CSG Dysphagia & Swallowing Disorders

Question 1

Which phase of swallowing is most commonly impaired in older adults with neurological conditions such as stroke or Parkinson's disease?

Accepted Answer

Pharyngeal phase

Answer

Oral preparatory phase

Answer

Oral transport phase

Answer

Esophageal phase

Question 2

The International Dysphagia Diet Standardisation Initiative (IDDSI) framework categorizes foods and liquids into how many levels?

Accepted Answer

8 levels (0–7)

Answer

5 levels (0–4)

Answer

6 levels (0–5)

Answer

7 levels (0–6)

Question 3

Which condition is the single most common cause of oropharyngeal dysphagia in older adults in the United States?

Accepted Answer

Stroke

Answer

Parkinson's disease

Answer

Dementia

Answer

Head and neck cancer

Question 4

The 'chin tuck' compensatory maneuver during swallowing is designed primarily to:

Accepted Answer

Narrow the laryngeal vestibule to reduce aspiration risk

Answer

Prevent gastroesophageal reflux

Answer

Strengthen the tongue base musculature

Answer

Reduce cricopharyngeal muscle tension

Question 5

Aspiration pneumonia secondary to dysphagia in older adults is most commonly caused by which source of organisms?

Accepted Answer

Mixed anaerobes from oropharyngeal flora

Answer

Environmental gram-negative rods

Answer

Staphylococcus aureus from skin flora

Answer

Streptococcus pneumoniae from community exposure

Question 6

A patient with mild dysphagia has difficulty with thin liquids but tolerates soft foods. Which intervention is the most appropriate first step?

Accepted Answer

Recommend thickened liquids per SLP guidance

Answer

Initiate enteral tube feeding

Answer

Restrict all oral intake pending VFSS

Answer

Start a pureed diet with no liquids

Question 7

Sarcopenic dysphagia refers to swallowing difficulty caused by:

Accepted Answer

Age-related loss of swallowing muscle mass and strength

Answer

Esophageal stricture from long-term GERD

Answer

Radiation-induced fibrosis of the pharynx

Answer

Neurological damage from Parkinson's disease