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CSD 444 FINAL DYSPHAGIA QUESTIONS & ANSWERS

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CSD 444 FINAL DYSPHAGIA QUESTIONS & ANSWERS

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CSD 444 FINAL DYSPHAGIA QUESTIONS & ANSWERS
Alaryngeal speech options: 1) artificial larynx: electrolarynx provides _____ source
(artificial voice) - Answers - sound

2 types of electrolarynx: ______ or _____ devices - Answers - intraoral, neck

Pros of artificial larynx: ______ speech, _____ beneficial for patients who must return to
work quickly, may reduce _____ and _____ in the patient knowing that there will be a
method of communication even if he/she cannot learn other methods, can be a ____ or
_____ method of communication, ____ maintenance, ____ to replace - Answers -
understandable
economically
anxiety, tension
primary, secondary
minimal
easy

Cons of artificial larynx: the sound is ______ and _____, one _____ must be available
to operate the device - Answers - artificial, robotic
hand

Copper-Rand in the _____ electrolarynx: ____ device, used when neck tisue is not
____ or when neck tissue is too dense to use on-the-neck type electrolarynx - Answers
- mouth
intraoral
healed

Esophageal speech: using the __________ sphincter- type of speech that utilizes the
individual's _____ anatomy. P-E sphincter becomes _____ source. PE sphincter is the
entrance to the _____, composed of fibers of the _____ and inferior ______ constrictor
muscles - Answers - pharyngoesophageal
reconfigured
sound
esophagus
cricopharyngus
pharyngeal

Esophageal Speech: pharyngoesophageal sphincter pros: esophageal speech can be
_______ accessible and _____ oral communication, requires no ______ or ______,
speakers can sound fairly ____ in terms of _____ - Answers - readily, effective
instrumentation, maintenance
natural, intonation

, Cons of esophageal speech: the esophagus cannot hold much _____; speakers must
learn to ___ and return _____ quickly and easily; stoma _____ noise; ____ pitch;
_____, ____ voice; _____ to learn - Answers - air
inject, air
blas
low
raspy, hoarse
difficult

Esophageal Speech: a tongue press to ____ air into _____, air enters ____, air
released from ____ to produce voice, voice shaped into _____ - Answers - inject,
esophagus
esophagus
esophagus
speech

Tracheoesophageal Sphincter: the doctor makes a small ____ in the rear of the stoma
leading to the _____. A prosthesis is fitted and inserted into the ______. To speak, the
patient _____ the stoma with a finger and forces _____ through the prosthesis into the
esophagus. The air movement vibrates the _____ of the esophagus and the patient can
create sounds and words normally with _____, ____ and _____, etc. The prosthesis
has a one-way valve in it to prevent ______ _____ and _____ from entering the stoma -
Answers - hole
esophagus
opening
covers
air
walls
lips, teeth, tongue
swallowed food, liquid
entering

By occluding the opening in the neck (tracheostoma), _____ is directed through the
voice ______ into the throat causing ____ of the ____ tissue and generating ______ -
Answers - air
prosthesis
vibration
soft
voice

Tracheoesophageal Speech: PE segment is _____ source, prosthesis directs _____
into esophagus - Answers - sound, air

Tracheoesophageal Speech Pros: risk of complication is _____, success rates are
_____, patients can speak with _____ instruction, TE speech is the most _____
sounding alaryngeal speech - Answers - minimal

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