CSG Dysphagia & Swallowing Disorders 2

Question 1

Which bedside screening test for dysphagia requires the patient to drink 3 ounces of water without stopping?

Accepted Answer

3-oz water swallow test

Answer

Mann Assessment of Swallowing Ability (MASA)

Answer

Standardized Swallowing Assessment (SSA)

Answer

Toronto Bedside Swallowing Screening Test (TOR-BSST)

Question 2

Videofluoroscopic Swallowing Study (VFSS) is the gold-standard instrumental assessment for dysphagia. Which contrast medium is used to visualize the swallowed bolus?

Accepted Answer

Barium sulfate

Answer

Gadolinium-based contrast

Answer

Technetium-99m radiolabel

Answer

Water-soluble iodine contrast (Gastrografin)

Question 3

Silent aspiration is particularly dangerous in older adults because:

Accepted Answer

It occurs without cough reflex activation, making it undetected until pneumonia develops

Answer

It causes immediate laryngospasm detectable by caregivers

Answer

It only occurs with thin liquids and is easily prevented

Answer

It triggers an immediate gag reflex that alerts clinicians

Question 4

A patient on a pureed dysphagia diet is at greatest risk for deficiency of which nutrient compared to peers eating a regular diet?

Accepted Answer

Dietary fiber

Answer

Sodium

Answer

Potassium

Answer

Vitamin B12

Question 5

A wet or gurgling vocal quality heard immediately after swallowing a bolus is a clinical sign most indicative of:

Accepted Answer

Pharyngeal residue or aspiration of material onto the vocal folds

Answer

Oral phase impairment with pocketing

Answer

Cricopharyngeal bar obstruction

Answer

Esophageal dysmotility

Question 6

The Shaker exercise (sustained head-lift exercise) is a rehabilitative technique used to improve dysphagia by:

Accepted Answer

Improving hyolaryngeal excursion and upper esophageal sphincter opening

Answer

Strengthening the tongue tip for better lip seal

Answer

Increasing salivary flow to aid bolus formation

Answer

Reducing oropharyngeal transit time

Question 7

Which medication class commonly prescribed to older adults is associated with drug-induced esophagitis and increased dysphagia risk, particularly if not taken with adequate water and in an upright position?

Accepted Answer

Bisphosphonates (e.g., alendronate)

Answer

ACE inhibitors

Answer

Thiazide diuretics

Answer

Beta-adrenergic blockers