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Which cranial nerve is primarily responsible for controlling muscles involved in swallowing?
A. Cranial nerve V
B. Cranial nerve VII
✔✔ C. Cranial nerve X
D. Cranial nerve XII
A patient with a stroke shows difficulty in planning and coordinating voluntary movements of
speech without muscle weakness. Which condition is most likely?
A. Dysarthria
✔✔ B. Apraxia of speech
C. Aphasia
D. Dysphagia
Which of the following is the most common cause of oropharyngeal dysphagia in adults?
A. Brain tumor
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,✔✔ B. Stroke
C. Parkinson’s disease
D. Multiple sclerosis
During a clinical swallowing evaluation, coughing and throat clearing after swallowing thin
liquids most likely indicates:
A. Delayed oral transit time
B. Poor lip closure
✔✔ C. Aspiration risk
D. Normal swallowing
Which type of dysarthria is typically characterized by slow, imprecise speech with a harsh voice
quality and strained-strangled phonation?
A. Flaccid
B. Hypokinetic
✔✔ C. Spastic
D. Ataxic
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,A patient presents with progressive difficulty in swallowing and slurred speech. Which
neurodegenerative disease is most commonly associated with these symptoms?
A. Alzheimer’s disease
✔✔ B. Amyotrophic lateral sclerosis (ALS)
C. Huntington’s disease
D. Multiple sclerosis
Which instrumental assessment provides real-time visualization of the oral, pharyngeal, and
upper esophageal phases of swallowing using X-ray?
A. Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
✔✔ B. Videofluoroscopic Swallow Study (VFSS)
C. Modified Barium Swallow (MBS)
D. Electromyography (EMG)
Which cranial nerve controls the muscles of mastication?
A. Cranial nerve VII
✔✔ B. Cranial nerve V
C. Cranial nerve IX
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, D. Cranial nerve XI
Which of the following is the most appropriate diet modification for a patient with delayed
pharyngeal swallow and reduced airway protection?
A. Thin liquids and solid foods
✔✔ B. Thickened liquids and pureed foods
C. Regular diet with no modifications
D. Clear liquids only
What is the primary role of an SLP in the ICU setting for patients on mechanical ventilation?
A. Manage respiratory therapy
B. Prescribe medications
✔✔ C. Assess and treat communication and swallowing disorders
D. Monitor vital signs
Which symptom is most typical of oral phase dysphagia?
A. Nasal regurgitation
✔✔ B. Difficulty forming a bolus
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