Cricopharyngeus
The ______ is the primary (sphincter) muscle that separates the pharynx from the esophagus.
Muscles of mastication: elevators of mandible
What is the best way to group these muscles together? Temporalis, Masseter, Medial Pteryoid
Hypoglossal (XII)
What CN innervates the intrinsic tongue muscles and three of the extrinsic tongue muscle?
Tongue elevates superiorly and posteriorly carrying the bolus to the level of the faucial arch
Which action does not occur as part of the pharyngeal phase of swallowing?
Recurrent pneumonia and unplanned weight loss
Which of the following represent a red flag indicating the need for swallowing evaluation?
Left hemisphere
UMN lesion with the tongue deviating to the right
Right side
During your oromotor examination you observe the uvula deviates to the left on phonation of vowel prolongation "ahhh"
The weaker or affected side is _______
Hypoglossal (XII)
You ask the patient to protrude and retract the tongue. What nerve are you assessing?
Wet gurgly voice
Clinical observations that indicate a pharyngeal phase disorder include
Gain insight in the etiology of dysphagia; determine readiness for an instrumental assessment
A clinical evaluation can:
Poor secretion management
Which clinical observation has been shown to correlate with inability to maintain safe oral intake?
Logemann 4 finger method
Which clinical evaluation tool can give gross information about timing of bolus flow through the pharynx?
3 oz water test
Which clinical tool has the highest degree of accuracy in predicting dysphagia/aspiration risk?
Pooled secretions not captured; sampled in artificial eating env; time constraints due to radiation exposure
Weaknesses of MBS
Reduced glottic closure
What is physiological reason that a patient might aspirate during the swallow?