CETP LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔When treating a client who is using an electronic AAC device, the SLP's primary
goal should be to
A. ensure that the client develops skill in using every technical aspect of the aid
B. ensure that the client's caregivers learn how to modify the aid's hardware and any
applicable software to meet the client's communication needs
C. train the client to use the aid as independently and interactively as possible in a
variety of settings
D. help the client develop the skills necessary for moving on to a more sophisticated
device - ✔✔C. train the client to use the aid as independently and interactively as
possible in a variety of settings
- generalization with respect to the environments in which the AAC device is used
effectively would help accomplish the goal of the best functional outcome for the client
✔✔Which of the following formants typically characterizes a high vowel?
A. High-frequency second formant (F2)
B. High-frequency first formant (F1)
C. Low-frequency first formant (F1)
D. Low-frequency second formant (F2) - ✔✔C. Low-frequency first formant (F1)
- F1 is inversely associated with tongue height, such that high vowels tend to have low
F1 frequencies
✔✔A 65-year-old patient is transferred from another facility with a diagnosis of aphasia.
The patient's symptoms, however, appear more consistent with apraxia. Which of the
following tasks for the patient is most appropriate when assessing verbal apraxia of
speech?
A. Repeating words of increasing length
B. Recalling three common items
C. Performing voluntary oral movements
D. Following two-step commands - ✔✔A. Repeating words of increasing length
- inability to repeat two-syllable words is a clear indicator of apraxia of speech
✔✔The head lift exercise was designed to produce which of the following changes in
swallow biomechanics?
A. Increase in laryngeal closure duration
B. Strengthening of the base of the tongue
C. Increase in diameter and duration of the UES opening
D. Prolonged relaxation of the cricopharyngeal portion of he inferior constrictor muscle -
✔✔C. Increase in diameter and duration of the UES opening
,✔✔Which of the following sounds are typically mastered by the time a child turns 3?
A. /k/ and /g/
B. /p/ and /b/
C. /l/ and /s/
D. /ch/ and /sh/ - ✔✔B. /p/ and /b/
✔✔When assessing the ability of a student with cerebral palsy to access an AAC
device, which of the following physical factors must be evaluated first?
A. upper extremity range of motion
B. lower extremity strength
C. trunk stability and control
D. fine motor dexterity - ✔✔C. Trunk stability and control
- trunk stability will guide the clinician in making an appropriate recommendation for the
type of device client can access as it influences more distal movements
✔✔Place the phonemes in order of typical acquisition
A. /p/
B. "th"
C. /k/
D. "zh" - ✔✔A, C, B, D
- /p/ is developed between ages 1 and 3
- /k/ is developed by age 3.5
- "th" is developed between ages 3 and 8
- "zh" is developed between ages 6 and 8
✔✔Inhalation during respiration is primarily carried out through the movement of which
of the following muscles or muscle groups?
A.Diaphragm
B.Internal intercostals
C.External intercostals
D.Scalenes - ✔✔A. Diaphragm
- the diaphragm is the muscle that creates the most volume in the lungs
✔✔An SLP provides home practice for a patient with aphasia as part of discharge
plans. The patient is approximately six-months post left-hemisphere stroke that resulted
in aphasia. Verbal output has improved significantly since the stroke; however, the
patient is still very concerned that written expression is moderately impaired at the
single-word level. The homework assignment is to implement copy-and-recall treatment
to improve written expression, which involves practicing writing target words (from
photographs) and then copying those words multiple times. However, during a follow-up
,phone call, the SLP determines that the patient is struggling to write the assigned target
words because the patient "can't think of the correct letters." Although a model is
provided on the back of each target photograph, the patient wants to find a way to
practice without looking at the answer. The SLP's best course of action is to su - ✔✔A.
try anagramming the words using letter tiles from the target word
- this approach would give the client the best access to completing the homework as the
letter tiles would provide a support for the client to complete the homework and are a
regular part of this treatment approach
✔✔An SLP uses evidence-based practice by integrating the perspectives and values of
the client, patient, or caregivers into the treatment plan. Which of the following best
reflects simultaneous incorporation of the host culture's perspectives and values and
maintenance of the native culture's perspectives and values?
A.Acculturation
B.Assimilation
C.Enculturation
D.Ethnocentrism - ✔✔A. Acculturation
- acculturation is the incorporation of the host culture's perspective and the native
culture's perspective and values
✔✔The commonly used chin-down posture was initially developed to eliminate thin-
liquid aspiration in people with delayed pharyngeal stage onset after having a stroke,
and when its efficacy was investigated, it was found to be 50% effective. For whom is
the chin-down posture ineffective at eliminating thin-liquid aspiration?
A. People who have cricopharyngeal dysfunction
B. People who aspirate residue from the pyriform sinuses
C. People who have impaired lingual function
D. People who aspirate residue from the valleculae - ✔✔B. People who aspirate residue
from the pyriform sinuses
- people with a pyriform sinus residue with a height that was less than 50 percent of the
pyriform sinus heigh aspirated significantly more than those with less or no pyriform
sinus residue
✔✔Which of the following neuroimaging studies specifies which artery or arteries is/are
occluded in a patient with a stroke?
A. electroencephalography
B. magnetoencephalography
C. evoked-response potentials
D. CT or MR angiography - ✔✔D. CT or MR angiography
✔✔Which of the following statements best indicates a screening tool with high
sensitivity?
, A. the majority of the children who passed the screening were found to have a
communication disorder
B. many of the children who passed the screening did not have a communication
disorder
C. all of the children who failed the screening were found to have a communication
disorder
D. most of the children who failed the screening did not have a communication disorder
- ✔✔C. All of the children who failed the screening were found to have a communication
disorder
- sensitivity is the success rate in identifying all of the children who truly have a disorder
✔✔A 72-year-old right-handed female is evaluated following a left-hemisphere stroke.
Findings reveal a moderate Broca's aphasia. Which of the following is the primary goal
of intervention for the client?
A. to improve the client's pragmatic skills and abilities
B. to increase the client's ability to express functional comprehension abilities
C. to improve the client's ability to express production of syntactically appropriate
sentences
D. to enable the client's ability to use a digital AAC system - ✔✔C. To improve the
client's ability to express production of syntactically appropriate sentences
- improvement of expression, particularly syntax, is the most appropriate focus of
treatment for Broca's aphasia
✔✔Management of which one of the following examination observations alone will
produce the best improvement in the pneumonia risk of an adult patient with chronic
dysphagia?
A.Poor oral bolus control and containment
B.Poor oral hygiene and dependence for oral care
C.Delayed onset of the pharyngeal stage of swallowing
D.Impaired distension of the upper esophageal sphincter - ✔✔B. Poor oral hygiene and
dependence for oral care
- these are significant independent predictors of pneumonia in people with chronic
dysphagia
✔✔Early intentional communication typically emerges in the months leading up to a
child's first birthday. Which of the following communicative functions typically emerges
first in this period?
A.Requesting
B.Commenting
C.Protesting
D.Greeting - ✔✔C. Protesting
ANSWERS GRADED A+
✔✔When treating a client who is using an electronic AAC device, the SLP's primary
goal should be to
A. ensure that the client develops skill in using every technical aspect of the aid
B. ensure that the client's caregivers learn how to modify the aid's hardware and any
applicable software to meet the client's communication needs
C. train the client to use the aid as independently and interactively as possible in a
variety of settings
D. help the client develop the skills necessary for moving on to a more sophisticated
device - ✔✔C. train the client to use the aid as independently and interactively as
possible in a variety of settings
- generalization with respect to the environments in which the AAC device is used
effectively would help accomplish the goal of the best functional outcome for the client
✔✔Which of the following formants typically characterizes a high vowel?
A. High-frequency second formant (F2)
B. High-frequency first formant (F1)
C. Low-frequency first formant (F1)
D. Low-frequency second formant (F2) - ✔✔C. Low-frequency first formant (F1)
- F1 is inversely associated with tongue height, such that high vowels tend to have low
F1 frequencies
✔✔A 65-year-old patient is transferred from another facility with a diagnosis of aphasia.
The patient's symptoms, however, appear more consistent with apraxia. Which of the
following tasks for the patient is most appropriate when assessing verbal apraxia of
speech?
A. Repeating words of increasing length
B. Recalling three common items
C. Performing voluntary oral movements
D. Following two-step commands - ✔✔A. Repeating words of increasing length
- inability to repeat two-syllable words is a clear indicator of apraxia of speech
✔✔The head lift exercise was designed to produce which of the following changes in
swallow biomechanics?
A. Increase in laryngeal closure duration
B. Strengthening of the base of the tongue
C. Increase in diameter and duration of the UES opening
D. Prolonged relaxation of the cricopharyngeal portion of he inferior constrictor muscle -
✔✔C. Increase in diameter and duration of the UES opening
,✔✔Which of the following sounds are typically mastered by the time a child turns 3?
A. /k/ and /g/
B. /p/ and /b/
C. /l/ and /s/
D. /ch/ and /sh/ - ✔✔B. /p/ and /b/
✔✔When assessing the ability of a student with cerebral palsy to access an AAC
device, which of the following physical factors must be evaluated first?
A. upper extremity range of motion
B. lower extremity strength
C. trunk stability and control
D. fine motor dexterity - ✔✔C. Trunk stability and control
- trunk stability will guide the clinician in making an appropriate recommendation for the
type of device client can access as it influences more distal movements
✔✔Place the phonemes in order of typical acquisition
A. /p/
B. "th"
C. /k/
D. "zh" - ✔✔A, C, B, D
- /p/ is developed between ages 1 and 3
- /k/ is developed by age 3.5
- "th" is developed between ages 3 and 8
- "zh" is developed between ages 6 and 8
✔✔Inhalation during respiration is primarily carried out through the movement of which
of the following muscles or muscle groups?
A.Diaphragm
B.Internal intercostals
C.External intercostals
D.Scalenes - ✔✔A. Diaphragm
- the diaphragm is the muscle that creates the most volume in the lungs
✔✔An SLP provides home practice for a patient with aphasia as part of discharge
plans. The patient is approximately six-months post left-hemisphere stroke that resulted
in aphasia. Verbal output has improved significantly since the stroke; however, the
patient is still very concerned that written expression is moderately impaired at the
single-word level. The homework assignment is to implement copy-and-recall treatment
to improve written expression, which involves practicing writing target words (from
photographs) and then copying those words multiple times. However, during a follow-up
,phone call, the SLP determines that the patient is struggling to write the assigned target
words because the patient "can't think of the correct letters." Although a model is
provided on the back of each target photograph, the patient wants to find a way to
practice without looking at the answer. The SLP's best course of action is to su - ✔✔A.
try anagramming the words using letter tiles from the target word
- this approach would give the client the best access to completing the homework as the
letter tiles would provide a support for the client to complete the homework and are a
regular part of this treatment approach
✔✔An SLP uses evidence-based practice by integrating the perspectives and values of
the client, patient, or caregivers into the treatment plan. Which of the following best
reflects simultaneous incorporation of the host culture's perspectives and values and
maintenance of the native culture's perspectives and values?
A.Acculturation
B.Assimilation
C.Enculturation
D.Ethnocentrism - ✔✔A. Acculturation
- acculturation is the incorporation of the host culture's perspective and the native
culture's perspective and values
✔✔The commonly used chin-down posture was initially developed to eliminate thin-
liquid aspiration in people with delayed pharyngeal stage onset after having a stroke,
and when its efficacy was investigated, it was found to be 50% effective. For whom is
the chin-down posture ineffective at eliminating thin-liquid aspiration?
A. People who have cricopharyngeal dysfunction
B. People who aspirate residue from the pyriform sinuses
C. People who have impaired lingual function
D. People who aspirate residue from the valleculae - ✔✔B. People who aspirate residue
from the pyriform sinuses
- people with a pyriform sinus residue with a height that was less than 50 percent of the
pyriform sinus heigh aspirated significantly more than those with less or no pyriform
sinus residue
✔✔Which of the following neuroimaging studies specifies which artery or arteries is/are
occluded in a patient with a stroke?
A. electroencephalography
B. magnetoencephalography
C. evoked-response potentials
D. CT or MR angiography - ✔✔D. CT or MR angiography
✔✔Which of the following statements best indicates a screening tool with high
sensitivity?
, A. the majority of the children who passed the screening were found to have a
communication disorder
B. many of the children who passed the screening did not have a communication
disorder
C. all of the children who failed the screening were found to have a communication
disorder
D. most of the children who failed the screening did not have a communication disorder
- ✔✔C. All of the children who failed the screening were found to have a communication
disorder
- sensitivity is the success rate in identifying all of the children who truly have a disorder
✔✔A 72-year-old right-handed female is evaluated following a left-hemisphere stroke.
Findings reveal a moderate Broca's aphasia. Which of the following is the primary goal
of intervention for the client?
A. to improve the client's pragmatic skills and abilities
B. to increase the client's ability to express functional comprehension abilities
C. to improve the client's ability to express production of syntactically appropriate
sentences
D. to enable the client's ability to use a digital AAC system - ✔✔C. To improve the
client's ability to express production of syntactically appropriate sentences
- improvement of expression, particularly syntax, is the most appropriate focus of
treatment for Broca's aphasia
✔✔Management of which one of the following examination observations alone will
produce the best improvement in the pneumonia risk of an adult patient with chronic
dysphagia?
A.Poor oral bolus control and containment
B.Poor oral hygiene and dependence for oral care
C.Delayed onset of the pharyngeal stage of swallowing
D.Impaired distension of the upper esophageal sphincter - ✔✔B. Poor oral hygiene and
dependence for oral care
- these are significant independent predictors of pneumonia in people with chronic
dysphagia
✔✔Early intentional communication typically emerges in the months leading up to a
child's first birthday. Which of the following communicative functions typically emerges
first in this period?
A.Requesting
B.Commenting
C.Protesting
D.Greeting - ✔✔C. Protesting
