SLP Swallowing and Feeding Disorders 3

Question 1

On a fiberoptic endoscopic evaluation of swallowing (FEES), the clinician observes white secretions pooling in the pyriform sinuses bilaterally at rest. This finding MOST suggests:

Accepted Answer

Impaired pharyngeal peristalsis with bilateral pharyngeal weakness

Answer

Bilateral pooling in the pyriform sinuses indicates reduced pharyngeal contraction bilaterally, which fails to clear residue from both sides of the pharynx.

Question 2

Which texture/liquid modification in the IDDSI (International Dysphagia Diet Standardisation Initiative) framework corresponds to Level 4?

Accepted Answer

Pureed foods

Answer

IDDSI Level 4 corresponds to 'Pureed' foods, which are smooth, moist, and have no lumps, requiring no chewing.

Question 3

Cervical auscultation is used during bedside swallowing evaluation primarily to:

Accepted Answer

Detect changes in swallowing sounds suggestive of dysphagia

Answer

Cervical auscultation uses a stethoscope placed on the neck to detect acoustic features of swallowing that may suggest abnormality, but it cannot confirm or rule out aspiration definitively.

Question 4

A patient with ALS presents with fasciculations of the tongue, severe dysarthria, and progressive dysphagia. The dysphagia pattern in ALS is primarily attributed to:

Accepted Answer

Combined upper and lower motor neuron involvement

Answer

ALS affects both upper and lower motor neurons, causing a mixed pattern of spasticity and flaccidity that results in progressive bulbar dysfunction and dysphagia.

Question 5

During a MBSS, a clinician observes the bolus coating the laryngeal surface of the epiglottis without penetrating below the level of the true vocal folds. Using the Penetration-Aspiration Scale (PAS), this is rated as:

Accepted Answer

PAS 2

Answer

PAS 2 is assigned when material enters the airway above the level of the vocal folds and is ejected from the airway (material enters the laryngeal vestibule without reaching the cords and is cleared).

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Swallowing and Feeding Disorders 3