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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