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Exam

Terms in this set (36)

Which of the following is not a characteristic of normal voice
Tremor
The more mass a vocal cord has, the lower the pitch of the voice
true
Voice breathiness is most often associated with
Incomplete closure of the vocal cords for various reasons
Which of the following are true about the diaphragm
When you breathe in, your diaphragm contracts which increases the volume of the thorax, pushing your abdomen out
Its easier to learn to breathe with the diaphragm when laying flat on your back
Which of the following is NOT a strategy to help improve voicing when breath support is reduced
Increase rate of speech
The recurrent laryngeal nerve is more susceptible to injury during surgery, if it is injured during surgery we are most likely to see the following
Unilateral vocal cord weakness or paralysis on the left
if the superior laryngeal nerve is damaged a patient may have difficulty elevating their pitch
True
The intraarytenoid (IA)
Has two parts; transverse arytenoid and oblique arytenoid that both contribute to closing the glottis
Which of the following are true about the cricoarytenoid
Supplies a rocking movement that moves the arytenoids for adduction and abduction
Supplies a gliding motion that changes the length of the vocal fold
If patient reports globes sensation, dry coughing, and voice quality that is worse in the morning, which would be the most appropriate questionnaire to assess these symptoms
Reflux symptom index
Is a s/z ratio of 1.14 in the normal range?
Yes
Which of the following is true about CAPE V
Its a percentage based on a tick mark on a 100mm line
Which of the following are indirect treatment measures
Advising a patient on increased water intake
Providing education on lifestyle changes to decrease reflux symptoms
With severe muscle tension dysphonia patients, soft can be a good place to start therapy before moving onto a complete therapy program
True
Which of the following voice treatment approaches are hierarchal
Flow phonation
Which of the following is not true about flow phonation
Patients are encouraged to use a breathy phonation
All of the following play some role in diagnosis of reflux but which provides definitive data
A pH probe placed by an ENT or SLP
A patient cant have both a breathy and strained voice
false
Which of the following organic etiologies is more likely to be improved with therapy than surgery
Contact granuloma/ulcer
Once a patient has surgery on their vocal cords to remove a lesion, they almost never require vocal treatment after surgery
false
Which of the following is true about tracheoesophageal speech
Air will flow through a one way valve into the esophagus during exhalation when the stoma is occluded
Adequate pulmonary support is a necessary prerequisite to tracheoesophageal speech
Which of the following are possible interventions for unilateral vocal cord paralysis or paresis
Surgical intervention
Voice therapy for strengthening and with resonant voice training for improved voice quality
Which of the following is associated with bilateral adductor paralysis
increased risk of aspiration
People with spasmodic dysphonia will present with a normal sustained vowel unless they have essential tremors in addition to spasmodic
True
Abductor spasmodic dysphonia is more common than adductor spasmodic dysphonia
False
Which of the following is not an intervention for essential tremor
Botox injection
Working to decrease loudness
Shortening vowel productions
All of the above are interventions
Polyps and nodules are generally caused by MTD and also can exacerbate MTD
True
A pitch break is when
the pitch of the voice unexpectedly goes higher in frequency
Many MTD patients may benefit from physical therapy
True
You must have laryngeal imaging before starting any type of voice evaluation or treatment
False
Which of the following can be used to help you identify the true fundamental frequency of voice in a patient with psychogenic dysphonia
A cough or throat clear
A natural laugh
Before treating a psychogenic disorder we must
Rule out a possible physiological cause for voice dysfunction
Paradoxical vocal fold motion aka vocal cord dysfunction is different from asthma because
People with asthma generally have difficulty with exhalation and people with PVFM/VCD have difficulty with inhalation
Children under the age of 5 are too young to understand and apply voice therapy concepts therefore we do not provide any treatment for voice therapy until they are school aged
False
In the stiff/hiss exercise for PVFM/VCD the sniff is
short and quick
SLP intervention is unlikely to improve hyper nasality if it is caused by a neurological or structural issue
True
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