Dysphagia Quiz 3 – Assessment of Dysphagia Practice Questions, Study Guide &
Exam Review 2026
Stroke - ANS ✔✔What is the leading cause of dysphagia?
they are left NPO until dysphagia screen
"no ice chips, no oral medications, no exceptions" - ANS ✔✔How do you avoid aspiration with
new stroke patients?
abnormal volitional cough
dysphonia (could be vocal fold paralysis)
dysarthria (motor speech disorder - damage to cranial nerves) same nerves that control speech
control muscles used for swallowing - change that there is some oral pharyngeal phase
dysphagia (see a lot of pocketing)
cough after swallow
voice change after swallow - ANS ✔✔Important predictors of dysphagia and risk of aspiration
pass/fail procedure to identify an individual who may or may not need a complete dysphagia
assessment (not giving them anything to eat/drink)
hands off observation
determine if further eval is needed
can be performed by trained clinician - ANS ✔✔Dysphagia Screening
behavioral evaluation of swallowing function that consists of an extensive anatomical and
physiological evaluation and direct examination of swallowing
-performed by SLP, not by anyone else
-hands on
, -instrumental dysphagia assessment aims to identify swallowing and the effects of
compensatory strategies - ANS ✔✔Swallowing Assessment
Stroke patient NPO
Swallow screen by designated, educated personnel
Pass Screening- ok for food/meds and continued monitoring
Fail Screening - SLP evaluation and possible aid for nutrition, ongoing assessment - ANS
✔✔Process of Care with assessment
if person has stroke at home, might be called- nurses must administer initial assessment within
24 hours (typical of all swallowing assessments) - ANS ✔✔VNA (visiting nurses) Standards
pass/fail procedure process is "hands on" assessment to identify overt signs of aspiration (not
complete assessment) - ANS ✔✔ASHA Practice Pattern on Swallow Screen
quick and minimally invasive with high sensitivity and specificity to identify dysphagia and
aspiration risk (5-10 minutes)
specifies level of training required for staff performing screening
no screening procedure will match accuracy of comprehensive clinical and instrumental swallow
examination in identification with dysphagia - ANS ✔✔Swallow screen Standards
clinical expertise needs to be valid
not necessarily tool, paper instrument
do you know what you'e looking for/what you're assessing? - ANS ✔✔Valid tool for assessment
what's safe swallowing?
what's not safe?
overt signs of swallowing distress?
Exam Review 2026
Stroke - ANS ✔✔What is the leading cause of dysphagia?
they are left NPO until dysphagia screen
"no ice chips, no oral medications, no exceptions" - ANS ✔✔How do you avoid aspiration with
new stroke patients?
abnormal volitional cough
dysphonia (could be vocal fold paralysis)
dysarthria (motor speech disorder - damage to cranial nerves) same nerves that control speech
control muscles used for swallowing - change that there is some oral pharyngeal phase
dysphagia (see a lot of pocketing)
cough after swallow
voice change after swallow - ANS ✔✔Important predictors of dysphagia and risk of aspiration
pass/fail procedure to identify an individual who may or may not need a complete dysphagia
assessment (not giving them anything to eat/drink)
hands off observation
determine if further eval is needed
can be performed by trained clinician - ANS ✔✔Dysphagia Screening
behavioral evaluation of swallowing function that consists of an extensive anatomical and
physiological evaluation and direct examination of swallowing
-performed by SLP, not by anyone else
-hands on
, -instrumental dysphagia assessment aims to identify swallowing and the effects of
compensatory strategies - ANS ✔✔Swallowing Assessment
Stroke patient NPO
Swallow screen by designated, educated personnel
Pass Screening- ok for food/meds and continued monitoring
Fail Screening - SLP evaluation and possible aid for nutrition, ongoing assessment - ANS
✔✔Process of Care with assessment
if person has stroke at home, might be called- nurses must administer initial assessment within
24 hours (typical of all swallowing assessments) - ANS ✔✔VNA (visiting nurses) Standards
pass/fail procedure process is "hands on" assessment to identify overt signs of aspiration (not
complete assessment) - ANS ✔✔ASHA Practice Pattern on Swallow Screen
quick and minimally invasive with high sensitivity and specificity to identify dysphagia and
aspiration risk (5-10 minutes)
specifies level of training required for staff performing screening
no screening procedure will match accuracy of comprehensive clinical and instrumental swallow
examination in identification with dysphagia - ANS ✔✔Swallow screen Standards
clinical expertise needs to be valid
not necessarily tool, paper instrument
do you know what you'e looking for/what you're assessing? - ANS ✔✔Valid tool for assessment
what's safe swallowing?
what's not safe?
overt signs of swallowing distress?
