ENT MCQ - pguploads.files.wordpress.com · 5.hypernasality(rhimolalia aperta) 6.puberphonia ......
Transcript of ENT MCQ - pguploads.files.wordpress.com · 5.hypernasality(rhimolalia aperta) 6.puberphonia ......
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ENT MCQby pg uplods
VOICE AND SPEECH DISORDER
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Topics covered1.dysphonia plica ventricularis
2.functional aphonia
3.phonosthenia
4.hyponasality(rhinolalia clausa)
5.hypernasality(rhimolalia aperta)
6.puberphonia
7.vocal cord nodule
8.others
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Q1.in dysphonia plica ventricularis, sound is produced by.................
a. vestibular folds
b.vocal folds
c.tongue
d.ventricle of larynsk
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Ans 1.....................a
• false vocal cords= ventricular folds= vestibular folds(present avobe true vocal volds)
• they hv minimal role in normal phonation• in this condition voice is= rough, low
pitched,unpleasant• diagonesed by aproximation of fase vocal folds
on INDIRECT LARYNGOSCOPY• this cond is also known as ventricular
dysphonia
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Q2.pitch of persons voice depends upon fundamental frequency that depends upon larynsk, in normal
adult male its avg value is• a.125 hz• b.210 hz• c. 300 hz• d. 400 hz
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ans ..a
• FUNDAMENTAL FREQUENCY IS PRODUCED BY LARYNSK in normal adults its value is
• MALE-125 hz• FEMALE-210 hz• CHILDREN-300 hz
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Q3.what is depth kymography...?
• it is an imaging method to visualise complex movement of vocal cord
• phonation is produced by occilation of vocal folds which is due to pressure diff across vocal folds, normal minimum value is- 3-5 cm H2O
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Q4. true about functional aphonia all except.........
• 1.seen in emotionally labile female of age 15 -30 yrs
• 2.speech therapy is imp fr its treatment• 3.vocal cord remain in abducted position on
attempt of phonation• 4. on coughing vocal cord remain abducted• 5. aphonia is sudden in onset
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ans is 2. and 4.
• treatment is done by reassurance and psychotherapy .speech therapy has no role
• vocal cord canbe adducted during coughing ie adducter function is normal
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Q.5.rhinolalia clausa is seen in all except........
• 1.nasal growth• 2.adenoids• 3.nasal polyp • 4. palatal paralysis
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ans 4
• rhinolalia clausa is seen when nose or nasopharynsk is blocked
• eg nasal growths(polyp)• nasopharyngioma • adenoids• allergic rhiitis,common cold
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note: clausa vs aperta
• rhinolalia clausa= hyponasality= nose ka kam role hai= nose me obstruction hai
• rhinolalia aperta=hypernasality= nose ka role jada= abnormal connection bw oral &nasal cavity eg palatal paralysis
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Q.6. a patient of phonasthenia shows elliptual space between
vocal cords on indirect laryngoscopy, muscle involved is..• a.interaretenoid• b.thyroaretenoid• c.cricothyroid• d. all of avove
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ans ...b
• phonosthenia is weakness or easy fatigability of voice due to weakness of thyroaretenoid ,interaretenoid or both
• on indirect laryngoscopy signs space bw vocal cords is seen if its,
• elliptual= thyroaretenoid• triangular gap bw post commisure=
interaretenoid• keyhole= both(q)
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Q7.true about vocal cord nodule all except..............
• a.localised epithelial hyperplasia• b.symmetric on both cord• c.male> female• d. most common age group 20 to 30• e. pinkish white nodule at jonction of anterior
2/3 & posterior 1/3
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ans... e• most common site of...• a..vocal nodule...junction of ant 1/3 and posterior
2/3• b..tb...posterir part of larynx• c..lupus..anterior larynx( epiglottis>aryepiglottic fold>
ventricular band)• d..syphills..anterior larynx ie epiglottis and
ariepiglottic fold• e..leprosy.. anterior larynx ie epiglottis & ariepiglottic
fold• f..pachydermia larynx/contact ulcer..vocal process of
aretenoid cartilage• g..glottic cancer.. ant 1/3 of vocal cord( free edge &
upper surface)
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• h..vocal polyp..no difinitive site• i..intubation granuloma..post 1/3 & ant 2/3
junction of vocal cord
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Q 8. treatment of spasmodic dysphonia is .........
• a. type 1 thyroplasty• b. type 2 thyroplasty• c. type 3 thyroplasty• d. type 4 thyroplasty
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ans b
• type 1 = medialisation of vocal cord = in unilateral vocal cord paralysis, atropy,sulcus vocalis
• type 2= lateralisation = spasmodic dysphonia
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• type 3 = shortening or relaxation of vocal cord = for lowering of vocal pitch in puberphonia
• type 4 = lenghtening of vocal cord for elevating pitch of voice as in androphonia
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Q9. pachydermia laryngis is treated by.....
• 1) cordectomy• 2) microsurgical' excision• 3) both '• 4) none
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ans 2
• treatment of ptachydermia laryngis is microsurgical excision of hyperplastic epithelium and cordectomy has no role in its treatment