Podcast
Questions and Answers
During a voice therapy session, an SLP evaluates a client, John, who is recovering from vocal fold nodules. The SLP notes a significant amount of jitter in John’s voice as he sustains a vowel. What does this observation likely indicate about John’s vocal health?
During a voice therapy session, an SLP evaluates a client, John, who is recovering from vocal fold nodules. The SLP notes a significant amount of jitter in John’s voice as he sustains a vowel. What does this observation likely indicate about John’s vocal health?
- John has perfect vocal fold function
- John’s vocal pitch is lower than normal
- John may still have irregular vocal fold vibrations (correct)
- John’s vocal loudness has improved
A patient undergoing voice therapy shows signs of vocal fatigue and reduced vocal endurance. The clinician decides to perform aerodynamic measurements. Which parameter is particularly important to assess to provide insights into the patient’s breath support for voice production?
A patient undergoing voice therapy shows signs of vocal fatigue and reduced vocal endurance. The clinician decides to perform aerodynamic measurements. Which parameter is particularly important to assess to provide insights into the patient’s breath support for voice production?
- Vital capacity (correct)
- Total lung capacity
- Vocal fold vibration frequency
- Tidal volume
During an examination of a patient who reports difficulty with voice control and occasional voice breaks, an SLP decides to use Videokymography. What specific aspect of vocal fold function is this procedure particularly useful in assessing?
During an examination of a patient who reports difficulty with voice control and occasional voice breaks, an SLP decides to use Videokymography. What specific aspect of vocal fold function is this procedure particularly useful in assessing?
- Airflow and air pressure during phonation
- Vocal fold pathology linked to volume capacity
- Asymmetry in vocal fold vibrations (correct)
- Electrical activity of the laryngeal muscles
A voice therapist uses an innovative method to help a male client lower his vocal pitch by introducing background noise during oral reading. This technique utilizes a well-known auditory phenomenon to naturally induce and louder and lower pitch. What is this technique called?
A voice therapist uses an innovative method to help a male client lower his vocal pitch by introducing background noise during oral reading. This technique utilizes a well-known auditory phenomenon to naturally induce and louder and lower pitch. What is this technique called?
An SLP is discussing the dynamics of air pressure during a speech with a group of graduate students. How does the air pressure inside the lungs compare to the atmospheric pressure during inhalation?
An SLP is discussing the dynamics of air pressure during a speech with a group of graduate students. How does the air pressure inside the lungs compare to the atmospheric pressure during inhalation?
A client recovering from vocal fold surgery is having difficulty achieving proper vocal fold closure. Based on the myoelastic aerodynamic theory, which strategy should the SLP focus on to improve closure and reduce breathy voice?
A client recovering from vocal fold surgery is having difficulty achieving proper vocal fold closure. Based on the myoelastic aerodynamic theory, which strategy should the SLP focus on to improve closure and reduce breathy voice?
An SLP is evaluating a patient who recently underwent vocal fold surgery and is experiencing hoarseness. What aspect of mucosal wave action should the SLP specifically assess to determine the cause of the hoarse voice?
An SLP is evaluating a patient who recently underwent vocal fold surgery and is experiencing hoarseness. What aspect of mucosal wave action should the SLP specifically assess to determine the cause of the hoarse voice?
Following the assessment of a patient with hoarseness post-vocal fold surgery, the SLP needs to conduct a high-speed imaging test to further analyze vibratory patterns of the vocal folds during phonation. Which imaging technique should the SLP use specifically to examine the presence and symmetry of the mucosal wave action?
Following the assessment of a patient with hoarseness post-vocal fold surgery, the SLP needs to conduct a high-speed imaging test to further analyze vibratory patterns of the vocal folds during phonation. Which imaging technique should the SLP use specifically to examine the presence and symmetry of the mucosal wave action?
A 50 yo teacher undergoes vocal fold surgery for bilateral vocal polyps. Post-surgery, they report persistent hoarseness and a rough, gravelly voice quality. What is the most likely physiological explanation for this vocal change?
A 50 yo teacher undergoes vocal fold surgery for bilateral vocal polyps. Post-surgery, they report persistent hoarseness and a rough, gravelly voice quality. What is the most likely physiological explanation for this vocal change?
A 62 yo male with progressive voice changes reports increasing breathiness and difficulty projecting his voice. Laryngoscopic examination reveals reduced vocal fold closure and weakness in the muscles responsible for adduction. To improve vocal fold closure, which intrinsic laryngeal muscles should be targeted during voice therapy? Select all that apply.
A 62 yo male with progressive voice changes reports increasing breathiness and difficulty projecting his voice. Laryngoscopic examination reveals reduced vocal fold closure and weakness in the muscles responsible for adduction. To improve vocal fold closure, which intrinsic laryngeal muscles should be targeted during voice therapy? Select all that apply.
An 80 yo male reports a gradual weakening of his voice over the past decade. He describes difficulty projecting his voice, increased breathiness, and slightly higher pitch than when he was younger. The SLP explains that these changes are common in aging and may be associated with presbyphonia. Which of the following age-related laryngeal changes are most likely contributing to this patient's voice concerns?
An 80 yo male reports a gradual weakening of his voice over the past decade. He describes difficulty projecting his voice, increased breathiness, and slightly higher pitch than when he was younger. The SLP explains that these changes are common in aging and may be associated with presbyphonia. Which of the following age-related laryngeal changes are most likely contributing to this patient's voice concerns?
What are common perceptual characteristics of presbyphonia? Select all that apply.
What are common perceptual characteristics of presbyphonia? Select all that apply.
A 45 yo male singer reports difficulty reaching high notes and a strained vocal quality. The SLP suspects excessive tension in the extrinsic laryngeal muscles responsible for elevating the larynx. Which of the following muscles are most likely involved in this issue?
A 45 yo male singer reports difficulty reaching high notes and a strained vocal quality. The SLP suspects excessive tension in the extrinsic laryngeal muscles responsible for elevating the larynx. Which of the following muscles are most likely involved in this issue?
An SLP evaluated a singer who complains of difficulty controlling vocal loudness and pitch stability. Acoustic analysis revealed normal jitter but increased shimmer during sustained vowel phonation. What is the most likely explanation for this finding?
An SLP evaluated a singer who complains of difficulty controlling vocal loudness and pitch stability. Acoustic analysis revealed normal jitter but increased shimmer during sustained vowel phonation. What is the most likely explanation for this finding?
Match each vocal quality with its correct description:
Match each vocal quality with its correct description:
A 6 yo child who underwent prolonged intubation during surgery now presents with persistent hoarseness and vocal fatigue. A laryngeal exam reveals ulcerated areas with signs of granulated tissues on the posterior glottis. What is the best course of action?
A 6 yo child who underwent prolonged intubation during surgery now presents with persistent hoarseness and vocal fatigue. A laryngeal exam reveals ulcerated areas with signs of granulated tissues on the posterior glottis. What is the best course of action?
A SLP uses a spectrogram to analyze the acoustic properties of a client’s speech. The client produces the word “time”, and the SLP notices variations in the gray scale. What aspect of speech sound is best indicated by these variations?
A SLP uses a spectrogram to analyze the acoustic properties of a client’s speech. The client produces the word “time”, and the SLP notices variations in the gray scale. What aspect of speech sound is best indicated by these variations?
A 30-year-old call center worker complains of hoarseness, vocal fatigue, and mild pain in the laryngeal area. She frequently speaks loudly for extended periods during work. Examination reveals bilateral crater-like lesions along the posterior third of the glottal margin. Which of the following conditions is most consistent with her symptoms?
A 30-year-old call center worker complains of hoarseness, vocal fatigue, and mild pain in the laryngeal area. She frequently speaks loudly for extended periods during work. Examination reveals bilateral crater-like lesions along the posterior third of the glottal margin. Which of the following conditions is most consistent with her symptoms?
A 45-year-old patient with adductor spasmodic dysphonia has undergone recurrent laryngeal nerve resection to improve vocal fold function. However, the patient still experiences some vocal spasms. The clinician recommends Botox injections. How does Botox work in managing the patient’s symptoms?
A 45-year-old patient with adductor spasmodic dysphonia has undergone recurrent laryngeal nerve resection to improve vocal fold function. However, the patient still experiences some vocal spasms. The clinician recommends Botox injections. How does Botox work in managing the patient’s symptoms?
A patient reports difficulty producing high-pitched sounds and feels a strain in the voice. Laryngoscopic examination reveals impaired tension and lengthening of the vocal folds. Which intrinsic laryngeal muscle dysfunction is most likely causing these symptoms?
A patient reports difficulty producing high-pitched sounds and feels a strain in the voice. Laryngoscopic examination reveals impaired tension and lengthening of the vocal folds. Which intrinsic laryngeal muscle dysfunction is most likely causing these symptoms?
A 60-year-old patient with unilateral vocal fold paralysis has been recommended for phonosurgery. The surgeon opts for an injection of Teflon to treat the condition. How does this procedure improve speech?
A 60-year-old patient with unilateral vocal fold paralysis has been recommended for phonosurgery. The surgeon opts for an injection of Teflon to treat the condition. How does this procedure improve speech?
A 45-year-old female reports persistent hoarseness and an inability to project her voice during meetings. After sustaining a vowel, her shimmer value is 1.7 dB.
What is the most likely cause of her vocal symptoms?
A 45-year-old female reports persistent hoarseness and an inability to project her voice during meetings. After sustaining a vowel, her shimmer value is 1.7 dB. What is the most likely cause of her vocal symptoms?
A patient with Parkinson’s is considering LSVT LOUD and SPEAK OUT! for speech therapy. What is a key difference between these programs that may help the patient decide?
A patient with Parkinson’s is considering LSVT LOUD and SPEAK OUT! for speech therapy. What is a key difference between these programs that may help the patient decide?
A patient with leukoplakia on the vocal folds is concerned about potential malignancy. After discussing the risks of progression with the SLP, they inquire about treatment options.What treatment plan would best reduce the recurrence of leukoplakia and address the patient’s vocal symptoms?
A patient with leukoplakia on the vocal folds is concerned about potential malignancy. After discussing the risks of progression with the SLP, they inquire about treatment options.What treatment plan would best reduce the recurrence of leukoplakia and address the patient’s vocal symptoms?
A 45-year-old teacher reports frequent throat clearing, a breathy and hoarse voice, and a constant feeling of something in the throat. An endoscopic exam reveals a unilateral lesion on the vocal process of the arytenoid cartilage. What is the most likely diagnosis?
A 45-year-old teacher reports frequent throat clearing, a breathy and hoarse voice, and a constant feeling of something in the throat. An endoscopic exam reveals a unilateral lesion on the vocal process of the arytenoid cartilage. What is the most likely diagnosis?
A 52-year-old patient with unilateral vocal fold paresis complains of a voice that sounds like two pitches are being produced simultaneously. What physiological condition likely explains this vocal quality?
A 52-year-old patient with unilateral vocal fold paresis complains of a voice that sounds like two pitches are being produced simultaneously. What physiological condition likely explains this vocal quality?
What voice disorder causes the perception of two pitches being produced at the same time during phonation?
What voice disorder causes the perception of two pitches being produced at the same time during phonation?
A 35-year-old patient presents with a high-pitched, shrill, and unpleasant voice described as "tinny." The patient also reports tension in the throat and larynx during speech.What is the most likely cause of this vocal quality?
A 35-year-old patient presents with a high-pitched, shrill, and unpleasant voice described as "tinny." The patient also reports tension in the throat and larynx during speech.What is the most likely cause of this vocal quality?
A 32-year-old speaker reports a crackly, low-pitched voice that becomes more pronounced at the end of long sentences. What physiological characteristic is most likely causing this vocal quality?
A 32-year-old speaker reports a crackly, low-pitched voice that becomes more pronounced at the end of long sentences. What physiological characteristic is most likely causing this vocal quality?
Which of the following symptoms best distinguishes strain-strangle voice from other vocal qualities?
Which of the following symptoms best distinguishes strain-strangle voice from other vocal qualities?
A patient with velopharyngeal insufficiency (VPI) presents with severe hypernasality that has not improved with behavioral therapy. Which intervention would likely be most effective?
A patient with velopharyngeal insufficiency (VPI) presents with severe hypernasality that has not improved with behavioral therapy. Which intervention would likely be most effective?
A professional singer experiences a sudden loss of vocal range and reports frequent throat clearing. A flexible fiberoptic laryngoscopy reveals mild erythema (redness) of the vocal folds without structural abnormalities. What additional instrumental assessment could provide critical information about the vibratory function of the vocal folds?
A professional singer experiences a sudden loss of vocal range and reports frequent throat clearing. A flexible fiberoptic laryngoscopy reveals mild erythema (redness) of the vocal folds without structural abnormalities. What additional instrumental assessment could provide critical information about the vibratory function of the vocal folds?
A singer presents with hoarseness and vocal fatigue after prolonged performances. Stroboscopy reveals a unilateral mass on the vocal fold with a stalk-like base. Which type of lesion is most consistent with these findings?
A singer presents with hoarseness and vocal fatigue after prolonged performances. Stroboscopy reveals a unilateral mass on the vocal fold with a stalk-like base. Which type of lesion is most consistent with these findings?
Where do vocal polyps typically form?
Where do vocal polyps typically form?
A patient is instructed to sustain the sounds "s" and "z" during a voice assessment. The "s" duration is 30 seconds, and the "z" duration is 15 seconds. What does the S/Z ratio suggest?
A patient is instructed to sustain the sounds "s" and "z" during a voice assessment. The "s" duration is 30 seconds, and the "z" duration is 15 seconds. What does the S/Z ratio suggest?
A 60-year-old patient underwent a total laryngectomy due to advanced laryngeal cancer. The clinician is considering communication options for rehabilitation post-surgery. Which method is most suitable for early postoperative communication while the patient heals?
A 60-year-old patient underwent a total laryngectomy due to advanced laryngeal cancer. The clinician is considering communication options for rehabilitation post-surgery. Which method is most suitable for early postoperative communication while the patient heals?
During the acoustic analysis of fricative sounds, a clinician observes abnormal voice onset times (VOT) in the production of voiced fricatives. The patient has difficulty producing a voiced sound immediately after the release of the fricative. What does the delayed VOT indicate about the patient’s voicing?
During the acoustic analysis of fricative sounds, a clinician observes abnormal voice onset times (VOT) in the production of voiced fricatives. The patient has difficulty producing a voiced sound immediately after the release of the fricative. What does the delayed VOT indicate about the patient’s voicing?
A patient with a vocal pathology is undergoing acoustic analysis.The clinician notices that the patient’s fundamental frequency (F0) is significantly lower than expected for their age and gender.Which factor is most likely affecting the patient’s fundamental frequency?
A patient with a vocal pathology is undergoing acoustic analysis.The clinician notices that the patient’s fundamental frequency (F0) is significantly lower than expected for their age and gender.Which factor is most likely affecting the patient’s fundamental frequency?
A 68-year-old patient with Parkinson’s disease presents with hypokinetic dysarthria, characterized by a rapid speech rate and reduced loudness during conversational speech. The patient has expressed frustration with not being understood during conversations. Which of the following interventions is most likely to improve both speech loudness and rate?
A 68-year-old patient with Parkinson’s disease presents with hypokinetic dysarthria, characterized by a rapid speech rate and reduced loudness during conversational speech. The patient has expressed frustration with not being understood during conversations. Which of the following interventions is most likely to improve both speech loudness and rate?
A 38-year-old male patient reports vocal weakness and increased effort while speaking. He has a history of vocal fold infection and trauma. Upon examination, a sulcus is seen extending the length of both vocal folds and reaching up to the vocal ligament. Which management strategy would be most effective for improving this patient’s voice quality?
A 38-year-old male patient reports vocal weakness and increased effort while speaking. He has a history of vocal fold infection and trauma. Upon examination, a sulcus is seen extending the length of both vocal folds and reaching up to the vocal ligament. Which management strategy would be most effective for improving this patient’s voice quality?
If sulcus vocalis is a groove in the superficial layer of the LP, what’s it called when there’s fluid in that same area?
If sulcus vocalis is a groove in the superficial layer of the LP, what’s it called when there’s fluid in that same area?
A clinician decides to implement Expiratory Muscle Strength Training (EMST) for a patient with Parkinson’s disease. During the training, the patient blows into a handheld device that provides resistance. Which of the following is the primary outcome expected from this intervention?
A clinician decides to implement Expiratory Muscle Strength Training (EMST) for a patient with Parkinson’s disease. During the training, the patient blows into a handheld device that provides resistance. Which of the following is the primary outcome expected from this intervention?
A 45-year-old teacher reports a sudden onset of hoarseness after yelling at a sports event. The patient’s voice is breathy, and there are reports of diplophonia. Examination reveals a unilateral, fluid-filled lesion on the middle third of the vocal fold. What is the most likely diagnosis?
A 45-year-old teacher reports a sudden onset of hoarseness after yelling at a sports event. The patient’s voice is breathy, and there are reports of diplophonia. Examination reveals a unilateral, fluid-filled lesion on the middle third of the vocal fold. What is the most likely diagnosis?
Flashcards
Capital of France (example flashcard)
Capital of France (example flashcard)
Paris
