Praxis Comps Review

Front

Which technique is most appropriate to assess the function of cranial nerve XII? Options: Ask the patient to stick out his or her tongue and push against a tongue depressor, Ask the patient to keep his or her mouth open while you try to close it, Ask the patient to smile, then pout, Swab the patient’s tongue with lemon and determine whether the patient can taste it

Back

Ask the patient to stick out his or her tongue and push against a tongue depressor

Front

What does the hypoglossal nerve (cranial nerve XII) control?

Back

Most of the muscles in the tongue

Front

Damage to cranial nerve XII (hypoglossal nerve) can cause which of the following? Atrophy of tongue muscles, Tongue may deviate toward the weak side when extended, Difficulty achieving normal strength in pushing against resistance, All of the above

Back

All of the above

Front

An SLP is completing a clinical bedside swallow evaluation with a patient with suspected dysphagia. The SLP has completed observations of the patient and evaluation of the cranial nerves. The patient is alert and cooperative and appears able to manage his secretions. What is the best next step in the evaluation? Options: Conduct a test swallow using crushed ice, Conduct a test swallow using pudding, Observe the patient at mealtime, Discontinue the evaluation, referring for an instrumental evaluation if continued concerns are present.

Back

Conduct a test swallow using crushed ice

Front

Why should swallows with water and ice be used during a clinical bedside swallow evaluation?

Back

To minimize the risk of adverse effects if there is aspiration

Front

Which nerves should be evaluated in a patient admitted due to a cerebrovascular accident (CVA) for a bedside swallow evaluation? Options: A. All of them, B. I, II, III, X, XII, C. V, VII, IX, X, XI, and XII, D. Only X

Back

V, VII, IX, X, XI, and XII

Front

Which phase of swallowing is characterized by cupping of the tongue to gather the bolus and anterior to posterior tongue movement to propel the bolus posteriorly toward the faucial arches?

Back

Oral

Front

Which group has a high risk of developing dysphagia and might be recommended for dysphagia screening? A. People with hearing loss, B. Women between 25 and 40 years of age, C. People with Parkinson’s disease, D. People with a history of stuttering

Back

People with Parkinson’s disease

Front

Which finding from an oral mechanism examination is most predictive of pharyngeal dysphagia symptoms in a stroke patient? A. Breathy phonation, B. Absent gag reflex, C. Hypernasal phonation, D. Enlarged tonsils

Back

Breathy phonation

Front

A patient who is 2 weeks post-stroke presents with dysphagia. What is the most likely prognosis for this patient’s swallowing ability within the next 6 months?

Back

It is most likely that the dysphagia will resolve by the end of 6 months, but there is a chance it will persist.