Name _________________________________ Total ____________ / 50

Select three different injuries or disease processes, and indicate at least one impairment, disability, and handicap that may result. Do not quote directly from the notes. (12)

Injury or Disease Process	Impairment	Disability	Handicap
Example:  lesion to L recurrent laryngeal nerve	unilateral vocal cord paralysis	breathy voice, short phrases	must change jobs (premorbidly a back-up vocalist for Sting)

 

Provide at least two non-perceptual characteristics of each major classification of dysarthria. Indicate the method of observation for that characteristic. It will help me verify your answer if you include the page number or other source for your response. (12)

Type of Dysarthria	Acoustic Characteristic	Kinematic Characteristic	Physiologic Characteristic
Example:  flaccid	restricted standard deviation and range of fundamental frequency (p.115)		greater vibratory amplitude of vocal cords (p. 115)
flaccid
spastic
Type of Dysarthria	Acoustic Characteristic	Kinematic Characteristic	Physiologic Characteristic
ataxic
hypokinetic
hyperkinetic
unilateral UMN

 

Select four of the characteristics you provided for the above question. Describe how each characteristic "makes sense" in terms of what you know of the underlying nature of that particular type of dysarthria or in terms of the related perceptual characteristics. (8)

Characteristic	Why it makes sense
example:  greater vibratory amplitude of vocal cords (flaccid)	Hypotonicity makes the vocal cords less resistant to movement so they vibrate with greater amplitude.

 

Match each of the following impairments with its probable site of lesion: (10)

_____ unilateral facial droop                                     a. CN V (unilateral)

_____ tongue deviates to right upon protrustion         b. CNX (recurrent laryngeal branch)

_____ numbness on one side of the face                     c. CN XII (L)

_____ inability to make pitch adjustments                     d. CN V (bilateral)

_____ unilateral vocal cord paralysis                         e. CN VII

_____ inability to push tongue to right                         f. CN XI

_____ reduced jaw movement                                 g. CN VIII

_____ unilateral deafness                                         h. CN XII (R)

_____ reduced velar elevation                                 i. CN X (superior laryngeal branch)
 
 

At a recent wedding reception, my new best-friend-in-law (who is a relatively young physician) and I got into a discussion about which stroke patients might need speech therapy. We discussed issues such as right versus left hemisphere, cortical versus subcortical, etc. Imagine you are having this discussion with a physician who will be a referral source for you. Provide her/him with brief rationale for why patients with different sites of lesion (be specific) may demonstrate communication problems. An adequate answer is worth 8 points, but you may earn up to 15 points with an excellent answer (up to 7 bonus points).