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Through Thick and Thin: Use of Thickeners in Children with Swallowing Disorders

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1.  Which of the following is TRUE of aspiration?
  1. It is food or liquid that passes through the vocal folds
  2. It is food or liquid that passes through the esophagus
  3. It is food or liquid that passes through the pharynx
  4. It is food or liquid that passes through the oral cavity
2.  Which of the following is correct about starch thickeners?
  1. They thicken through chemical bonding
  2. They are labor intensive to mix, blend
  3. They thicken quickly
  4. They thicken slowly through absorption
3.  Which of the following is correct about gel/gum thickeners?
  1. They thicken through absorption
  2. They maintain stability over time
  3. They are easy to mix and blend
  4. They have limited availability
4.  What are signs of dehydration to watch for in infants and children using thickeners?
  1. Constipation, dry lips and tongue, and lack of wet diapers
  2. Coughing, choking, and gagging
  3. Stomach pain, headache, and aspiration
  4. Diarrhea, weakness, and agitation
5.  What are strategies to improve the consistency of preparation when using thickeners?
  1. Offer choices of products, thicknesses, and liquid temperatures
  2. Use commercial thickeners only
  3. Follow the product directions and test your results
  4. Distribute the caregiver burden amongst team members

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