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What is a primary focus of speech therapy when assessing a patient with dysphagia?

  1. Evaluating cognitive abilities related to swallowing

  2. Determining presence of verbal apraxia

  3. Assessing motor skills in non-verbal communication

  4. Identifying physiological and anatomical components of swallowing

The correct answer is: Identifying physiological and anatomical components of swallowing

The primary focus of speech therapy when assessing a patient with dysphagia is to identify the physiological and anatomical components of swallowing. This involves a comprehensive evaluation of how well the various structures involved in the swallowing process are functioning, including the oral cavity, pharynx, and esophagus. Understanding these components is crucial because dysphagia can arise from a variety of issues that may affect the efficiency and safety of swallowing, such as muscle weakness, coordination problems, or structural abnormalities. By focusing on these physiological and anatomical aspects, speech-language pathologists can develop targeted treatment plans that address specific deficits. This might involve exercises to strengthen the swallowing muscles, strategies to improve swallowing mechanics, or recommendations for dietary modifications to ensure safe swallowing. While evaluating cognitive abilities related to swallowing and assessing motor skills in non-verbal communication are important in broader assessments of communication and safety, they are not the primary concern when specifically addressing dysphagia. Determining the presence of verbal apraxia, while relevant in the context of speech therapy, does not directly relate to the functional assessment of swallowing. Thus, the correct answer emphasizes the significance of physiological and anatomical evaluations in dysphagia therapy.