Monster Voice Quiz Part 1

Explores the nature and timeline of pt.'s symptom presentation and total life influences on pt.'s voice

Name the glottic closure pattern shown

Perceptual tools: What components make up a patient's self assessment?

You're going to get through this! I believe in you!

Patients have LESS CONTROL over these factors.

Voice Disorder is a change in the _________ of voice to someone of the same age, sex, or gender.

medial to lateral movement of the mid-membranous portion of the vocal fold in the medial plane during phonation

Refers to fluid within the body and vocal fold tissue

Case Study No. 4, you will have 2 minutes if you need it :)

What kind of supraglottic compression is represented here?

Name the glottic closure pattern shown

Considered the gold standard. 30 questions. Ordinal scale. Measures how a voice problem influences a patient's QOL

What are some effects of secondhand smoke in children?

Select medical causes of vocal fold pathologies

Stroboscopy operates in two modes. In which is the illumination rate adjusted .5 cycles SLOWER than F0?

Some supraglottic compression can be caused by anxiety/scope defensiveness

Perceptual Tools: Which of these might you use for self-assessment?

Acoustic effects can cause greater laryngeal tension. Caused by what abnormal habits?

A patient scores a 0 on the GRBAS. What does this mean?

Rating strobe: what efforts have been made to mitigate issues related to no standardization/rater training/reliability?

The GRBAS has a higher sensitivity to detecting subtle differences in voice quality compared to the CAPE-V.

MTF Transgender/Transsexual Therapy to Raise Vocal Pitch is associated with which etiology?

What kind of compression is this, and is it mild or moderate? Read carefully; you have 1:30 if you need it! :)

What kind of compression is this, and is it mild or severe?

Select categories of instrumental assessment.

Laryngeal Imaging Assesses:

Herbals such as ginkgo, ginseng, and garlic can contribute to excessive bleeding

The most important factor in choosing an instrument to assess is reliability and validity.

Select all voice effects caused by obesity.

Perceptual tools: when the CLINICIAN rates the features of a patient's voice

Measures roughness, breathiness, strain, pitch and loudness on visual analog scale that clinicians can compare.

Select all SECONDARY objectives

Imaging Tool: Samples are collected across vibratory cycle, but we perceive continuous motion. Like stills in animation!

Rigid or flex endoscopes. Scopes attached to light source and video camera. Used for laryngoscopy and stroboscopy.

Constant light source, good for structure and gross function

How can sleep deprivation affect the voice?

Momentary or minor compression is ALWAYS indicative of hyperfunction

Direct or indirect laryngeal visualization?

Select characteristics of sentences on the CAPE-V

Select PRIMARY DISORDER etiologies. (Voice Disorders are secondary symptoms)

How can phonation habits cause vocal dysfunction?

What are disadvantages of rigid endoscopy?

Stroboscopic parameters highly correlate with auditory-perceptual and acoustic parameters

Makes a medical diagnosis

mirror laryngoscopy assesses vocal fold vibration

When you recommend a patient limit diuretic substances and drink 64 oz water/day, what are you supporting?

Which is not a perceptual correlate of abnormal phonation?

Degree of compression of structures above the glottis during sustained phonation

Repeated behavior where the vocal folds adduct too vigorously causing mechanical trauma to the laryngeal mucosa

Degree to which one videostroboscopic glottal cycle is consistent with successive videostroboscopic glottal cycles.

Which is not a phonation habit underpinning abnormal vocal fold function?

Due to high expiratory pressures and shearing forces causing tissue irritation and damage to vocal folds over time

Case Study No. 2; you will have two minutes if you need it! :)

Anatomical responses of a woman's vocal fold during menstruation.

Which is not a vocal component that could be inappropriate, hence an etiology of voice disorder?

Improper coupling of pharyngeal, oral, and nasal cavities; Improper placement of tongue and larynx

Props to you for making it this far! Here is a video of a cat with laryngeal paralysis. Select all when you're ready.

Select irritating agents to the respiratory tract and larynx that might result in the development of a voice disorder.

An evaluation consists of all of the following except:

Cigarette smoke

What happens in stop mode with irregular vibration?

Bogart-Bacall Syndrome results from a tension fatigue dysphonia from:

Who is NOT on a voice team?

Determines treatment outcomes/progress

Select all PRIMARY objectives of SLP voice evaluation

The most common abused substance in the US. Can irritate laryngeal mucosa; affects performance and perception.

Perceptual Tools: when numbers are assigned to attributes

How can respiratory habits cause vocal fold dysfunction?

Short term infection of sinuses. Can be caused by swimming, pregnancy, upper respiratory infection, hay fever/allergies.

Caused by inhaled, ingested, touched, or injected substance that elicits immune response. Causes congestion & vf edema.

When you advise a patient to humidify inhaled air with nebulizers, humidifier, and steam, what are you supporting?

Impact the voice is having on on quality of life. 10 items. Determines physical/functional AND social-emotional.

Select disadvantages of flex scope.

Direct or indirect laryngeal visualization?

Helps to quantify the fx of the respiratory, laryngeal, or supralaryngeal systems.

Determines the presence or absence of disease/pathology

Case Study No. 3, you will have 2 minutes if you need it :)

Select all possible etiologies of voice disorders

Which are respiratory behaviors that will NOT support normal phonation?

Patients might be exposed to these factors.

A patient scores a 2 on the GRBAS. What does this mean?

Last Case study in this list! :) You'll have 2 minutes if you need it!

Administers biofeedback

What factors contribute to the onset, maintenance, and rehabilitation of a voice disorder?

What type of supraglottic compression is represented here?

Refers to fluid lining of the vocal fold surface and laryngeal lumen.

How can alcohol intake affect the voice?

In this mode, the rate of illumination is equal to F0. The vocal folds appear to stand still.

Perceptual tools: which kind is the CAPE-V?

What happens to the vocal folds if they are irregularly moving in running/fast mode?

How does cigarette smoking affect the vocal folds?

A patient scores a 3 on the GRBAS. What does this mean?

Diagnostic Voice Evaluation will dictate the success or failure of therapy.

Name the glottic closure pattern

Which Auditory Perceptual tool assesses voice in the parameters of grade, roughness, breathiness, asthenia, & strain?

Plans behavioral intervention

Flashing zenon or LED light source. Pulsed light source for visualizing vocal fold vibration

Which is not a vocal abusive behavior?

Causes increased risk of oral cancer, leukoplakia, gingivitis and tooth loss

Case Study No. 1; you will have two minutes if you need it! :)