COMD | 674
OBJECTIVE ASSESSMENT - EXAM
Simucase Kelly
Intervention Transcript
COMD 674 | 2026/2027
50 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Speech-Language Intervention Strategies Treatment Planning & Implementation
Assessment & Evaluation Techniques Communication Disorders & Management
Transcript Analysis & Interpretation
COVER PAGE - 1
, SECTION 1 | Baseline Data & Transcript Analysis | Q1-Q13 | COMD 674 2026/2027
Question 1 Question 1 of 50
A speech-language pathologist (SLP) in a private clinic is reviewing baseline language
transcript data for Kelly, an 8-year-old female in second grade who was referred for reading
and academic difficulties. Analysis of Kelly's conversational speech sample reveals a Mean
Length of Utterance in morphemes (MLUm) of 4.2, which is significantly below the expected
norm of 6.0 to 8.0 for her chronological age. What linguistic interpretation should the SLP draw
from this specific baseline metric regarding Kelly's spoken language performance?
A. Kelly exhibits significant limitations in morphosyntactic complexity, relying primarily on
simple, unelaborated sentence structures without appropriate grammatical morphemes or
subordinate clauses.
B. Kelly demonstrates advanced semantic diversity but experiences severe motor speech apraxia
that restricts her verbal output to short, telegraphic phrases.
C. Kelly possesses age-appropriate expressive grammar but displays a selective pragmatic mutism
that artificially suppresses her utterance length during unfamiliar clinical interactions.
D. Kelly exhibits a primary vocal nodule disorder that causes physical vocal fatigue, prompting her
to voluntarily truncate her spoken sentences to conserve vocal fold vibration.
Correct Answer: A
Rationale:
Mean Length of Utterance in morphemes (MLUm) is a primary indicator of grammatical and
morphosyntactic development in school-age children. An MLUm of 4.2 in an 8-year-old child (expected
norm approximately 6.0 to 8.0) indicates significant deficits in expressive syntax and morphology,
characterized by simple sentence structures, omission of grammatical morphemes, and a lack of complex
syntactic elaboration.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 2 of 52
, Question 2 Question 2 of 50
During a baseline assessment session, the SLP administers a narrative storytelling task using
a wordless picture book to evaluate Kelly's oral narrative macrostructure. Analysis of the
transcript indicates that while Kelly accurately labels the characters and describes isolated
actions on each page, her story lacks an initiating event, an internal response, and a clear
resolution. Which diagnostic conclusion is most supported by this narrative transcript pattern?
A. Kelly demonstrates a severe articulation disorder characterized by final consonant deletions that
obscure her storytelling comprehension.
B. Kelly is operating at an immature action sequence or descriptive narrative level, lacking
the essential story grammar components required for formal episodic narrative structure.
C. Kelly possesses intact episodic narrative architecture but exhibits an auditory processing latency
that delays her verbal description of picture stimuli.
D. Kelly displays advanced inferential reasoning but refuses to formulate complete episodes due to
generalized test anxiety in the clinical setting.
Correct Answer: B
Rationale:
In narrative development, descriptive sequences and action sequences represent early developmental
stages where children describe characters and actions without causal organization. Formal episodic
narratives require core story grammar elements, including an initiating event, goal/internal response,
attempt, and resolution. Kelly's inability to structure these components indicates an immature narrative
macrostructure typical of language-based learning disabilities.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 3 of 52
, Question 3 Question 3 of 50
The SLP evaluates Kelly's phonological awareness baseline skills using auditory sound
blending and phoneme segmentation subtests. When presented with the isolated phonemes
/s/-/p/-/l/-/a/-/sh/ at one-second intervals, Kelly consistently blends them into the word 'slash'
rather than 'splash.' What underlying phonological processing deficit is demonstrated by Kelly's
error pattern on this blending task?
A. An inability to perceive voiced versus voiceless consonant contrasts in word-initial position.
B. A specific semantic memory retrieval deficit affecting high-frequency action verbs.
C. A deficit in auditory phoneme synthesis and working memory, specifically involving the
retention and blending of three-element initial consonant clusters.
D. A bilateral conductive hearing loss that attenuates high-frequency sibilant sound energy.
Correct Answer: C
Rationale:
Phoneme blending requires auditory working memory to hold individual phonemes in sequential order and
synthesize them into a lexical item. Omitting the medial plosive /p/ from the three-element consonant
cluster /spl/ demonstrates a breakdown in auditory phoneme synthesis and phonological working memory,
which directly impairs decoding of complex syllabic structures in reading.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 4 of 52
OBJECTIVE ASSESSMENT - EXAM
Simucase Kelly
Intervention Transcript
COMD 674 | 2026/2027
50 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Speech-Language Intervention Strategies Treatment Planning & Implementation
Assessment & Evaluation Techniques Communication Disorders & Management
Transcript Analysis & Interpretation
COVER PAGE - 1
, SECTION 1 | Baseline Data & Transcript Analysis | Q1-Q13 | COMD 674 2026/2027
Question 1 Question 1 of 50
A speech-language pathologist (SLP) in a private clinic is reviewing baseline language
transcript data for Kelly, an 8-year-old female in second grade who was referred for reading
and academic difficulties. Analysis of Kelly's conversational speech sample reveals a Mean
Length of Utterance in morphemes (MLUm) of 4.2, which is significantly below the expected
norm of 6.0 to 8.0 for her chronological age. What linguistic interpretation should the SLP draw
from this specific baseline metric regarding Kelly's spoken language performance?
A. Kelly exhibits significant limitations in morphosyntactic complexity, relying primarily on
simple, unelaborated sentence structures without appropriate grammatical morphemes or
subordinate clauses.
B. Kelly demonstrates advanced semantic diversity but experiences severe motor speech apraxia
that restricts her verbal output to short, telegraphic phrases.
C. Kelly possesses age-appropriate expressive grammar but displays a selective pragmatic mutism
that artificially suppresses her utterance length during unfamiliar clinical interactions.
D. Kelly exhibits a primary vocal nodule disorder that causes physical vocal fatigue, prompting her
to voluntarily truncate her spoken sentences to conserve vocal fold vibration.
Correct Answer: A
Rationale:
Mean Length of Utterance in morphemes (MLUm) is a primary indicator of grammatical and
morphosyntactic development in school-age children. An MLUm of 4.2 in an 8-year-old child (expected
norm approximately 6.0 to 8.0) indicates significant deficits in expressive syntax and morphology,
characterized by simple sentence structures, omission of grammatical morphemes, and a lack of complex
syntactic elaboration.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 2 of 52
, Question 2 Question 2 of 50
During a baseline assessment session, the SLP administers a narrative storytelling task using
a wordless picture book to evaluate Kelly's oral narrative macrostructure. Analysis of the
transcript indicates that while Kelly accurately labels the characters and describes isolated
actions on each page, her story lacks an initiating event, an internal response, and a clear
resolution. Which diagnostic conclusion is most supported by this narrative transcript pattern?
A. Kelly demonstrates a severe articulation disorder characterized by final consonant deletions that
obscure her storytelling comprehension.
B. Kelly is operating at an immature action sequence or descriptive narrative level, lacking
the essential story grammar components required for formal episodic narrative structure.
C. Kelly possesses intact episodic narrative architecture but exhibits an auditory processing latency
that delays her verbal description of picture stimuli.
D. Kelly displays advanced inferential reasoning but refuses to formulate complete episodes due to
generalized test anxiety in the clinical setting.
Correct Answer: B
Rationale:
In narrative development, descriptive sequences and action sequences represent early developmental
stages where children describe characters and actions without causal organization. Formal episodic
narratives require core story grammar elements, including an initiating event, goal/internal response,
attempt, and resolution. Kelly's inability to structure these components indicates an immature narrative
macrostructure typical of language-based learning disabilities.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 3 of 52
, Question 3 Question 3 of 50
The SLP evaluates Kelly's phonological awareness baseline skills using auditory sound
blending and phoneme segmentation subtests. When presented with the isolated phonemes
/s/-/p/-/l/-/a/-/sh/ at one-second intervals, Kelly consistently blends them into the word 'slash'
rather than 'splash.' What underlying phonological processing deficit is demonstrated by Kelly's
error pattern on this blending task?
A. An inability to perceive voiced versus voiceless consonant contrasts in word-initial position.
B. A specific semantic memory retrieval deficit affecting high-frequency action verbs.
C. A deficit in auditory phoneme synthesis and working memory, specifically involving the
retention and blending of three-element initial consonant clusters.
D. A bilateral conductive hearing loss that attenuates high-frequency sibilant sound energy.
Correct Answer: C
Rationale:
Phoneme blending requires auditory working memory to hold individual phonemes in sequential order and
synthesize them into a lexical item. Omitting the medial plosive /p/ from the three-element consonant
cluster /spl/ demonstrates a breakdown in auditory phoneme synthesis and phonological working memory,
which directly impairs decoding of complex syllabic structures in reading.
COMD 674 — 2026/2027 | Passing Score: 95% | Page 4 of 52
