SLP Voice Disorders & Treatment 2

Question 1

A patient presents with a breathy voice quality and bowing of both vocal folds visible on laryngoscopy. This pattern is most consistent with:

Accepted Answer

Presbylaryngis

Answer

Presbylaryngis (aging larynx) is characterized by vocal fold bowing, atrophy, and resultant breathy voice due to incomplete glottal closure.

Question 2

Which behavioral voice therapy technique directly targets reducing excessive laryngeal muscle tension by modifying head and neck posture?

Accepted Answer

Laryngeal manual therapy

Answer

Laryngeal manual therapy involves hands-on manipulation to reduce hypertonic laryngeal musculature and reposition the larynx.

Question 3

A singer reports pitch breaks and voice fatigue after extended performance. Stroboscopy shows a left-sided vocal fold polyp with irregular mucosal wave. The MOST appropriate initial management is:

Accepted Answer

Voice rest followed by behavioral voice therapy

Answer

Initial conservative management with voice rest and behavioral therapy is recommended before surgical intervention for vocal fold polyps, particularly in professional voice users.

Question 4

The maximum phonation time (MPT) is primarily used to assess:

Accepted Answer

Glottal efficiency and respiratory support

Answer

MPT measures how long a patient can sustain a vowel on one breath, reflecting the combined efficiency of laryngeal valving and respiratory support.

Question 5

A patient with unilateral vocal fold paralysis in the paramedian position most likely presents with which voice quality?

Accepted Answer

Breathy, weak voice with diplophonia

Answer

Paramedian paralysis results in incomplete glottal closure, causing breathiness, reduced loudness, and diplophonia due to asymmetric vibration.

(SLP) Speech-Language Pathologist Certified Practice Test

(SLP) Speech-Language Pathologist Certified Practice Test

SLP Voice Disorders & Treatment 2