SLP Swallowing and Feeding Disorders 4

Question 1

Which phase of swallowing is entirely under voluntary control?

Accepted Answer

Oral preparatory phase

Answer

The oral preparatory phase, which includes mastication and bolus formation, is fully voluntary; the pharyngeal and esophageal phases are primarily reflexive once triggered.

Question 2

A patient receives a G-tube recommendation due to severe aspiration pneumonia. As the SLP, your PRIMARY role at this stage is to:

Accepted Answer

Provide information about swallowing status, risks, and options to support the patient's informed decision

Answer

The SLP's role is to provide objective data about swallowing function, aspiration risk, and prognosis so the patient and team can make an informed, patient-centered decision.

Question 3

Which neuromuscular disease is associated with myotonic discharges, ptosis, and progressive dysphagia particularly affecting the pharyngeal and esophageal phases?

Accepted Answer

Myotonic Dystrophy (DM1)

Answer

Myotonic Dystrophy Type 1 (DM1) causes pharyngeal and esophageal dysphagia, ptosis, and myotonia, and is one of the most common muscular dystrophies affecting swallowing in adults.

Question 4

In neonatal feeding, the suck-swallow-breathe (SSB) ratio for a term infant during nutritive sucking is typically:

Accepted Answer

1:1:1

Answer

A term infant coordinates a 1:1:1 suck-swallow-breathe ratio during nutritive sucking, reflecting mature neuromuscular coordination of feeding.

Question 5

Zenker's diverticulum causes dysphagia primarily because:

Accepted Answer

It creates a false lumen that traps food superior to an incompletely relaxing cricopharyngeus

Answer

Zenker's diverticulum is a pharyngeal pouch that forms due to cricopharyngeal dysfunction; food accumulates in the pouch rather than passing through the UES, causing dysphagia and regurgitation.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Swallowing and Feeding Disorders 4