Exam 2 Part 7

Question 1

The effectiveness of the _____ will dictate the success or failure of therapy

Answer 1

Evaluation

Question 2

What body parts do we examine during a medical examination?

Answer 2

Head and neck region, oral/nasal spaces, palpation

Question 3

What do you always need in order to start voice therapy?

Answer 3

Physician’s approval (laryngologist)

Question 4

What are the 6 steps of a voice evaluation?

Answer 4

Medical examination, patient interview, perceptual evaluation of voice, patient self-evaluation, instrumental evaluation of voice, functional evaluation of vocal fold movement

Question 5

What parts of a patient interview should we include?

Answer 5

Environmental conditions, case history, medical conditions

Question 6

Clinicians perform perceptual analysis using different scales like GRBAS

Answer 6

Perceptual evaluation of voice

Question 7

Tells us how the patient evaluates their voice and how it affects QOL

Answer 7

Patient self-evaluation

Question 8

What are examples of acoustic measures of voice?

Answer 8

PRAAT, MDVP

Question 9

What are examples of aerodynamic measures of voice?

Answer 9

PAS, GE aeroview

Question 10

What are examples of functional evaluations of vocal fold movement?

Answer 10

Laryngeal endoscopy, high-speed, kymography

Question 11

What acoustic measures do we look at?

Answer 11

Fundamental frequency, intensity

Question 12

What are the primary objectives of voice evaluation?

Answer 12

Understand what is causing the problem, describe present vocal components, determine how the voce disorder impacts respiration, phonation, resonance, develop an individualized plan

Question 13

What are the secondary objectives of a voice evaluation?

Answer 13

Patient education, motivation, establish credibility of SLP

Question 14

What are the parts of a voice evaluation?

Answer 14

Patient interview, perceptual voice assessment, instrumental assessment, laryngeal videostroboscopy

Question 15

Where do referrals come from?

Answer 15

ENT, SLP, vocal coaches, singing teachers, family, friends

Question 16

What are examples of non-speech phonotrauma?

Answer 16

Throat clearing, coughing, unusual laugh

Question 17

Probe for the best voice possible (keeping in mind of patient’s current vocal behaviors).

Answer 17

Diagnostic probes

Question 18

Trial diagnostic therapy and can be done through reading, singing, chanting, or counting while shaping and experimenting with alternative methods of voice production; even use of negative practice

Answer 18

Voice stimulability testing

Question 19

Eexcessive and / or dysregulated activity of intrinsic and extrinsic laryngeal muscles, but this tension may extend to pharyngeal constrictor muscles and the deep muscles of the neck.

Answer 19

Paralaryngeal (PL) tension

Question 20

What are symptoms of PL tension?

Answer 20

Dull to severe ache and tightness, increased vocal effort and fatigue, episodic neck swelling, lumps, ear fullness, restricted ROM in jaw, tongue, and respiratory movements