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Voice Disorders Ch. 5 workbook
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25
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Graduate
08/05/2012

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Term
Give 2 examples of structural pathologies of the vfs
Definition
vf nodules
vf polyps
Term
_______ are one of the most common benign vf pathologies resulting from phonotraumatic behaviors
Definition
vf nodules
Term
the three types of vf nodules
Definition
acute, chronic, reactive nodular change
Term
t/f vf nodules typically form unilaterally
Definition
false
Term
where do vf nodules typically form?
Definition
vf nodules typically develop at the margin or junction of the anterior closure pattern with decrease vibratory amplitude
Term
in a pt with a vf nodule what would a laryngovideostroboscopic assessment reveal?
Definition
increased mass and stiffness of the vf cover as well as an hourglass closure pattern with decreased vibratory amplitude
Term
t/f behavioral voice therapy is the general management approach for treating vf nodules
Definition
true
Term
describe the difference between a sessile polyp and a pedunculated polyp
Definition
pedunculated polyp: footlike projection attached to a a stalk
sessile polyp: blisterlike, fluid-filled forming its own blood supply
Term
in a pt. with vf polyps what would a visual examination of the larynx reveal?
Definition
an hourglass vf closure pattern with reduced vibratory amplitude and mucosal wave on the vf with the polyp
Term
the management for vf polyps includes...
Definition
any combination of ...behavior voice therapy, vocal hygiene, medical/phonosurgery...
Term
define edema
Definition
the buildup of fluid that occurs primarily in the superficial layer of the vf
Term
when the entire membranous portion of the vfs becomes filled with fluid this is an extreme form of edema called...
Definition
polypoid degeneration
Term
what are some of the features of the visual assessment in a pt with edema?
Definition
bilateral swelling, increased vf stiffness, and increased mass
Term
t/f in a pt with vf edema, visual assessment always reveals bilateral swelling along the entire membranous length of the vf
Definition
false
Term
what is the initial step in tx to manage Reinke's edema that is due to cigarette smoking?
Definition
quit smoking
Term
What is one perceptual sign and symptom of laryngitis?
Definition
laryngitis generally produces hoarseness
Term
Laryngitis often resolves with ___ and ___
Definition
rest and hydration
Term
contact ulcers and granuloma are benign growths that can result from what causes?
Definition
laryngopharyngeal reflux irritation, intubation trauma, phonotrauma
Term
5 factors that contribute to acid reflux
Definition
ingestion of fatty foods, chocolate, caffeine, alcohol, cigarette smoke
Term
placement of breathing tube to aid in ventilation is called...
Definition
intubation
Term
What about "shouting contributes to mucosal irritation to the vfs?
Definition
repetitive arytenoid movement
Term
why would a large granuloma cause a hoarse breathy voice quality?
Definition
it can prevent vf closure
Term

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