SLP Voice Disorders & Treatment 3

Question 1

A patient with a history of GERD presents with globus sensation, throat clearing, and mild dysphonia. Laryngoscopy reveals posterior commissure erythema and interarytenoid edema. This presentation is most consistent with:

Accepted Answer

Laryngopharyngeal reflux

Answer

Laryngopharyngeal reflux characteristically causes posterior laryngeal erythema, interarytenoid edema, globus, and chronic throat clearing.

Question 2

Which instrumental assessment provides the MOST direct visualization of vocal fold mucosal wave dynamics during phonation?

Accepted Answer

Videostroboscopy

Answer

Videostroboscopy uses a strobe light synchronized to vocal frequency to create apparent slow-motion images of mucosal wave motion.

Question 3

A 45-year-old teacher with muscle tension dysphonia demonstrates elevated laryngeal position and hard glottal attacks. Which therapy approach is LEAST appropriate as a starting point?

Accepted Answer

Pushing/pulling exercises

Answer

Pushing/pulling exercises increase laryngeal muscle tension and are contraindicated in muscle tension dysphonia where hyperfunction is already the problem.

Question 4

Phonation threshold pressure (PTP) is defined as:

Accepted Answer

The minimum subglottal air pressure needed to initiate and sustain oscillation

Answer

PTP is the minimum lung pressure required to set vocal fold tissue into oscillation and is sensitive to changes in vocal fold hydration and stiffness.

Question 5

Botulinum toxin injection for adductor spasmodic dysphonia is typically administered into the:

Accepted Answer

Thyroarytenoid/lateral cricoarytenoid muscles

Answer

Botox is injected into the thyroarytenoid (and sometimes lateral cricoarytenoid) muscle to weaken hyperadduction spasms in adductor spasmodic dysphonia.

(SLP) Speech-Language Pathologist Certified Practice Test

(SLP) Speech-Language Pathologist Certified Practice Test

SLP Voice Disorders & Treatment 3