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A 6 year old boy of average intelligence with dyskinesia (athetoid type cerebral) is 30...

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Accounting

A 6 year old boy of average intelligence with dyskinesia (athetoid type cerebral) is 30 percent intelligible in connected speech. The most realistic immediate communication goal for:

A. use of a manual sign system

b. production of three to four word utterances

c. increased speech intelligibility to 70%

d.increased communication by the use of an alternative/augmentative communication system

2.

During a videofluoroscopic swallow study, an adult patient with dysphagia due to stroke exhibited pyriform sinuses after the swallow due to short duration of upper esophageal sphincter (UES) opening. The instructed patient to perform a chin-down posture while observing the videofluoroscopic image.

  1. Increased UES opening on the subsequent swallow.
  2. Aspiration from the pyriform sinuses
  3. Increased tongue base retraction on the subsequent swallow
  4. Reduction in oral containment of the subsequent bolus

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