in patients with questionable airway protection, a voluntary airway protection maneuver is needed before trying this posture

this posture uses gravity to assist bolus flow down the stronger side of the oral cavity or pharynx to voice the weaker side

this posture may aide in increasing the opening diameter of the UES

this posture uses gravity to clear the bolus from the oral cavity in patients with difficulty with oral transit

which of the following are considered laryngeal range of motion exercises?

research supports NMES as an effective means to treat airway protection in HNC patients

increasing bolus volumes can improve swallowing function in HNC patients by increasing sensory input and bolus pressures

the most common problem following laryngeal surgery is the inability to effectively elevate and close the larynx resulting in aspiration

Sounds robotic

Natural sounding and uses air from the lungs

Natural sounding, requires air to be injected into the upper esophagus

The sound source is the same for esophageal and tracheoesophageal speech

Most health care workers are familiar with laryngectomy patients and how to care for them

Laryngeal speech options include

Which of the below are types of electrolarynges

A larytube is used

A Shiley laryngectomy tube can be identified by the letters

A shower shield can be used to protect the stoma during showers

An HME is used to ______

A ______ provides support to the stoma following a laryngectomy

Vaseline or other petroleum based lubricant is used to ease insertion of larytube

The opening to the lungs created by the stump of the trachea is called a

Stoma care and education should begin the day of discharge from the hospital

Loss of filtering, heating and humidifying can result in hyper secretion of mucus and cessation of ciliary activity

A laryngectomy does not necessarily need a free flap reconstruction and can be closed primarily

A tracheoesophageal puncture can be performed primarily at the time of the laryngectomy or secondarily a separate surgery

Post-operative pulmonary goals should include which of the following?

Mucus is abnormal

Mucus viscosity is dependent on which of the following?

Mechanisms which protect the tissues of the lungs 

Factors that increase mucus production

Mucus plugs occur when bronchial secretions accumulate to the point that they obstruct the airway

The role of the SLP in the care of the laryngectomy patient includes which of the following:

A laryngopharyngectomy includes resection of the base of tongue

Which of the following are reasons a patient may have a laryngectomy

What did their study find to be independent predictors of prolonged length of stay?

Only about half of patients undergoing a total laryngectomy report receiving adequate pre-operative counseling

Lack of knowledge in front line healthcare workers may play a role in low levels of satisfaction on education and counseling

Studies have identified what basic areas in TL care amounts frontline healthcare workers

Which patients are more likely to seek out participation in support groups?

Patients undergoing a total laryngectomy are more likely than other ENT patients to visit the ED or be readmitted within 30 days of surgery

In the article by Shenson et al, pre-operative counseling was shown to decrease the average length of stay 

The median lifetime of a TE prosthesis is

A TE prosthesis needs to be replaced when

An enlarged TE tract resulting in periprosthetic leakage can be resolved with

What medical conditions may result in TE tract enlargement

Cancer patients are not good candidates for laryngeal transplants because

TEP vocal quality is better with larger resections requiring reconstruction

A TEP is only successful in half of those who undergo placement

Primary TEP puncture sites can migrate during healing making them difficult to access

A secondary TEP can sometimes be performed in the office under local anesthesia

What are the benefits of a primary TEP

A pharyngocutaneous fistula is

Self dilation is not an option for recurrent strictures

Over ____% of laryngectomy patients experience dysphagia in long term follow up.

Patients requiring a circumferential pharyngeal resection have an increased incidence of stenosis

Efficient swallowing in the laryngectomy is dependent on which of the following:

A pseudoepiglottis serves the same purpose in laryngectomees as nonlaryngectomees, to protect the airway

Which of the following issues can contribute to dysphagia in the laryngectomy

Botox can be an effective treatment for pharyngoesophageal spasms