Chapter 7 - Voice

Question 1

Mucosal wave

Answer 1

Movement of vocal folds when talking

Question 2

Argyepiglottic folds

Answer 2

Separate pharynx and laryngeal vestibule

Protects airy way

Question 3

Frequency is determined by

Answer 3

Mass
Tension
Elasticity of VFs

Question 4

Jitter

Answer 4

Variations in vocal frequency
Large amount indicates a voice problem
Should be less than 1%

Question 5

Shimmer

Answer 5

Variations in intensity

Should have less than 1 dB

Question 6

Diplophonia

Answer 6

Listener perceived two different pitches

Question 7

Tidal volume

Answer 7

Normal breathing cycle of inhale and exhale

Question 8

Vital capacity

Answer 8

Volume of air that patient can exhale

Question 9

What does the CAPE-V assess

Answer 9

Pitch
Loudness
Resonance
Respiration
Prosody

Question 10

Major causes of VPI

Answer 10

Decreased muscle mass on velum
Arytenoids/tonsils removed
Velum paralysis

Question 11

Assimilative nasality

Answer 11

Carrying over of resonance to a sound following a nasal sound

Question 12

Cul de sac resonance

Answer 12

Backward retraction of tongue

Heard often in deaf population

Question 13

Treatment of hypernasality

Answer 13

Visual aids
Increasing mouth opening to increase oral resonance
Increasing loudness and articulation
Changing rate and pitch

Question 14

Treatment of hyponasality

Answer 14

Focusing - directing tongue into facial mask (area around nasal bridge
Nasal glide stimulation
Visual aids

Question 15

T
N
M

Answer 15

T - primary tumor site
N - lymph node involvement
M - metasis

Question 16

Granuloma

Answer 16

Inflamed lesion in a rounded sac
Occurs on arytenoid cartilages
Breathy and hoarse

Question 17

Hemigloma

Answer 17

Soft granumloma filled with blood

Question 18

Leukoplakia

Answer 18

Thick patches on mucosa of membrane
From smoking/alcohol
Diplophonia
Precancerous

Question 19

Hyperkeratosis

Answer 19

Rough pink lesion appearing in oral cavity

Question 20

Laryngomalacia

Answer 20

Soft floppy laryngeal cartilages

Question 21

Papilloma

Answer 21

Wart like growths caused by HPV
Repeated surgeries
Concerns with airway obstruction

Question 22

Paradoxical vocal fold motion disorder

Answer 22

Inappropriate closing of vocal folds when breathing

Question 23

Spasmodic dysphonia

Answer 23

Adductor type (most common) - overadduction or tight closure of vocal folds

Abductor type - intermittemt fleeting of vocal folds when person tries to phonate

Question 24

Nodules

Answer 24

Bilateral
Increases mass of vocal folds
From abusive vocal behavior

Question 25

Polyp

Answer 25

Softer than odules
Unilateral
Can be from one instance of vocal abuse 
Seen more in adults
May have Diplophonia

Question 26

Contact ulcers

Answer 26

Bilaterally along glottal margin
Caused by: low pitch, GERD, intubation
Vocal fatigue and laryngeal pain