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

The 3-oz water swallow test screens for aspiration risk by observing for coughing, voice change, or desaturation after drinking 90 mL of water in a single continuous effort.

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

Barium sulfate is mixed with various food and liquid consistencies during VFSS to provide radiographic contrast, allowing real-time visualization of bolus flow and aspiration events under fluoroscopy.

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

Silent aspiration occurs when food or liquid enters the airway below the vocal folds without triggering a cough response, commonly due to reduced laryngeal sensitivity in older adults, leading to undetected aspiration pneumonia.

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

Pureed diets typically exclude high-fiber foods like whole grains, raw vegetables, and legumes, placing patients at significant risk for dietary fiber deficiency, which can worsen constipation.

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

A wet or gurgling voice post-swallow indicates residue or aspirated material is resting on or near the vocal folds, altering their vibration during phonation.

CSG - Certified Specialist in Gerontological Nutrition Practice Test

CSG - Certified Specialist in Gerontological Nutrition Practice Test

CSG Dysphagia & Swallowing Disorders 2