CCC Swallowing and Feeding Disorders 2

Question 1

Which compensatory technique involves the patient holding their breath before and during the swallow to protect the airway?

Accepted Answer

Supraglottic swallow

Answer

The supraglottic swallow involves volitional breath hold before swallowing to close the airway, followed by a cough after the swallow.

Question 2

The Shaker exercise (head-lifting exercise) targets strengthening of which muscle group to improve swallowing?

Accepted Answer

Suprahyoid and infrahyoid muscles to improve laryngeal elevation and UES opening

Answer

The Shaker exercise strengthens suprahyoid muscles to improve hyolaryngeal excursion, which aids upper esophageal sphincter (UES) opening.

Question 3

Which population is at highest risk for aspiration pneumonia secondary to dysphagia?

Accepted Answer

Elderly patients with neurological conditions in care facilities

Answer

Elderly individuals with neurological conditions (stroke, dementia, Parkinson's) in institutional settings have the highest aspiration pneumonia risk.

Question 4

The IDDSI (International Dysphagia Diet Standardisation Initiative) framework provides standardized terminology for:

Accepted Answer

Texture-modified food and thickened liquid levels

Answer

IDDSI defines eight standardized levels (0–7) of texture-modified foods and thickened liquids to improve communication and safety in dysphagia management.

Question 5

Cricopharyngeal dysfunction (CP dysfunction) refers to impairment of which structure's ability to open during swallowing?

Accepted Answer

Upper esophageal sphincter

Answer

Cricopharyngeal dysfunction involves failure of the cricopharyngeus muscle (main component of the UES) to relax and open during swallowing, causing bolus retention in the pharynx.

CCC Practice Test

CCC Practice Test

CCC Swallowing and Feeding Disorders 2