Simucase Joseph Transcript | Adult Dysphagia
& Total Glossectomy Assessment Complete
SLP Evaluation, Diagnosis & Treatment
Recommendations | 2026 Updated
SECTION 1
1. What is Joseph's primary reason for seeking SLP services at this time?
A) He was recently diagnosed with oral tongue cancer
B) He is searching for a new job and interested in additional therapy
C) He requires a feeding tube placement
D) He was referred by his oncologist for routine follow-up
Answer: B) He is searching for a new job and interested in additional therapy
Rationale: Joseph is a 49-year-old veteran who is status post total glossectomy and
completed chemotherapy and radiation therapy. He is currently searching for a new job
and is interested in pursuing additional therapy at this time .
2. How long ago did Joseph undergo his total glossectomy?
A) 6 months
B) 1 year
C) 3 years
D) 5 years
Answer: C) 3 years
Rationale: Joseph is status post total glossectomy for squamous cell carcinoma of the
oral tongue that occurred three years ago .
,3. What type of cancer did Joseph have that necessitated the total glossectomy?
A) Squamous cell carcinoma of the oral tongue
B) Adenocarcinoma of the parotid gland
C) Squamous cell carcinoma of the larynx
D) Basal cell carcinoma of the lip
Answer: A) Squamous cell carcinoma of the oral tongue
Rationale: Joseph underwent total glossectomy specifically for squamous cell carcinoma
of the oral tongue .
4. What additional oncological treatments did Joseph receive besides surgery?
A) Chemotherapy only
B) Radiation therapy only
C) Chemotherapy and radiation therapy
D) Immunotherapy only
Answer: C) Chemotherapy and radiation therapy
Rationale: Joseph completed both chemotherapy and radiation therapy following his
total glossectomy .
5. What are the primary sequelae of Joseph's treatments?
A) Complete recovery with minimal deficits
B) Mild dysphagia and normal intelligibility
C) Severe dysphagia and reduced intelligibility
D) Respiratory compromise only
Answer: C) Severe dysphagia and reduced intelligibility
Rationale: Joseph's treatments resulted in severe dysphagia and reduced intelligibility .
,6. What is Joseph's veteran status?
A) Active duty
B) Retired from military service
C) Veteran
D) National Guard
Answer: C) Veteran
Rationale: Joseph is identified as a veteran in the case description .
7. In what setting is Joseph's evaluation taking place?
A) Acute care hospital
B) Inpatient rehabilitation
C) Outpatient SLP clinic
D) Home health
Answer: C) Outpatient SLP clinic
Rationale: The SLP assigned to complete his evaluation is an outpatient speech-
language pathologist .
8. What is Joseph's age?
A) 39 years old
B) 49 years old
C) 59 years old
D) 69 years old
Answer: B) 49 years old
Rationale: Joseph is identified as a 49-year-old veteran .
, 9. What is the recommended time for completion of this Simucase evaluation?
A) 30 minutes
B) 45 minutes
C) 60 minutes
D) 75 minutes
Answer: D) 75 minutes
Rationale: The Simucase case indicates that the recommended time for completion is 75
minutes .
10. Which of the following best describes a total glossectomy?
A) Partial removal of the tongue
B) Complete removal of the tongue
C) Removal of the larynx
D) Removal of the pharynx
Answer: B) Complete removal of the tongue
Rationale: A total glossectomy involves the complete surgical removal of the tongue.
Joseph underwent this procedure for squamous cell carcinoma .
11. Why would a total glossectomy significantly impact swallowing function?
A) It only affects taste sensation
B) It removes the primary muscle for bolus manipulation and propulsion
C) It only affects speech production
D) It has minimal impact on swallowing
Answer: B) It removes the primary muscle for bolus manipulation and propulsion
& Total Glossectomy Assessment Complete
SLP Evaluation, Diagnosis & Treatment
Recommendations | 2026 Updated
SECTION 1
1. What is Joseph's primary reason for seeking SLP services at this time?
A) He was recently diagnosed with oral tongue cancer
B) He is searching for a new job and interested in additional therapy
C) He requires a feeding tube placement
D) He was referred by his oncologist for routine follow-up
Answer: B) He is searching for a new job and interested in additional therapy
Rationale: Joseph is a 49-year-old veteran who is status post total glossectomy and
completed chemotherapy and radiation therapy. He is currently searching for a new job
and is interested in pursuing additional therapy at this time .
2. How long ago did Joseph undergo his total glossectomy?
A) 6 months
B) 1 year
C) 3 years
D) 5 years
Answer: C) 3 years
Rationale: Joseph is status post total glossectomy for squamous cell carcinoma of the
oral tongue that occurred three years ago .
,3. What type of cancer did Joseph have that necessitated the total glossectomy?
A) Squamous cell carcinoma of the oral tongue
B) Adenocarcinoma of the parotid gland
C) Squamous cell carcinoma of the larynx
D) Basal cell carcinoma of the lip
Answer: A) Squamous cell carcinoma of the oral tongue
Rationale: Joseph underwent total glossectomy specifically for squamous cell carcinoma
of the oral tongue .
4. What additional oncological treatments did Joseph receive besides surgery?
A) Chemotherapy only
B) Radiation therapy only
C) Chemotherapy and radiation therapy
D) Immunotherapy only
Answer: C) Chemotherapy and radiation therapy
Rationale: Joseph completed both chemotherapy and radiation therapy following his
total glossectomy .
5. What are the primary sequelae of Joseph's treatments?
A) Complete recovery with minimal deficits
B) Mild dysphagia and normal intelligibility
C) Severe dysphagia and reduced intelligibility
D) Respiratory compromise only
Answer: C) Severe dysphagia and reduced intelligibility
Rationale: Joseph's treatments resulted in severe dysphagia and reduced intelligibility .
,6. What is Joseph's veteran status?
A) Active duty
B) Retired from military service
C) Veteran
D) National Guard
Answer: C) Veteran
Rationale: Joseph is identified as a veteran in the case description .
7. In what setting is Joseph's evaluation taking place?
A) Acute care hospital
B) Inpatient rehabilitation
C) Outpatient SLP clinic
D) Home health
Answer: C) Outpatient SLP clinic
Rationale: The SLP assigned to complete his evaluation is an outpatient speech-
language pathologist .
8. What is Joseph's age?
A) 39 years old
B) 49 years old
C) 59 years old
D) 69 years old
Answer: B) 49 years old
Rationale: Joseph is identified as a 49-year-old veteran .
, 9. What is the recommended time for completion of this Simucase evaluation?
A) 30 minutes
B) 45 minutes
C) 60 minutes
D) 75 minutes
Answer: D) 75 minutes
Rationale: The Simucase case indicates that the recommended time for completion is 75
minutes .
10. Which of the following best describes a total glossectomy?
A) Partial removal of the tongue
B) Complete removal of the tongue
C) Removal of the larynx
D) Removal of the pharynx
Answer: B) Complete removal of the tongue
Rationale: A total glossectomy involves the complete surgical removal of the tongue.
Joseph underwent this procedure for squamous cell carcinoma .
11. Why would a total glossectomy significantly impact swallowing function?
A) It only affects taste sensation
B) It removes the primary muscle for bolus manipulation and propulsion
C) It only affects speech production
D) It has minimal impact on swallowing
Answer: B) It removes the primary muscle for bolus manipulation and propulsion
