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Voice Disorders Exam 4 Questions and Answers

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Voice Disorders Exam 4 Questions and Answers 129. patient complaints essential tremor: choking, unsteady voice 130. treatment essential tremor: no entirely successful medical treatment, botox used to relieve SD like symptoms, voice therapy 131. voice therapy essential tremor: to obtain easiest voice teach to produce with effort, loudness effort, avoid attacks, optimize body voice therapy may extend benefits of : exploratory less, reduced, hard, relaxation

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Voice Disorders Exam 4 Questions and Answers




1. umbrella term for pathologies as a result of voice use with essentially normal cover and

intact neurologic function: functional dysphonia

2. true or false: functional dysphonia is explained by an organic cause: false (not by

anatomical/physiological condition or medical cause)

3. terms used (functional dysphonia): muscle tension dysphonia, vocal fatigue,

puperphonia/mutational falsetto, conversion voice disorders

4. muscle tension dysphonia with a variety of signs/symptoms, without ob- vious

psychogenic/neurologic etiology, and with excessive atypical and/or abnormal laryngeal

behaviors: primary muscle tension dysphonia

5. muscle tension dysphonia in the presence of current organic vocal fold pathology,

psychogenic/neurologic etiology: secondary muscle tension dyspho- nia

6. etiology of muscle tension dysphonia - assumed to be muscle : mis-

use (extra muscle activity within/outside glottal/laryngeal area)

7. increased muscle tension results in...

shearing forces imposed on the vocal folds ( stiffness)

contact between the folds

impact stress

affects voice (quality, endurance) impact on

pressure: greater, increased longer



, Voice Disorders Exam 4 Questions and Answers

greater

production

subglottal

8. types of supralaryngeal tension/anatomy: ventricular compression, anteri- or-posterior

squeezing, sphincteric glottis, posterior glottal gap or "chink"

9. structural changes muscle tension dysphonia: cover? body?: normal or near normal

10. muscle tension dysphonia posture/other characteristics:

posture

shoulders and neck held

alignment

head , jaw juts

tongue edges

jaw excursion

strap and superficial muscles

laryngeal position

thyrohyoid space

jugular vein






, Voice Disorders Exam 4 Questions and Answers




respiratory effort during : rigid

tightly

asymmetries

extended, forward

scalloped

limited

prominent

high

reduced

distention

speech

11.muscle tension dysphonia = etiology, therefore, stroboscopic/en- doscopic

evaluations will reveal characteristics that reflect a range of

etiologies: multifactorial

wide

(results will vary, supraglottic activity will be present)

12. psychological characteristics auditory-perceptual muscle tension dyspho- nia

overall pitch? pitch

variation? overall

loudness?

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