WorksheetsVoice Management Following Surgery
Total questions: 18
Worksheet time: 9mins
Name
Class
Date
1.
Vocal cord is innervated by?
a)
Olfactory nerve (I)
b)
Glossopharyngeal nerve (IX)
c)
Vagus nerve (X)
d)
Hypoglossal nerve (XII)
2.
Which statement regarding intubation reduces vocal cord trauma?
a)
Intubation using direct laryngoscope
b)
Intubation using video laryngoscope
c)
Intubation using high pressure low volume cuff
d)
Multiple attempts of intubation
3.
Which of the following statements is true?
a)
Intubation using low -pressure high-volume cuff ETT reduces vocal cord trauma
b)
NG tube insertion does not increase the risk of hoarseness
c)
Transoesophageal echocardiography doesn’t cause vocal cord paresis
d)
Usage of nitrous oxide intraop is safe and doesn’t require additional monitoring
4.
At what pressure should the ETT cuff be inflated to?
a)
< 10cm H20
b)
10 – 20cm H20
c)
20 – 30cm H20
d)
30 – 40cm H20
5.
Which of the following statements is true in cardiothoracic surgery?
a)
Sternal traction is safe and doesn’t cause vocal cord palsy
b)
Topical cooling of heart using ice slush is safe
c)
Left internal mammary artery harvesting isn’t associated with vocal cord palsy postop
d)
Aortic surgeries are at high risk of developing vocal cord palsy post op
6.
The external branch of the superior laryngeal nerve supplies:
a)
Cricothyroid
b)
Interarytenoid
c)
Cricoarytenoid
d)
Thyroarytenoid
7.
Voice therapy is mostly effective for the following condition:
a)
Bilateral abductor palsy
b)
Bilateral adductor palsy
c)
Unilateral adductor palsy
d)
Unilateral vocal fold paresis
8.
The following is not a main goal of voice therapy for a 60-year-old housewife with unilateral vocal fold paresis:
a)
To reduce roughness
b)
To reduce breathiness
c)
To improve vocal hygiene
d)
To improve breathing for phonation
9.
What is the most important first step in evaluating a patient with a voice disorder?
a)
Ordering a CT scan
b)
Trial of voice therapy
c)
Detailed history and physical examination
d)
Starting empirical antibiotics
10.
Which of the following symptoms most strongly suggests a potential laryngeal malignancy?
a)
Voice breaks with vocal fatigue
b)
Hoarseness improving with rest
c)
Hoarseness lasting more than 2 weeks in a smoker
d)
Occasional vocal strain after speaking loudly
11.
What is the primary purpose of stroboscopy in voice assessment?
a)
Assessing subglottic stenosis
b)
Evaluating mucosal wave and vocal fold vibration
c)
Detecting vocal fold paralysis
d)
Screening for reflux-related laryngeal changes
12.
Which of the following voice disorders is most commonly associated with voice overuse and misuse?
a)
Vocal fold carcinoma
b)
Vocal nodules
c)
Vocal cord paralysis
d)
Laryngomalacia
13.
In the GRBAS scale used for perceptual voice assessment, what does the letter "B" stand for?
a)
Breathy
b)
Basal pitch
c)
Breath control
d)
Blurred resonance
14.
Which of the following structures does the left recurrent laryngeal nerve loop under?
a)
Subclavian artery
b)
Aortic arch
c)
Pulmonary artery
d)
Brachiocephalic vein
15.
Which type of thoracic surgery carries a higher risk of injury to the left recurrent laryngeal nerve?
a)
Right upper lobectomy
b)
Pericardial window creation
c)
Lymph node or mass dissection around the aortopulmonary (AP) window
d)
Coronary artery bypass grafting
16.
Which of the following is a recommended intraoperative strategy to protect the RLN?
a)
Cut the vagus nerve to identify RLN
b)
Use energy devices near the nerve for coagulation
c)
Apply gentle traction and maintain anatomical respect
d)
Ignore the RLN if not visible
17.
Below are the functions of larynx EXCEPT
a)
Breathing
b)
Swallowing
c)
Phonation
d)
Coughing
18.
These are the adductor muscles of vocal cords EXCEPT
a)
Lateral cricoarytenoid
b)
Transverse arytenoids
c)
Cricothyroid
d)
Thyroarytenoid
100 %
