Define voice disorder

the structure funct or both of the lary. mech don't meet voicing require., quality pitch&loudness differ from peo of similar age gender culture&locat.

Which of the following are scientific ingredients of voice care?

Knowledge of etiologic correlates, Visual imaging and interpretation of vocal function, Knowledge of vocal acoustics, Knowledge of anatomy/physiology

What factors influence intensity (loudness)?

Subglottal vocal tract tuning (subglottal resonance), Vocal fold vibratory phase closure, Transglottal airflow, Subglottal air pressure

SLP roles in voice care/therapy include

Identification, modification or elimination of functional causes, Evaluate laryngeal function, Developing POCs that remediate voice back to premorbid quality and function

Superior laryngeal nerve of CNX innervates

cricothyroid muscle (stretches, tenses, and adducts the vocal folds)

superior horn of thyroid cartilage

suprahyoid muscles include

digastric (anterior and posterior bellies), stylohyoid, mylohyoid

Thyroarytenoid muscle, thyromuscularis part

Thyroarytenoid muscle, thyrovocalis part

What factors determine fundamental frequency (pitch)?

VF stiffness, VF tension, VF length

superficial layer of lamina propria

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Voice Exam 1

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Answers

1
A
eternal oblique
internal oblique
internal intercostal
rectus abdominis
2
Define voice disorder
When there is tension in the larynx
the structure funct or both of the lary. mech don't meet voicing require.
When a voice has dysphonia
quality pitch&loudness differ from peo of similar age gender culture&locat.
3
I
cricoid cartilage
trachea
cricothyroid ligament
thyrohyoid membrane
4
F
arytenoid
corniculate
cricoid
thyroid
5
Which of the following are scientific ingredients of voice care?
Knowledge of etiologic correlates
Visual imaging and interpretation of vocal function
Knowledge of vocal acoustics
Knowledge of anatomy/physiology
6
F
thyroid notch
cricothyroid ligament
thyroid cartilage lamina
thyrohyoid membrane
7
The discovery of the laryngeal mirror is important because it ushered in the modern era of laryngology
False
True
8
What factors influence intensity (loudness)?
Subglottal vocal tract tuning (subglottal resonance)
Vocal fold vibratory phase closure
Transglottal airflow
Subglottal air pressure
9
C
arytenoid
triticeal
cuneiform
corniculate
10
E
internal oblique
rectus abdominis
external oblique
transverse abdominis
11
C
internal oblique
rectus abdominis
external oblique
transverse abdominis
12
The muscle schown in this picture is the
posterior cricoarytenoid
thyroarytenoid
lateral cricoarytenoid
interarytenoid
13
SLP roles in voice care/therapy include
Identification, modification or elimination of functional causes
prescribing medicines to aid in the therapy process
Evaluate laryngeal function
Developing POCs that remediate voice back to premorbid quality and function
14
Ventilation is the inhalation and exhalation of air into the lungs
True
False
15
J
arytenoid cartilage
criocoid cartilage
thyroid cartilage lamina
superior horn of thyroid cartilage
16
G
cricothyroid ligament
trachea
thyroid cartilage lamina
criocoid cartilage
17
E
stylohyoid
mylohyoid
thyrohyoid
posterior belly of digastric
18
C
thyrohyoid muscle
stylohyoid muscle
inferior belly of digastric muscle
mylohyoid muscle
19
Pharyngeal branch of CNX innervates
all intrinsic laryngeal muscles except the cricothyroid
pharynx
cricothyroid muscle (stretches, tenses, and adducts the vocal folds)
20
D
cricoid cartilage
epoglottis
hyoid bone
thyrohyoid membrane
21
Superior laryngeal nerve of CNX innervates
cricothyroid muscle (stretches, tenses, and adducts the vocal folds)
all intrinsic laryngeal muscles except the cricothyroid
pharynx
22
B
epiglottis
thyroid notch
Hyoid bone
thyrohyoid membrane
23
A
inferior horn of thyroid cartilage
Cricoid cartilage
thyroid notch
superior horn of thyroid cartilage
24
E
corniculate
triticeal
cuneiform
arytenoid
25
D
arytenoid
thyroid
cricoid
epiglottis
26
A
cricoid cartilage
vocal ligament
trachea
corniculate cartilage
27
The muscle shown in the picture is the
thyroarytenoid
cricothyroid
posterior cricoarytenoid
interarytenoid
28
D
internal oblique
transverse abdominis
rectus abdominis
external oblique
29
suprahyoid muscles include
thyrohyoid, stylohyoid, mylohyoid
digastric (anterior and posterior bellies), stylohyoid, omohyoid
digastric (anterior and posterior bellies), stylohyoid, mylohyoid
omohyoid, thyrohyoid, mylohyoid
30
I
vocal ligament
arytenoid cartilage
thyroid cartilage lamina
corniculate cartilage
31
E
thyrohyoid muscle
thyroid notch
thyroid cartilage lamina
thyrohoid membrane
32
The connective tissue that is most concentrated in ILLP and especially in DLLP
elastin
muscle
collagen
cartilage
33
H
thyrohyoid
omohyoid
sternohyoid
sternocleidomastoid
34
C
thyrohyoid membrane
corniculate cartilage
hyoid bone
epiglottis
35
The higher the pitch, the smaller the vibratory amplitude
True
False
36
A
Deep layer of lamina propria
Vocal ligament
Thyroarytenoid muscle, thyromuscularis part
Thyroarytenoid muscle, thyrovocalis part
37
H
cricothyroid ligament
cricoid cartilage
thyrohyoid membrane
trachea
38
B
triticeal
cuneiform
corniculate
arytenoid
39
B
Vocal ligament
Thyroarytenoid muscle, thyrovocalis part
Epithelium
Thyroarytenoid muscle, thyromuscularis part
40
The muscle shown in this picture is the
thyroarytenoid
cricothyroid
interarytenoid
lateral cricoarytenoid
41
I
omohyoid
sternohyoid
thyrohyoid
sternothyroid
42
Voice care/pathology is made up of equal parts of art and science
False
True
43
D
pectoralis minor
Sternocleidomastoid
pectoralis major
scalenes
44
A
Sternocleidomastoid
pectoralis minor
pectoralis major
scalenes
45
As Fo increases, subglottal air pressure decreases
False
True
46
What factors determine fundamental frequency (pitch)?
VF stiffness
VF tension
VF length
VF elasticity
47
The muscle shown in this picture is the
thyroarytenoid
lateral cricoarytenoid
interarytenoid
cricothyroid
48
B
transverse abdominis
internal oblique
rectus abdominis
external oblique
49
D
vocal ligament
cricoid cartilage
corniculate cartilage
trachea
50
K (line over H and under G)
inferior horn of thyroid cartilage
thyrohyoid membrane
epiglottis
hyoid bone
51
D
Epithelium
deep layer of lamina propria
superficial layer of lamina propria
Intermediate layer of lamina propria
52
Integrity of VF vib,regularity,symmetry,phase shape of tissue deform,slope of glottal flow waveform affect voice quality
True
False
53
A
corniculate
epiglottis
cricoid
arytenoid
54
As the layers of the vocal folds become deeper they become more___, as they become more superficial they become more___
stiff, elastic
elastic, stiff
55
J
omohyoid
sternohyoid
sternothyroid
thyrohyoid
56
H
inferior horn of thyroid cartilage
thryoid cartilage lamina
superior horn of thyroid cartilage
thyrohyoid membrane
57
G
arytenoid
cricoid
thyroid
epiglottis
58
The #1 job of the larynx is
phonation
to protect the airway
59
What are the 3 modes/registers of phonation?
Pulse
Baritone
Modal
Falsetto
60
Phonatory modes are discriminated by their signature variations in
flow
tension
subglottal pressure
vibratory patterns
61
The connective tissue that is most concentrated in the SLLP and ILLP
collagen
muscle
cartilage
elastin
62
0Which of the following are ingredients of the artistic nature of voice care?
Compassion, understanding, empathy
Counseling skills: a strong relationship between voice and emotions
A large dose of human interaction
Listening skills: voice quality, what is said
63
Phonation is not a key function of the larynx
True
False
64
G
superior horn of thyroid cartilage
epiglottis
hyoid bone
thyrohyoid ligament
65
Hirano’s Body-Cover Theory
Stiffness gradient of layer structure of VFs (dense cover vs. pliable body)
Stiffness gradient of layer structure of VFs (pliable Cover vs. dense Body)
Important role of stiff superficial layers to VF vib compared to loose body
Important role of loose superficial layers to VF vib compared to stiff body
66
C
thyroid notch
cricoid cartilage
superior horn of thyroid cartilage
inferior horn of thyroid cartilage
67
F
Vocal ligament
deep layer of lamina propria
intermediate layer of lamina propria
lamina propria
68
F
thyroid cartilage lamina
corniculate cartilage
arytenoid cartilage
vocal ligament
69
E
inferior horn of thyroid cartilage
thyroid cartilage lamina
vocal ligament
superior horn of thyroid cartilage
70
The _ muscle lengthens the VF when it contracts (pitch rise)&the _ muscle shortens them(pitch decrease)when it contracts
Cricothyroid, Thyroarytenoid
Thyroarytenoid, Cricothyroid
71
The muscle shown in this picture is the
interarytenoid
posterior cricoarytenoid
thyroarytenoid
lateral cricoarytenoid
72
When was the laryngeal mirror discovered?
1600
1714
1960
1854
73
Recurrent laryngeal nerve of CNX innervates
NOT ANSWER (intrinsic open, close, and adjust tension of VF)
pharynx
cricothyroid muscle (stretches, tenses, and adducts the vocal folds)
all intrinsic laryngeal muscles except the cricothyroid
74
F
omohyoid
sternocleidomastoid
thyrohyoid
sternohyoid
75
B
Sternocleidomastoid
scalenes
pectoralis major
pectoralis minor
76
G
omohyoid
sternocleidomastoid
thyrohyoid
sternohyoid
77
G
Intermediate layer of lamina propria
lamina propria
deep layer of lamina propria
Vocal ligament
78
B
corniculate cartilage
vocal ligament
arytenoid cartilage
inferior horn of thyroid cartilage
79
Titze’s Self-Oscillation Theory
Flow-induced self-oscillating system, sustained by tension and air
Convergent&Divergent Shape of VF create an exchange of airflow&press. peaks
Convergent&Divergent Shape of VF create an exchange of air&tension
Flow-induced self-oscillating system, sustained by pressure and flow
80
D
stylohyoid
posterior belly of digastric
thyrohyoid
mylohyoid
81
E
intermediate layer of lamina propria
superficial layer of lamina propria
Vocal ligament
deep layer of lamina propria
82
A
thyrohyoid muscle
stylohyoid muscle
anterior belly of digastric muscle
posterior belly of digastric muscle
83
Respiration is the inhalation and exhalation of air into the lungs
True
False
84
C
pectoralis minor
scalenes
pectoralis major
Sternocleidomastoid
85
Van den Berg’s Aerodynamic-Myoelastic Theory states that VF oscillation is a function of which two contributions
Muscular (myoelastic) properties: VF tissue resistance and elasticity
Air flow: supraglottal flow
Air flow: subglottal pressure and transglottal flow
VF tension: creates pressure peaks
86
What is the function and purpose of the cricoarytenoid joint?
moves laterally, allowing VF to open and close
moves thyroid anteriorly and posteriorly, elongating the VF
move vocal processes of arytenoids downward and inward, changing VF length
moves the larynx superiorly and inferiorly, for swallowing
87
C
Vocal ligament
Superficial layer of lamina propria
Epithelium
Thyroarytenoid muscle, thyromuscularis part
88
Who discovered the laryngeal mirror?
Frederick Ryland
Robert Willis
Manuel Garcia
Phil Sechtem
89
infrahyoid muscles include
stylohyoid, sternohyoid, omohyoid, sternothyroid
digastric (ant. and post. bellies), sternohyoid, omohyoid, sternothyroid
thyrohyoid, sternohyoid, mylohyoid, stylohyoid
thyrohyoid, sternohyoid, omohyoid, sternothyroid
90
What is the function and purpose of the cricothyroid joint?
move vocal processes of arytenoids downward and inward, changing VF length
moves laterally, allowing VF to open and close
moves thyroid anteriorly and posteriorly, elongating the VF
moves the larynx superiorly and inferiorly, for swallowing

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