Voice Final UPDATED Exam Questions
and CORRECT Answers
they do not differ by a lot, rather a continuum. people can misuse their voice frequently, but
not have abuse until many years down the road.
misuse is voice behaviors that distort the normal propensity of the phonatory mechanism to
work effectively and efficiently. abuse is harsher and more likely to cause trauma to the
mechanism - Correct Answer- what are the differences between misuse and abuse when it
comes to phonotrauma?
abuse: excessive loudness (coaches spend a large amount of time yelling at games and
practices) and excessive throat clearing (foods such as milk create a reaction of increased
mucous in some people)
misuse: inappropriate pitch level (puberphonia which is persistent high pitch voice) and
excessive talking (teachers spend large amounts talking could create a problem) - Correct
Answer- provide an example of misuse and abuse, and describe a scenario where it might
happen for each
males; people may feel like a high-pitched voice for a male is inappropriate so it can affect
confidence and things like employment and relationships - Correct Answer- who is most
likely to present with puberphonia? how might this affect them socially with their
communication?
children frequently in misuse their voice and exhibit abusive behaviors such as screaming and
making lots of noise. this could result in nodules from the excessive strain on their VFs -
Correct Answer- why do certain children exhibit phonotrauma, and what sort of vocal
behaviors lead to this?
nodules are more superficial affecting the BMZ while polyps are a bit deeper affecting the
reinke's space - Correct Answer- what are the histological differences between nodules and
polyps?
polyp - Correct Answer- a person who reports voice changes following attending an LSU
football game is most likely to be diagnosed with which benign lesion?
,acute nodules are usually soft and pliable while
chronic nodules are hard, white, thick, fibrous, more stiff, and causes more resistance to VF
vibration - Correct Answer- what is the difference between an acute vs a chronic 'older'
nodules, and how might this affect VF vibration?
this may interfere with complete glottal closure; a larger polpy may cause breathiness because
the VFs cannot adduct - Correct Answer- how can the size and location of a polyp affect VF
vibration?
nodules, polyps, cysts - Correct Answer- which pathologies will never cause breathing
difficulties?
cyst or polyp - Correct Answer- if a benign lesion goes away with therapy, then we can likely
determine that it was not ___?
cysts have no mucosal wave - Correct Answer- what is a stroboscopy sign to differentiate a
nodule vs a cyst?
reinke's edema (can be fixed with surgery) and bilateral VF paralysis (cannot be fixed with
surgery) - Correct Answer- what are 2 conditions that affect not only voice quality but also
breathing difficulties?
symptoms: lower pitch, hoarseness, shortness of breath
signs: lower fundamental frequency, increased mucosal wave - Correct Answer- what are
some signs and symptoms of reinke's edema?
the primary course of treatment is medical or surgical;
SLPs typically provide pre-surgical and post-surgical therapy and counseling - Correct
Answer- what is the primary course of treatment for organic voice disorders, and the role
SLPs play?
smoking and environmental pollutants - Correct Answer- what are factors that can lead to the
development of keratosis?
, granuloma - Correct Answer- name one pathology that does not occur on the membranous
portion of the TVFs?
intubation - Correct Answer- what is a common way laryngeal granuloma can develop?
no because the granulma will not involve the membranous portion of the VF - Correct
Answer- do we expect to see tissue changes with the mass and stiffness of the VFs with vocal
process granulomas?
sulcus vocalis and cysts - Correct Answer- what two benign lesions can be congenitally?
they tend to proliferate and obstruct the airway - Correct Answer- why is surgery for RRP the
primary treatment for these lesions instead of voice therapy?
arthritis, trauma, joint disease - Correct Answer- ankylosis of the cricoarytenoid joint: what
can cause fixation of the cricoarytenoid joint?
result of a single traumatic event to the VF or larynx - Correct Answer- what sort of incident
or scenario would most likely cause a hemorrhage?
a decreased amplitude of vibration and no mucosal wave at the area of the web - Correct
Answer- how might a laryngeal web impact VF vibration?
severe hoarseness, breathy phonation, psychosomatic aphonia - Correct Answer- what are
three potential symptoms of inhalation trauma?
a system to evaluate the severity of malignancy;
T = site of tumor,
N = involvement of the lymph nodes,
M = metastasis - Correct Answer- what is the TNM system and what does it refer to?
surgery, radiation therapy, chemotherapy - Correct Answer- what are potential treatments for
malignant laryngeal tumors?
and CORRECT Answers
they do not differ by a lot, rather a continuum. people can misuse their voice frequently, but
not have abuse until many years down the road.
misuse is voice behaviors that distort the normal propensity of the phonatory mechanism to
work effectively and efficiently. abuse is harsher and more likely to cause trauma to the
mechanism - Correct Answer- what are the differences between misuse and abuse when it
comes to phonotrauma?
abuse: excessive loudness (coaches spend a large amount of time yelling at games and
practices) and excessive throat clearing (foods such as milk create a reaction of increased
mucous in some people)
misuse: inappropriate pitch level (puberphonia which is persistent high pitch voice) and
excessive talking (teachers spend large amounts talking could create a problem) - Correct
Answer- provide an example of misuse and abuse, and describe a scenario where it might
happen for each
males; people may feel like a high-pitched voice for a male is inappropriate so it can affect
confidence and things like employment and relationships - Correct Answer- who is most
likely to present with puberphonia? how might this affect them socially with their
communication?
children frequently in misuse their voice and exhibit abusive behaviors such as screaming and
making lots of noise. this could result in nodules from the excessive strain on their VFs -
Correct Answer- why do certain children exhibit phonotrauma, and what sort of vocal
behaviors lead to this?
nodules are more superficial affecting the BMZ while polyps are a bit deeper affecting the
reinke's space - Correct Answer- what are the histological differences between nodules and
polyps?
polyp - Correct Answer- a person who reports voice changes following attending an LSU
football game is most likely to be diagnosed with which benign lesion?
,acute nodules are usually soft and pliable while
chronic nodules are hard, white, thick, fibrous, more stiff, and causes more resistance to VF
vibration - Correct Answer- what is the difference between an acute vs a chronic 'older'
nodules, and how might this affect VF vibration?
this may interfere with complete glottal closure; a larger polpy may cause breathiness because
the VFs cannot adduct - Correct Answer- how can the size and location of a polyp affect VF
vibration?
nodules, polyps, cysts - Correct Answer- which pathologies will never cause breathing
difficulties?
cyst or polyp - Correct Answer- if a benign lesion goes away with therapy, then we can likely
determine that it was not ___?
cysts have no mucosal wave - Correct Answer- what is a stroboscopy sign to differentiate a
nodule vs a cyst?
reinke's edema (can be fixed with surgery) and bilateral VF paralysis (cannot be fixed with
surgery) - Correct Answer- what are 2 conditions that affect not only voice quality but also
breathing difficulties?
symptoms: lower pitch, hoarseness, shortness of breath
signs: lower fundamental frequency, increased mucosal wave - Correct Answer- what are
some signs and symptoms of reinke's edema?
the primary course of treatment is medical or surgical;
SLPs typically provide pre-surgical and post-surgical therapy and counseling - Correct
Answer- what is the primary course of treatment for organic voice disorders, and the role
SLPs play?
smoking and environmental pollutants - Correct Answer- what are factors that can lead to the
development of keratosis?
, granuloma - Correct Answer- name one pathology that does not occur on the membranous
portion of the TVFs?
intubation - Correct Answer- what is a common way laryngeal granuloma can develop?
no because the granulma will not involve the membranous portion of the VF - Correct
Answer- do we expect to see tissue changes with the mass and stiffness of the VFs with vocal
process granulomas?
sulcus vocalis and cysts - Correct Answer- what two benign lesions can be congenitally?
they tend to proliferate and obstruct the airway - Correct Answer- why is surgery for RRP the
primary treatment for these lesions instead of voice therapy?
arthritis, trauma, joint disease - Correct Answer- ankylosis of the cricoarytenoid joint: what
can cause fixation of the cricoarytenoid joint?
result of a single traumatic event to the VF or larynx - Correct Answer- what sort of incident
or scenario would most likely cause a hemorrhage?
a decreased amplitude of vibration and no mucosal wave at the area of the web - Correct
Answer- how might a laryngeal web impact VF vibration?
severe hoarseness, breathy phonation, psychosomatic aphonia - Correct Answer- what are
three potential symptoms of inhalation trauma?
a system to evaluate the severity of malignancy;
T = site of tumor,
N = involvement of the lymph nodes,
M = metastasis - Correct Answer- what is the TNM system and what does it refer to?
surgery, radiation therapy, chemotherapy - Correct Answer- what are potential treatments for
malignant laryngeal tumors?
