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128 Cards in this Set
- Front
- Back
The esophagus is ___cm long in adults
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20cm
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The stomach holds...
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1 liter of food and/or liquid
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Upper and Lower Esophageal Sphincters have _____ pressure because of the tendency for lungs and chest wall to pull apart
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higher
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4 stages of swallowing
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1. Oral Prep Phase
2. Oral Transport Phase 3. Pharyngeal Transport Phase 4. Esophageal Transport Phase |
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We usually swallow during ______
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expiration
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Thicker liquids take ______ to swallow
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longer
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First tongue movements are ______
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Horizontal
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First tongue movements are ______
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Horizontal
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Around 6 months, we add what kind of movements of the tongue?
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Up and down
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By 1 year, we add what kind of movements to the tongue?
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side to side
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Looks at the oral prep phase in a healthy person, SLP looks at penetration/timing of the movements, and a radiologist usually performs this
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Videoflouroscopy
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FEES
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Flexible endoscopic evaluation of swallowing
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Sometimes difficult to see what is going on so we usually use colored dye in the food, SLP may perform depending on the state
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FEES
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Not used as much on swallowing, cannot detect aspiration, may be useful for training
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Ultrasound
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Usually used for esophageal function under direction of gastroenterologist
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Manometry
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What does patent mean?
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open
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Cavity from the palatal line to the nose exit
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Nasopharynx
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Cavity from the hyoid bone to the oral cavity
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Oropharynx
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Cavity from the base of the cricoid to the hyoid bone
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Larygopharynx
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Velum is the...
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soft palate + uvula
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Main muscle that closes the velum
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Levator veli palatini
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Muscle between the tongue and palate and makes up anterior faucial pillar. Tonsils are directly behind anterior.
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Glossopalatine
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Muscle behind glossopalatine and may make the posterior faucial pillars
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Pharygopalatine
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Velar closure moves like a .....
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knee bend, NOT A TRAP DOOR
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Closing the velum is muscles _____passive forces
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overcoming
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Opening the velum is muscles _______ passive forces
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with the help of
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We have ____ resistance in the velopharyngeal port and inside the nose because it gets narrower
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more
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Opposition to movement
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resistance
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Movement of the velum up in knee bend and movement in of the posterior pharyngeal wall
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Circular closure
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Velum is major participant so we don't see much movement of the pharyngeal wall
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Coronal Closure
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Active dilation of the external valves of the nose occurs during _______
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inhalation
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Internal valve of the nose becomes larger during ______ and smaller during ______
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inspiration/expiration
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It is ___ times greater effort to breathe through the nose than through the mouth
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3 times
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controls the balance between the oral and nasal cavities and the atmosphere
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Velopharyngeal Function
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velopharyngeal port is closed and acoustic and aeromechanical energy are channeled through the oral cavity
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Oral Sounds
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velopharyngeal port is open adn acoustic and aeromechanical energy are channeled through the nasal cavity
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Nasal sounds
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velum moves _____ and ____ in anticipation of vowel production
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up and back
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airtight closure of the velum is most likely to occur in _____ vowels
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high
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lack of closure of the velopharyngeal port for consonants results in.....
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unintelligibility
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TRUE/FALSE. It is easier to breathe through your nose than your mouth
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FALSE
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TRUE/FALSE. Sound travels the easiest way through lowest impedence.
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TRUE
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For nasal sounds the velum is.....
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down and open
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Airtight velopharyngeal closure is more likely to occur in....
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high vowels
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TRUE/FALSE. There is no evidence of nasal muscle activity assisting in VPN function during speech production
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FALSE
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position and movement for two or more speech sounds occur simultaneously or overlapping
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coarticulation
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Who did the acoustic study?
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Hutchinson
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Who did the aeromechanical study?
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Hoit
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velar elevation is ____ as high for men
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twice
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observe air flow and/or pressure. Pneumotachometer measures nasal air flow
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Aeromechanical measurement
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Nasometer, picture is inaccurate, plate separates nose from the mouth
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Acoustic measurement
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problems with structure or function of velopharyngeal mechanism
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Organic disorder
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problem that is a habit of usage (learned behavior)
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Functional disorder
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TRUE/FALSE. The articulatory structures including the VPN make separate and independent movements for each speech sound
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FALSE
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TRUE/FALSE. The configuration of the velopharyngeal port observed visually or in the acoustic signal. may contain evidence of coarticulation
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TRUE
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TRUE/FALSE. The body's orientation in space does not affect VPN function or velopharyngeal competence.
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FALSE
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TRUE/FALSE. VPN becomes more precise from childhood into adulthood
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TRUE
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Regarding the relationship between age and VPN function...
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there is no evidence to support that with increased senescence there is a deterioration of VPN function related to speech production.
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TRUE/FALSE. The difference between a man and woman regarding VPN function definitely makes a functional difference
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FALSE
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An endoscope (nasendoscopy) can be used as a direct visualization of....
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both the structures and function of the VPN system
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TRUE/FALSE. A nasometer is an instrument to measure VPN function aeromechanically
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FALSE
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Phonation results from the....
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opening and closing of the vocal folds
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vocal folds convert _______ energy of lungs into ______ energy (converting air pressure into sound)
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aeromechanical to acoustic
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What muscle are we relaxing when doing a laryngeal massage?
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Cricothyroid
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Thyroarytenoids (vocal folds) are made up of two parts...
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Thyromuscularis and Thyrovocalis
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What muscle is responsible for the abduction of the vocal folds?
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Posterior Cricoarytenoids (PCA)
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What muscles close the vocal folds?
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Lateral cricoarytenoids, transverse arytenoids, oblique arytenoids
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The only muscle that is unpaired
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Transverse arytenoids
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Tensors
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Cricothyroid and Thyrovocalis
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Relaxor
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Thyromuscularis
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draws tongue and hyoid forward
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geniohyoid
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elevates and retracts hyoid
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stylohyoid
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The vocal folds are composed of...
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Epithelium, lamina propria, thyroarytenoid muscle
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What are the layers of the lamina propria?
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Superficial, Intermediate, deep
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vocal fold elongation when the muscles contract
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Cricothyroid joint
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vocal fold abduction and adduction
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cricoarytenoid joint
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Maximal length change up to ____ % of resting length
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25
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Johannes Muller
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Myoelastic aerodynamic theory of voice production
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Husson
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Neurochronaxic theory
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van den Berg
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vocal folds set into vibration by Bernoulli effect
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We adduct the vocal folds ____ to get them vibrating and then it keeps going due to the Bernoulli effect
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ONCE
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as fluid goes faster, the pressure _______
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decreases
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through a constriction, the velocity of the flow ______, causing a decrease in pressure
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increases
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fluids accelerate through a narrowed area
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Venturi effect
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physical properties of vocal folds, particularly _____, _______, and _________
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elasticity, mass per unit length, and tension/stiffness
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the more stretched out the vocal folds, the ____ mass there is per unit area
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less
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force used to elongate the vocal folds; the result of the pulling force exerted upon the vocal folds and their resistance to that force
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tension
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the vocal folds open and close from
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bottom to top
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coupling of the aerodynamic forces with the physical properties of vocal fold tissue
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Myoelastic-Aerodynamic Theory
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refers to the elastic resistance and the ease with which it returns to its original shape
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viscoelasticity
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for voice production, subglottal pressure must be ______ than supraglottal pressure
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greater
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relative difference between the pressure above and below the vocal folds (driving pressure that blows the vocal folds open)
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Transglottal pressure differential
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vocal folds open and close.....
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anterior to posterior
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volume of air flowing through the glottis during phonation
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glottal volume velocity
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It takes _____ subglottal pressure to start phonation than it does to sustain phonation
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More
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complete adduction and exhalation are simultaneous
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Gentle Onset
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exhalation before adduction
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Breathy Onset
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firm adduction before exhalation
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Glottal Attack Onset
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equals duration from the onset of sound to the moment at which the amplitude of the acoustic wave reaches a steady-state
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Vocal Rise Time
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Phonatory control is only for....
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voiced consonants and vowels
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TRUE/FALSE. The Bernoulli effect is responsible for the initial adduction of the vocal folds
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FALSE
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Vocal fold adduction uses the....
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transverse arytenoids
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vocal folds approximate during speech because of ___ air pressure behind the vocal folds than ahead of the vocal folds
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higher
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The M-A model implies that...
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both air flow and muscle effects drive phonation
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Vocal folds open from....
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top to bottom
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Vocal folds close...
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front to back
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Men tend to have ___, _____ vocal folds. Natural frequency around 115 Hz
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longer, more massive
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Children have ____, _____ vocal folds. 300 Hz
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shorter, less massive
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Women are in between with a frequency of ____
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215 Hz
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the shorter, less massive, and more tense the vocal folds=
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higher frequency
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Whose vocal folds will vibrate faster naturally? children/women/men
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children
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use cover dominant vibration, vibrating the cover of the vocal folds more than I am vibrating the body. Cricothyroid contracts.
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Increase fundamental frequency
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body plus cover vibration, thyroarytenoid contracts.
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Decreased fundamental frequency
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Increase the fundamental frequency by contracting the ______
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cricothyroid
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Decrease the fundamental frequency by contracting the _____
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thyroarytenoid
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the regulator of loudness
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subglottal pressure
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the greater the subglottal pressure, the ____ the stretch on the vocal folds
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greater
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At a low fundamental frequency, change to high fundamental frequency...contract TA/contract CT
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contract CT
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At a medium F0, lower the pitch...
a. relax CT, contract TA b. contract CT, contract TA c. relax CT, relax TA |
relax CT and contract TA
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get louder at whatever pitch....
a. increase CT tension b. decrease CT tension c. increase Psub d. increase Psupra |
Increase Psub
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power per unit area, square of amplitude of sound pressure wave
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Intensity
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_____ often have a posterior gap so vocal folds don't close completely
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Women
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most often used register-men at 90-450 Hz and women at 150-520 Hz
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Modal (chest)
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lowest register-men and women at 35-50 Hz
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glottal fry
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faster than ____ Hz is heard as a continuous sound
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70
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frequencies above modal register
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falsetto
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degree of regularity
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Perturbation
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cycle to cycle variability in frequency
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Jitter
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cycle to cycle variability in amplitude
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Shimmer
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