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Management of Post Extubation Dysphagia: It Takes a Team

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1.  The prevalence of dysphagia in recently extubated patients is?
  1. Is approximately 50%
  2. Appears to vary
  3. Has not been studied
  4. Is stable and fixed
2.  What is the relationship between dysphagia and duration of intubation?
  1. Dysphagia risk decreases as intubation duration increases
  2. Dysphagia risk decreases in patients who have been intubated more than 24 hours
  3. Dysphagia risk increases in patients who have been intubated for less than 12 hours
  4. Dysphagia risk increases as intubation duration increases
3.  Potential causes of dysphagia in recently extubated patients include ALL but which of the following?
  1. Laryngeal/pharyngeal tumor
  2. Laryngeal trauma
  3. Breathing-swallow dis-coordination
  4. Underlying illness
4.  Respiratory factors associated with aspiration include which of the following?
  1. Post-swallow exhalation
  2. Respiratory rate greater than 15 breaths per minute
  3. Oxygen saturation less than 94% at baseline
  4. Prolonged swallow apnea durations
5.  What is known about pulse oximetry, oxygen saturation, and aspiration?
  1. Drops in oxygen saturation measured via pulse oximetry predict aspiration events
  2. There is a reliable correlation between changes in oxygen saturation and aspiration
  3. Low baseline oxygen saturation measures may predict aspiration
  4. Oxygen saturation measures do not provide useful information