A 78 year-old male presents to your multi-disciplinary clini…

A 78 year-old male presents to your multi-disciplinary clinic for a baseline evaluation of speech and swallowing function. The medical history is significant for progressive weakness of the right arm and leg. Additionally, examinations reveal hyperreflexia and weakness of the right lower face, right lingual fasciculations and diffuse atrophy. Perceptually, the patient’s vocal quality is strained. The patient exhibits signs of pseudobulbar affect and denies knowledge of his deficits. A. Does this patient exhibit UMN signs, LMN signs, or both? Explain your answer (2 points).    

A 65 year-old male presents to the Emergency Department (ED)…

A 65 year-old male presents to the Emergency Department (ED) following a fall at home. Two days following admission you receive a consult for a bedside evaluation of speech-language and swallowing function. Based on chart review, his neurological exam is significant for: Adequate force through the orofacial structures. Reduced speed of appendicular and axial movement, reduced range of motion, and difficulty initiating movements across orofacial structures. D. You identify that the patient has a markedly fast rate, reduced conversational loudness, consonant imprecision, and reduced prosodic contour. What is the most likely motor speech diagnosis (1 point). What is one potential treatment approach to improve these symptoms (1 point).

A 63 year-old female presents to your clinic complaining of…

A 63 year-old female presents to your clinic complaining of a hoarse vocal quality, resonance imbalance (i.e. hypernasality, nasal emissions) and difficulty swallowing. An oral mechanism examination reveals appropriate function of the masticatory, facial, and lingual muscles; however, you note markedly reduced soft palate elevation. A. Based on this limited case history, name the lesion (1 point).

Put the following statements in the correct order (first to…

Put the following statements in the correct order (first to last, 1-5) describing the initiation of phonation based on the myoelastic aerodynamic theory: _______     Intrinsic laryngeal muscles adduct the vocal folds _______     Phonation threshold pressure is reached _______     Vocal folds are blown apart _______     Vocal folds are “sucked” back together _______    Subglottal pressure builds up

A 63 year-old female presents to your clinic complaining of…

A 63 year-old female presents to your clinic complaining of a hoarse vocal quality, resonance imbalance (i.e. hypernasality, nasal emissions) and difficulty swallowing. An oral mechanism examination reveals appropriate function of the masticatory, facial, and lingual muscles; however, you note markedly reduced soft palate elevation. B. You decide to complete a motor speech evaluation. What specific tasks would you select to address her complaints of a hoarse vocal quality and resonance imbalance? (2 points).