Dr. Po's lecture part 1 Flashcards Preview

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Flashcards in Dr. Po's lecture part 1 Deck (42)
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1
Q

laryngeal exam using CONTINUOUS light source

A

endoscopy

2
Q

7 illusions of mirror laryngoscopy

A

1) mirror image
2) anterior com not seen
3) depth handicap
4) shadow on true VF
5)
6)
7)

3
Q

Disadvantage of Flexible Laryngoscope

A
  • Moire of Honeycomb effect

- risk of epistaxis, vasovagal response

4
Q

what do you illicit on sniffing during laryngoscopy?

A

maximum abduction of VF

5
Q

nerve supply of the intrinsic laryngeal muscles (GENERAL)?

A

Vagus nerve

6
Q

laryngoscopy finding in muscle tension dysphonia

A

adduction of false VF from pharyngeal squeeze

7
Q

What is TALBOT Law?

A

our retina can only catch 5 distinct images per second

8
Q

Method to best examine vocal fold mucosal lesions

A

stroboscopy

9
Q

What can you see in stroboscopy?

A

___ relationship of body and cover

10
Q

VF characteristic measures in laryngoscopy

A
1
1
2
3
4
5
6`
11
Q

absorption

A

Narrow Band Imaging

12
Q

Transnasal esophagoscopy (TNE/TNO) difference from conventional esophagoscopy

A
  • 3-5mm diameter (smaller than convetional esophagoscope 10-12mm)
  • office based setting: safer, cost-effective
13
Q

Fundamental Components of Speech

A

Phonation
Resonance
Articulation

14
Q

Generation of sound by VF

A

Phonation

15
Q

Induction of vibration in the rest of the vocal tract (amplification, prolongation and filtering of sound)

A

Resonance

16
Q

Shaping of voice into words

A

Articulation

17
Q

Structures involved in Phonation

A

Vocal folds

Lungs

18
Q

General Considerations in Management

A

Voice rest
Voice therapy
Vocal Hygiene

19
Q

General Considerations in Management

A
Voice rest
Voice therapy
Vocal Hygiene
Pharmocologic Therapy
Surgical Interventions
20
Q

most common infectious etiology of acute laryngitis?

A

MOTSTLY VIRAL

Moxella Cat, Hi and strep pneumo

21
Q

Non-infectious cause of acute laryngitis

A

acute vocal strain: screaming or protracted coughing

22
Q

Tx of acute laryngitis

A

hydration, humidification, ____

23
Q

cut-off of chronic laryngitis

A

3 weeks

24
Q

causes of chronic

A

fumes, tobacco smoking, postnasal drip

25
Q

appearance of TB laryngitis

A

moth-eaten

26
Q

Benign change in

A

keratosis/leukoplakia and polypoid corditis/reinke’s edema

27
Q

AIDs defining fungal disease

A

esophageal fungal disease

28
Q

mechanism of symptoms in LPR

A

1) direct acid/bile mucosal damage

2) poor mucociliary clearance

29
Q

Who created the Refux Symtpom Index?

A

Belafsky

30
Q

Who created the Refux Symtpom Index?

A

Belafsky

31
Q

Laryngitis affecting the posterior laryngeal structures? and what are the findings?

A

LPR

Findings
1
2
3
4
32
Q

Surgical intervention for LPR

A

Nissen fundoplication

33
Q

Surgical intervention for LPR

A

Nissen fundoplication

34
Q

location of vocal fold nodule

A

anterior 2/3, bilateral

35
Q

attachment of vocal fold cyst

A

vocal ligament

36
Q

types of vocal fold cyst

A

epidermal cyst

mucus retention cyst

37
Q

location of vocal fold polyp

A

anterior 1/3, unilateral

38
Q

location of vocal fold polyp

A

anterior 1/3, unilateral

39
Q

location of vocal fold granuloma

A

posterior 1/3

40
Q

types of papillomatosis

A

juvenile -

adult - carpet

41
Q

Structures involved in Resonance

A

Chest
Pharynx
Nose & Nasopharynx
Larynx

42
Q

Structures involved in Articulation

A

Lips
Tongue
Palate
Pharynx

Decks in Rizal Med LBE 101 Class (33):