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Week 4 Voice Evaluation Strobe & Aerodynamics

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Phase symmetry

a)

The degree that TVFs match in movement during closure.

b)

The alignment of vocal cords during phonation.

c)

The timing of breath support during speech.

d)

The pitch variation in vocal fold vibration.

2.

SAPMuC

a)

Symmetry

b)

Amplitude

c)

Closure

d)

Frequency

3.

Periodicity

a)

Regularity of vibratory cycles

b)

Irregularity of vibratory cycles

c)

Frequency of sound waves

d)

Amplitude of sound waves

4.

Endoscope

a)

Instrument used to visualize the vocal folds. Can be rigid or flexible.

b)

A tool for measuring blood pressure.

c)

A device for monitoring heart rate.

d)

An instrument for examining the ear.

5.

Closure

a)

Closure pattern of the glottis at maximum adduction

b)

Closure pattern of the glottis at minimum adduction

c)

Closure pattern of the vocal cords during inhalation

d)

Closure pattern of the glottis during speech production

6.

Low-tech measurements where expensive equipment is not needed

a)

S/Z ratio, Mean phonation time (aka Maximum Phonation Time)

b)

Voice quality assessment

c)

Acoustic analysis using spectrograms

d)

Lung capacity measurement

7.

Benefits of flexible stroboscopy

a)

Less likely to make a patient gag

b)

Can evaluate velopharyngeal insufficiency

c)

Patient can speak normally (not limited to only the /i/ vowel)

d)

Increases the risk of gag reflex

8.

Cranial nerve assessment

a)

Can be done during a voice evaluation

b)

Is only necessary for patients with neurological disorders

c)

Is not relevant to speech therapy

d)

Only assesses CN 1 and 2

9.

Benefits of rigid stroboscopy

a)

High quality image (larger and better resolution)

b)

Increased risk of infection

c)

Requires general anesthesia

d)

Longer recovery time

10.

Videostroboscopy or Laryngostroboscopy

a)

Uses a strobe light to show the full phase of TVF vibration from one cycle to the next

b)

Is a method for measuring lung capacity

c)

Involves the use of a camera to record vocal cord movement

d)

Is primarily used for diagnosing hearing loss

11.

Subglottic pressure

a)

The amount of pressure that builds up below the TVFs

b)

The pressure exerted by the vocal cords during phonation

c)

The pressure in the trachea during inhalation

d)

The pressure in the lungs during exhalation

12.

Adverse effects of laryngoscopy

a)

Gagging, discomfort, globus sensation, nose bleeds (flexible scope)

b)

Nausea, vomiting, headache, dizziness

c)

Sore throat, fever, cough, fatigue

d)

Chest pain, shortness of breath, wheezing, palpitations

13.

Subglottal air pressure

a)

The amount of pressure directly below the TVFs for voice production

b)

The pressure in the lungs during inhalation

c)

The pressure exerted by the vocal cords when closed

d)

The atmospheric pressure outside the body

14.

Amplitude

a)

Degree of lateral excursion or medial to lateral movement/ flipping of the TVFs during a vibratory cycle

b)

The maximum frequency of sound produced by the vocal cords

c)

The minimum volume of sound that can be heard

d)

The speed at which sound travels through the air

15.

Symmetry

Are both TVFs adducting and abducting at the same time? Are they mirror images?

a)

Yes, they are mirror images and both adducting and abducting at the same time.

b)

No, they are not mirror images but can adduct and abduct.

c)

Yes, they are mirror images but only adducting.

d)

No, they are neither mirror images nor adducting.

16.

Average airflow

a)

Measured by sustained vowel production.

b)

Indicates the maximum airflow capacity.

c)

Reflects the pitch of the voice.

d)

Determines the volume of speech produced.

17.

Mucosal wave

a)

Degree of movement on the inferior surface of the TVF

b)

Degree of movement on the superior surface of the TVF (the mucosa)

c)

Degree of movement on the lateral surface of the TVF

d)

Degree of movement on the posterior surface of the TVF

18.

Laryngologist

a)

Is an ENT that has completed an additional fellowship in laryngology.

b)

A specialist in treating skin conditions related to the ear, nose, and throat.

c)

An ENT who focuses on pediatric patients only.

d)

A doctor who performs surgeries on the heart and lungs.

19.

Limitations of rigid stroboscopy

a)

Patients with a strong gag reflex may not tolerate the scope

b)

Patients can produce any vowel sound during the procedure

c)

The procedure can be performed without any patient preparation

d)

Patients must remain silent throughout the examination

20.

True or false: Your patient does not need to be seen by a doctor before you treat them.

a)

True

b)

False! A doctor must visualize the larynx.

c)

It depends on the treatment being provided.

d)

Only if the patient insists on treatment.