Assessment of voice

Question 1

what are the 8 things you do for a voice evaluation?

Answer 1

Patient history
voice sample
perceptual analysis
Acoustic analysis
stroboscopic assessment
respiratory assessment
resonation and vp assessment
recommendations

Question 2

for a voice sample you collect what 2 types of samples?

Answer 2

sustained

connected

Question 3

for the perceptual analysis what assessment tool would you use (2)?

Answer 3

CAPE-V-clinicians perspective

VHI-clients perspective

Question 4

is a perceptual analysis subjective or objective?

Answer 4

subjective

Question 5

You cannot make a diagnosis without doing what when you are assessing?

Answer 5

stroboscopic assessment

Question 6

What two things can you do to assess resonance or VP?

Answer 6

nasopharyngoscopy

nasometer

Question 7

what three things can u use to assess the respiratory system?

Answer 7

spirometry, manometry, and pneumotachometry

Question 8

what do you use for a acoustic analysis when doing a voice assessment?

Answer 8

MDVP

Question 9

what does EMG stand for? what is it measured in?

Answer 9

Electromyography (volts)

Question 10

What does EGG stand for and what does it measure?

Answer 10

electroglotography (mean flow rate (MFR) of airflow at glottis

Question 11

When you take a ptnt hx what do you need to get?

Answer 11

history of problem (origin, duration, severity), symptoms of voice quality (pitch, resonance, loudness, reflux, cough)
social hx: how do they use voice?
related med hx (surgeries, allergies, URI, psych)
vocal hygiene (lifestyle: smoke, hydration)
medication list

Question 12

What does the Cape-v stand for

Answer 12

consensus auditory-perceptual evaluation of voice

Question 13

what are the parameters that are rated from a videostoboscopic exam?

Answer 13

vocal fold edge
glottal closure
phase closure
vertical level of vf approximation
amplitude of vibration
mucosal wave
vibratory behavior
phase symmetry
periodicity
hyperfunction

Question 14

vocal fold edge looks at the smoothness of the vfolds edge

Answer 14

true

Question 15

glottal closure looks at?

Answer 15

the degree to which the vfolds close during maximum adduction during phonation

Question 16

what does phase closure look at?

Answer 16

the degree to which the v.folds move together during vocal fold closure during phonation

Question 17

what does vertical level of vf approximation look at?

Answer 17

the degree to which the vocal folds meet on the same vertical plane during phonation (does one move more than the other?)

Question 18

what does the amplitude of vibration look at?

Answer 18

the degree of movement from the medial to the lateral aspects of the vocal fold during phonation.

Question 19

What does the mucosal wave look at?

Answer 19

the assessment of the degree of traveling wave that is present on the superior surface of the vocal fold during phonation

Question 20

when you assess for vibratory behavior what are you looking at?

Answer 20

identification of portions of the v. folds that are not moving during phonation

Question 21

what does phase symmetry look at?

Answer 21

the degree to which the v. folds move symmetrically during v. fold closure during phonation

Question 22

periodicity looks at?

Answer 22

regularity of successive cycles of vibration during phonation

Question 23

hyperfunction looks at (during voice assessment)

Answer 23

extraneous activity in the form of ventricular compression/phonation (a-p press).

Question 24

what is pneumotachometer and what does it measure?

Answer 24

measures cough strength/peak flow

inspiratory muscle phase, compression of vf’s phase