Voice Case Studies EXAM QUESTIONS
WITH CORRECT ANSWERS
GRADEDBA+ 2026
E
1. Case study 1: A 27-year-old woman presented to the voice clinic with symptoms of loss
of voice for a 4-month period. Patient reported that she experienced strep throat with
resulting laryngitis on her honeymoon. Within 1 month of her return home from the
honeymoon, her mother had a stroke, requiring placement in long-term care, and her
maternal grandmother died suddenly. Following these events, the patient was
diagnosed with a dysphonia and a conversion voice disorder. She was consequently
placed on a voice therapy program. - CORRECT ANSWERS-Conversion aphonia
2. Case study 2: A 66-year-old patient experienced a right vocal cord paralysis after
undergoing carotid endarterectomy. The patient subsequently developed a
compensating hyperfunctional voice component and presented to the voice clinic for
evaluation. Laryngoscopy and stroboscopic analysis demonstrated severe
anteroposterior and mediolateral compression of the supraglottic musculature with
phonation produced by the false vocal folds. - CORRECT ANSWERS-Plica ventricularis
3. CaseHstudyH3:HAH6'2"Htall,H20-year-
oldHmanHpresentedHtoHtheHvoiceHclinicHexperiencingHaHharsh,HhoarseHvoiceHthatH"cutHout"H
onHhimHintermittently.HClinicalHevaluationHrevealedHaHhigh,HfemaleHpitchHofHapproximately
H196HHzH(averageHmaleHpitchH120HHz).HTheHyoungHmanHalsoHreportedHthatHheHoccasionallyH
triesHtoHspeakHwithHaH"lowerHvoice,"HbutHusesHitHonHaHlimitedHbasisHbecauseHofHnegativeHfe
edbackHfromHhisHpeers.H-HHCORRECTHANSWERS-Puberphonia.
4. CaseHstudyH4:HAH59-year-
oldHwomanHwithHaHhistoryHofHasthmaHwasHseenHforHvoiceHevaluationHdueHtoHaHharsh,Hstrid
entHvoiceHwithHintermittentHvoiceHloss.HTheHpatientHreportedHextremeHfamilialHstressHandH
theHsoleHresponsibilityHofHcaringHforHherHelderlyHparents.HHerHvoiceHqualityHreportedlyHdet
erioratedHsuddenlyHafterHanHupperHrespiratoryHinfection.HTestingHrevealedHaHhabitualHpitc
hHofHapproximatelyH280HHz,HwhichHisHexcessivelyHhighHforHaH59-year-
oldHfemaleH(normHisH200HHz).HVocalHcharacteristicsHwereHsuggestiveHofHsevereHhyperfuncti
WITH CORRECT ANSWERS
GRADEDBA+ 2026
E
1. Case study 1: A 27-year-old woman presented to the voice clinic with symptoms of loss
of voice for a 4-month period. Patient reported that she experienced strep throat with
resulting laryngitis on her honeymoon. Within 1 month of her return home from the
honeymoon, her mother had a stroke, requiring placement in long-term care, and her
maternal grandmother died suddenly. Following these events, the patient was
diagnosed with a dysphonia and a conversion voice disorder. She was consequently
placed on a voice therapy program. - CORRECT ANSWERS-Conversion aphonia
2. Case study 2: A 66-year-old patient experienced a right vocal cord paralysis after
undergoing carotid endarterectomy. The patient subsequently developed a
compensating hyperfunctional voice component and presented to the voice clinic for
evaluation. Laryngoscopy and stroboscopic analysis demonstrated severe
anteroposterior and mediolateral compression of the supraglottic musculature with
phonation produced by the false vocal folds. - CORRECT ANSWERS-Plica ventricularis
3. CaseHstudyH3:HAH6'2"Htall,H20-year-
oldHmanHpresentedHtoHtheHvoiceHclinicHexperiencingHaHharsh,HhoarseHvoiceHthatH"cutHout"H
onHhimHintermittently.HClinicalHevaluationHrevealedHaHhigh,HfemaleHpitchHofHapproximately
H196HHzH(averageHmaleHpitchH120HHz).HTheHyoungHmanHalsoHreportedHthatHheHoccasionallyH
triesHtoHspeakHwithHaH"lowerHvoice,"HbutHusesHitHonHaHlimitedHbasisHbecauseHofHnegativeHfe
edbackHfromHhisHpeers.H-HHCORRECTHANSWERS-Puberphonia.
4. CaseHstudyH4:HAH59-year-
oldHwomanHwithHaHhistoryHofHasthmaHwasHseenHforHvoiceHevaluationHdueHtoHaHharsh,Hstrid
entHvoiceHwithHintermittentHvoiceHloss.HTheHpatientHreportedHextremeHfamilialHstressHandH
theHsoleHresponsibilityHofHcaringHforHherHelderlyHparents.HHerHvoiceHqualityHreportedlyHdet
erioratedHsuddenlyHafterHanHupperHrespiratoryHinfection.HTestingHrevealedHaHhabitualHpitc
hHofHapproximatelyH280HHz,HwhichHisHexcessivelyHhighHforHaH59-year-
oldHfemaleH(normHisH200HHz).HVocalHcharacteristicsHwereHsuggestiveHofHsevereHhyperfuncti
