O6 Voice Lesions and Disorders, Final

Question 1

the __________ __________ commonly stays open in women

Answer 1

the posterior commissure commonly stays open in women

Question 2

____________ is when the _____ don’t close together like they used to. the ________ may also be stiff. it is due to _____

Answer 2

presbylaryngis is when the tvf’s don’t close together like they used to. the larynx may also be stiff. it is due to age

Question 3

__________ _________ is when a client may not speak after a traumatic event. it is an emotional __________ _________ where the fear and _________ are transferred to the _________.

Answer 3

emotional aphonia is when a client may not speak after a traumatic event. it is an emotional conversion reaction where the fear and stress are transferred to the larynx.

Question 4

_________ can occur over time or after just one incident of vocal abuse, allergy, chronic inhalation of irritants, etc. (different form _________ which are purely use and abuse!)

a ________ ________ may appear on the opposing vf because the polyp keeps hitting it if left untreated long enough.

they do not resolve on their own and need to be __________ removed.

Answer 4

Polyps can occur over time or after just one incident of vocal abuse, allergy, chronic inhalation of irritants, etc. (different form nodules which are purely use and abuse!)

a reactive lesion may appear on the opposing vf because the polyp keeps hitting it if left untreated long enough.

they do not resolve on their own and need to be surgically removed.

Question 5

_______ on the vocal folds may just happen. they look like pimples. may resolve on their own or surgery will resolve

Answer 5

cysts on the vocal folds may just happen. they look like pimples. may resolve on their own or surgery will resolve

Question 6

1 population is the mothers of small children.

_________ ________ is where fluid fills a potential space, called ________ space (pleural space not present in healthy individual). can resolve on its own

vf tissue ________ around.

Answer 6

1 population is the mothers of small children.

Reinke’s Edema is where fluid fills a potential space, called Reinke’s space (pleural space not present in healthy individual). can resolve on its own

vf tissue flops around.

Question 7

the shorter the _________ of any lesion the more likely it is to _________. any lesion is a ________ change.

Answer 7

the shorter the duration of any lesion the more likely it is to resolve. any lesion is a tissue change.

Question 8

contact ________ may be caused my reflux/GERD or by pushing the __________ together way too tightly, or a combination

Answer 8

contact ulcers may be caused my acid /GERD or by pushing the arytenoids together way too tightly, or a combination

Question 9

contact __________ may be caused by __________ or reflux

Answer 9

contact granulomas may be caused by intubation or reflux

Question 10

_________ and the ______ of tissue are keys to ID’ing lesions

Answer 10

location and the type of tissue are keys to ID’ing lesions

Question 11

________ __________ occur when a _________ vf is injected with with the substance (to stiffen so other one can vibrate off of it better) and it migrates to the other vf tissue and forms a __________. this is an extremely dangerous substance

Answer 11

teflon granulomas occur when a paralyzed vf is injected with with the substance (to stiffen so other one can vibrate off of it better) and it migrates to the other vf tissue and forms a granuloma. this is an extremely dangerous substance

Question 12

_________ is caused by illness, chemicla exposure, disease lesions, allergies, etc

Answer 12

laryngitis is caused by illness, chemicla exposure, disease lesions, allergies, etc

Question 13

vocal ________ are purely use and abuse. they develop at the __________ and __________ glottis (1/2 and 2/3 juncture) which are the greatest points of _________. they are like calluses.

remember “dog leg” of nodules as indicator

Answer 13

vocal nodules are purely use and abuse

they develop at the cartilagenous and membranous glottis (1/2 and 2/3 juncture) which are the greatest points of contact. they are like calluses

remember “dog leg” of nodules as indicator

Question 14

__________ is the growth of tiny collections of inflammatory _______ that can potentially block the airway. the _________ looks like it exploded and creates a “____ ________” resonance

Answer 14

sarcoidosis is the growth of tiny collections of inflammatory cells that can potentially block the airway. the epiglottis looks like it exploded and creates a “hot potato” resonance

Question 15

_________ is the closing of an opening

Answer 15

stenosis is the closing of an opening

Question 16

___________ _____________ may cause subglottal stenosis

Answer 16

Wegener’s Granulomatosis may cause subglottal stenosis

Question 17

___________ is the swelling of the epiglottis, often part of an illness.

Answer 17

epiglottitis is the swelling of the epiglottis, often part of an illness.

Question 18

a vf ___________ is a popped blood vessel in the vf. can be caused by a single event such as a violent cough.

Answer 18

a vf hemorrhage is a popped blood vessel in the vf. can be caused by a single event such as a violent cough.

Question 19

a vf ________ looks like a trough on the fold

Answer 19

a vf sulcus looks like a trough on the fold

Question 20

vocal surgery should ________ be suggested.

Answer 20

vocal surgery should never be suggested

Question 21

__________ is pre-malignant tissue that presents as _______ and _______. it may be caused from a long history of ________ or a response to a serious ________ system deficiency such as HIV

Answer 21

leukoplakia is pre-malignant tissue that presents as white and milky. it may be caused from a long history of smoking or a response to a serious immune system deficiency such as HIV

Question 22

emphysema clients have __________ difficulties because the ________ become stiff. need to teach to use _______ upon __________. may suffocate by CO2 poisoning (can’t escape body).

______-_____ exercise may help

Answer 22

emphysema clients have exhalation difficulties because the alveoli become stiff. need to teach to use force upon exhalation. may suffocate by CO2 poisoning (can’t escape body).

snuff-hiss exercise may help

Question 23

vf’s can be paralyzed in the ______, __________ or ________ position

Answer 23

vf’s can be paralyzed in the open, paramedian or closed position

Question 24

__________ __________ is the spasm of the muscles of the larynx. vf’s get pushed together hard with little or no vibration.

can happen in the muscles of lateral cricoarytenoid, cricothyroid and/or thyroarytenoid

__________ is common

__________ is uncommon (when posterior cricoarytenoid spasms)

it does not respond to ________ tx, only tx that works is ________

remeber for differential dx - _________ voice will remain consistent

Answer 24

spasmodic dysphonia is the spasm of the muscles of the larynx. vf’s get pushed together hard with little or no vibration.

can happen in the muscles of lateral cricoarytenoid, cricothyroid and/or thyroarytenoid

adductor is common

abductor is uncommon (when posterior cricoarytenoid spasms)

it does not respond to voice tx, only tx that works is botox

remeber for differential dx - singing voice will remain consistent

Question 25

__________ ___ ________ (pvfm) is where the larynx and vf closes when a deep breath is initiated

psych profile follows young women who are perfectionists

usually persists, but can teach to breathe thru nose or pursed lips

Answer 25

paradoxical vf motion (pvfm) is where the larynx and vf closes when a deep breath is initiated

psych profile follows young women who are perfectionists

usually persists, but can teach to breathe thru nose or pursed lips