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Dysphagia Management Knowledge Test Quiz

Test Your Swallowing Management Skills Today

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting a quiz on Dysphagia Management Knowledge Test

Embark on a comprehensive dysphagia quiz designed to sharpen your understanding of swallowing disorder assessment and management. With 15 targeted multiple-choice questions, this Dysphagia Management Knowledge Test blends clinical scenarios and evidence-based strategies to challenge both novices and seasoned professionals. This quiz is perfect for speech-language pathologists, nurses, and allied health practitioners aiming to elevate their patient care skills. Customize every question effortlessly in the editor to match your training needs. Don't forget to check out the Medication Management Knowledge Test or explore the Safety Management Systems Knowledge Test, and browse all quizzes to keep growing your expertise.

Which of the following describes dysphagia?
Difficulty breathing
Difficulty swallowing
Difficulty speaking
Difficulty tasting
Dysphagia specifically refers to difficulty swallowing. It does not involve breathing, speaking, or tasting functions.
Which of the following is a common risk factor for developing dysphagia?
Asthma
Hypertension
Stroke
Diabetes mellitus
Stroke often damages neural pathways controlling swallowing and is a well-known risk factor for dysphagia. Hypertension, asthma, and diabetes are not direct risk factors for swallowing impairment.
Which sign during a meal most strongly suggests aspiration risk?
Lip smacking
Coughing during meals
Excessive saliva production
Drooling after meals
Coughing during meals is a hallmark sign of aspiration or material entering the airway. Lip smacking, excess saliva, or drooling may indicate other oral-motor issues but not specifically aspiration.
Which of these is a common bedside screening tool for swallowing evaluation?
Videofluoroscopic swallow study
EAT-10 questionnaire
Fiberoptic endoscopic evaluation of swallowing
3-ounce water swallow test
The 3-ounce water swallow test is a simple bedside screening tool to identify swallowing safety. EAT-10 is a patient questionnaire, while VFSS and FEES are instrumental assessments.
What dietary modification is recommended for a patient with thin-liquid dysphagia to reduce aspiration risk?
High-fiber diet
Thickened liquids
Low-sodium diet
Low-residue diet
Thickening thin liquids slows bolus flow and reduces aspiration risk in dysphagia. Low-residue, high-fiber, or low-sodium diets address other gastrointestinal or cardiovascular concerns, not swallowing safety.
The EAT-10 tool is designed to assess which aspect of swallowing?
Respiratory function
Cognitive status
Patient-perceived swallowing difficulty
Nutritional status
The EAT-10 is a validated self-report questionnaire measuring a patient's perception of their swallowing difficulty. It does not directly assess respiratory, cognitive, or nutritional parameters.
During a bedside swallowing evaluation, assessing which cranial nerve checks pharyngeal sensation?
Facial (VII)
Glossopharyngeal (IX)
Hypoglossal (XII)
Trigeminal (V)
Cranial nerve IX (glossopharyngeal) mediates pharyngeal sensation and the gag reflex. Facial, trigeminal, and hypoglossal nerves serve other sensory or motor functions unrelated to pharyngeal sensitivity.
Within the IDDSI framework, which level corresponds to a pureed food consistency?
Level 3
Level 5
Level 4
Level 2
IDDSI Level 4 is designated for pureed foods that require minimal chewing. Levels 2 and 3 refer to minced and moist, or liquidised foods, and Level 5 is for minced and moist textures.
The chin-tuck maneuver primarily reduces aspiration by doing what?
Narrowing the airway entrance
Increasing tongue pressure
Stimulating the gag reflex
Relaxing pharyngeal muscles
Tucking the chin narrows the laryngeal vestibule entrance and redirects the bolus away from the airway. It does not directly affect tongue pressure, gag reflex, or pharyngeal muscle relaxation.
Alternating solids and liquids during meals helps primarily to:
Improve dentition
Clear pharyngeal residue
Reduce overall meal time
Increase calorie intake
Alternating bites and sips helps wash down food residue left in the oropharynx, reducing aspiration risk. It is not intended to alter caloric intake, dental health, or meal duration.
Which professional leads therapeutic swallowing exercises?
Physical therapist
Occupational therapist
Speech-language pathologist
Dietitian
Speech-language pathologists are specialists in assessment and treatment of dysphagia, including swallowing exercises. Other therapists and dietitians focus on related but distinct areas of care.
Which scale quantifies penetration and aspiration events on VFSS?
Functional Oral Intake Scale
Dysphagia Outcome Severity Scale
Penetration-Aspiration Scale
Gugging Swallowing Screen
The Rosenbek Penetration-Aspiration Scale rates severity of airway invasion seen on videofluoroscopy. The other tools measure intake levels, severity, or screening outcomes but not specific VFSS events.
Which member is least likely to be on a comprehensive dysphagia team?
Cardiothoracic surgeon
Dietitian
Neurologist
Speech-language pathologist
Cardiothoracic surgeons are not routinely involved in dysphagia management. SLPs, dietitians, and neurologists commonly collaborate on diagnosis, therapy, and underlying neurological causes.
To monitor hydration in a patient on thickened liquids, the best documentation method is:
Daily fluid intake chart
Visual assessment of tongue
Weekly weight measurement
Blood pressure before meals
A daily fluid intake chart accurately tracks volumes consumed, ensuring hydration goals are met. Weight, blood pressure, or tongue appearance are indirect and less precise measures.
Which exercise prolongs laryngeal elevation and UES opening?
Effortful swallow
Mendelsohn maneuver
Shaker exercise
Supraglottic swallow
The Mendelsohn maneuver involves voluntarily holding the larynx in an elevated position to prolong UES opening. Shaker exercises strengthen suprahyoid muscles but do not specifically sustain elevation.
A patient scores 6 on the EAT-10 questionnaire. How is this best interpreted?
Normal swallowing function
Significant dysphagia requiring further evaluation
Neuromuscular disorder diagnosis
Mild dehydration
An EAT-10 score of 3 or higher indicates patient-reported swallowing difficulties that warrant comprehensive evaluation. It does not diagnose dehydration or specific neuromuscular disorders.
In a patient with COPD and cognitive impairment, the optimal dysphagia management approach is:
Multidisciplinary assessment including SLP, respiratory therapy, and neuropsychology
Rely solely on FEES findings
Increase caloric density of pureed meals only
Prescribe a pureed diet without further evaluation
Complex cases with respiratory and cognitive issues require coordinated input from multiple disciplines to balance swallowing safety, respiratory status, and cognitive capacity. Single interventions are insufficient.
Which advanced technique uses surface EMG to provide real-time feedback during swallowing exercises?
Manometry
Fiberoptic endoscopic evaluation
sEMG biofeedback
Videofluoroscopy
Surface electromyography (sEMG) biofeedback measures muscle activity during swallowing and provides visual or auditory feedback. VFSS and FEES are imaging methods, while manometry measures pressure without feedback.
For a patient with delayed pharyngeal swallow and poor bolus propulsion, which compensatory strategy is most appropriate?
Supraglottic swallow
Head rotation toward the weaker side
Effortful swallow
Head extension
Rotating the head toward the weaker side closes that side of the pharynx, directing the bolus down the stronger channel and improving clearance. Head extension and other maneuvers serve different dysfunctions.
Which documentation metric best tracks a patient's progression in oral intake levels over time?
Visual Analog Scale for pain
Functional Oral Intake Scale (FOIS)
Body mass index (BMI)
Length of hospital stay
The FOIS categorizes the degree of oral intake from tube-dependent to full oral intake, allowing clear tracking of diet progression. BMI, stay duration, and pain scales do not measure oral intake levels.
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Learning Outcomes

  1. Identify common signs and risk factors of dysphagia
  2. Apply validated screening tools for swallowing difficulties
  3. Evaluate appropriate diet modifications and feeding strategies
  4. Demonstrate safe swallowing techniques in patient care
  5. Analyse interdisciplinary approaches to dysphagia management
  6. Master documentation and monitoring protocols for dysphagia outcomes

Cheat Sheet

  1. Recognizing Dysphagia Signs - Did you know that a surprising number of coughs during meals or sudden weight loss might be your body's SOS for swallowing trouble? Spotting these sneaky signals early is like catching a plot twist before it happens, and can make all the difference in keeping everyone safe and nourished. Dysphagia: causes, assessment, treatment, and management
  2. Using Validated Screening Tools - Think of the Bedside Swallowing Assessment as your detective kit for swallowing mysteries. These quick, reliable tests help you spot issues fast so you can leap into early intervention mode and prevent bigger problems down the line. Dysphagia: Evaluation and Collaborative Management
  3. Implementing Diet Modifications - Transforming textures and thickening liquids might sound boring, but it's really a superpower move to keep patients safe and well-nourished. With the right menu tweaks, you can turn every meal into a safe, satisfying feast. Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H
  4. Mastering Safe Swallowing Techniques - The chin-tuck and head-turn aren't dance moves - they're clever tricks to guide food and drink down the right channel. Tailoring these simple maneuvers can dramatically reduce choking risks and boost confidence at mealtime. Dysphagia: Evaluation and Collaborative Management
  5. Collaborating with the Care Team - Dysphagia isn't a solo gig - it's a band performance featuring speech-language pathologists, dietitians, and physicians all playing in harmony. Teamwork ensures every angle is covered, from precise assessment to yummy, safe meals on the table. Dysphagia: Evaluation and Collaborative Management
  6. Perfecting Documentation Practices - Good notes are like breadcrumbs on your care journey - they show where you've been and guide your next moves. Accurate records help track progress, spot trends, and tweak plans for the best patient outcomes. Impaired Swallowing (Dysphagia) Nursing Diagnosis & Care Plan
  7. Exploring Enteral Feeding Options - When oral intake hits a roadblock, nasogastric tubes and PEGs step in as nutritional superheroes. Understanding these methods ensures patients keep getting the fuel they need, even when swallowing takes a break. Dysphagia: Evaluation and Collaborative Management
  8. Addressing Cognitive Decline Factors - Conditions like Alzheimer's can tangle the swallowing process in unexpected ways, so customized strategies become your secret weapon. Tailored interventions keep mealtime safe, engaging, and respectful of each patient's unique journey. Dysphagia: causes, assessment, treatment, and management
  9. Keeping Up with Recent Advances - From cutting-edge diagnostics to novel therapies, the world of dysphagia management is a hotbed of innovation. Staying in the loop means your care toolkit is always stocked with the latest, greatest techniques. Recent advances in dysphagia management
  10. Emphasizing Patient-Centered Care - Every swallow tells a story, so weaving in personal preferences and quality-of-life goals turns care plans into tailor-made adventures. When patients feel heard and honored, outcomes - and smiles - soar. Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H
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