answers A+
referral sources for eval - correct answer ✔✔o Otolaryngologists
o Other medical specialists
o Speech-language pathologists
o Vocal coaches
o Singing teachers
o Former patients
o Family
o Friends
screening example for voice - correct answer ✔✔o Quick screen for voice (Lee et al., 2004; © 2003 by
Communicate)
-10 minutes
-Used in schools (preschool~high schools)
-Fail: if one or more disorders in any section -> refer for full evaluation
6 domains of assessment - correct answer ✔✔NONINSTRUMENTAL
1. Auditory perceptual evaluation
2. Patient self-rating
3. Patient interview
INSTRUMENTAL
4. Acoustic analysis
5. Aerodynamic assessment
6. Visualization
,Aspects of pt interview - correct answer ✔✔• Usually, the first step of a voice evaluation
• Gather history
• Establish Rapport
• Behavioral observation
• The Problem
• Effect of the voice problem
• Developmental history
• Associated symptoms and sensations
• Voice use
• Health
• Vocational
• Social
• Recreational
• Psychological
• Factors that affect adherence to voice therapy
what to focus on when talking about the problem in pt interview - correct answer ✔✔· Nature
· Use open-ended questions/statements
· Severity of the reaction may not be proportional to the severity of the ___________ - correct answer
✔✔problem
· Effect on self, family members, work, etc.
Components of developmental hx for pt interview - correct answer ✔✔1. onset (gradual/sudden)
2. duration (early ID is the goal)
3. variability vs consistency (time of day, usage, chronic)
associated symptoms and sensations to ask about in pt interview - correct answer ✔✔*Dysphagia*
, *Symptoms associated with their voice problem*
• Pain
• Fatigue
*Sensations associated in the neck, throat, larynx during phonation or otherwise*
• Pain
• Globus sensation
• Dizziness
Questions about voice use for pt interview - correct answer ✔✔• How much
• Where and how
• Professional voice training
• Performing style
• Speaking and singing voice
Questions about health for pt interview - correct answer ✔✔• Present health status (Neurological,
respiratory, GI, allergy-related, psychiatric)
• Chronic conditions (Arthritis, congenital anomalies, HL, etc.)
• Trauma
• Substance abuse (Smoking, alcohol, drugs)
• Fluid intake
• Surgeries and hospitalizations (When, reason, intubation history)
• Medications