COMD 4500 Exam 2 (Modules 5-9) part 1
with Complete Solutions
ABductor (spasmodic dysphonia) - ANSWER-_increased opening of the VF
-voice: breathy, pitch breaks
ABductor Muscle (intrinsic)
(open the glottis & separate VFs) - ANSWER--posterior cricoarytenoids (PCA)
Acoustic - ANSWER--frequency/ amplitude/ duration
ADductor (spasmodic dysphonia) - ANSWER--increased closing of the VF (slamming
together)
-voice: strained-strangled, choppy speech
ADductor Muscles (intrinsic)
(close the glottis & bring VF together) - ANSWER--lateral cricoarytenoids
interarytenoids (oblique & transverse)
-cricothyroid
thyroarytenoids (muscular part of VF)
Aphonia/Dysphonia - ANSWER--no voice
-consistent or episodic
Aryepiglottic Folds - ANSWER--most superior layer
-contract to pull epiglottis over larynx entrance during swallow
-main role: airway phonation
Carcinoma of the VF (Laryngeal Cancer) - ANSWER--malignant tumor on VF
-unilateral or bilateral
-50-70% deaths associated with smoking
-often not detected until voice symptoms are present
-treatment: surgery, radiation., chemo, full laryngecctomy
Case History - ANSWER--patients opinion about nature and seriousness
-onset/progression
-previous treatment
-medical history
-social history
-history of previous communication disorders
-habits related to vocal hygiene (yelling)
-patient report (VHI)
Case Study Inquiries - ANSWER--water intake
, -caffeine intake
-alcohol intake
-smoking
-acid reflux symptoms
-voice use habits
-environmental exposure
-surgical history (intubation)
Causes of Nodules
VOCAL ABUSE/MISUSE - ANSWER--excessive talking without resting voice
-straining
-screaming/yelling
-coughing
-low/high pitch
-poor breath support
-poor diet
Components of Voice Assessment - ANSWER--case history
-voice exam (observe: look/listen)
-consultation with specialists
Cricoarytenoid Joints - ANSWER--attach to base of arytenoids & superior surface of
cricoid.
-enable movement in many directions
-instrumental for opening/closing VF
-main agent of phonation
Cricothyroid Joints - ANSWER--attach to inferior horns of thyroid & sides of cricoid
-enables movement between cricoid & thyroid and stretching of the VF
-main agent of pitch regulation
Direct Treatment (voice therapy) - ANSWER--voice training
-posture and movement
-laryngeal relaxation
Disorders of Vocal Loudness - ANSWER--monoloudness
-loudness variations
Disorders of Vocal Pitch - ANSWER--monopitch
-inappropriate pitch
-pitch breaks
Disorders of Vocal Quality - ANSWER-hoarseness/roughness
breathiness
vocal tremor
strained-struggle
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