CSG Dysphagia & Swallowing Disorders 3

Question 1

In the IDDSI framework, which level describes 'thin' liquids such as water, coffee, and juice in their standard unmodified form?

Accepted Answer

Level 0 (Thin)

Answer

IDDSI Level 0 (Thin) describes liquids in their natural unmodified state including water, juice, coffee, and broth, which flow rapidly and require the most intact swallowing function.

Question 2

The supraglottic swallow technique is designed to protect the airway by instructing the patient to:

Accepted Answer

Inhale deeply, hold the breath before and during swallowing, then cough voluntarily after swallowing

Answer

The supraglottic swallow involves voluntary breath-hold before and during swallowing to close the vocal folds early, followed by a purposeful cough to clear any residue or aspirate from the airway.

Question 3

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is preferred over VFSS in which clinical scenario?

Accepted Answer

When radiation exposure must be minimized and bedside evaluation is needed

Answer

FEES is a portable, radiation-free procedure that can be performed at the bedside or in ICU settings, making it ideal for medically unstable patients or situations where minimizing radiation is a priority.

Question 4

Xerostomia (dry mouth), which is prevalent in older adults often due to polypharmacy, increases dysphagia risk primarily by:

Accepted Answer

Reducing the lubrication required for cohesive bolus formation and oral transit

Answer

Saliva provides essential lubrication for mixing food into a cohesive bolus and facilitating smooth transit through the oral cavity and pharynx; xerostomia impairs this function, leading to fragmented boluses and increased aspiration risk.

Question 5

The Masako maneuver (tongue-holding maneuver) used in dysphagia rehabilitation primarily strengthens which swallowing structure?

Accepted Answer

Posterior pharyngeal wall via increased anterior bulging

Answer

The Masako maneuver, performed by holding the tongue between the teeth during swallowing, forces the posterior pharyngeal wall to bulge anteriorly to contact the tongue base, strengthening posterior pharyngeal wall musculature.

CSG - Certified Specialist in Gerontological Nutrition Practice Test

CSG - Certified Specialist in Gerontological Nutrition Practice Test

CSG Dysphagia & Swallowing Disorders 3