Voice Disorders exam 1 Flashcards

1
Q

What intrinsic laryngeal muscle is the only VF abductor?

A

The Posterior Cricoarytenoid

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2
Q

What intrinsic laryngeal muscle is most important for VF adduction?

A

lateraly cricoarytenoid

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3
Q

What can happen if there is a lack of VF adduction?

A

There will be an increased risk of aspiration

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4
Q

Which intrinsic laryngeal muscle is important for change in pitch?

A

cricothyroid

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5
Q

What two qualities of the cricothryoid make it different than the other laryngeal intrinsic muscles?

A
  1. It is the only intrinsic muscle not innervated by the recurrent laryngeal nerve (RLN)
  2. It is innervated by the SLN
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6
Q

What are the three levels of laryngeal protection of the lower airway?

A
  1. Epiglottis
  2. False vocal folds
  3. True vocal folds
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7
Q

If the vocal folds are stiff and lack appropriate tension, how would pitch be affected and why?

A

Pitch may sound monotone. There will be an inability to increase pitch.

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8
Q

Mr. P has a lesion on the vagus nerve on the right side at a level above the RLN branch but below the SLN. What functions are affected and to what degree?

A

VF abduction and adduction are affected? There may e some form of VF paralysis or paresis

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9
Q

Movement of which cartilage is essential for VF vibration?

A

The arytenoid

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10
Q

Which laryngeal joint is responsible for tension of the VF?

A

The cricothyroid joint

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11
Q

What is the space above the false vocal folds called?

A

The laryngeal vestibule

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12
Q

What is the space between the true and false vocal folds called?

A

The laryngeal ventricle

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13
Q

What is ventricle dysphonia?

A

Closing of the false VF

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14
Q

What is the primary mechanism for increasing loudness?

A

Increasing subglottal pressure

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15
Q

What are possible causes of a breathy voice?

A

Incomplete glottal closure

issues in RLN

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16
Q

What are possible causes of a hoarse voice?

A

Aperiodicity
Mucosal wave abnormalities
(Issues with RLN, cerebellar issues for synchronicity)

17
Q

What are possible causes of strain?

A

Supraglottal muscle tension

False vocal fold closure

18
Q

What can cause vocal fold paralysis?

A

Unilateral or bilateral lesion to the RLN

can cause focal fold abduction and/or adduction

19
Q

What can cause monotone pitch?

A

Lesion on the SLN or damage to the cricothryroid

20
Q

What causes the inability to increase loudness?

A

VF abduction and adduction difficulties that control subglottal air pressure
Impairment on the RLN