Final answer:
An effortful swallow involves several instructions, but one instruction is not included. It does not require holding the Adam's apple up with your finger.
Step-by-step explanation:
An effortful swallow involves several instructions to ensure proper swallowing. However, one of these instructions is not included in an effortful swallow. The correct choice is
A) Holding your Adam's apple up with your finger.
An effortful swallow requires squeezing the muscles in your neck, tensing the muscles in your throat, and lifting your head back while swallowing. These actions help push food from the mouth into the esophagus and prevent aspiration into the trachea. Holding the Adam's apple up is not a necessary component of an effortful swallow.