Exam Preview for 1351: What’s Swallowing Got to Do With it? Respi

What’s Swallowing Got to Do With it? Respiration and Swallowing in Patients with Acute Respiratory Distress Syndrome (ARDS) and Tracheostomy

Please note: exam questions are subject to change.

1. Breathing-swallow dyscoordination in patients with ARDS may manifest as: Post-swallow inhalation Decreased tolerance for respiratory pause associated with swallow Shorter than typical respiratory pause with swallowing All of the above
2. What is known about dysphagia risk in post-extubation patients? There is no risk of dysphagia following intubation Risk of dysphagia increases after 12 or more hours of intubation Risk of dysphagia decreases following more prolonged periods of intubation Risk of dysphagia is not related to duration of intubation
3. What is understood about the relationship between lung volumes, swallowing and tracheostomy status? Lower lung volumes and subglottic pressures are associated with aspiration Open tracheostomy does not have an impact on lung volume or subglottic pressure Swallows that occur at higher lung volumes are more likely to result in aspiration Subglottic pressure varies independently of lung volumes
4. Restoration of airflow through the upper airway can improve swallow outcomes. This can be accomplished by: Cuff inflation Regular leak testing Speaking valve trials Increased trach diameter
5. In addition to restoring speech and voice, speaking valves have the potential to improve swallow function by: Increasing air stacking Improving oral hygiene Improving airflow for cough Increasing respiratory rate