Dr. Po's lecture part 1

Question 1

laryngeal exam using CONTINUOUS light source

Answer 1

endoscopy

Question 2

7 illusions of mirror laryngoscopy

Answer 2

1) mirror image
2) anterior com not seen
3) depth handicap
4) shadow on true VF
5)
6)
7)

Question 3

Disadvantage of Flexible Laryngoscope

Answer 3

• Moire of Honeycomb effect

- risk of epistaxis, vasovagal response

Question 4

what do you illicit on sniffing during laryngoscopy?

Answer 4

maximum abduction of VF

Question 5

nerve supply of the intrinsic laryngeal muscles (GENERAL)?

Answer 5

Vagus nerve

Question 6

laryngoscopy finding in muscle tension dysphonia

Answer 6

adduction of false VF from pharyngeal squeeze

Question 7

What is TALBOT Law?

Answer 7

our retina can only catch 5 distinct images per second

Question 8

Method to best examine vocal fold mucosal lesions

Answer 8

stroboscopy

Question 9

What can you see in stroboscopy?

Answer 9

___ relationship of body and cover

Question 10

VF characteristic measures in laryngoscopy

Answer 10

1
1
2
3
4
5
6`

Question 11

absorption

Answer 11

Narrow Band Imaging

Question 12

Transnasal esophagoscopy (TNE/TNO) difference from conventional esophagoscopy

Answer 12

• 3-5mm diameter (smaller than convetional esophagoscope 10-12mm)
• office based setting: safer, cost-effective

Question 13

Fundamental Components of Speech

Answer 13

Phonation
Resonance
Articulation

Question 14

Generation of sound by VF

Answer 14

Phonation

Question 15

Induction of vibration in the rest of the vocal tract (amplification, prolongation and filtering of sound)

Answer 15

Resonance

Question 16

Shaping of voice into words

Answer 16

Articulation

Question 17

Structures involved in Phonation

Answer 17

Vocal folds

Lungs

Question 18

General Considerations in Management

Answer 18

Voice rest
Voice therapy
Vocal Hygiene

Question 19

General Considerations in Management

Answer 19

Voice rest
Voice therapy
Vocal Hygiene
Pharmocologic Therapy
Surgical Interventions

Question 20

most common infectious etiology of acute laryngitis?

Answer 20

MOTSTLY VIRAL

Moxella Cat, Hi and strep pneumo

Question 21

Non-infectious cause of acute laryngitis

Answer 21

acute vocal strain: screaming or protracted coughing

Question 22

Tx of acute laryngitis

Answer 22

hydration, humidification, ____

Question 23

cut-off of chronic laryngitis

Answer 23

3 weeks

Question 24

causes of chronic

Answer 24

fumes, tobacco smoking, postnasal drip

Question 25

appearance of TB laryngitis

Answer 25

moth-eaten

Question 26

Benign change in

Answer 26

keratosis/leukoplakia and polypoid corditis/reinke’s edema

Question 27

AIDs defining fungal disease

Answer 27

esophageal fungal disease

Question 28

mechanism of symptoms in LPR

Answer 28

1) direct acid/bile mucosal damage

2) poor mucociliary clearance

Question 29

Who created the Refux Symtpom Index?

Answer 29

Belafsky

Question 30

Who created the Refux Symtpom Index?

Answer 30

Belafsky

Question 31

Laryngitis affecting the posterior laryngeal structures? and what are the findings?

Answer 31

LPR

Findings
1
2
3
4

Question 32

Surgical intervention for LPR

Answer 32

Nissen fundoplication

Question 33

Surgical intervention for LPR

Answer 33

Nissen fundoplication

Question 34

location of vocal fold nodule

Answer 34

anterior 2/3, bilateral

Question 35

attachment of vocal fold cyst

Answer 35

vocal ligament

Question 36

types of vocal fold cyst

Answer 36

epidermal cyst

mucus retention cyst

Question 37

location of vocal fold polyp

Answer 37

anterior 1/3, unilateral

Question 38

location of vocal fold polyp

Answer 38

anterior 1/3, unilateral

Question 39

location of vocal fold granuloma

Answer 39

posterior 1/3

Question 40

types of papillomatosis

Answer 40

juvenile -

adult - carpet

Question 41

Structures involved in Resonance

Answer 41

Chest
Pharynx
Nose & Nasopharynx
Larynx

Question 42

Structures involved in Articulation

Answer 42

Lips
Tongue
Palate
Pharynx