Praxis SLP Licensure Exam

In a modified barium swallow study, what score indicates penetration to the level of the vocal folds without spontaneous clearance?

1. Level 3

2. Level 4

3. Level 5

4. Level 6

The correct answer is: Level 5

A modified barium swallow study (MBSS) is a radiographic procedure used to evaluate the swallowing process and identify any deficits. The scoring system typically used for this study categorizes the degree of aspiration and penetration observed during the swallow. A score indicating penetration to the level of the vocal folds without spontaneous clearance suggests the material has reached the vicinity of the vocal cords, which can pose significant risks for airway protection and indicates compromised swallow function. In this system, a score of Level 5 specifically denotes that the bolus has penetrated to the vocal folds but has not cleared spontaneously, demonstrating a critical issue where the swallow is unable to effectively protect the airway. Understanding the implications of these scores is crucial for speech-language pathologists in developing effective intervention strategies for patients demonstrating swallowing difficulties. In the context of the other scoring levels, each represents different degrees of penetration or aspiration, with levels leading up to 5 indicating progressively less severe or different behaviors related to swallowing safety. Thus, Level 5 distinctly highlights a situation where intervention might be urgently needed, informing treatment plans to tackle the risk of aspiration pneumonia or other complications related to swallowing disorders.