Cancer

Question 1

A 55-yr old man says hes been sounding hoarse for the last few months. He says hes had difficulty swallowing, ear pain, and a lump in his neck. He shares with you that he has an ongoing sore throat. You suspect his diagnosis will be…

A. largyngeal web
B. laryngeal cancer
C. vocal nodules
D. granuloma

Answer 1

B. laryngeal cancer

Long-lasting symptoms of hoarse voice, ear pain, difficulty swallowing, and sore throat are good indicators of laryngeal cancer. Hoarseness occurs when a tumor grows on the vocal cords or when cancer spreads into the vocal cords causing a change in voice. The tumor can then impact the swallowing mechanism, making both swallowing and breathing difficult

Question 2

Youve been asked to counsel with John, a 70 yr old man who has a history of alcohol and smoking since a teenager. He now has laryngeal cancer. Before surgery, the surgeon asks you to talk with him about esophageal speech. You explain there are two types.
One, the pt is taught to keep the esophagus open and relaxes while inhaling rapidly.
Second, the pt impounds the air in the oral cavity, pushes it back into the esophagus, and vibrates the cricopharyngeus muscle. What is the second method called?

A. Inhalation method
B Laryngeal airway resistance method
C inhalatory injection method
D. Injection method

Answer 2

D. Injection method

In general, esophageal speech uses the natural tissues within the esophagus to produce speech-like sounds. However, its important to note where the airflow is coming in.
The inhalation method is a method in which negative pressure is pulled into the esophagus and directed upwards. This vibrates the PE segment, creating speech with a burp-like quality. By contrast, the injection method allows positive air prossure to move into the oral cavity and down to the esophagus

Question 3

Pts who suffer from oral cancer may require a glossectomy. What may be affected by a glossectomy?

Answer 3

Articulation and Swallowing

Question 4

What is a glossectomy

Answer 4

Course of action when cancer is oral
Results in partial removal or full removal of individuals tongue

Question 5

You are assessing a 76-year-old woman for a possible diagnosis of aphasia. You are interested in finding out the specific type of aphasia the woman is experiencing. You notice that she has strong repetition skills, but she has trouble answering questions spontaneously. Her language comprehension is relatively intact, but her speech lacks intonation and rhythm. You notice that she has difficulties with lip and facial movements such as winking, whistling, coughing, and the like on command. This condition alone might suggest which of the following?

Answer 5

cachexia

Cachexia is a wasting syndrome where pt has severe weight loss (muscle mass and fat), loss of appetite, anaemia, and weakness/fatigue