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Voice > Assessment of Voice Disorders > Flashcards

Assessment of Voice Disorders Flashcards

1
Q

List the 4 components of the assessment process

A
  1. Diagnostic interview
  2. Perceptual Assessment
  3. Instrumental assessment
  4. Diagnostic and therapeutic decisions
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2
Q

What are the the different topics you need info about during the diagnostic interview?

A
  • Voice history
  • Medical history
  • Voice usage
  • Family history
  • Developmental info (kids only)
  • Personal profile
  • Current health practices (adults only)
  • Work history (adults)
  • Psychological considerations (adults)
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3
Q

What is the final question you should ask after taking your case history?

A

IS there anything else we have not discussed that you feel is important?

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4
Q

What should we note about a patient’s general appearance?

A
  • Age and personal maturity
  • Height and weight
  • Facial expression
  • Posture and walk
  • Personal hygiene
  • Skin, hair and nails
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5
Q

List the breathing types

A
  • Abdominal
  • Costal
  • Thoracic
  • Clavicular
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6
Q

What is the ideal breathing type

A

Abdominal or costo-abdominal

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7
Q

List the vocal registers

A
  • Whistle register
  • Falsetto/loft/head register
  • Modal/chest register
  • Fry register
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8
Q

During diagnostic assessment, what do you need to assess for non-speech vocalizations

A
  • Sustained phonation

- Vocal range (intensity, pitch, and transitions)

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9
Q

List the tools that can be used to help you describe a patient’s voice during the perceptual assessment:

A
  • The vocal profile analysis
  • The RBH system
  • The GRBAS scale
  • The CAPE-V
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10
Q

What does GRBAS stand for?

A
  • Grade (overall severity)
  • Roughness
  • Breathiness
  • Asthenia
  • Strain
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11
Q

What are the areas we want to assess during the instrumental assessment?

A
  • Pulmonary function measures
  • Neurophysiological measures
  • Laryngeal imaging
  • Measurements of vocal fold contact area
  • Aerodynamic measurements
  • Acoustic measures
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12
Q

Prothetic continua are _______ and are best measured using ________ scales

A

additive

analogue

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13
Q

Metathetic continua are _______ and are best measured using __________ scales

A

substitutive

equal appearing interval scales

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14
Q

List the 4 types of laryngeal imaging techniques

A
  • Direct laryngoscopy
  • Mirror laryngoscopy
  • Endoscope (rigid and flexible)
  • Videostroboscopy
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15
Q

True or False: a 90 degree angle using a rigid endoscope gives us a better view of the VFs

A

False: while a 90 degree angle is more comfortable for the patient, a 70 degree gives us a better view

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16
Q

What are the 3 speeds of videostroboscopy?

A
  • Stop: still images
  • Running: slow motion view of VFs
  • Walk: Even slower motion
17
Q

When we are watching videos from endoscopes, we are watching _______ motion

A

apparent

18
Q

As F0 increases, the excursion of the mucosal wave __________

A

decreases

-due to increased tension in the VFs

19
Q

As loudness increases, the excursion of the mucosal wave _________

A

increases

-we see this most commonly in the modal register

20
Q

What are the two instruments that measure VF contact area?

A
  • Electroglottography

- Photoglottography

21
Q

What are the two aerodynamic instruments we talked about in class?

A
  • Pneumotacograph

- Warm wire anemometer

22
Q

2 pressures, measured on both sides of a known resistance, can be used to calculate _______

A

flow

23
Q

How do we measure sub glottal pressure

A

-Estimation can be achieved by measuring the intraoral pressure during the production of /pipipi/ with a catheter

24
Q

For an ideal audio recording, the microphone needs to be ________ cm away from the person and at a ______ angle

A

10-15cm

45 degrees

25
Q

What is shimmer?

A

cycle to cycle amplitude variation

26
Q

What is jitter?

A

cycle to cycle frequency variation

Voice (11 decks)

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