Section 5: Case Study 1 The following 6 questions will refer…
Section 5: Case Study 1 The following 6 questions will refer to the following information (case also provided under Section 5 in paper exam): — You are a new member of the team that is working with a 48 year old woman who presented to the neurologist two years ago with a complaint of increased drooling and difficulty swallowing. In the last two years, her symptoms have progressed. During your initial conversation, you note a somewhat strained but also weak voice. You also have difficulty understanding her; she has to type on her iPad that she has recently started sobbing uncontrollably during funny movies. You ask her to complete a couple of oral mechanism tasks. You note: Reduced range of motion in the tongue, especially when you ask her to move quickly Weak glottal coup Subtle fasciculations on her chin You then ask her to do some basic tests, starting with some DDK tasks. You note: Slow, even rate in all places of articulation She has difficulty forming complete closure, especially for lingual sounds Decreased distinction in voicing between voiceless /p, t, k/ and voiced /a/ Weak pressure and nasal leakage during p, t, k