CMD Final Review: Lectures 7-14

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Questions and Answers

What is the outermost layer of the vocal folds?

  • Vocal ligaments
  • Thyrovocalis muscle
  • Lamina Propria
  • Epithelium (correct)

Which of the following structures is responsible for the adduction and abduction of the vocal folds?

  • Thyrovocalis muscle
  • Arytenoid cartilages (correct)
  • Lamina Propria
  • Hyoid bone

During which activity are the vocal folds adducted?

  • Speech (correct)
  • Physical exercise
  • Forced inhalation
  • Quiet breathing

What is the primary function of the vocal ligaments?

<p>Aid in the modulation of sound (A)</p> Signup and view all the answers

What is the width of the posterior glottis at rest during quiet breathing?

<p>8 mm (C)</p> Signup and view all the answers

Which part of the vocal fold is referred to as the 'body'?

<p>Lamina propria: collagen fibers and thyrovocalis muscle (B)</p> Signup and view all the answers

What is unique about the hyoid bone?

<p>It is the only bone that does not attach to any other bone. (D)</p> Signup and view all the answers

What occurs to the glottis during forced inhalation?

<p>It opens widely. (A)</p> Signup and view all the answers

What is the primary function of the Lateral Cricoarytenoid muscle?

<p>To converge the vocal folds. (D)</p> Signup and view all the answers

Which intrinsic muscle is chiefly responsible for pitch change?

<p>Cricothyroid (C)</p> Signup and view all the answers

What is the role of the Posterior Cricoarytenoid muscle?

<p>To assist in vocal fold abduction. (A)</p> Signup and view all the answers

Which muscle group contributes to the glottal tensors?

<p>Cricothyroid (C)</p> Signup and view all the answers

Which of the following statements about the Interarytenoid muscles is true?

<p>They pull the arytenoids together to support medial compression. (B)</p> Signup and view all the answers

What is the primary role of the false folds in the laryngeal system?

<p>Protecting the true vocal folds (B)</p> Signup and view all the answers

Which laryngeal muscle is primarily responsible for elevating the hyoid bone?

<p>Digastricus (A)</p> Signup and view all the answers

What anatomical feature separates the true vocal folds from the false vocal folds?

<p>Laryngeal ventricle (D)</p> Signup and view all the answers

Which muscle functions as a lingual depressor and hyoid elevator?

<p>Hyoglossus (B)</p> Signup and view all the answers

The epiglottis plays a critical role during which process?

<p>Swallowing (B)</p> Signup and view all the answers

Which nerve provides innervation to all intrinsic muscles of the larynx?

<p>Cranial nerve X (vagus) (C)</p> Signup and view all the answers

What is the action of the geniohyoid muscle?

<p>Elevating and drawing the hyoid forward (A)</p> Signup and view all the answers

Which of the following muscle groups is responsible for adducting the vocal folds?

<p>Intrinsic muscles (D)</p> Signup and view all the answers

Which muscle is primarily involved in depressing the thyroid cartilage?

<p>Sternothyroid (A)</p> Signup and view all the answers

Which structure is found medial to the hyoid and comprises a single piece of cartilage?

<p>Epiglottis (B)</p> Signup and view all the answers

What is the main muscle responsible for lip movement and facial expression?

<p>Orbicularis Oris (D)</p> Signup and view all the answers

Which structure is responsible for connecting the upper lip to the midline of the alveolar region?

<p>Superior Labial Frenulum (C)</p> Signup and view all the answers

What function does the buccinator primarily serve?

<p>Mastication (D)</p> Signup and view all the answers

Which of the following muscles is responsible for retracting the lips at the corners of the mouth?

<p>Risorius (A)</p> Signup and view all the answers

Which cranial nerve is responsible for the innervation of the orbicularis oris?

<p>CN VII: Facial (C)</p> Signup and view all the answers

What are the three muscles primarily responsible for upper lip elevation?

<p>Levator Labii Superioris Alaeque Nasi, Levator Labii Superioris, Zygomaticus Major (D)</p> Signup and view all the answers

Which landmark is located on the upper lip and is crucial for identifying facial symmetry?

<p>Cupid's Bow (B)</p> Signup and view all the answers

Which of these muscles is positioned deep to the risorius?

<p>Buccinator (A)</p> Signup and view all the answers

What is the primary function of the larynx in the context of speech?

<p>Creating sound waves for voicing (B)</p> Signup and view all the answers

Which of the following statements about respiratory cycles is true?

<p>Quiet breathing is characterized as tidal respiration. (A)</p> Signup and view all the answers

What does the Bernoulli effect explain in the context of speech?

<p>The increase of airflow with decreased air pressure at constriction (D)</p> Signup and view all the answers

Which lung capacity measures the total air in the lungs after maximum exhalation?

<p>Total Lung Capacity (TLC) (A)</p> Signup and view all the answers

Which of the following is characteristic of life breathing?

<p>Inhalation occurs primarily through the nose. (B)</p> Signup and view all the answers

What is the purpose of the extrinsic ligaments associated with the larynx?

<p>To provide attachment between the hyoid or trachea and laryngeal cartilage (B)</p> Signup and view all the answers

What is the role of inspiratory reserve volume (IRV) in lung function?

<p>It is the quantity of air that can be inhaled after natural inhalation. (C)</p> Signup and view all the answers

Which of the following best describes the relationship between vital capacity (VC) and total lung capacity (TLC)?

<p>VC is less than TLC by the amount of residual volume. (C)</p> Signup and view all the answers

During strenuous breathing, how much do oxygen requirements typically increase?

<p>By a factor of 20 (B)</p> Signup and view all the answers

What is the primary feature of speech breathing compared to life breathing?

<p>Air intake occurs at the mouth. (C)</p> Signup and view all the answers

Which of the following cartilages is unpaired in the larynx?

<p>Thyroid cartilage (D)</p> Signup and view all the answers

What physiological mechanism aids in creating a vacuum to adduct the vocal folds during phonation?

<p>Decreased air pressure between folds (D)</p> Signup and view all the answers

What is the function of the pyriform sinus in the laryngeal system?

<p>To create a space between the aryepiglottic fold and thyroid cartilage (B)</p> Signup and view all the answers

What characterizes the register of glottal fry?

<p>Vocal folds are flaccid and thick, which causes a crackly voice quality. (B)</p> Signup and view all the answers

Which of the following statements is true about falsetto?

<p>It requires the vocal folds to be lengthened and thinned by cricothyroid. (A)</p> Signup and view all the answers

What is the largest mobile articulator in the articulatory system?

<p>Tongue (C)</p> Signup and view all the answers

Which of the following best describes pressed phonation?

<p>It involves greatly increased medial compression, resulting in a strong voice quality. (B)</p> Signup and view all the answers

In the oral cavity, which structures define its posterior boundary?

<p>Pharynx (D)</p> Signup and view all the answers

What is the primary function of the labia in the vocal tract?

<p>To open and close, facilitating articulation. (B)</p> Signup and view all the answers

How are the three parts of the pharyngeal cavity divided?

<p>By the nasal cavity and oral cavity. (D)</p> Signup and view all the answers

Which property of the vocal folds is essential for producing the mucosal wave in modal register?

<p>Opening from inferior to superior. (A)</p> Signup and view all the answers

What anatomical structure marks the end of the velum?

<p>Uvula (C)</p> Signup and view all the answers

What defines the breathy phonation quality?

<p>Flaccid vocal folds with air escaping during phonation. (B)</p> Signup and view all the answers

Flashcards

Perfusion

The delivery of blood via the right pulmonary artery to the capillaries that supply the alveoli.

Diffusion

The actual gas exchange across the alveolar capillary membrane.

Respiratory Cycle

One cycle of respiration consists of one inspiration (inhalation) and one expiration (exhalation).

Average Respiratory Rate

The average number of respiratory cycles per minute for adults is between 12 and 18.

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Tidal Respiration

Quiet breathing pattern involving about 500 ml of air with each cycle, also known as tidal respiration.

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Minute Volume

The volume of air processed every minute during quiet breathing, approximately 6000-8000 ml.

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Vital Capacity (VC)

The total amount of air available for life and speech, from maximum inhalation to maximum exhalation.

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Total Lung Capacity (TLC)

The total amount of air the lungs are capable of holding, including the residual volume.

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Tidal Volume

The volume of air exchanged during a single respiratory cycle, which varies based on activity, body size, and age.

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Residual Volume

The volume of air remaining in the lungs after maximum exhalation, which cannot be eliminated.

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Expiratory Reserve Volume

The quantity of air that can be exhaled after a normal, tidal expiration. Also called resting lung volume.

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Inspiratory Reserve Volume

The volume of air that can be inhaled after a normal inhalation.

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Phonation

The source of voicing for speech, produced in the larynx.

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Voice Production

The process by which exhaled air becomes a sound wave, the source of voicing for speech.

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Larynx

The musculo-cartilaginous structure that sits atop the first tracheal ring, responsible for phonation and protecting the airway.

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Glottis

The space between the vocal folds that changes size depending on whether they are open (abducted) or closed (adducted).

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Epithelium

The outermost layer of the vocal fold, made of epithelial tissue.

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Lamina Propria

The middle layer of the vocal fold, comprised of fibrous tissue, collagen, and elastic fibers. It's responsible for the fold's elasticity.

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Thyrovocalis Muscle

The innermost layer of the vocal fold, responsible for muscle contractions that help us speak.

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Vocal Ligaments

The first two layers of the lamina propria, containing elastin fibers.

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Vocal Fold Cover

The combination of epithelium, lamina propria, and the first layer of lamina propria containing random elastin fibers.

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Vocal Fold Body

The combination of the two innermost layers of the vocal fold - lamina propria with collagen and the thyrovocalis muscle.

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Hyoid Bone

The hyoid bone is a small, U-shaped bone that sits in the neck. It is unique because it doesn't attach to any other bones.

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The lesser cornu and greater cornu

Two small projections on the larynx: The greater cornu projects posteriorly from the lateral surface of the corpus. The lesser cornu is located at the junction of the cornu and corpus.

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Cuneiform Cartilages

Located within the posterior margin of the aryepiglottic folds, these cartilages help stiffen the folds.

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Rima Vestibuli

The space between the false vocal folds. It's open during normal phonation and closed during swallowing and other effort activities.

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Extrinsic Laryngeal Muscles

These muscles have one attachment inside the larynx and one outside, either to the hyoid bone or elsewhere.

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Intrinsic Laryngeal Muscles

These muscles have both attachments within the larynx or hyoid bone. They control vocal fold movement and tension.

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Stylohyoid Muscle

Elevates and retracts the hyoid bone. Helps move the larynx upward.

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Mylohyoid Muscle

Elevates the hyoid, depresses the mandible, and helps elevate the floor of the mouth during chewing.

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Geniohyoid Muscle

Elevates and draws the hyoid bone forward. Helps with tongue movement and swallowing.

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Sternohyoid Muscle

Depresses the hyoid. It helps lower the larynx during swallowing.

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Omohyoid Muscle

Has two bellies, each contracted independently to depress the hyoid and larynx. Helps with swallowing and vocalization.

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Transverse Interarytenoid (TIA)

A paired muscle in the larynx that helps to close the vocal folds by pulling the arytenoid cartilages together.

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Posterior Cricoarytenoid (PCA)

A muscle in the larynx that helps to open (abduct) the vocal folds by pulling the arytenoid cartilages apart.

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Oblique Interarytenoid (IA)

A paired muscle in the larynx that helps to close the posterior portion of the glottis by pulling the arytenoid cartilages together.

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Cricothyroid

A muscle in the larynx that primarily controls pitch by lengthening and tensing the vocal folds.

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Modal Register

The pattern of phonation used in everyday conversation, characterized by the vocal folds opening from inferior to superior and closing from inferior to superior, creating a mucosal wave that produces fundamental frequency and harmonics.

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Glottal Fry

A low-pitched, crackly voice quality often described as "strohbass" or "pulse register". It requires low subglottal pressure and thickened vocal folds that vibrate differently than in modal register.

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Falsetto

A high-pitched, thin voice quality achieved by lengthening and thinning the vocal folds. The vocal folds vibrate briefly and with reduced movement compared to other registers.

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Pressed Phonation

A type of phonation characterized by greatly increased medial compression of the vocal folds, resulting in a stronger, louder voice with a strident or harsh quality. Can be considered vocal abuse.

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Breathy Phonation

A type of phonation where the vocal folds are not fully adducted, leading to air escaping between them during phonation. Results in a breathy, whispery voice quality.

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Tongue

The most important mobile articulator responsible for producing a wide range of sounds in speech. It can change shape, size, and position to create different sounds.

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Velum (Soft Palate)

The muscular extension of the hard palate, ending in the uvula. It helps separate the nasal cavity from the oral cavity during speech production.

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Nasopharynx

The space above the soft palate, containing the pharyngeal tonsils (adenoids), which are part of the immune system.

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Oropharynx

The space behind the mouth, extending from the velum to the hyoid bone. It plays a crucial role in speech production and swallowing.

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Orbicularis Oris

A single muscle that encircles the mouth or two sets of paired muscles, two upper (orbicularis oris superior) and two lower (orbicularis oris inferior).

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Buccinator

A large muscle that dominates the cheeks and is responsible for mastication (chewing). It originates from the mandible and maxilla and inserts into the upper and lower orbicularis oris.

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Risorius

A muscle that retracts the lips at the corners, giving a 'smiling' appearance. It originates from the posterior region of the face, superficial to the buccinator.

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Levator Labii Superioris Alaeque Nasi

Elevates the upper lip, originating from the lateral margins of the nose and inserting into the mid-lateral region of the upper lip.

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Levator Labii Superioris

Elevates the upper lip, originating from the infraorbital margin of the maxilla and inserting into the mid-lateral region of the upper lip.

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Depressor Labii Inferioris

A muscle that helps to widen the mouth and pull the lip down and back. It originates from the mandible and inserts into the corners of the mouth.

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Mentalis

A paired muscle that originates from the lateral surface of the mandible and inserts into the lower lip. It's responsible for depressing the lower lip.

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Zygomaticus Minor

A muscle that originates from the anterior region of the maxilla near the canine tooth and inserts into the lower part of the upper lip. It's responsible for elevating and everting (turning outward) the upper lip.

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Study Notes

CMD Final Review

  • Review topics covered in lectures 7-14
  • Lectures cover physiology of respiration to the anatomy of the ear, with a focus on speech perception and production.

LECTURE 7: Physiology of Respiration

  • Respiration controlled by muscles, dependent on activity levels.
  • Inspiration is always an active process; expiration can be passive or active.
  • Respiration involves the exchange of air, inhalation and exhalation.
  • Respiratory pressures include atmospheric, intraoral, subglottal, and intrapleural pressures.
  • Quiet breathing involves tidal volume.
  • Forced breathing uses larger volumes of air.
  • Lung volumes and capacities are key respiratory measurements.
  • Perfusion and diffusion are also important aspects of respiration.

LECTURE 8: Phonation

  • Speech depends on respiration.
  • Exhalation produces sound waves at the larynx.
  • Bernoulli Effect is crucial for producing speech.
  • Larynx is essential for sound production, including phonation.

LECTURE 9: Laryngeal System - Extrinsic Ligaments

  • Extrinsic ligaments attach the larynx to other structures (hyoid, trachea).
  • Laryngeal ligaments, membranes, and cartilages connect and support structures.

LECTURE 10: Laryngeal Muscles

  • Laryngeal muscles (extrinsic and intrinsic) control movements of the larynx.
  • Extrinsic muscles move the larynx, while intrinsic muscles control vocal fold movements.
  • Innervation of these muscles is crucial for proper function.

LECTURE 11: Physiology of Phonation

  • Nonspeech laryngeal activities include coughing and throat clearing.
  • Quiet, forced, and whispered respiration involve different levels of vocal fold abduction.
  • Different types of vocal attacks are important for producing speech.

LECTURE 12: Articulatory System

  • Articulatory system includes the tongue, mandible, lips, velum, pharynx, and associated structures.
  • Different cavities (oral, nasal, pharynx etc.) are important for producing speech sounds.

LECTURE 13: Articulatory System - Palate

  • The anatomy of the palate is essential for speech production.
  • Bony and soft palate structures are key.
  • Palate forms part of the oral cavity.
  • The palate is covered by epithelial layers.

LECTURE 14: Speech Perception

  • Perception involves understanding speech.
  • The auditory system is crucial for speech perception.
  • The structure of the ear.
  • Peripheral and central auditory systems function together.

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