Week 3

Question 1

Purpose of WHO’s ICF Model

Answer 1

create comprehensive classification of the components of health and the consequences of health conditions
-move away from biomedical model (shifted from problem residing in individual to a focus on impact of social and environmental factors)

Question 2

body function

Answer 2

physiologic functions of body (speech production)

Question 3

body structure

Answer 3

anatomical parts of body

Question 4

impairment

Answer 4

problems in body function or structure

Question 5

activity

Answer 5

execution of a task or action

Question 6

participation

Answer 6

involvement in life situations

Question 7

personal/environment

Answer 7

physical, social, and attitudinal

Question 8

patient with reduced speech intelligibility

Answer 8

activity level

Question 9

person lost job cause of motor speech disorder

Answer 9

participation

Question 10

person with hypo nasality

Answer 10

impairment

Question 11

person who could not afford hearing aids

Answer 11

environment

Question 12

person was depressed and couldn’t go to work

Answer 12

personal factor

Question 13

purpose of clinical examination

Answer 13

-detect a suspected problem
-establish differential Dx
-classify problem within a disorder group
-establish prognosis
-solidify Tx focus

Question 14

Hx of speech problem

Answer 14

record review
interview with the client
knowledgeable informants (family, caregivers, guardians)

Question 15

observations of physical examination

Answer 15

at rest, during sustained postures, movement, reflexes

face during movement: on avg more active on right side

jaw at rest: slightly closed or slightly open

tongue at rest: needs to maintain in mouth

phonation: coughing is result of sharp VF adduction

Question 16

weak cough but sharp glottal coup

Answer 16

respiratory weakness

Question 17

weak coup but normal cough, or equally weak cough and coup

Answer 17

laryngeal weakness or combined laryngeal and respiratory weakness

Question 18

voluntary cough

Answer 18

reflexive and does not require UMN drive

Question 19

involuntary cough

Answer 19

intentional cough and this comes from cortex and intact UMN

Question 20

weakness of vocal fold abduction

Answer 20

inhalatory stridor

Question 21

what can be used to assess respiration

Answer 21

glass manometer

Question 22

how to elicit gag reflex

Answer 22

stroking back of tongue, posterior pharyngeal wall, or faucial pillars

Question 23

innervation of gag reflex

Answer 23

afferent pathway is through IX

Question 24

response (gag reflex)

Answer 24

elevation of palate, retraction of tongue, and sphincteric contraction of pharyngeal walls

Question 25

when is the gag reflex clinically significant

Answer 25

asymmetrically elicited

Question 26

jaw jerk

Answer 26

may be pathologic when exaggerated or easily elicited in 10% of adults

Question 27

how to elicit jaw jerk

Answer 27

tongue blade is placed on patient’s chin and blade is then tapped with a reflex hammer or a finger of the other hand

Question 28

innervation of jaw jerk

Answer 28

mandibular branch of trigeminal

Question 29

response for jaw jerk

Answer 29

quick jaw closing

Question 30

clinical significance for jaw jerk

Answer 30

confirmatory of bilateral UMN disease above level of trigeminal nerve

Question 31

sucking reflex (primitive reflex): how to elicit

Answer 31

stroking upper lip with a tongue blade

Question 32

response for sucking reflex

Answer 32

no response in adults and response is puckering of lips

Question 33

clinical significance for sucking reflex

Answer 33

when present, can confirm UMN disease above level of facial nerve

Question 34

what should happen if supratentorial lesions or AOS or aphasia are suspected

Answer 34

nonverbal oral apraxia should be examined (involvement of nonverbal oral mechanism in response to commands)