SLP 320 - Final Exam
During an endoscopic evaluation of the larynx, the Otorlaryngologist and Speech-
Language Pathologist note that the patient is unable to adduct the left vocal fold with
typical function of the right. Which of the following statements means the same thing:
a. The patient is able to open the left vocal fold but not the right.
b. The patient is able to close the left vocal fold but is unable to close the right
c. The patient is unable to close the left vocal fold but is able to close the right
d. The patient is unable to open the left vocal fold but is able to open the right - Answer
a. The patient is unable to close the left vocal fold but is able to close the right
Which of the following statements about resting lung volume are true (Select all that
apply):
a. It is the volume of air in the lungs after a passive inhalation
b. Muscular activation is required to move from the state of resting lung volume
c. It is the volume of air left in the lungs after a passive exhalation
d. No muscular activation is required to move from a resting lung volume state - Answer
a. Muscular activation is required to move from the state of resting lung volume
c. It is the volume of air left in the lungs after a passive exhalation
What is the difference between passive inhalation and passive exhalation?
a. Passive inhalation takes twice as long to complete a cycle than passive exhalation
b. Passive exhalation takes twice as long to complete a cycle than passive inhalation
c. Passive inhalation requires muscular contraction while passive exhalation involves
only relaxation and restorative mechanisms
d. Passive exhalation requires muscular contraction while passive inhalation involves
only relaxation and restorative mechanisms - Answer c. Passive inhalation requires
muscular contraction while passive exhalation involves only relaxation and restorative
mechanisms
Which of the following statements about the ribcage is true as it relates to respiration
(Select all that apply):
,a. It expands due to the increased volume of air within the lungs and torquing of the
cartilages that attach it to the sternum during inhalation
b. It pulls inferiorly and medially when the diaphragm contracts for inhalation
c. It is stationary during forced inhalation
d. It expands horizontally, superiorly and anteriorally during forced inspiration - Answer
a. It expands horizontally, superiorly and anteriorally during forced inspiration
Oral breathers are more prone to upper respiratory tract infections. Which of the
following is the most logical reason for that?
a. The nasal cavity humidifies the air which serves primarily to prevent lung infection
b. Blood vessels in the nasal cavity warm the air which decreases bacteria in the upper
respiratory tract
c. Muscles in the nasal cavity close off the airway to prevent air from getting into the
lungs
d. Cilia in the nasal cavity collects debris from the air to filter it before reaching the lungs
- Answer d. Cilia in the nasal cavity collects debris from the air to filter it before reaching
the lungs
Which of the following best describes the relationship of muscular contraction and
pressure/volumes in respiration?
a. When the diaphragm contracts it causes the volume within the lungs to decrease
which in turn causes an increase in pressure, resulting in the flow of air out of the lungs.
b. When the diaphragm contracts it causes the volume within the lungs to increase
which in turn causes a decrease in pressure, resulting in the flow of air out of the lungs.
c. When the diaphragm contracts it causes the pressure within the lungs to increase
which in turn causes a decrease in volume, resulting in the flow of air into the lungs.
d. When the diaphragm contracts it causes the volume within the lungs to increase
which in turn causes a decrease in pressure, resulting in the flow of air into the lungs. -
Answer a. When the diaphragm contracts it causes the volume within the lungs to
increase which in turn causes a decrease in pressure, resulting in the flow of air into the
lungs.
IRV - Answer volume of air we take in above a tidal volume
, Vital Capacity - Answer volume of air we have available to speak on
Timing of inhalation to exhalation for typical breathing - Answer 40/60
Timing of inhalation to exhalation for speech breathing - Answer 10/90
Given what you have learned, a patient who is bed ridden in the supine (lying on his
back) position will have problems with inhalation for which of the following reasons
(Select all that apply):
a. IRV will be limited
b. Gravity is pushing down on the abdomen
c. ERV will be limited
d. Gravity is pushing down on the ribcage - Answer a. IRV will be limited
d. Gravity is pushing down on the ribcage
Residual volume - Answer not used in speech production
Paralysis of spinal cord controlling superior thoracic muscles - Answer inability to take in
IRV for speech production
maintaining contraction of muscles of forced inhalation for speech production - Answer
Checking action
RTV+IRV for speech production - Answer Inspiratory Capacity
requires active contract of abdominal muscles - Answer Expiratory parallel to checking
action
Paralysis of spinal cord controlling abdominal muscles - Answer inability to engage in
ERV for speech production
Given that most nervous tissue innervates the contralateral side of the body, it is
predicted that a stroke to the left side of the brain will cause which of the following:
a. Paralysis of just the legs
b. Paralysis of the left side of the body
c. Paralysis of the right side of the body
During an endoscopic evaluation of the larynx, the Otorlaryngologist and Speech-
Language Pathologist note that the patient is unable to adduct the left vocal fold with
typical function of the right. Which of the following statements means the same thing:
a. The patient is able to open the left vocal fold but not the right.
b. The patient is able to close the left vocal fold but is unable to close the right
c. The patient is unable to close the left vocal fold but is able to close the right
d. The patient is unable to open the left vocal fold but is able to open the right - Answer
a. The patient is unable to close the left vocal fold but is able to close the right
Which of the following statements about resting lung volume are true (Select all that
apply):
a. It is the volume of air in the lungs after a passive inhalation
b. Muscular activation is required to move from the state of resting lung volume
c. It is the volume of air left in the lungs after a passive exhalation
d. No muscular activation is required to move from a resting lung volume state - Answer
a. Muscular activation is required to move from the state of resting lung volume
c. It is the volume of air left in the lungs after a passive exhalation
What is the difference between passive inhalation and passive exhalation?
a. Passive inhalation takes twice as long to complete a cycle than passive exhalation
b. Passive exhalation takes twice as long to complete a cycle than passive inhalation
c. Passive inhalation requires muscular contraction while passive exhalation involves
only relaxation and restorative mechanisms
d. Passive exhalation requires muscular contraction while passive inhalation involves
only relaxation and restorative mechanisms - Answer c. Passive inhalation requires
muscular contraction while passive exhalation involves only relaxation and restorative
mechanisms
Which of the following statements about the ribcage is true as it relates to respiration
(Select all that apply):
,a. It expands due to the increased volume of air within the lungs and torquing of the
cartilages that attach it to the sternum during inhalation
b. It pulls inferiorly and medially when the diaphragm contracts for inhalation
c. It is stationary during forced inhalation
d. It expands horizontally, superiorly and anteriorally during forced inspiration - Answer
a. It expands horizontally, superiorly and anteriorally during forced inspiration
Oral breathers are more prone to upper respiratory tract infections. Which of the
following is the most logical reason for that?
a. The nasal cavity humidifies the air which serves primarily to prevent lung infection
b. Blood vessels in the nasal cavity warm the air which decreases bacteria in the upper
respiratory tract
c. Muscles in the nasal cavity close off the airway to prevent air from getting into the
lungs
d. Cilia in the nasal cavity collects debris from the air to filter it before reaching the lungs
- Answer d. Cilia in the nasal cavity collects debris from the air to filter it before reaching
the lungs
Which of the following best describes the relationship of muscular contraction and
pressure/volumes in respiration?
a. When the diaphragm contracts it causes the volume within the lungs to decrease
which in turn causes an increase in pressure, resulting in the flow of air out of the lungs.
b. When the diaphragm contracts it causes the volume within the lungs to increase
which in turn causes a decrease in pressure, resulting in the flow of air out of the lungs.
c. When the diaphragm contracts it causes the pressure within the lungs to increase
which in turn causes a decrease in volume, resulting in the flow of air into the lungs.
d. When the diaphragm contracts it causes the volume within the lungs to increase
which in turn causes a decrease in pressure, resulting in the flow of air into the lungs. -
Answer a. When the diaphragm contracts it causes the volume within the lungs to
increase which in turn causes a decrease in pressure, resulting in the flow of air into the
lungs.
IRV - Answer volume of air we take in above a tidal volume
, Vital Capacity - Answer volume of air we have available to speak on
Timing of inhalation to exhalation for typical breathing - Answer 40/60
Timing of inhalation to exhalation for speech breathing - Answer 10/90
Given what you have learned, a patient who is bed ridden in the supine (lying on his
back) position will have problems with inhalation for which of the following reasons
(Select all that apply):
a. IRV will be limited
b. Gravity is pushing down on the abdomen
c. ERV will be limited
d. Gravity is pushing down on the ribcage - Answer a. IRV will be limited
d. Gravity is pushing down on the ribcage
Residual volume - Answer not used in speech production
Paralysis of spinal cord controlling superior thoracic muscles - Answer inability to take in
IRV for speech production
maintaining contraction of muscles of forced inhalation for speech production - Answer
Checking action
RTV+IRV for speech production - Answer Inspiratory Capacity
requires active contract of abdominal muscles - Answer Expiratory parallel to checking
action
Paralysis of spinal cord controlling abdominal muscles - Answer inability to engage in
ERV for speech production
Given that most nervous tissue innervates the contralateral side of the body, it is
predicted that a stroke to the left side of the brain will cause which of the following:
a. Paralysis of just the legs
b. Paralysis of the left side of the body
c. Paralysis of the right side of the body
