Ch. 4 Dysphagia
| Question | Answer |
|---|---|
| Contraction of scars, the result of surgical excision, may result in dysphagia long after surgery. | True |
| Dysphagia following surgery is related to the area where the surgery was done. | False: dysphagia can occur as a result of changes in area other than where the surgery was done |
| High vagal lesions are common after skull base surgery | False: lower cranial neuropathies are common |
| Injury to Cranial Nerve XII following surgery is likely to result in loss or partial loss of sensation. | True |
| The tongue alone is capable of propelling the bolus to the anterior faucial arches. | False: tongue needs a contact point, otherwise the bolus flows by gravity |
| Surgery for tumors of the soft palate is the best management technique to improve oral phase swallowing. | false: best is a prosthetic device |
| Laryngeal elevation is reduced when the genioglossus and glossopharyngeal muscles are involved in surgery | True |
| A tracheotomy tube provides an additional mechanism to aid in laryngeal elevation. | false: tracheotomy tube usually causes larynx to be lowered |
| Zenker's diverticulum is best treated with medication to control gastroesophageal reflux | False: best treated with surgery |
| Surgery of the palate causes a swallowing disorder due to | reduced propulsion, regurgitation, and bolus transfer |
| Following skull base surgery for a neoplasm that involves a high vagal injury, the patient will experience | vocal fold paralysis |
| Injury to Cranial Nerve VII is likely to result in all but one of the following : | Vocal fold weakness |
| Floor of the mouth surgery for oral cancer intereferes primarily with what stage of swallowing? | oral prepatory |
| Surgery for cancer of the tongue resulting in partial glossectomy will effect propulsion if: | the tongue doesn't protrude an oral motor testing and the lip seal is impaired |
| Surgery to remove tumors on the hard palate results in | oral phase dysphagia, hypernasal speech and regurgitation |
| Surgery to the hypopharyngeal walls results in: | partial loss of sensation in hypopharynx, buildup of food in hypopharynx, aspiration of liquids and solids |
| The need for a tracheostomy tube increases the likelihood of aspiration due to all except: | reduced lingual elevation |
| The primary valve for preventing fluids or foods from entering the lungs is the: | vocal folds |
| 19. The most common reason for not treating a patient with surgery for a Zenker's deverticulum is: | due to other medical problems, patient is unable to tolerate anesthesia |
| Dysphagia after cervical spine surgery is: | common in early postoperative period, self limited, and often due to injury to the recurrent laryngeal nerve |
| Dysphagia after cervical spine surgery is due to: | scarring of the retropharyngeal space, edema, disruption of the pharyngeal plexus, and pain |
| after skull base surgery patients may suffer aspiration due to : | injury to the vagus and deconditioning |
| Patients with a Zenker's diverticulum often present with: | regurgitation |
| Dysphagia in patients with cancer of the upper aerodigestive tract is: | often present at the time of diagnosis, often intractable, and corrected with successful treatment of cancer |
| The term given to lip damage resulting in difficulty placing food in the mouth and on the tongue is: | microstomia |
| Voice changes, liquid aspiration and piriform sinus pooling may all be attributed to injury to which cranial nerve? | CN 10: vagus |
| A valve used to increase subglottice air pressure in patients fitted with a tracheostomy tube is called? | expiratory speaking valve (passy Muir) |
| This valve(passy muir) contributes to improved swallowing in two ways, what are they? | increases subglottic pressure, restores proprioceptive cues during bolus prep |
| A pouch near the cricopharyngeus muscle that collects food particles and is caused by muscle weakness is called a? | Zenker's dieverticulum |
| 30. The main purpose of the tracheotomy tube is: | to bypass an obstruction to allow the patient to breathe. |
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