Physical Therapy Assistant Practice Exam

What device is inserted through a small incision in the abdomen for long-term feeding in patients with swallowing difficulties?

1. Hickman catheter

2. Nasogastric tube

3. Jejunostomy tube

4. Gastric tube

The correct answer is: Gastric tube

The correct answer is the gastric tube, more commonly known as a gastrostomy tube. This device is specifically designed for patients who have difficulty swallowing and requires long-term nutritional support. The gastrostomy tube is inserted through a small incision in the abdomen directly into the stomach. This allows for the delivery of food, fluids, and medications directly into the stomach, bypassing the mouth and esophagus, which is ideal for patients with certain medical conditions that impair swallowing. The insertion of a gastrostomy tube provides a more comfortable and effective means of feeding compared to other devices, especially for those needing prolonged support. Unlike temporary feeding methods, the gastrostomy tube is meant for long-term use, allowing for better nutritional management over an extended period. Other options, such as the Hickman catheter, which is used for intravenous access, and the nasogastric tube, which is used for short-term feeding or suctioning but is typically inserted through the nose, do not meet the criteria for long-term feeding needs in patients with swallowing difficulties. The jejunostomy tube, while also used for feeding, is inserted into the jejunum (part of the small intestine), which is not the preferred method for all patients requiring long-term gastric feeding. Thus