Praxis Comps Review

Which of the following techniques is most appropriate to assess the function of cranial nerve XII?

• 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

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

• Most of the muscles in the tongue

• Muscles in the eye

• Muscles in the ear

• Muscles in the hand

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

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. Which of the following is the best next step in the evaluation?

• 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

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

• To minimize the risk of adverse effects if there is aspiration

• To increase the risk of aspiration

• To test for allergies

• To improve taste

The SLP has received a physician order for a consult for a bedside swallow evaluation with a patient admitted due to a cerebrovascular accident (CVA). Which nerves should be evaluated in this patient's bedside

• A. All of them

• B. I, II, III, X, XII

• C. V, VII, IX, X, XI, and XII

• D. Only X

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?

• A. Oral Prep

• B. Oral

• C. Pharyngeal

• D. Esophageal

The signs and symptoms of dysphagia are not always obvious, and SLPs are actively involved in screening for the disorder. Which of the following groups 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

Tags

CCSS.RI.11-12.3

CCSS.RI.11-12.5

CCSS.RI.8.3

CCSS.RI.9-10.3

CCSS.RI.9-10.5

When conducting a bedside swallow assessment with a patient from a culturally and linguistically diverse background, which of the following considerations must be made? (Select 3)

• A. Differences and restrictions in meal practices

• B. Food types that may be restricted or not allowed due to religious practices

• C. Using the food and liquid protocol for a comprehensive bedside evaluation regardless of patient preferences

• D. Religious holiday periods that restrict the time for meals

Which of the following findings from an oral mechanism examination would be most predictive of pharyngeal dysphagia symptoms in a patient who has suffered a stroke?

• A. Breathy phonation

• B. Absent gag reflex

• C. Hypernasal phonation

• D. Enlarged tonsils