Bexperienced a Left Hemispheric Stroke Producing a Lesion in the Frontal,temporal

question 13

Multiple Choice

B.experienced a left hemispheric stroke producing a lesion in the frontal,temporal and parietal lobes.Her impairments include mixed aphasia,unilateral vocal fold paralysis,unilateral pharyngeal weakness and unilateral epiglottic dysfunction.The results of the instrumental examination revealed that Mrs.B.experiences significant residue in the vallecula and pyriform sinus after swallowing,placing her at risk for aspiration.

• A)The speech-language pathologist decides to teach Mrs.B head rotation to the left side to narrow laryngeal entrance and to eliminate the damaged side of the pharynx from the pathway of the swallow.
• B)The speech-language pathologist decides to teach Mrs.B head rotation to the right side to narrow laryngeal entrance and to eliminate the damaged side of the pharynx from the pathway of the swallow
• C)The speech-language pathologist decides to teach Mrs.B.the Mendelsohn maneuver.
• D)The speech-language pathologist recommends NPO status for Mrs.B.

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Definitions:

Superior Border

The uppermost edge or boundary of an anatomical structure.

Inferior Rib

Refers to the lower ribs in the human rib cage, possibly intended to distinguish them from upper ribs but not a standard anatomical term.

Transverses Thoracis

A muscle within the thorax that plays a role in the movement of the thoracic cage during respiration.

External Obliques

Muscles located on the sides of the abdomen, involved in the rotation of the spine and the lateral flexion of the torso.