Differential Dx

Question 0

Similarities btwn hypo-k and flaccid

Answer 0

Breathiness but flaccid has diplophonia and hoarse VQ

Hypernasality but more pronounced in flaccid

Look at convo and reading - hypo-k fast or increasing rate

Question 1

Similarities btwn spastic and flaccid

Answer 1

Short phrases but spastic no evidence of breathiness of VF weakness

Hypernasality but more pronounced in flaccid

Look at conversation and reading

Question 2

Similarities btwn hyper-k and flaccid

Answer 2

Laryngeal stridor but hyper-k has other obv hyperkinesias

Adventitious movements

Conversation and reading

Question 3

S milarities between ataxic and spastic

Answer 3

Excess and equal stress, but ataxic NOT strained VQ

Question 4

Similarities btwn hyper-k and spastic

Answer 4

Strained VQ

Do AMRs - spastic slow and speech valves not affected

Question 5

Similarities btwn hyper-k and ataxic

Answer 5

Irreg Artic, irreg AMRs, dysprosody
Ataxic does not have adventitious movements
Look at face and prolonged vowel

Question 6

S milarities btwn UUMN and ataxic

Answer 6

UUMN has ataxic like breakdowns but ataxic doesn’t have facial/lingual weakness
Test jaw and tongue strength

Question 7

Similarities btwn AOS and ataxic

Answer 7

Normal oral mechs
Do SMRs - sequences abnormal in AOS, normal in ataxic
Do AMRs - normal in AOS, irregular in ataxic
Conversation- AOS you see groping