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STEP sharing

Total questions: 12

Worksheet time: 7mins

Name
Class
Date
1.

Normal variability in swallowing means that the swallow can be elicited with the bolus head in the oral cavity or as deep as the pyriform sinuses.

a)

True!!

b)

FALSE!!

c)

I'm not sure!

2.

Allowing certain types of foods (i.e. mixed consistencies) to enter the valleculae before the swallow is initiated is normal and termed 'vallecular aggregation' 

a)

True!!

b)

FALSE!!

c)

I'm not sure!

3.

Swallow initiation times do not vary depending on whether the swallow initiates spontaneously versus when someone tells you to swallow (command swallow). 

a)

True!!

b)

FALSE!!

c)

I'm not sure!

4.

The following is true about swallow trigger:

a)

It is an all-or-none event 

b)

It initiates the cascade of swallowing events 

c)

It has a wide range of normal variability 

d)

It can be measured

e)

All of the above 

5.

Hyoid movement is a representation of numerous muscles that control its movement and is patterned by the brainstem and multiple cranial and spinal nerves. 

a)

True

b)

False

c)

I'm not sure!

6.

Pick one statement which is NOT true about normal Laryngeal Vestibule Closure (LVC): 

a)

he laryngeal vestibule is open during non-swallow periods to allow breathing 

b)

The laryngeal vestibule closes during swallowing at various levels

c)

Laryngeal Vestibule Closure marginally impacts swallowing safety

d)

Laryngeal Vestibule Closure can be measured 

e)

Laryngeal Vestibule Closure relies on lingual movement 

7.

LVC relies on movements due to the following sources: 

a)

a) movements caused directly (brain programs muscles to contract causing movement) 

b)

b) movements caused indirectly (forces applied by a nearby structure) 

c)

c) Both A&B

d)

d) None of the above 

8.

UES opening relies on the following to open normally (please select two responses):

a)

large bolus volumes

b)

hyoid elevation

c)

laryngeal elevation

d)

relaxation

e)

lingual elevation 

9.

The UES is responsive to bolus volume in the following way: 

a)

Larger bolus volumes lead to longer opening durations 

b)

Larger bolus volumes lead to shorter opening durations 

c)

This is a trick question. The UES is a part of the reflexive component of swallowing and is not responsive to bolus volume. 

10.

Timing involves events that consider only the bolus, only physiology, or a combination of both. 

a)

True

b)

False

c)

I'm not sure

11.

Allowing certain types of foods (i.e. mixed consistencies) to enter the valleculae before the swallow is initiated is normal and termed 'vallecular aggregation' 

a)

True!

b)

False!

c)

I'm not sure!

12.

To determine how deep the bolus travelled before swallow onset occurred, you must consider two events (please select two responses): 

a)

Presence of premature spillage 

b)

Volitional bolus hold time

c)

Bolus position 

d)

Swallow onset time marked by hyoid burst 

e)

Swallow onset marked by laryngeal elevation