Dysphagia

dysphagia is a symptom or a diagnosis?

Is dysphagia it's own separate diagnosis?

Name three people on the dysphagia team?

How many phases to a swallow?

what are the three phases of a swallow?

what happens during the oral phase of the swallow?

what happens during oral transit?

What part of the body may be weak and cause the oral phase of a swallow not to work?

Which phase (1, 2, 3) is the actual swallow of a swallow?

If your esophogus doesn't work, can you swallow?

Can you see the submucus cleft when you open your mouth?

Vocal folds, abduct or adduct during a swallow?

vocal folds add or abd when you say "Ah"?

Can you diagnose someone if they can't say "ah"? or have no voice?

Should you help a person with no voice before knowing what their vocal folds look like?

What happens during the pharyngeal phase of the swallow?

Can you see the pharyngeal phase of the swallow?

Someone says food gets stuck in the chest, which phase of the swallow is this?

food is stuck in the throat, which phase of the swallow?

Slurred speech is related to what diagnosis?

Who can diagnosis dysarthria?

Do you worry about the swallow of an apraxic or dysarthric person?

What disorder is this: the person can talk with great fluidity, but nothing is intelligible?

You can talk, but you can't get the words out, what is this known as?

Do you worry about a dispraxic person?

Which, L/R, CVA is related to apraxia?

Which, L/R, CVA is related to dysarthria?

Do you worry about the L or R CVA patient first for swallowing?

Which nerves are important to swallow? (how many?)

What is CN V?

CN V controls what?

Physicians Test, Corneal Reflex, what nerves are they testing?

How can you test CN VII? (Not the Corneal Reflex test)

CN VII - expression - is efferent. Where does it come from?

What is the motor function of CN VII?

Name the two muscles of CNVII?

What is the role of the digastric muscle?

Where is the hyoid bone located?

Is the hyoid bone necessary for a swallow to occur?

The digastric muscle also depresses what?

What are the sensory parts of CN VII?

Nervus intermedius has what two components?

CN VII also supplies a small amount of sensory input where?

Where is the oral pharynx located?

How many branches does the CN VII have?

The 5 branches of the CN VII are located where?

Name the 5 branches of CN VII:

CN V is called what?

which nerve is the largest?

CN V does what?

Which nerve is the longest and most complex?

CN V innervates what?

What areas of mastication does CN V innervate? (4)

There are how many branches of the trigeminal?

What are the 3 branches of the trigeminal called?

CN V: Opthalmic is for:

CN V: Maxillary is for:

CN V: Mandibular is for:

Which part of the trigeminal nerve is the longest branch?

What are the three branches of the trigemina?

Opthamlic provides sensation of the ...?

Maxillary has sensation of the...

Mandibular has mixed motor and sensory. It innervates?

Mandibular is the anterior/posterio belly of what?

What does the mandibular provide sensation to?

Where does the mylohyoid run from?

Mylohyoid provides what?

What does the mylohyoid elevate?

What happens if the hyoid is fixed in place by other muscles, the mylohyoid will do what?

What does the anterior belly of the digastric do?

If the anterior belly of the digastric has the hyoid fixed in place by other muscles, what will it do?

What portion of the tongue controls taste?

How can you get dysphagia? Name a few...

Is dysphagia always similar?

What is the #3 reason of cause of death?

How many patients have difficulty swallowing post stroke?

How many stroke patients die of aspiration in the first year?

How many stroke patients die of aspiration pneumonia after the 1st year?

Which part of the brain has the highest rate of damage causing dysphagia?

If you get damaged to this part of the brain, it's often unremitting, what is it?

Which hemisphere post CVA causes oral phase disorders?

Which hemisphere post CVA has pharyngeal phase disorders?

Rank in order of concerns for swallowing: L CVA, Brainstem, R CVA

What are aspects of cognition?

What is nosocomial pneumonia caused from and what is it associated with?

What % of normal elderly people have problems swallowing?

Why may an older person have difficulty swallowing?

What is the best plan for a person w/ dysphagia?

Explain what a supraglottic swallow is?

What is the Shakir Exercise?

Can people in acute care do the shakir exercise?

Which patients should you NOT take risks with?

Where are 95 % of tumors located for people with swallowing problems?

What is NPO?

reasons why someone may be NPO?

CN V supplies general sensation or taste from the anterior 2/3 of tongue?

CN V or VII supplies taste from anterior 2/3 of the tongue?

What part tenses the soft palate and assists the levator veli palatini to close the nasopharynx so food does not come out the nose?

What depresses the mandible and protrudes the jaw?

What muscle pulls hyoid backward and elevates the tongue?

What CN is the stylohoid innervated by?

What is it called when you have an inability to open your jaw?

Trismus is caused by what?

What disease happens in CN V?

What is a symptom of trigeminal nueralgia?

What side of the face does trigeminal neuralgia occur in women?

Trigeminal neuralgia is not common bilateral, what disease of faical pain is?

What is known as laterally medullary syndrome?

What are symptoms of Wallenberg?

Name 4 diseases commonly associated w/ CN V?

Diseases related to CN V have what kinds of symptoms?

CN VII or V is related to sinuses, tears, taste?

What is the most common CN VII disorder?

What are other common CN VII problems?

Causes for facial palsy?

What are abnormal facial moments? Dy...

Are tics psychogenic or an associated dysfunction?

What are fassiculations?

CN IX motor innervates what?

What is the role of the stylopharyngeus?

CN IX and X innervate what?

CN IX supplies taste/sensation to the POSTERIOR 1/3 of the tongue and pharynx?

IX supplies sensation to what?

What branch of the CN IX supplies sensation to the eustachian tube, TM, and mastoid region?

Where does the CN IX originate from and innervate to?

What does CN IX penetrate to reach the base of the tongue?

Is the clinical exam of CN X easy?

Which two nerves work together?

What is X and IX working together called?

Rare or common to have a glossopharyngeal lesion?

Name of CN X?

Nickname of the vegus?

Where does X emerge from?

X sends motor fibers to __ and __.

X does NOT send motor fibers to what in the soft palate?

SLN arises from which CN?

SLN sends sensory fibers to ___ and motor fibers to ___.

X follows what in the neck?

Where in the body are the recurrent laryngeal nerves given off?

R or L recurrent laryngeal nerve bends up to ascend tracheoesophageal sulcus?

L or R recurrent laryngeal nerve passes beneath the aortic arch?

Does the recurrent or superior laryngeal nerve supply all of the muscles of the larynx?

SLN or RLN supply cricothyroid muscle?

What nerve supplies the striated muscles of the soft palate, pharynx, and larynx?

Which nerve supplies the tensor veli palatini?

Which CN supplies the stylopharyngeus?

Which nerve supplies taste from epiglottis, hard and soft palate?

Which nerve supplies general visceral sensation to the oropharynx, larynx, lining of thoracic and abdominal viscera?

Name what the Vegus parasympathetic fibers innervate...

What nerve are you testing to see if the soft palate elevates symmetrically and no deviation of the uvula?

Which nerve is important for pharyngeal contraction during swallow and phonation?

Which nerve causes vocal quality to be impacted? You have an inability to reach upper pitch

If you can't produce a volitional cough, respiration is impacted, and there is laryngeal closure during laryngoscopy - which nerve is effected?

There are how many things to look for in a unilateral vegus lesion?

Unilateral X lesion will have what with the palatal arch?

unilateral X lesion will have what happen with the palate during phonation?

The uvula will go where during unilateral X lesion?

What are signs of unilateral X lesion? 2.

where does the vocal cord stay with a unilateral X lesion?

what is the gag reflex like in a unilateral X lesion?

in a unilateral X lesion, a volitional cough is increased/reduced?

Can a vegus lesion be devastating to swallow and voice?

Vegal lesions can be cuased by what?

What some some vegus brainstem and nuclear lesions?

Where the Vegus emerges from the brainstem is called what?

A lesion in the posterior fossa (where X emerges) can include what diseases?

Where can the trunk of the Vegus be injured?

What blood supplies are impacted when Vegus injury occurs at the trunk - neck - ?

What can happen to the voice in a vegus lesion?

What happens to the palate in a bilateral vegus lesion?

Where does air escape when there is a bilateral Vegus lesion?

Bilateral lesion will cause what kind of dysphagia? Where will liquids go?

What is the vocal quality of bilateral vegus lesion?

What is a cough like in a bilateral vegal lesion?

Respiration with a bilateral vegus lesion is slightly or severely compromised?

Can you test sensation of the epiglottis? What nerve does/doesn't this allow you to test?

How can you have a lesion to the SLN?

SLN innervates what?

If the SLN has a lesion, what will vocal quality sound like?

SLN or RLN are easily injured? How?

What can cause a RLN lesion?

Which is damaged more often, R or L recurrent N? Which is longer?

Vocal quality of a Unilateral RLN is?

What is flaccid dysphonia?

A unilateral RLN injury has unilateral paralysis of all laryngeal muscles except?
Why?

Add of abd often affected first in a RLN lesion?

What is it called wehn you have fatigue and weakness from a heart rate of <60?

Syncope (sudden loss of conciousness due to loss of blood pressure) can be a symptom of what?

Syncope with CN X metastasis often accompanies what kind of cancer?

Sudden pain in the neck, ear, and side of the head is with a syncope due to sudden hypotension may be caused by? (disease)

Swallow syncope and Vegus: can result from involvement of what nerve?

What are the three divisions of the larynx?

where does the nasopharynx start and end?

where does the oropharynx start and end?

where does the laryngopharynx start and end?

other name for the nasopharynx?

other name for the laryngopharynx?

what is the oropharynx situated behind?

The laryngopharynx is divided into how many parts?

What are the divisions of the laryngopahrynx?

The lower part of the pharynx is situated behind and partially on the sides of what?

What can you work on if a person has NO swallow?

Give them what if they have no swallow?

role of the frennulum?

doors open how for the posterior crico arytenoid ligament?

intrinsic/extrinsic are close to the surface? are embedded?