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ENT · Pharynx: FEES bedside advantage
Sample itemA bedridden patient in intensive care cannot be moved to the radiology suite. Which swallow assessment can be done at the bedside using a flexible endoscope passed through the nose?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Fibreoptic endoscopic evaluation of swallowing
FEES is portable and repeatable, uses dyed food and shows pooling of secretions, laryngeal sensation and aspiration before and after the swallow. Its limitation is that the view is lost at the moment of the swallow itself (white-out). It avoids radiation.
Option by option
A. Pharyngeal manometry
Manometry is a pressure test.
B. Videofluoroscopy
Videofluoroscopy needs the fluoroscopy suite.
C. Fibreoptic endoscopic evaluation of swallowing (correct)
Correct. A transnasal endoscope allows bedside testing.
D. Barium meal
A barium meal studies the stomach and duodenum.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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