the voice diagnostic

Question 1

What voice evaluation procedure is a direct form of assessment?

Answer 1

laryngeal stroboscopic examination

Question 2

A voice is normal if it does not deviate substantially from our internal gauge of parameters such as…

Answer 2

loudness, pitch, and quality

Question 3

The voice clinician decides to go ahead with a treatment plan for vocal nodules even though, following further voice evaluation, the patient has no signs or symptoms obtained via case history and perceptual evaluation consistent with the diagnosis. This may be an example of…

Answer 3

diagnosis momentum

Question 4

What is associated with poor voice quality and excessive throat clearing first thing in the morning?

Answer 4

postnasal drip and laryngopharyngeal reflux

Question 5

Why is auditory-perceptual evaluation of voice a necessary and valuable component of the voice diagnostic?

Answer 5

Perceptual evaluation methods are available to all clinicians.

The perceived characteristics of the voice are often the reason that a patient has presented themselves or has been referred for in the first place.

The perceived characteristics of the voice present a gauge by which the success of therapy will be evaluated.

Question 6

The term used to describe the pitch level around which normal pitch inflections/variations occur and is used most often in everyday speech is…

Answer 6

habitual pitch

Question 7

The perceptual attribute that corresponds to the magnitude of sound pressure disturbances is…

Answer 7

loudness

Question 8

A respiratory pattern that results in weak, shallow inspiration and mainly uses the secondary/accessory muscles of respiration is…

Answer 8

clavicular breathing

Question 9

A disordered voice quality that is often described as “gravelly” and is associated with irregularity of vocal fold vibration is…

Answer 9

roughness

Question 10

What evaluation procedure is not an impairment-level measure?

Answer 10

The voice handicap index

Question 11

What would patient complaint of “sudden onset of voice changes” indicate in terms of vocal pathology?

Answer 11

possible VF nodules

Question 12

What other characteristics may indicate the presence of VF nodules?

Answer 12

low speaking pitch and vocal fatigue

Question 13

T/F: Hyperfunctional voice disorders may present in patients as “better” vocal function or quality earlier in the day.

Answer 13

True

Question 14

T/F: Laryngopharyngeal reflux (LPR) may cause poorer vocal function or quality earlier in the day.

Answer 14

True

Question 15

What are some perceptual measures of vocal quality?

Answer 15

GIRBAS scale and the CAPE-V

Question 16

What descriptive term is used to categorize fundamental rate of vibration, frequency, etc.?

Answer 16

pitch

Question 17

T/F: Monopitch, instability, jitter, shimmer, shakiness, tremor, etc. can be used to describe vocal intensity.

Answer 17

False; those describe pitch

Question 18

What descriptive term is used to categorize magnitude of pressure disturbances, glottal resistance, and rate of airflow?

Answer 18

loudness/intensity

Question 19

Aphonic productions and inappropriate phrase/breath group can be used to describe __________.

Answer 19

duration

Question 20

T/F: Normal adults produce 150- 200 words per minute or 3-5 syllables per second.

Answer 20

True

Question 21

What speaking population utilizes diaphragmatic-abdominal breathing?

Answer 21

actors and singers

Question 22

Breathiness, roughness, hoarseness, harshness and strain can be used to describe ___________.

Answer 22

vocal quality

Question 23

What are some patient-based measures of vocal quality or function?

Answer 23

VHI, V-RQOL, Voice symptom scale