Voice Disorders Midterm

Description

Voice disorders
Kaleigh N.
Quiz by Kaleigh N., updated more than 1 year ago
Kaleigh N.
Created by Kaleigh N. about 8 years ago
659
1

Resource summary

Question 1

Question
This type of vocal fold lesion often gets better with therapy: [blank_start]nodules[blank_end].
Answer
  • nodules

Question 2

Question
The three types of vocal fold lesions are...
Answer
  • nodules, polyps, granulomas
  • polyps, granulomas, cysts
  • nodules, polyps, cysts
  • nodules, polyps, hemorrhages

Question 3

Question
Mary presents with an increased stiffness and swelling of the superficial lamina propria. Her pitch is low and her vocal quality is hoarse. Mary has [blank_start]Reinke's edema[blank_end].
Answer
  • Reinke's edema

Question 4

Question
Leo complains of a constant globus sensation and chronic throat clearing. His vocal quality is hoarse and breathy. A laryngoscopy reveals a sore-like lesion on the left arytenoid complex. Leo has a contact [blank_start]ulcer[blank_end] or [blank_start]granuloma[blank_end].
Answer
  • ulcer
  • granuloma

Question 5

Question
Stan presents with an effortful, weak, hoarse voice. He complains of vocal fatigue. A laryngoscopy reveals a thinning of the superficial lamina propria with grooves along his VF resulting in a bowed appearance. Stan probably has [blank_start]sulcus vocalis[blank_end].
Answer
  • sulcus vocalis

Question 6

Question
Ursula complains of a sudden change in vocal quality. She reported that she had recently gotten into a yelling match with Ariel. A laryngoscopy reveals a capillary bleed in her right VF. Her ENT recommends vocal rest and vocal hygiene therapy. Ursula has a vocal fold [blank_start]hemorrhage[blank_end].
Answer
  • hemorrhage

Question 7

Question
George got into a fight with his girlfriend on Thanksgiving and she whacked him in the neck with a turkey leg. He presents with stridor and throat pain both at rest and during voicing. George experienced laryngeal [blank_start]trauma[blank_end].
Answer
  • trauma

Question 8

Question
Fred just had a carotid endarterectomy. Following surgery, he complains of a weak and breathy voice with some difficulty swallowing thin liquids. An acoustic/aerodynamic assessment revealed increased transglottal airflow and a decreased subglottal pressure. Fred has vocal fold [blank_start]paralysis[blank_end].
Answer
  • paralysis

Question 9

Question
Holly presents with a weak, breathy, and hoarse voice. A laryngoscopy revealed a height mismatch of the VF and a decreased ability to adduct the VF. Holly has [blank_start]superior[blank_end] laryngeal nerve [blank_start]paralysis[blank_end].
Answer
  • superior
  • paralysis

Question 10

Question
Walter's voice is shaky, tremulous, and weak with aphonic breaks. A laryngoscopy reveals laryngeal spasms and abduction of the VF during vocalization. Walter has [blank_start]spasmodic[blank_end] [blank_start]dysphonia[blank_end].
Answer
  • spasmodic
  • dysphonia

Question 11

Question
Ernie is 85 and presents with a vocal tremor and pitch breaks. A laryngoscopy reveals bilateral tremor of the VF and tremors of the soft palate, pharyngeal wall, and false folds. His laryngologist recommended drinking alcohol to relieve symptoms. Ernie has an [blank_start]essential[blank_end] [blank_start]tremor[blank_end].
Answer
  • essential
  • tremor

Question 12

Question
Renee has a neuromuscular disease in which she experiences progressive vocal fatigue with prolonged vocal use. She also experiences fatigue following prolonged use of her facial muscles and limbs. Renee has [blank_start]myasthenia gravis[blank_end].
Answer
  • myasthenia gravis

Question 13

Question
Roger has hypokinetic dysarthria. His voice sounds unenergized and his rate of speech is often slow. The neurodegenerative disease that Roger has is called [blank_start]Parkinson's[blank_end] disease.
Answer
  • Parkinson's

Question 14

Question
Isabel has an autoimmune disease in which she experiences fatigue, numbness, and hypokinetic voice symptoms. She often has abnormally long pauses between words and slurring of words. She also has reduced VF closure and reduced strength. Isabel has [blank_start]multiple[blank_end] [blank_start]sclerosis[blank_end].
Answer
  • multiple
  • sclerosis

Question 15

Question
Ty has a degenerative motor neuron disease that results in incomplete VF closure, atrophy, dysarthria, dystonia, and dysphagia. Ty has [blank_start]ALS[blank_end].
Answer
  • ALS

Question 16

Question
Helena has an inherited autosomal dominant disorder in which she experiences uncontrollable and unpredictable muscle spasms/movements. Her voice is characterized by abductory and adductory stoppages and difficulty coordinating speaking and breathing. Helena has [blank_start]Huntington's[blank_end] [blank_start]disease[blank_end].
Answer
  • Huntington's
  • disease

Question 17

Question
Lena has a disorder characterized by abnormal accumulation of the tau protein. She has deficits in the areas of memory, learning, cognition, and visuospatial skills (a hallmark characteristic of the disease). A laryngoscopy reveals bilateral VF paresis. She also has inspiratory stridor. Lena has [blank_start]progressive supranuclear palsy[blank_end].
Answer
  • progressive supranuclear palsy

Question 18

Question
Lauren has demyelination of glial cells. A laryngoscopy revealed bilateral VF paralysis and atrophy. Her vocal quality is breathy and strained with monopitch and monoloudness. She also has flaccid dysarthria. Lauren has [blank_start]multiple system atrophy[blank_end].
Answer
  • multiple system atrophy

Question 19

Question
Billy has a higher than normal pitch and a breathy vocal quality. His larynx appears normal with increased VF stiffness and decreased vibratory amplitude. Billy has [blank_start]puberphonia[blank_end].
Answer
  • puberphonia

Question 20

Question
Tara has no voice when she attempts to phonate. She is also clinically depressed and diagnosed with anxiety disorder. When she does produce a voice, it is high and strained. She complains of pain and tightness in her neck. A laryngoscopy revealed abnormal movement of the VF with difficulty adducting. Tara likely has [blank_start]conversion[blank_end] aphonia.
Answer
  • conversion

Question 21

Question
Hunter experiences VF adduction on inspiration, though his VF appear normal during a nonepisodic event. He presents with inspiratory and expiratory stridor, dyspnea, muscle tightness, chronic cough, and sometimes dysphagia and dysphonia. Hunter has [blank_start]paradoxical[blank_end] vocal fold dysfunction.
Answer
  • paradoxical

Question 22

Question
A cough that lasts more than 8 weeks and interferes with one's ability to work/socialize/communicate in daily life is considered [blank_start]chronic[blank_end].
Answer
  • chronic

Question 23

Question
Jojo has a rough, hoarse vocal quality. A laryngoscopy reveals a pre-cancerous white plaque-like formation on her VF, reduced vibratory amplitude, and a reduced mucosal wave. Jojo has [blank_start]leukoplakia[blank_end].
Answer
  • leukoplakia

Question 24

Question
Esther has a hoarse, strained vocal quality and complains of globus sensation, sore throat, and persistent coughing. A laryngoscopy reveals a pathologic tissue change in the mucosa. The mucosa appears reddish due to hypervascularization. There is an irregularity on her left VF. Esther probably has [blank_start]laryngeal cancer[blank_end].
Answer
  • laryngeal cancer

Question 25

Question
The most common recommendation for an individual with a vocal fold cyst is surgical removal.
Answer
  • True
  • False

Question 26

Question
An individual with Reinke's edema should quit smoking before receiving any type of intervention.
Answer
  • True
  • False

Question 27

Question
Contact ulcers and granulomas cannot resolve spontaneously and must be removed via phonosurgery.
Answer
  • True
  • False

Question 28

Question
An individual with sulcus vocalis will receive vocal fold injections in any case despite the degree of severity.
Answer
  • True
  • False

Question 29

Question
The most common recommendation for a vocal fold hemorrhage is vocal rest and voice therapy.
Answer
  • True
  • False

Question 30

Question
Voice therapy for individuals with vocal fold paralysis should not include "pushing" exercises.
Answer
  • True
  • False

Question 31

Question
The gold standard treatment for spasmodic dysphonia is voice therapy.
Answer
  • True
  • False

Question 32

Question
Some of the management strategies for essential tremor include voice therapy, beta blockers, botox injections, and deep brain stimulation.
Answer
  • True
  • False

Question 33

Question
An individual with myasthenia gravis should not be doing strenuous muscle exercises in therapy.
Answer
  • True
  • False

Question 34

Question
LSVT loud is the gold standard treatment for Parkinson's disease.
Answer
  • True
  • False

Question 35

Question
Symptomatic treatments and compensatory strategies are utilized with individuals with ALS and MS.
Answer
  • True
  • False

Question 36

Question
Therapy outcomes for individuals with progressive supranuclear palsy are good.
Answer
  • True
  • False

Question 37

Question
Individuals with puberphonia may benefit from voice therapy in which they learn to lower their pitch via biofeedback and laryngeal massage.
Answer
  • True
  • False

Question 38

Question
Pharmacological remedies work best for individuals with conversion aphonia.
Answer
  • True
  • False

Question 39

Question
Rescue breathing strategies would benefit individuals with paradoxical vocal fold movement.
Answer
  • True
  • False

Question 40

Question
Transgender voice transition involves raising or lowering one's fundamental frequency to match their personality.
Answer
  • True
  • False

Question 41

Question
The layers of the vocal folds, from top to bottom, are the [blank_start]epithelium[blank_end], [blank_start]superficial lamina propria[blank_end], [blank_start]intermediate lamina propria[blank_end], [blank_start]deep lamina propria[blank_end], and [blank_start]vocalis muscle[blank_end].
Answer
  • epithelium
  • superficial lamina propria
  • intermediate lamina propria
  • deep lamina propria
  • vocalis muscle

Question 42

Question
The superficial lamina propria is the layer of the vocal folds that is essential for [blank_start]vibratory[blank_end] function.
Answer
  • vibratory

Question 43

Question
The [blank_start]basement membrane zone[blank_end] tethers the epithelium and the lamina propria.
Answer
  • basement membrane zone

Question 44

Question
The vocalis muscle is also called the [blank_start]thyroarytenoid[blank_end] and is the only [blank_start]active[blank_end] tissue of the vocal folds.
Answer
  • thyroarytenoid
  • active

Question 45

Question
Additional cells in the vocal folds are important for [blank_start]fighting[blank_end] [blank_start]infection[blank_end].
Answer
  • fighting
  • infection

Question 46

Question
The [blank_start]myoelastic[blank_end] [blank_start]aerodynamic[blank_end] theory is the only credible theory explaining vocal fold vibration.
Answer
  • myoelastic
  • aerodynamic

Question 47

Question
The [blank_start]body-cover[blank_end] theory by [blank_start]Hirano[blank_end] explains vocal fold vibration as being a "ripple" effect.
Answer
  • body-cover
  • Hirano

Question 48

Question
The [blank_start]self-oscillation[blank_end] theory by [blank_start]Titze[blank_end] explains vocal fold movement as a self-oscillating system.
Answer
  • self-oscillation
  • Titze

Question 49

Question
The minimum pressure to sustain phonation is called the [blank_start]phonation[blank_end] [blank_start]threshold[blank_end] [blank_start]pressure[blank_end].
Answer
  • phonation
  • threshold
  • pressure

Question 50

Question
The [blank_start]cricothyroid[blank_end] is the primary muscle responsible for changing pitch.
Answer
  • cricothyroid

Question 51

Question
Increasing [blank_start]airflow[blank_end] will increase loudness.
Answer
  • airflow

Question 52

Question
The three vocal registers include [blank_start]pulse[blank_end], [blank_start]modal[blank_end], and [blank_start]falsetto[blank_end], from low to high.
Answer
  • pulse
  • modal
  • falsetto

Question 53

Question
The [blank_start]Bernoulli[blank_end] [blank_start]Effect[blank_end] supports the idea that continued air pressure is developed and built up underneath the VF at an amount great enough to displace the inertial property of the VF tissue and sustain the vibration of the VF over time.
Answer
  • Bernoulli
  • Effect
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