COMPS: Neurogenics/MSD/Voice (Karly King Quizlet)

You are working with Mr. Smith who has been diagnosed with Parkinsons. Primary symptoms you can expect to include...

bradykinesia, cogwheel, rigidity

A 90 year old woman in a skilled nursing facility is in the end stages for Alzheimer's. The top communication priority would be to...

facilitate communication with the staff during daily routines

A clinician in a skilled nursing facility receives a note that a patient, 85 year old man, has been added to their caseload. The note states that the patient was assessed by the previous clinician, but there's no diagnoses given. These are the symptoms, general awareness of speech problems, significant artic problems, problems with volitional speech, but relatively intact automatic speech, more difficulty with consonants and vowels, intonation and fluency problems, trial and error with groping, and struggling with speech attempts.

apraxia

What is the primary biological function of the larynx?

protection of swallow

To speak or voice properly, the functions including respiration, resonation, phonation, and ______ are required.

articulation

Which type of voice disorders consist of those stemming from stroke/CVA, TBI, MG, Guillain-Barré syndrome, Spasmodic Dysphonia, Parkinsons?

neurogenic voice disorder

Choose the best explanation describing the respiratory process needed for voicing.

Air is inhaled, travels through oral & nasal passage, goes over the tongue, into the larynx, through the VF into the trachea, the air then branches into the bronchiole tubes into the lungs, at this time the diaphragm flattens and contracts so that air can fill up in the lungs, the next process is that you are ready to produce voicing

Which type of VD results as a result of cancer, cleft palate, laryngeal webbing, and tracheoesophageal fistula?

organic voice disorders

How many cycles per second do the VF vibrate during normal phonation or vocalization?

100 cycles/second

As speech pathologists, we have the ability to diagnose and treat voice disorders, in a case in which an informal voice evaluation has been performed, however, no formal diagnosis has been defined. The next step would involve..

Send to an ENT for a formal diagnosis

An assessment by an ENT should be performed prior to an assessment for an SLP voice evaluation. True or false?

true

A 67 year old man comes for a voice evaluation, he was referred by his primary care doctor he states that his voice has been getting weaker over the last 6 months. Upon OME, you find that he has fasciculations of the tongue and some general weakness. The first thing you would do is...

refer to neurology

Hypernasality is caused from...

If hypernasality is happening, there is poor elevation and retraction of the soft palate towards the posterior pharyngeal wall

AAC devices high and low tech have proven to enhance consistent speech and language production. True or false?

true

A brief description of the individuals background, diagnosis, case history, testing results, and a summary of recommendations would describe what?

what we write in our assessment report

The prognosis for treatment is better in a case of a patient who is...

-Younger and healthier

-Lesions smaller

-Treatment initiated soon

-Family that is involved

A neurologist has referred a 68 year old man for aphasia differential diagnosis. Neuroimaging studies have ruled out Broca's aphasia, and they reveal lesions in the deep white matter tract. These also revealed monotonous, nonfluent, limited, agrammatic speech. The pt has difficulty understanding complex speech. The diagnosis is...

Wernicke's aphasia

This therapy approach uses concepts involving pitch, rhythm, and stress to improve expressive language, it also engages the right hemisphere of the brain.

Melodic intonation therapy

Which area of the brain controls balance, coordination, and precision of motor and fine motor movements?

Cerebellum

Which lobe of the brain is located in the anterior left hemisphere, responsible for speech production?

Frontal lobe

Which area of the brain is on the lowest part of the left hemisphere, in front of the occipital lobe, and contains the primary auditory cortex?

Temporal

Specific tasks that target higher level problem solving, analyzing, self monitoring, making plans, and QOL skills are referred to as...

Executive functions

The CNS is best described as what...

Consists of the brain and spinal cord

This MSD consists of impaired speech production due to disturbances in the muscular control of the oral motor mechanism...

Dysarthria

This MSD involves a deficit in the ability to smoothly sequence and place the tongue lips and jaw during speech. Also involves inability to carry out or sequence familar movements

Apraxia

RM is a 72-year-old male diagnosed with Parkinson's 8 years ago. Initially minimal changes were noticed in speech however, over time the following characteristics started, monopitch and monoloudness imprecise consonant production, short rushes of speech, reduced stress, breathy vocal quality. Which dysarthria is likely to be diagnosed?

Hypokinetic

Of the following symptoms, the one associated with dysarthria is...

-slower rate of speech

-forced inspirations and expirations that interrupt speech production

The apraxia battery for adults 2 and frenchay dysarthria assessment are both examples of which type of testing?

Standardized tests

Sentence completions, description of objects, expansion of verbal utterances, action field features and stories, working toward conversational speech are all all examples of which therapy technique?

Verbal expressive skills