Vocal Health

Question 1

contributing factors involved with the onset, maintenance, and rehabilitation of voice disorder include: 
patient's 
their family ?
their ? 
the daily ? 
their?
their expectations about ?

Answer 1

personality 
family dynamics 
medical history 
daily environmental influences to which they are exposed 
occupational demands 
quality of their voice

Question 2

Phonotrauma: the behaviors that

Answer 2

contribute to laryngeal injury

inflammation or other forms of damage

Question 3

Basic Issues related to Vocal Health
-intrinsic factors are
eg

extrinsic factors are ?
exposure of the vocal folds to ?

Answer 3

factors that patient has less control over
-anatomical response of female vocal folds during menstruation

factors to which patient may be exposed
-cigarette smoke, albeit primary or secondary

Question 4

Case history process: opportunity to ?

Answer 4

engage in a dialogue with the patient to reach an understanding of the total life influences on the patient’s voice

Question 5

Recovery Process:
voice recovery time can vary dramatically from ?

these factors include:
each individual's ability to ? 
the patient's?
the patient's previous ? 
the current 
the patient's level of 
the choice of ? and the patient's ? 

some of these factors cannot be ? therefore there can never be guaranteed?

Answer 5

person to person due to numerous factors involved with recovery process

heal and or respond to medications

• state of mind
• previous level of vocal use
• demands of the patient’s vocal use
• compliance with life-style and therapy demands
• therapy/ buy-in to the therapeutic process as well as other factors

controlled/ recovery outcome

Question 6

Non Prescriptive Drug Use:
the patient should avoid use of

common symptoms of drug use, particularly marijuana and alcohol are the following:

• impairment in
• acting
• smell on
• poor

Answer 6

non-prescribed drugs

thinking
innappropriately
breath and or clothes
auditory judgments

Question 7

Alcohol Intake:
alcohol use, even in the smallest doses can cause a decrease in ?

which undermines?

all of which are designed to ?

Answer 7

awareness/ vocal discipline and techniques/ optimize and protect the voice

Question 8

Cigarette Smoking: 
It's largest effect is on the lungs creating an increased possibility of: 
-
-
-
-

Answer 8

upper respiratory infection
acute bronchitis
pneumonia
chronic lung diseases such as chronic obstructive pulmonary disease or emphysema

Question 9

Cigarette Smoking:
irritation comes from ? decreased ?

which can cause:
inflammation of
-
-

Answer 9

decreased action of the cilia in the respiratory tract / mucous production

• upper and lower resp. tracts
• coughing
• hoarseness of voice

Question 10

effects of secondary smoke:
what about exposure to secondary smoke?

the damage from secondary smoke carries about

Answer 10

40 percent of the effect of primary smoking

Question 11

Marijuana - most commonly

chewing tobacco: clinicians should advise patients to stop chewing tobacco as it is associated with ?

Answer 11

abused substance in the US

increased risk of developing oral cancer

Question 12

Coughing and throat clearing:

continual coughing and throat clearing can have ? due to the ? and ? causing ? and damage to?

Answer 12

deletirious effects on vocal fold health / high expiratory pressures/ shearing forces/ tissue irritation and damage to vocal folds over time

Question 13

Caffeine intake:

caffeine is a ? meaning that it contributes to the elimination of ?

Answer 13

diuretic/ water through the body potentially contributing to dehydration

Question 14

dehydration is addressed therapeutically by:
reducing

increasing ?

an average cup of hot cocoa has ? of caffeine and a 3.5 oz chocolate bar is?

mountain dew has ? of caffeine for a 12 oz serving

Answer 14

intake of diuretic substances (such as caffeine)

water intake

10 mg of caffeine/ 12 mg of caffeine

54 mg of caffeine

Question 15

Sleep deprivation:
most people require an average of ? but this can vary from as little as ? to as many as ?

optimal voice may not be achieved when

Answer 15

8 to 9 hours per night / 6 to 10

person is tired

Question 16

Vocal Load and Vocal Fatigue:

individuals who engage in prolonged periods of voice use are at increased susceptibility to ?

most commonly occurs because of ?

Answer 16

condition of vocal fatigue

occupational demands
-professional voice user

Question 17

Vocal load and vocal fatigue: 
symptoms of vocal fatigue include: 
?
-
-periods of

Answer 17

odynophobia: soreness or pain in the throat following prolonged voice usage
dysphonia
voice loss

Question 18

Vocal Load and Vocal fatigue: 
vocal attrition ( the? ) is also a condition associated with the use of ?

Answer 18

wearing away of the voice / increased loudness for extended periods of time

Question 19

The bogart bacall syndrome: is a particular condition characterized by ?

-
-

Answer 19

vocal fatigue

fundamental freq. or pitch of their voice

• singers
• actors
• radio or TV personalities

Question 20

talking too loudly:

use of voice amplification may help an individual ?

Answer 20

avoid vocal fatigue

Question 21

poor nutrition:

nutritional deficiencies can affect an individual’s ability to ?

Answer 21

resist disease and withstand stress

Question 22

Obesity:
to maintain health, weight should be kept within ?
more than 20% over desirable body weight may be enough to constitute?

Answer 22

20% of ideal weight

health hazard both physically and mentally

Question 23

Dehydration:
strategies to increase hydration include:
recommending an individual ?
adding a ? so the humidity stays at ?

increased water intake is recommended because there is a growing body of evidence that indicates that vocal fold swelling and the size of the vocal fold lesions such as vocal fold nodules are ?

Answer 23

consume more water
-humidifier / 30% or more

reduced with increased hydration

Question 24

Use of herbals:
the manufacturing of herbal supplements is largely?
potential risk of ? is increased because the ingredients are not?

during the case history interview include questions regarding the use of ?
some alternative treatments can cause significant ?

Answer 24

unregulated
hepatotoxicity (chemically induced liver damage) / standardized like prescriptive drugs

alternative medicines or treatments
-side effects or drug interactions

Question 25

Acute Sinusitis:
sinuses are ?

a short-term infection of the sinuses is called ? and can be caused by the following: 
-upper 
-...
-air ?
-
-
-
-

Answer 25

spaces in the bones of the skull around the nose

acute rhinosinusitus

• upper respiratory infection
• hay fever or allergies
• air pollution and or cigarette smoke
• swimming
• pregnancy
• aging
• immune disorders, such as diabetes or auto immune deficiency (AIDS)