Functional Voice Disorders, Lecture2

Question 1

Why is surgery never an option for the management of muscle tension dysphonia or conversion aphonia?

Answer 1

Because there is no anatomical cause for either.

Question 2

Muscle Tension Dysphonia is described as __________ of the _________ laryngeal muscles

Answer 2

Hypercontraction

Extrinsic

Question 3

T/F There is usually an identifiable cause for muscle tension dysphonia

Answer 3

False

Question 4

T/f I have cool roommates

Answer 4

True!

Question 5

In paradoxical vocal fold function the VFs ________ upon inspiration.

Answer 5

adduct

Question 6

What are the 3 phases of PVFD Management, according to Andrianopoulous et al?

Answer 6

1: Differential diagnosis
2: Symptomatic behavioral techniques
3: Carryover using strategies to prevent and anticipate episodes

Question 7

Which voice disorder may appear suddenly after an emotionally traumatic event?

Answer 7

conversion aphonia

Question 8

What are the 4 perceptual descriptors of muscle tension dysphonia?

Answer 8

strained
high pitch
breathiness
weakness

Question 9

This voice disorder is often associated with long term stress and other psychological factors?

Answer 9

Muscle Tension Dysponia

Question 10

Which voice disorder sometimes causes patients to feel like they are choking or experiencing shortness of breath?

Answer 10

Paradoxical vocal fold dysfunction

Question 11

Aside from pitch, what are 4 qualities of voice a transgender patient might be interested in changing?

Answer 11

resonance, intonation, rate, and intensity

Question 12

T/F VFs appear normal at rest in those with conversion aphonia

Answer 12

True

Question 13

What three things happen upon phonation visually for those with conversion aphonia?

Answer 13

irregular VF movements
insufficient VF adduction
aperiodicity

Question 14

T/F Paradoxical Vocal Fold Dysfunction is often misdiagnosed

Answer 14

True

Question 15

A combination of what two types of treatment may be most beneficial for people with conversion aphonia?

Answer 15

Voice and psychiatric

Question 16

Severe cases of conversion aphonia may require what? (2)

Answer 16

hypnosis

antidepressants

Question 17

wheezing and stridor are common in what voice disorder?

Answer 17

paradoxical vocal fold dysfunction

Question 18

Paradoxical Vocal Fold Dysfunction is also known as…. (2)

Answer 18

Paradoxical Vocal Fold Movement

Episodic paroxysmal laryngospasm

Question 19

During a PVFD attack, ________ occurs in the _________ 2/3 of the vocal folds.

Answer 19

adduction, anterior

Question 20

This management technique for muscle tension dysphonia involves massaging the strap muscles of the larynx.

Answer 20

Circumlaryngeal massage

Question 21

Five perceptual symptoms of conversion aphonia

Answer 21

aphonia
high pitch
strain
pain in neck
extrinsic laryngeal tension during phonation