Which of the following is a common contraindication for dysphagia therapy or instrumentation?

• A. Chronic stable hypertension
• B. Mild dehydration
• C. Adequate oxygen saturation
• D. Acute airway obstruction

Answer: (D)

Airway safety during dysphagia therapy or instrumentation is essential. Acute airway obstruction means the airway is blocked or at imminent risk; in this state, swallowing maneuvers or introducing a scope could trigger further obstruction, coughing, or laryngospasm and markedly increase the risk of aspiration or respiratory failure. Because safety must come first, this is a contraindication until the obstruction is relieved and the patient is stabilized. The other conditions don’t automatically preclude therapy: chronic stable hypertension and mild dehydration can be managed with precautions, and adequate oxygen saturation indicates the patient is currently stable enough to participate with monitoring.