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13 Cards in this Set
- Front
- Back
*
Oral Physical Exam |
a. mouth
b. tongue c. velopharynx d. larynx |
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**
Speech Exam |
a. phonation
b.resonation c. articulation d. apraxia screening e. stress test |
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***
Mouth |
a. rest
b. smiling c. rounding d. puffing e. jaw mvmt (deviation and resistance) f. sucking reflex |
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****
Tongue |
a. rest - just over lower teeth
b. protrusion - turn to left then right to look for fasciculations, look for symmetry c. wiggle - look for normal rate and range of mvmt d. anterior strength - press against with tongue blade e. lateral strength - press against cheek |
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*****
Velopharynx |
a. rest
b. phonation c. pharynx, phonation d. nasal emission e. gag reflex (ask) f. bite lower lip, lick lips, cough |
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a
Larynx |
a. quiet breathing
b. vowel prolongation c. coup de glotte d. contextual speech |
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aa
Phonation |
a. vowel prolongation: steadiness, loudness, and quality
b. produce glottal: normal sharpness |
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aaa
Resonation |
a. non-nasal sentences: we see three geese, the big black dog caught the stick
b. nasal sentences: mother makes money |
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aaaa
Articulation |
a. amr - alternate motion rate
b. smr - sequential motor rate c. contextual speech |
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aaaaa
Apraxia Screening |
a. multi-syllabic words: snowman, gingerbread, impossibility, statistical analysis
b. contextual speech: standard passage reading or spontaneous speech about something they're interested in/excited about |
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b
Stress Test |
a. testing for Myasthenia Gravis (count starting at 1)
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bb
Patient One - Mild ALS |
a. mixed dysarthria
b. speech: slow, ok artic, ok resonance, poor voice quality (raspy), strong coup de glotte, slow/uneven/poor artic amr c. oral: could see teeth, poor range of mvmt for tongue, and resist depressor |
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bbb
Patient Two - Advanced ALS |
a. speech: slow, imprecise artic, hoarse phonation, hypernasal, slow and reg amr, /a/ tremor, fasciculation of tongue at rest, atrophy, bilateral mouth weakness, no distinction in sentences with grandfather passage
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