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Chapter 116: Oropharyngeal Dysphagia in Adults
from TEST BANK; Buttaro: Primary Care Interprofessional Collaborative Practice 6TH EDITION. All Chapters
by StudyGuide
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
Multiple Choice
1. An older adult patient has recently experienced weight loss. The patient’s spouse reports noticing coughing and choking when eating. What is the likely cause of this presentation?
a. Esophageal dysphagia b. Oral stage dysphagia c. Pharyngeal dysphagia d. Xerostomia causing dysphagia
ANS: C a. Computerized tomography (CT) of the head and neck b. Electroglottography c. Electron microscopy d. Videofluoroscopy (VFES)
Pharyngeal dysphagia often results from weakness or poor coordination of the pharyngeal muscles which can cause delayed swallow and failure of airway protection, leading to coughing and choking. Esophageal dysphagia is associated with pain after swallowing. Oral stage disorders are related to poor bolus control and result in drooling or spilling. Xerostomia is when oral mucous membranes are dry.
2. Which diagnostic study is best to evaluate a swallowing disorder?
ANS: D
Videofluoroscopy is the most appropriate because it visualizes the actual swallow. Electroglottography and electron microscopy may be appropriate but are more limited. CT evaluation may aid in diagnosis but does not describe the actual swallow mechanism.
NURSINGTB.COM a. Surface electrical stimulation b. Teaching head rotation c. Thickened liquids d. Thinning liquids
3. A patient experiences a feeding disorder after a stroke that causes disordered tongue function and impaired laryngeal closure. What intervention will be helpful to reduce complications in this patient?
ANS: C
Thickening liquids is helpful for patients with disordered tongue function and impaired laryngeal closure, because there is a reduced tendency for liquids to spill over the tongue base and cause aspiration. Surface electrical stimulation helps improve strength of muscles but does not address the problem of aspiration. Teaching head rotation is used for patients with unilateral laryngeal dysfunction. Thinning liquids is used for patients with weak pharyngeal contraction.
