As you begin you quiz, please be sure to read the directions for each section carefully. Do not just assume that you know what you’re being asked to do.  Important: Please do not panic if your answers are marked wrong in the fill in the blank areas. I try to give as many sample answers as possible in the test bank but understand that there are many variables, and I can’t possibly account for them all. Please know that I will go back in and check each quiz and adjust your scores accordingly.  If your keyboard shortcuts for typing accent markings do not work with Honorlock, try copying and pasting the characters from this bank: À È Ù à è ù Á É á é Â Ê Î Ô Û â ê î ô û Ä Ë Ï Ö Ü Ÿ ä ë ï ö ü ç Ç

P/P3: In the AP position (Fuchs method) of the cervical vertebrae, the central ray should be directed:

P/P1: Which of the following barium-filled anatomic structures is best demonstrated in the LAO position?

P/P2: In order to evaluate the interphalangeal joints in the oblique and lateral positions, the fingers:

P/P2: What is best demonstrated in this image? M1 SP25 Q158.png

P/P1: How long should the patient remain in the upright position prior to the exposure before the radiographer attempts to perform an erect abdominal radiograph for the demonstration of free air?

Based on the patient’s clinical presentation and these swallow study results, please list the following.  One maneuver you would have trialed in the MBSS to see if they could safely consume thin liquids via cup sip. Diet recommendations based on VFSS results assuming none of the maneuvers helped. A full listing of most recent clinical information and VFSS results can be found below for reference (You have 20 minutes)   Reference Information Respiratory: Room Air Cognition/Arousal: Arousal maintained throughout session (Ranchos Level 5) and able to follow simple one step commands.  Voice: Continued weak and breathy  Oral Motor: Hemiparesis Speech: Mild dysarthria Mobility: Sitting up in chair independently, ambulatory with assistance Clinical Swallow: Signs of aspiration on liquids. Rotary mastication but slow showing fatigue. VFSS Report: See Below MBSImP Components of Physiology & Bolus Flow Lip Closure Interlabial escape; no progression to anterior lips Bolus Hold Cohesive bolus between tongue to palatal seal Mastication Slow prolonged chewing/mashing with complete re-collection Bolus Transport Slow tongue motion Oral Residue Collection of residue on oral structures Initiation of Swallow: Bolus head at posterior angle of the ramus at the time of first hyoid excursion Soft Palate Complete, no bolus between soft palate and posterior pharyngeal wall Laryngeal Elevation Partial superior movement of the thyroid cartilage with partial approximation of arytenoids to epiglottic petiole Anterior Hyoid Excursion Partial anterior movement Epiglottic Movement Complete inversion Laryngeal Vestibular Closure Incomplete with a narrow column air/contrast in laryngeal vestibule at the height of the swallow Pharyngeal Stripping Wave Complete Pharyngoesophageal Segment Opening: Partial distension/partial duration partial obstruction to bolus flow Tongue Base Retraction Narrow column of air or contrast between tongue base and posterior pharyngeal wall Pharyngeal Residue Collection of pharyngeal residue (in valleculae and in the pyriform sinuses) Esophageal Clearance Complete clearance; esophageal coating     Penetration/Aspiration Scale Thin liquids   5mL 1-     Material does not enter the airway Cup Sip 8-     Material enters the trachea with no attempt to eject Sequential Sip 8-     Material enters the trachea with no attempt to eject Nectar Liquids   5mL 1-     Material does not enter the airway Cup Sip 1-     Material does not enter the airway Sequential Sip 1-     Material does not enter the airway Honey Liquids   5ml 1-     Material does not enter the airway Pudding   1 TBSP 1-     Material does not enter the airway Solid     1-     Material does not enter the airway

S/RB: During the ________ stage of gestation, prenatal death can result from exposure to ionizing radiation.

After follow-up with laryngology, your patient is diagnosed with (1) an intubation granuloma on the right arytenoid cartilage and (2) a left-sided vocal fold paralysis, likely caused by his emergent and extended intubation, as well as (3) moderate-to-severe secondary muscle tension dysphonia (MTD). You jointly recommend perioperative voice therapy, with surgical intervention between courses of behavioral treatment. Your patient asks, “Why do I need surgery on my throat?” What would the surgical arm of your team’s treatment plan consist of, and how would you justify it to the patient (3-4 sentences)? Your patient asks, “Okay, but if surgery is going to fix things, why do I need therapy?” What would the behavioral arm of your team’s treatment plan consist of, and how would you justify it to the patient (4-5 sentences)? What is one pre-operative stimulability probe that you could perform? One probe that you could perform to assess your patient’s probability of adhering to a voice therapy plan (3-4 sentences)? You have 20 minutes.

P/P1: A condition, often resulting from chest trauma by motor vehicle accident or falling, in which the pleural space is filled with air, is called: