ACTUAL Exam Questions and CORRECT
Answers
You cannot ..............unless you know how the normal system works - CORRECT
ANSWER - understand a disorder
Voice problems come from......Therapy aims to..................Detailed information about the
activity of the larynx helped assessment and treatment - CORRECT ANSWER -
disordered vocal fold activity
improve vocal fold movements
Why must we know the physiology of a voice disorder to treat it? - CORRECT
ANSWER - there can be several different causes of a voice disorder. These disorders may
share several perceptual features. (Hoarseness or roughness). They may arise for a variety of
reasons.
One motivation for us to get more physiologic detail of what's going on at the level of the larynx
is that we can understand the etiology or the cause of the voice disorder in greater detail. Then
we can tailor make our therapy to address the disordered physiology.
What is a laryngeal mirror exam? Who typically does this exam? What can you typically see? -
CORRECT ANSWER - mirror is placed toward the back of the mouth. The clinician holds
the tongue of the patient.
She shines a light at the mirror, which is reflected down to the larynx.
The image is reflected back up so that person can see the structures of the larynx in a low level of
detail.
Physician that doesn't specialize in voice
gross abnormalities in structures
, Why do they pull on the tongue in a laryngeal mirror exam? - CORRECT ANSWER -
This helps tug on the epiglottis, the cartilage at the front of the larynx. It helps to pull it out of the
way so when you hold the mirror in place, you have a less obstructed view of the vocal folds.
What kind of sounds can the pt do in a laryngeal mirror exam? - CORRECT ANSWER -
sustained phonation /i/
What is a rigid scope exam? who typically performs these? - CORRECT ANSWER -a
rigid endoscope, a metal rod that contains fiber optic cables, which carry light from a bright light
source. This light shines from the end of the scope, downward toward the larynx. There's also a
lens on the tip of the scope that brings an image back up and through fiber optic cables to a
camera which can then display it on a screen.
only see vocal folds, no other structures
only phonate vowel
More detailed
ENT and SLPs in voice clinic
What would make performing a rigid scope exam difficult?...........can be scoped without trouble
- CORRECT ANSWER - gag reflex
small opening in back of oral cavity
90%
What is a flexible scope exam? who can do these? - CORRECT ANSWER - This is a
fiberoptic scope that can be passed through the nares, through the nasal cavity, over the velum to
shine on the larynx from above. This doesn't obstruct the oral cavity. The person can speak fairly
normally.