3 oz Water Swallow Test Overview
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Questions and Answers

What is the primary purpose of the 3 oz Water Swallow Test?

  • Evaluate aspiration severity during FEES.
  • Diagnose swallowing disorders without observation.
  • Measure vocal quality before and after swallowing.
  • Assess swallowing safety by having patients drink 3 ounces of water. (correct)

Which of the following represents a true negative result in the context of the 3 oz Water Swallow Test?

  • Coughing noted during the test.
  • Aspiration observed in FEES after failing the test.
  • No aspiration in FEES after passing the test. (correct)
  • Wet vocal quality detected after the test.

What percentage of patients who aspirated on FEES are likely to fail the 3 oz Water Swallow Test?

  • 96% (correct)
  • 75%
  • 98%
  • 50%

What implication does a high negative predictive value of 98% suggest about passing the 3 oz test?

<p>Patients who pass the test are very unlikely to aspirate. (D)</p> Signup and view all the answers

What challenge exists regarding the specificity of the 3 oz Water Swallow Test?

<p>It has low specificity for detecting aspiration, resulting in many false positives. (C)</p> Signup and view all the answers

What criterion indicates a need for referral based on the 3 oz Water Swallow Test results?

<p>Wet vocal quality observed during the test (A)</p> Signup and view all the answers

Which result of the 3 oz Water Swallow Test represents a false positive?

<p>Failure to complete the 3 oz test with no aspiration in FEES (B)</p> Signup and view all the answers

What does a high sensitivity of 96% indicate regarding the 3 oz Water Swallow Test?

<p>Most patients who fail likely aspirate (C)</p> Signup and view all the answers

What is a significant limitation of the 3 oz Water Swallow Test regarding specificity?

<p>High false positive rate indicating over-referrals (C)</p> Signup and view all the answers

How can passing the 3 oz Water Swallow Test be interpreted regarding thin liquids?

<p>Good predictor of safely tolerating thin liquids (C)</p> Signup and view all the answers

Which aspect of the 3 oz Water Swallow Test interpretation helps in predicting aspiration risk?

<p>High negative predictive value after passing the test (B)</p> Signup and view all the answers

Which observation during the test would classify as a true positive result?

<p>Aspiration confirmed during FEES after test failure (D)</p> Signup and view all the answers

Flashcards

3 oz Water Swallow Test Purpose

Assesses swallowing safety by having patients drink 3 ounces of water without interruption.

3 oz Water Swallow Test Referral Criteria

Inability to complete the test, coughing/choking during, or wet/hoarse voice within 1 minute after.

True Positive (3 oz test)

Aspiration observed (FEES) after failing the 3 oz water swallow test.

High Sensitivity (3 oz test)

High chance of detecting aspiration in patients who actually aspirate and fail the test (96%).

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Low Specificity (3 oz test)

Less reliable in ruling out aspiration in patients who pass the test.

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3 oz Water Swallow Test

A simple test to assess swallowing safety by having patients drink 3 ounces of water without interruption.

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Referral Criteria

Reasons why a patient might need further evaluation with a FEES test.

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True Negative

The patient passes the 3 oz test and doesn't aspirate on FEES.

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False Positive

The patient fails the 3 oz test but doesn't aspirate on FEES.

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High Sensitivity

The 3 oz test is good at identifying people who actually have aspiration problems (96% of patients who aspirated failed the test).

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High Negative Predictive Value

If a patient passes the 3 oz test, they are very likely to not aspirate on FEES (98%).

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Low Specificity

Many people who fail the 3 oz test might not aspirate during FEES (50%).

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Study Notes

3 oz Water Swallow Test

  • Purpose: Evaluates swallowing safety by having patients drink 3 ounces of water uninterrupted.

  • Referral Criteria:

    • Inability to complete the task
    • Coughing or choking during the test
    • Wet or hoarse vocal quality during or within one minute after the test.

Result Interpretations

  • True Positive: Aspiration observed during FEES after failing the test.

  • True Negative: No aspiration observed during FEES after passing the test (indicates no swallowing problem).

  • False Positive: No aspiration observed during FEES despite failing the test.

  • False Negative: Aspiration observed during FEES after passing the test.

Key Points for Interpretation

  • High Sensitivity: 96% of patients who aspirated on FEES failed the 3-ounce test.

  • High Negative Predictive Value: 98% of those who passed the test did not aspirate on FEES. This means if the test is passed, it's highly likely no aspiration occurred.

  • Passing the test: Passing the 3-ounce water test suggests safe tolerance of thin liquids.

  • Low Specificity: 50% specificity for detecting aspiration during FEES. This means many who fail the test might not aspirate during FEES (high false positive rate).

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Description

This quiz evaluates the 3 oz Water Swallow Test, which assesses swallowing safety by determining the patient's ability to drink water without issue. Learn about the referral criteria, result interpretations, and key points for accurate assessment. Perfect for healthcare professionals involved in swallowing evaluations.

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