quiz 3

Question 1

voice therapy orientations

Answer 1

hygeienic voice therapy
symptomatic, psychogenic,physiologic,eceelleclectic,

Question 2

hygienic voice therapy concentrates on

Answer 2

discovering the behavioral causes of the voice disorder and modification/elimination of the causes to improve the vocal condition and the voice quality.

Question 3

hygienic voice therapy is organized and promoted by____

Answer 3

every voice text.

Question 4

hygienic voice therapy: there is always a cause for a voice disorder; ____, ____/_____ and the voice improves

Answer 4

discover modify/eliminate and the voice improves.

Question 5

weakness of hygienic voice therapy

Answer 5

the cause may no longer be the precipitating factor.

Question 6

the general focus of the hygienic therapy approach

Answer 6

identify the primary and secondary behavioral causes of the voice disorder then to modify or eliminate the causes.

Question 7

some causes of a voice disorder

Answer 7

smoking
laryngeal dehydration (poor hydration, caffiene and medications)
voice abuse (talking lougly over noise at work, coughing, and throat learing)
inhalation of large quantities of powder

Question 8

symptomatic voice therapy

Answer 8

modification of deviant vocal symptoms such as breathiness, inappropriate pitch, loudness, hard glottal attachs, and so on.

Question 9

symptomatic voice therapy is organized and promoted by

Answer 9

daniel boone in his text the voice and voice therapy (1971)

Question 10

symptomatic voice therapy: if the voice component is inappropriate

Answer 10

modify that component.

Question 11

weakness of symptomatic voice therapy

Answer 11

what is symptom/cause?

Question 12

syptommatic therapy approach general focuse uses facilitating techniques to

Answer 12

rais pitch, reduce lodness, reduce laryngeal area tension and effort.

Question 13

psychogenic voice therapy focus is on

Answer 13

the emotional and psychosocial status of the patient that led to and maintained the voice disorder.

Question 14

psychogenic voice therapy is organized and promoted by

Answer 14

arnold aronson in his text clinical voice disorders: and interdisciplinary approach (1980).

Question 15

psychogenic voice therapy: there is always a psychosocial reason for the___

Answer 15

behavior that led to the voice disorder, treat the psychosocial problem and the voice improves.

Question 16

weakness of psychogenic voice therapy.

Answer 16

psychosocial contribution may be over-stated.

Question 17

psychogenic therapy approach general focus

Answer 17

would explore the psychodynamics of the voice disorder including things mentioned later

Question 18

the psychodynamics of the voice disorder including: this method of treatment

Answer 18

1. detailed interview
2. determination of the exact relationship of emotional problems and voice problem.
3. counsel the paitent
4. direct reduction of musculoskeletal tension.
5. support of ongoing psychological counseling.

Question 19

the detailed interview of the psychogenic therapy is used to determine the cause an efects of

Answer 19

stress, tension, and depression.

Question 20

in psychogenic therapy approach you should coundel the pt regarding the effects of

Answer 20

emotions on the voice problem.

Question 21

psyiologic voice therapy is based on

Answer 21

expanded knowledge of vocal function as evaluated through objective voice assessment.

Question 22

physiologic voice therapy strives to improve the balance amonf

Answer 22

voice respiratory support, laryngeal muscle strength, control and stamina, and supraglottic modification of the laryngeal tone.

Question 23

pshysiologic voice therapy promots a

Answer 23

healthy vocal fold cover.

Question 24

physiologic voice therapy is promoted by ___ and ____

Answer 24

colton and casper (1990) and stemple, glaze and gerdeman (1993).

Question 25

physiologic voice therapy concentrates on the modification of the underlying

Answer 25

physiology of the voice producing mechanisims: respiration, phonation, resonance.t

Question 26

weakness of physiologic voice therapy

Answer 26

does not account for behavior.

Question 27

the general approach of the physiologic therapy approach is to evaluate the present pshysiologic conditoin of voice production and

Answer 27

develop direct physical exercises or manipulations to improve that condition

Question 28

a pt that demonstrated increased mass and stiffness of the folds changing the physical dynamics of vocal fold vibration would use the

Answer 28

physiologic therapy approach

Question 29

pt that demonstrated increased mass and stiffness of the folds changing the physical dynamics of vocal fold vibration was required to build

Answer 29

greater subglottic air pressure to initiate and maintain vibration which required borderline high airlow rates = in turn caused her to speak to loudly.

Question 30

a pt that airlow rates cuase them to speak loudly may have attempted to overcome these problems by

Answer 30

making physical adjustments such as increasing supraglottic tension.

Question 31

the physiologic mgmnt may include

Answer 31

vocal exercises and resonant voice therapy hydration program and defrease caffine.

Question 32

decreasing caffine improves

Answer 32

lubrication.

Question 33

vocal function exercises and resonant voice therapy improves laryngeal

Answer 33

muscle control, strength and stamina and to balance airflow, laryngeal muscle activity, and resonance

Question 34

eclectic voice therapy is

Answer 34

a combination of any and all of the previous orientations to affect positive vocal change.

Question 35

as voice pathologists, we should be aware of all management approaches and use

Answer 35

those which are most effective not only for the pt, but for the therapist as well

Question 36

eclectic is obviously the treatment

Answer 36

of choice.

Question 37

identifying abusive behaviors strategies in therapy

Answer 37

hygienic

Question 38

describing the physiologic effects of those behaviors on the voice production mechanism strategies in therapy

Answer 38

hygienic

Question 39

defining the specific occurences strategies in therapy

Answer 39

hygienic

Question 40

defining specific occurences strategy therapy type

Answer 40

hygienic

Question 41

modiying or eliminating the behavior strategies therapy type

Answer 41

hygienic

Question 42

vocal abuses/misuses

Answer 42

shouting, loud talking, screaming, vocal noises, coughing, throat clearing.

Question 43

hygienic therapy for shouting

Answer 43

eliminate

Question 44

hygienic voice therapy for loud talking

Answer 44

may be required, strategies

Question 45

hygienic voice therapy for screaming

Answer 45

ask me about the kid in my hood?

Question 46

hygienic voice therapy for vocal noises

Answer 46

will change over time, modify

Question 47

hygienic voice therapy for coughing

Answer 47

needs medical work-up, may be a hypersensitivity issue.

Question 48

hygienic therapy strategy for throat clearing

Answer 48

eliminate with behvaior modification approach.

Question 49

a pt that has coughed for months or years with negative medical testig and no cough inhibitor mediccaations are causing it may present with

Answer 49

chronic cough syndrome

Question 50

t/f in some cases of chronic cough LPR is not an issue.

Answer 50

t

Question 51

t/f chronic cough syndrom has 50 million dr visits to the MD per year

Answer 51

3- 30 million

Question 52

t/f 10-50% of people with chronic cough syndrom have persistent idiopathic cough.

Answer 52

f 10-20%

Question 53

chronic cough syndrome: laryngeal hypersensitivity cuased by the cough causes coughing during

Answer 53

forced inhalation, normal drainage, humidity changes.

Question 54

a cough begats a______.

Answer 54

cough!!.

Question 55

cough substitution for chronic cough syndrom includes

Answer 55

forceful swallow, hydration

Question 56

t/f cold/hot water can sometime trigger the cough

Answer 56

t

Question 57

the forceful swallow (effortful swallow) is a similar routine to

Answer 57

chronic throat clearing.

Question 58

with habitual throat clearing behavior modification with

Answer 58

forceful (effortful) swallow.

Question 59

with habitual throat clearing lightly ___ vocal folds.

Answer 59

adducted.

Question 60

summary of vocal hygiene plan

Answer 60

1.identify phonotrauma (shouting, loud talking, etc) 2. describe the effect 3.define specific occurrence 4. modify the behavior

Question 61

in the summary of vocal hygiene plan: desribe the effect by utilizing

Answer 61

pictures, diagrams, drawings, and video. do not hesitate to give simple explanations of anatomy and physiology to pt.

Question 62

in the summary of vocal hygiene plan: define the specific occurence means that these will be ____ with every individual child

Answer 62

distinctly differnt.

Question 63

in the summary of vocal hygiene plan: define the specific occurance means that _____ of the behavior must also be described

Answer 63

psychodynamics

Question 64

in the summary of vocal hygiene plan: modify the behavior: means to modify or eliminate ____ and eliminate throat___

Answer 64

modify or eliminate vocal noises, and eliminate throat clearing.

Question 65

in symptomatic voice therapy: direct symptom modification includes the major components of voice production

Answer 65

respiration, phonation, resonance, pitch, loudness, rate.

Question 66

in symptomatic voice therapy:any one of the major components of voice production may be used _________necessitating_____

Answer 66

inefficently necessiating direct modification.

Question 67

in symptomatic voice therapy the main wuestion is

Answer 67

symptom or cause?

Question 68

in symptomatic voice therapy: direct modification of respiration talking on end of air stream, the solution would be

Answer 68

id problem (ear training, audio recording)) and component modification (say as many numbers as possible on exhalatoin, mark a paragraph with phrase markers, audio record open discussion)

Question 69

in symptomatic voice therapy: direct modification of respiration problem: shallow breathing (tenseness) the solution is

Answer 69

to utilize box diagram to describe breathing strategies book on stomach hands on chest and abdomen words, phrases, pargraph reading, conversation.

Question 70

in symptomatic voice therapy: direct modification of phonation: problem hard glottal attack what is the solution?

Answer 70

initiate phonation with /h/ (vowels, vowel/consonants, words, phrases, sentences, paragraphs, conversation).w

Question 71

in symptomatic voice therapy: direct modfication of flottal fry phonation solution:

Answer 71

train a sligh increase in pitch and loudness (may use acoustic instrumentation for monitoring speech output).

Question 72

in symptomatic voice therapy: direct modification of phonation problem breath phonation. solution:

Answer 72

establish a more firm or engaged vocal fold approcimation. use more precise articulation increase vocal intensity exercise closure with glottal attack and pushing.

Question 73

direct modification of functional resonance probles may include

Answer 73

hypernasality, hypo nasality, and tone focus problems.

Question 74

the presence of any anatomical causes must be ruled out prior to the onset of behavioral therapy in in symptomatic voice therapy of

Answer 74

resonance.

Question 75

in symptomatic voice therapy: direct modiication of what is ariculation therapy used for

Answer 75

hyper

Question 76

n symptomatic voice therapy: direct modiication of what is lower pitch and increase loudness modification used for

Answer 76

hypernasality

Question 77

in symptomatic voice therapy: direct modiication of what is non-speech phonation (animal engine noises) used for

Answer 77

hypernasality and hypo nasality

Question 78

in symptomatic voice therapy: direct modiication of what is utilizing normal nasal phonemes used for

Answer 78

hypo

Question 79

in symptomatic voice therapy: direct modiication of what is humming used for

Answer 79

hypo

Question 80

in symptomatic voice therapy: direct modiication of what is articulation deep test used for

Answer 80

hyper

Question 81

in symptomatic voice therapy: direct modiication of what is what is utilizing hypernasal resonance used for?

Answer 81

hypo

Question 82

in symptomatic voice therapy: direct modiication of what is negative practice used for (minimal pairs practice).

Answer 82

hypo and hyper

Question 83

in symptomatic voice therapy: direct modiication of what is what is do the obvious aka denasality- using a "cold voice expored for ___)?

Answer 83

hyper

Question 84

in symptomatic voice therapy: direct modiication of what is instrumental biofeedback-nasometer used for? (aka foggy doggy)

Answer 84

hyper