Questão 1
Questão
This type of vocal fold lesion often gets better with therapy: [blank_start]nodules[blank_end].
Questão 2
Questão
The three types of vocal fold lesions are...
Responda
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nodules, polyps, granulomas
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polyps, granulomas, cysts
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nodules, polyps, cysts
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nodules, polyps, hemorrhages
Questão 3
Questão
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].
Questão 4
Questão
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].
Questão 5
Questão
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].
Questão 6
Questão
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].
Questão 7
Questão
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].
Questão 8
Questão
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].
Questão 9
Questão
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].
Questão 10
Questão
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].
Questão 11
Questão
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].
Questão 12
Questão
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].
Questão 13
Questão
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.
Questão 14
Questão
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].
Questão 15
Questão
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].
Questão 16
Questão
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].
Questão 17
Questão
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].
Questão 18
Questão
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].
Questão 19
Questão
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].
Questão 20
Questão
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.
Questão 21
Questão
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.
Questão 22
Questão
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].
Questão 23
Questão
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].
Questão 24
Questão
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].
Questão 25
Questão
The most common recommendation for an individual with a vocal fold cyst is surgical removal.
Questão 26
Questão
An individual with Reinke's edema should quit smoking before receiving any type of intervention.
Questão 27
Questão
Contact ulcers and granulomas cannot resolve spontaneously and must be removed via phonosurgery.
Questão 28
Questão
An individual with sulcus vocalis will receive vocal fold injections in any case despite the degree of severity.
Questão 29
Questão
The most common recommendation for a vocal fold hemorrhage is vocal rest and voice therapy.
Questão 30
Questão
Voice therapy for individuals with vocal fold paralysis should not include "pushing" exercises.
Questão 31
Questão
The gold standard treatment for spasmodic dysphonia is voice therapy.
Questão 32
Questão
Some of the management strategies for essential tremor include voice therapy, beta blockers, botox injections, and deep brain stimulation.
Questão 33
Questão
An individual with myasthenia gravis should not be doing strenuous muscle exercises in therapy.
Questão 34
Questão
LSVT loud is the gold standard treatment for Parkinson's disease.
Questão 35
Questão
Symptomatic treatments and compensatory strategies are utilized with individuals with ALS and MS.
Questão 36
Questão
Therapy outcomes for individuals with progressive supranuclear palsy are good.
Questão 37
Questão
Individuals with puberphonia may benefit from voice therapy in which they learn to lower their pitch via biofeedback and laryngeal massage.
Questão 38
Questão
Pharmacological remedies work best for individuals with conversion aphonia.
Questão 39
Questão
Rescue breathing strategies would benefit individuals with paradoxical vocal fold movement.
Questão 40
Questão
Transgender voice transition involves raising or lowering one's fundamental frequency to match their personality.
Questão 41
Questão
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].
Questão 42
Questão
The superficial lamina propria is the layer of the vocal folds that is essential for [blank_start]vibratory[blank_end] function.
Questão 43
Questão
The [blank_start]basement membrane zone[blank_end] tethers the epithelium and the lamina propria.
Questão 44
Questão
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.
Questão 45
Questão
Additional cells in the vocal folds are important for [blank_start]fighting[blank_end] [blank_start]infection[blank_end].
Questão 46
Questão
The [blank_start]myoelastic[blank_end] [blank_start]aerodynamic[blank_end] theory is the only credible theory explaining vocal fold vibration.
Questão 47
Questão
The [blank_start]body-cover[blank_end] theory by [blank_start]Hirano[blank_end] explains vocal fold vibration as being a "ripple" effect.
Questão 48
Questão
The [blank_start]self-oscillation[blank_end] theory by [blank_start]Titze[blank_end] explains vocal fold movement as a self-oscillating system.
Questão 49
Questão
The minimum pressure to sustain phonation is called the [blank_start]phonation[blank_end] [blank_start]threshold[blank_end] [blank_start]pressure[blank_end].
Responda
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phonation
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threshold
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pressure
Questão 50
Questão
The [blank_start]cricothyroid[blank_end] is the primary muscle responsible for changing pitch.
Questão 51
Questão
Increasing [blank_start]airflow[blank_end] will increase loudness.
Questão 52
Questão
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.
Questão 53
Questão
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.