Benign Vocal Fold Mucosal Disorders

Chapter 60

Name: Score:

1. Maria a renounce singer noted limitation in her performance. All are Singing-Voice
Symptoms of Mucosal Injury, Except?
A. Loss of the ability to sing softly at high pitches
B. Increased day-to-day variability of singing-voice capabilities
C. Phonatory onset delays
D. Reduced vocal endurance

2. Management of Sinonasal Symptom in the Voice, Except?

A. Sinonasal conditions should be managed topically when possible
B. oral decongestants or antihistamine-decongestant combinations
C. ipratropium bromide inhalations
D. NOTA

3. Common Symptoms Suggesting Reflux Laryngitis

A. Excessive phlegm
B. Huskiness or lowered pitch of the voice in the morning
C. Habitual throat clearing
D. AOTA
E. A and B

4. The membranous vocal fold is made up of, except?

A. squamous epithelium
B. superficial layer of the lamina propria
C. elastin and collagen fibers
D. cricothyroid muscle

5. is an auditory-perceptual assessment of vocal capabilities, limitation and aberrations

A. Vocal Commitment
B. vocal capability battery
C. Elicitation
D. hearing

6. Vocal Fold Nodules include, Except?

A. Almost always vocal “over-doers”
B. Formation starts with localized vascular congestion with edema at the midportion of
the membranous vocal folds, where shearing and collisional forces are greatest
C. Maturation occurs with hyalinization of Reinke space and, in a subset of patients, to
some thickening of the overlying epithelium
D. Nodules do not occur bilaterally, although one may be larger than the other (unilateral)
 7. Common Vocal Nodule Symptoms include, Except?
A. Loss of the ability to sing high notes loudly
B. A need for longer warm-ups
C. Increased breathiness, roughness, and harshness
D. A sensation of increased effort for singing

8. This saccular cyst tends to protrude from the anterior ventricle toward the laryngeal
vestibule. When large, it may “push down” on the vocal fold and cause dysphonia.
A. Anterior saccular cyst
B. Lateral saccular cyst or laryngocele, internal only
C. Lateral saccular cyst or laryngocele, internal/external

9. This lesion tends to dissect more superiorly and laterally up into the false and
aryepiglottic folds, sometimes bulging not only those structures medially but also the medial wall
of the piriform sinus, or it may even fill the vallecula.
A. Anterior saccular cyst
B. Lateral saccular cyst or laryngocele, internal only
C. Lateral saccular cyst or laryngocele, internal/external

10. This variant of saccular cyst tends to dissect as described for the lateral cyst but also
tends to penetrate through the thyrohyoid membrane and to appear as a palpable swelling in the
neck.
A. Anterior saccular cyst
B. Lateral saccular cyst or laryngocele, internal only
C. Lateral saccular cyst or laryngocele, internal/external

11. Treatment Options for Bilateral Diffuse Polyposis

A. Smoking cessation
B. Polyp reduction with mucosal sparing
C. in-office laser ablation17
D. AOTA

12. Presentation of Contact Ulcer or Granuloma

A. Unilateral discomfort over the midthyroid cartilage, occasionally with referred pain to
the ipsilateral ear
B. Hoarseness
C. may appear as a depressed, ulcerated area with a whitish exudate clinging to it, or a
bilobed with heaped-up lesion on the vocal process
D. AOTA

13. Treatment Options for Contact Ulcer or Granuloma

A. Antireflux
B. Injection of a depot corticosteroid directly into the lesion
C. Botulinum injection into the thyroarytenoid muscle
D. AOTA
 14. Patients who underwent acute or chronic intubation, rigid bronchoscopy, or other
direct laryngeal manipulations are prone to having?
A. Vocal Fold Hemorrhagic Polyp
B. Intracordal Cyst
C. Intubation granuloma
D. Capillary Ectasia

15. Unilateral lesion in the “node position” with a possible small contralateral lesion and
may or may not have hemorrhagic or bruised appearance?
A. Vocal Fold Hemorrhagic Polyp
B. Intracordal Cyst
C. Glottic Sulcus
D. Capillary Ectasia

16. happen most often in vocal over-doers, resulting in repeated vibratory microtrauma
leading to capillary angiogenesis.
A. Vocal Fold Hemorrhagic Polyp
B. Intracordal Cyst
C. Glottic Sulcus
D. Capillary Ectasia

17. Indications for Surgical Ablation of Capillary Ectasias include?

A. Persistent decreased vocal endurance
B. Intermittent bruising
C. Hemorrhagic polyp
D. AOTA

18. Vocal Nodule Treatment Options include?

A. laryngeal lubrication
B. Allergy and reflux treatment
C. Surgical removal after voice therapy for >3 months
D. AOTA

19. What are the risk Factors for Vocal Injury, Except?
A. High extrinsic opportunity or necessity to use the voice, driven by occupation, family
needs, social activities, and avocations
B. Visible vocal fold lesions may not cause an audible change in the speaking voice
C. Visible vocal fold lesions that cause phonatory mismatch at the free margin or
mucosal stiffness that are always detectable audibly in the singing voice, provided that
the examiner knows how to elicit upper range vocal tasks
D. High intrinsic tendency to use the voice (talkativeness and extroversion)

20. Key requirements for successful vocal fold microsurgery?

A. Access to voice-qualified behavioral speech pathology support.
B. Detailed knowledge of instruments being used in surgery.
C. Surgeons skills to have steady hands during surgery.
 D. AOTA

21. Patients with capillary ectasia may have surgical intervention when it causes the
following?
A. Tendency to decreased vocal endurance
B. Intermittent bruising
C. Hemorrhagic polyp.
D. AOTA

22. Treatment of Reflux Laryngitis

A. Eat nothing >3 hours before bed
B. head should be flat on the bed
C. Take antacid at bedtime, or H2 blocker 2-3 hours before bed
D. Proton pump inhibitor (PPI) 30-60 minutes before breakfast

23. Treatment of Acute Mucosal Swelling of Overuse

A. Relative vocal rest in context
B. Pre-performance warm-up and solid vocal technique
C. May consider short-term, high-dose tapering regimen of corticosteroids
D. AOTA

24. Systemic Medications that may Affect the Larynx, Except?

A. Decongestants
B. Antidepressants
C. insulin
D. Diuretics

25. Polypoid Granulation Tissue includes the following, except?

A. Most common vascular tumor in the larynx
B. Can be caused by laryngeal biopsy, intubation, direct external trauma to the larynx,
and external penetrating wound
C. Treament is conservative includes removal of the source of any ongoing irritation and
intralesional corticosteroids
D. NOTA