior tongue muscle strength to control and coordinate food/fluid bolus before swallowing B. Anterior tongue muscle strength ability to manipulate food/fluid bolus to back of mouth C. Ability to prevent aspiration D. All of the above 14. Silent aspiration occurs in what percentage of patients with Dysphagia A. 40 – 70% B. 10 -20 % C. 100% D. 75 – 95 % 15. An effective Dysphagia Screen includes a comprehensive review of which of the following: A. Physiological mechanisms affecting swallowing (cough, tongue movement, speech clarity and sound) B. Ability to change facial expressions on command C. Position of the uvula and upper palate D. ALL the above 16. A valid screening tool must document which components: A. Patients at high of aspiration B. Pass/failure measure C. Referral Process for high risk patient D. ALL components 17. It is acceptable practice to use a straw when conducting a swallowing test A. TRUE B. FALSE 18. In Stroke patients it is important to repeat the Dysphasia screening assessment __________ for _______ to assess for possible evolving neurological symptoms : A. Daily for 1 week B. Twice daily for 3 days C. Daily for 2-3 days D. Once for the first 24 hours

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