Which of the following is NOT a sign of dysphagia?

Dysphagia, or difficulty swallowing, typically presents with signs related to the physical act of swallowing, the oral and pharyngeal phases. A hoarse, breathy voice and "dry" vocal quality are signs more closely associated with issues involving the larynx or vocal cords rather than the swallowing process itself. These vocal quality changes often suggest potential problems such as laryngeal dysfunction or respiratory issues rather than direct indications of dysphagia.

In contrast, the other options pertain more directly to the mechanics of swallowing. Excessive mouth movement can indicate difficulty managing the bolus of food, while coughing and choking suggest that food may be entering the airway instead of the esophagus, a classic sign of swallowing problems. Excessive drooling and a repetitive rocking of the tongue might be indicative of poor oral control necessary for effective swallowing.

Understanding these distinctions can help in identifying dysphagia and guiding appropriate interventions, which are crucial in gerontological nutrition practices.