Question 1
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This type of vocal fold lesion often gets better with therapy: [blank_start]nodules[blank_end].
Question 2
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The three types of vocal fold lesions are...
Answer
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nodules, polyps, granulomas
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polyps, granulomas, cysts
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nodules, polyps, cysts
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nodules, polyps, hemorrhages
Question 3
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Mary presents with an increased stiffness and swelling of the superficial lamina propria. Her pitch is low and her vocal quality is hoarse. Mary has [blank_start]Reinke's edema[blank_end].
Question 4
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Leo complains of a constant globus sensation and chronic throat clearing. His vocal quality is hoarse and breathy. A laryngoscopy reveals a sore-like lesion on the left arytenoid complex. Leo has a contact [blank_start]ulcer[blank_end] or [blank_start]granuloma[blank_end].
Question 5
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Stan presents with an effortful, weak, hoarse voice. He complains of vocal fatigue. A laryngoscopy reveals a thinning of the superficial lamina propria with grooves along his VF resulting in a bowed appearance. Stan probably has [blank_start]sulcus vocalis[blank_end].
Question 6
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Ursula complains of a sudden change in vocal quality. She reported that she had recently gotten into a yelling match with Ariel. A laryngoscopy reveals a capillary bleed in her right VF. Her ENT recommends vocal rest and vocal hygiene therapy. Ursula has a vocal fold [blank_start]hemorrhage[blank_end].
Question 7
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George got into a fight with his girlfriend on Thanksgiving and she whacked him in the neck with a turkey leg. He presents with stridor and throat pain both at rest and during voicing. George experienced laryngeal [blank_start]trauma[blank_end].
Question 8
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Fred just had a carotid endarterectomy. Following surgery, he complains of a weak and breathy voice with some difficulty swallowing thin liquids. An acoustic/aerodynamic assessment revealed increased transglottal airflow and a decreased subglottal pressure. Fred has vocal fold [blank_start]paralysis[blank_end].
Question 9
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Holly presents with a weak, breathy, and hoarse voice. A laryngoscopy revealed a height mismatch of the VF and a decreased ability to adduct the VF. Holly has [blank_start]superior[blank_end] laryngeal nerve [blank_start]paralysis[blank_end].
Question 10
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Walter's voice is shaky, tremulous, and weak with aphonic breaks. A laryngoscopy reveals laryngeal spasms and abduction of the VF during vocalization. Walter has [blank_start]spasmodic[blank_end] [blank_start]dysphonia[blank_end].
Question 11
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Ernie is 85 and presents with a vocal tremor and pitch breaks. A laryngoscopy reveals bilateral tremor of the VF and tremors of the soft palate, pharyngeal wall, and false folds. His laryngologist recommended drinking alcohol to relieve symptoms. Ernie has an [blank_start]essential[blank_end] [blank_start]tremor[blank_end].
Question 12
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Renee has a neuromuscular disease in which she experiences progressive vocal fatigue with prolonged vocal use. She also experiences fatigue following prolonged use of her facial muscles and limbs. Renee has [blank_start]myasthenia gravis[blank_end].
Question 13
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Roger has hypokinetic dysarthria. His voice sounds unenergized and his rate of speech is often slow. The neurodegenerative disease that Roger has is called [blank_start]Parkinson's[blank_end] disease.
Question 14
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Isabel has an autoimmune disease in which she experiences fatigue, numbness, and hypokinetic voice symptoms. She often has abnormally long pauses between words and slurring of words. She also has reduced VF closure and reduced strength. Isabel has [blank_start]multiple[blank_end] [blank_start]sclerosis[blank_end].
Question 15
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Ty has a degenerative motor neuron disease that results in incomplete VF closure, atrophy, dysarthria, dystonia, and dysphagia. Ty has [blank_start]ALS[blank_end].
Question 16
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Helena has an inherited autosomal dominant disorder in which she experiences uncontrollable and unpredictable muscle spasms/movements. Her voice is characterized by abductory and adductory stoppages and difficulty coordinating speaking and breathing. Helena has [blank_start]Huntington's[blank_end] [blank_start]disease[blank_end].
Question 17
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Lena has a disorder characterized by abnormal accumulation of the tau protein. She has deficits in the areas of memory, learning, cognition, and visuospatial skills (a hallmark characteristic of the disease). A laryngoscopy reveals bilateral VF paresis. She also has inspiratory stridor. Lena has [blank_start]progressive supranuclear palsy[blank_end].
Question 18
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Lauren has demyelination of glial cells. A laryngoscopy revealed bilateral VF paralysis and atrophy. Her vocal quality is breathy and strained with monopitch and monoloudness. She also has flaccid dysarthria. Lauren has [blank_start]multiple system atrophy[blank_end].
Question 19
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Billy has a higher than normal pitch and a breathy vocal quality. His larynx appears normal with increased VF stiffness and decreased vibratory amplitude. Billy has [blank_start]puberphonia[blank_end].
Question 20
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Tara has no voice when she attempts to phonate. She is also clinically depressed and diagnosed with anxiety disorder. When she does produce a voice, it is high and strained. She complains of pain and tightness in her neck. A laryngoscopy revealed abnormal movement of the VF with difficulty adducting. Tara likely has [blank_start]conversion[blank_end] aphonia.
Question 21
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Hunter experiences VF adduction on inspiration, though his VF appear normal during a nonepisodic event. He presents with inspiratory and expiratory stridor, dyspnea, muscle tightness, chronic cough, and sometimes dysphagia and dysphonia. Hunter has [blank_start]paradoxical[blank_end] vocal fold dysfunction.
Question 22
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A cough that lasts more than 8 weeks and interferes with one's ability to work/socialize/communicate in daily life is considered [blank_start]chronic[blank_end].
Question 23
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Jojo has a rough, hoarse vocal quality. A laryngoscopy reveals a pre-cancerous white plaque-like formation on her VF, reduced vibratory amplitude, and a reduced mucosal wave. Jojo has [blank_start]leukoplakia[blank_end].
Question 24
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Esther has a hoarse, strained vocal quality and complains of globus sensation, sore throat, and persistent coughing. A laryngoscopy reveals a pathologic tissue change in the mucosa. The mucosa appears reddish due to hypervascularization. There is an irregularity on her left VF. Esther probably has [blank_start]laryngeal cancer[blank_end].
Question 25
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The most common recommendation for an individual with a vocal fold cyst is surgical removal.
Question 26
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An individual with Reinke's edema should quit smoking before receiving any type of intervention.
Question 27
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Contact ulcers and granulomas cannot resolve spontaneously and must be removed via phonosurgery.
Question 28
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An individual with sulcus vocalis will receive vocal fold injections in any case despite the degree of severity.
Question 29
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The most common recommendation for a vocal fold hemorrhage is vocal rest and voice therapy.
Question 30
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Voice therapy for individuals with vocal fold paralysis should not include "pushing" exercises.
Question 31
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The gold standard treatment for spasmodic dysphonia is voice therapy.
Question 32
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Some of the management strategies for essential tremor include voice therapy, beta blockers, botox injections, and deep brain stimulation.
Question 33
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An individual with myasthenia gravis should not be doing strenuous muscle exercises in therapy.
Question 34
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LSVT loud is the gold standard treatment for Parkinson's disease.
Question 35
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Symptomatic treatments and compensatory strategies are utilized with individuals with ALS and MS.
Question 36
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Therapy outcomes for individuals with progressive supranuclear palsy are good.
Question 37
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Individuals with puberphonia may benefit from voice therapy in which they learn to lower their pitch via biofeedback and laryngeal massage.
Question 38
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Pharmacological remedies work best for individuals with conversion aphonia.
Question 39
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Rescue breathing strategies would benefit individuals with paradoxical vocal fold movement.
Question 40
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Transgender voice transition involves raising or lowering one's fundamental frequency to match their personality.
Question 41
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The layers of the vocal folds, from top to bottom, are the [blank_start]epithelium[blank_end], [blank_start]superficial lamina propria[blank_end], [blank_start]intermediate lamina propria[blank_end], [blank_start]deep lamina propria[blank_end], and [blank_start]vocalis muscle[blank_end].
Question 42
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The superficial lamina propria is the layer of the vocal folds that is essential for [blank_start]vibratory[blank_end] function.
Question 43
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The [blank_start]basement membrane zone[blank_end] tethers the epithelium and the lamina propria.
Question 44
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The vocalis muscle is also called the [blank_start]thyroarytenoid[blank_end] and is the only [blank_start]active[blank_end] tissue of the vocal folds.
Question 45
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Additional cells in the vocal folds are important for [blank_start]fighting[blank_end] [blank_start]infection[blank_end].
Question 46
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The [blank_start]myoelastic[blank_end] [blank_start]aerodynamic[blank_end] theory is the only credible theory explaining vocal fold vibration.
Question 47
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The [blank_start]body-cover[blank_end] theory by [blank_start]Hirano[blank_end] explains vocal fold vibration as being a "ripple" effect.
Question 48
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The [blank_start]self-oscillation[blank_end] theory by [blank_start]Titze[blank_end] explains vocal fold movement as a self-oscillating system.
Question 49
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The minimum pressure to sustain phonation is called the [blank_start]phonation[blank_end] [blank_start]threshold[blank_end] [blank_start]pressure[blank_end].
Answer
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phonation
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threshold
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pressure
Question 50
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The [blank_start]cricothyroid[blank_end] is the primary muscle responsible for changing pitch.
Question 51
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Increasing [blank_start]airflow[blank_end] will increase loudness.
Question 52
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The three vocal registers include [blank_start]pulse[blank_end], [blank_start]modal[blank_end], and [blank_start]falsetto[blank_end], from low to high.
Question 53
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The [blank_start]Bernoulli[blank_end] [blank_start]Effect[blank_end] supports the idea that continued air pressure is developed and built up underneath the VF at an amount great enough to displace the inertial property of the VF tissue and sustain the vibration of the VF over time.