CD 5530
Swallowing Disorders
Final Exam
Name _________________________________
1. What are the goals of a swallowing assessment? (10)
2. Name three "specialties" whose reports would be relevant to you when reviewing a
patient's chart before a swallowing assessment. Indicate what information you would
glean from their reports and why that information is important. (12)
3. Compare and contrast the MBS and FEES. Indicate the advantages/disadvantages of each procedure. (12)
.4. During the initial swallows of liquid during an MBS, you note that the patient aspirated
during the swallow (i.e., mid-reflex). What techniques/strategies might you try during the
MBS to see if they eliminate the aspiration? Provide at least three possible suggestions
along with rationale for why the technique might work. (18)
5. Name three "problems" (i.e., causes, impairments) for which you might recommend the
Mehdelsohn maneuver as either a compensatory technique or therapy. (10)
6. What is the difference between suckling and mature sucking? (10)
7. How does a cleft palate affect swallowing function? (10)
8. A mother has asked you if it is now appropriate for her to introduce spoon-fed semi-solids
(baby food, chopped noodles) to her child. What factors would you consider or need to
assess in order to provide good advice? (10)
9. The head of quality assurance at your facility has asked you to develop a QA program for the dysphagia team. What are four indicators (measurements/observations) you might monitor to demonstrate that you are providing quality services? (8) Bonus: indicate whether your measures are process indicators or outcome indicators (4 points extra credit).