CETP LATEST 2026 COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS GRADED A+
✔✔A single exposure of several hours duration to continuous music with an overall level
of 100 dB SPL will most likely produce
A.tinnitus and a temporary threshold shift in high frequencies
B.tinnitus and a distortion of speech perception
C.a temporary threshold shift in the low frequencies
D.a permanent threshold shift - ✔✔A. tinnitus and a temporary threshold shift in high
frequencies
✔✔After sustaining a CVA, Ms. Williams, age 75, was referred to an SLP for a speech
and language evaluation. While Ms. Williams was describing the cookie-theft picture,
the SLP observed that her grammatical structure appeared to be intact and her prosody
was normal but that many of her sentences were meaningless, did not fit the context,
and included nonsensical paraphasic errors. Additional testing also revealed that Ms.
Williams exhibited poor repetition and naming skills, did not respond appropriately to
many simple commands, and had difficulty reading. Ms. Williams appeared happy and
talked excessively. She did not appear to be aware of her communication deficits. What
is the most likely location of the lesion?
A.Left posterior superior temporal gyrus
B.Left inferior frontal gyrus
C.Left superior frontal gyrus
D.Left inferior parietal gyrus - ✔✔A. Left posterior superior temporal gyrus
✔✔An SLP who is treating an adolescent who stutters designs a treatment plan that
includes three fluency management strategies: prolonged speech, cancellation, and
pullout.
Which of the following is true about the use of these treatment strategies?
Select all that apply.
A.Use of prolonged speech is likely to reduce the frequency of part-word repetitions and
sound prolongations significantly.
B.Each of the three strategies entails deliberate regulation of speech motor movements.
C.The client will seek to apply cancellation whenever he feels anxious about the
possibility of stuttering overtly.
D.The client will seek to apply pullout during the course of part-word repetition or sound
prolongation. - ✔✔A, B, D
,✔✔A 12-year-old native speaker of Spanish who has been studying English as a
second language for three years is most likely to do which of the following when
speaking English in casual conversation with teachers at school?
A. Use the auxiliary "have" in place of "be" in progressive tenses
B. Use incorrect word order with prepositional phrases
C. Use conjunctions in place of prepositions
D. Use multiple negation improperly - ✔✔D. Use multiple negation improperly
- Multiple negation is a grammatical feature of Spanish but not English
✔✔A prospective client is described as a man in his forties who is under chronic stress.
He uses his voice extensively in daily life, has a hard-driving personality, and exhibits
glottal fry. The client has the classic profile of a person at high risk for
A. spastic dysphonia
B. acute laryngitis
C. vocal nodules
D. contact ulcers - ✔✔D. contact ulcers
✔✔Which of the following is an accurate statement about whispered speech?
A. it is produced by approximating the arytenoid cartilages so that their medial surfaces
are in direct contact
B. it is composed largely of aperiodic sounds
C. spectrographic analysis of it reveals no discernible formants for the vowels
D. most people can produce longer utterances per breath using it than they can using
conventional phonation - ✔✔B. it is composed largely of aperiodic sounds
- whispered speech is composed largely of aperiodic sounds, as the vocal folds do not
vibrate while whispering is taking place
✔✔Which of the following will most effectively control the problem of over referral in
school screening programs that use impedance/immittance measurements?
A. obtaining the measurements in a professional sound-insulated room
B. including 500Hz in the audiometric screening procedure
C. retesting immediately those who did not pass the first screening
D. waiting 3-5 weeks to retest those who did not pass the first screening - ✔✔D. waiting
3-5 weeks to retest those who did not pass the first screening
- some children may have a temporary problem due to a cold or ear infection, which
may resolve in a few weeks
✔✔Six months ago, an SLP evaluated 4-year-old Molly's speech fluency during
conversation. At that time, she displayed physically relaxed repetitions of words and
phrases (occurring at a frequency of 2 per 100 words), and interjections such as "um"
(occurring at a frequency of 1 per 100 words). She did not display any sound
,prolongations or facial grimaces; she did not produce any pitch rises or phonatory
breaks; and she did not appear to avoid any sounds or words. Results from several
formal tests suggested that her articulation and language development were within
normal limits. Molly reportedly began producing repetitions and interjections at age 24
months, and the frequency of these disfluency types reportedly has remained stable
since then. The SLP did not recommend speech-language intervention following the
previous evaluation; however, she did provide the parents with information about
fluency development, sympto - ✔✔B. recommend that Molly be released from the SLPs
active caseload
- Molly's fluency development was within normal limits at the previous evaluation, and
based on the parents report, it also seemed to be within normal limits at age 2.
✔✔Naturalistic teaching chiefly involves which of the following?
A. establishing successful and useful communication
B. using multiple trials and training techniques
C. using more adult-initiated interactions than child-initiated interactions
D. using differential reinforcement, fading, and modelling - ✔✔A. establishing successful
and useful communication
- naturalistic teaching focuses on the successful production of utterances that are useful
in context for communicating
✔✔A team of SLPs is evaluating whether a new language intervention is suitable for
use with children who are on their caseload. The clinicians read an article documenting
research on the effect of a novel treatment on the language performance of 30 children
with specific language impairment. The researchers administered a standardized
language test to the children before and after the treatment program. The children's
posttreatment scores on the test were significantly higher than their pretreatment
scores. This led the researchers to conclude that the treatment was highly effective.
Based on the preceding description, which of the following appears to be a significant
limitation of the design of the study?
Select all that apply.
A.The use of a single-group pretest-posttest design
B.The absence of a control group
C.The inability to rule out the possibility that the children's language scores improved for
reasons oth - ✔✔A, B, C
- the use of a single-group pretest-posttest design is a limitation because there is
inadequate control of internal and external validity without a control group
- the absence of a control group is a limitation because control groups are a way of
introducing control and can better isolate the effect of the treatment
- since it is a longitudinal study, improvement based on language development cannot
be ruled out
, ✔✔Which of the following muscles produces the opposing action to those that produce
velopharyngeal closure?
A. musculus uvulae
B. levator veli palatini
C. palatoglossus
D. stylopharyngeus - ✔✔C. palatoglossus
- velopharyngeal closure is largely produced by soft palate elevation, and the only
muscle in the list that produces soft palate depression is the palatoglossus.
✔✔Michael is a 32-month-old boy who has been receiving early intervention services
over the past ten months for delayed speech and expressive-language development.
Although his birth was reportedly unremarkable, Michael does have a history of
recurrent otitis media with effusion. His parents described him as having been a "well-
behaved and quiet baby." When Michael began receiving services, he communicated
mainly through gestures and crude vocalizations. An open resting mouth position with
slight tongue protrusion was sometimes noted. However, his receptive-language skills
were found to be age appropriate and he showed no oral motor deficits during feeding.
Michael's expressive-language skills have shown some progress since he began
working with the speech-language pathologist, but he remains poorly intelligible.
Michael's imitation of tongue, lip, and jaw movements is characterized by inconsistent
groping and errors o - ✔✔D. an otolaryngologist
✔✔An otolaryngologist has referred a 45-year-old man for voice treatment following
medialization thyroplasty for a paralyzed vocal fold. Which of the following is the most
appropriate therapeutic strategy for the SLP to use?
A.Assisting the patient to produce a soft glottal attack
B.Digitally manipulation of the patient's neck to reduce strap-muscle tension
C.Assisting the patient to produce a hard glottal attack
D.Employing techniques aimed at increasing airflow - ✔✔C. Assisting the patient to
produce a hard glottal attack
- medialization thyroplasty moves the paralyzed vocal fold closer to the mid-glottis to
allow better compensation by the unaffected fold, only the production of a hard glottal
attack addresses the compensatory behavior
✔✔For a test of expressive morphology and syntax for speakers of African American
Vernacular English (AAVE), the test item that would be considered LEAST biased
against such speakers would be one requiring
A.use of the auxiliary verb "be" in the present progressive tense
B.use of the past-tense ending "-ed"
C.use of sentences with multiple negation
D.agreement of personal pronouns with their antecedents in gender and number -
✔✔D. agreement of personal pronouns with their antecedents in gender and number
AND ANSWERS GRADED A+
✔✔A single exposure of several hours duration to continuous music with an overall level
of 100 dB SPL will most likely produce
A.tinnitus and a temporary threshold shift in high frequencies
B.tinnitus and a distortion of speech perception
C.a temporary threshold shift in the low frequencies
D.a permanent threshold shift - ✔✔A. tinnitus and a temporary threshold shift in high
frequencies
✔✔After sustaining a CVA, Ms. Williams, age 75, was referred to an SLP for a speech
and language evaluation. While Ms. Williams was describing the cookie-theft picture,
the SLP observed that her grammatical structure appeared to be intact and her prosody
was normal but that many of her sentences were meaningless, did not fit the context,
and included nonsensical paraphasic errors. Additional testing also revealed that Ms.
Williams exhibited poor repetition and naming skills, did not respond appropriately to
many simple commands, and had difficulty reading. Ms. Williams appeared happy and
talked excessively. She did not appear to be aware of her communication deficits. What
is the most likely location of the lesion?
A.Left posterior superior temporal gyrus
B.Left inferior frontal gyrus
C.Left superior frontal gyrus
D.Left inferior parietal gyrus - ✔✔A. Left posterior superior temporal gyrus
✔✔An SLP who is treating an adolescent who stutters designs a treatment plan that
includes three fluency management strategies: prolonged speech, cancellation, and
pullout.
Which of the following is true about the use of these treatment strategies?
Select all that apply.
A.Use of prolonged speech is likely to reduce the frequency of part-word repetitions and
sound prolongations significantly.
B.Each of the three strategies entails deliberate regulation of speech motor movements.
C.The client will seek to apply cancellation whenever he feels anxious about the
possibility of stuttering overtly.
D.The client will seek to apply pullout during the course of part-word repetition or sound
prolongation. - ✔✔A, B, D
,✔✔A 12-year-old native speaker of Spanish who has been studying English as a
second language for three years is most likely to do which of the following when
speaking English in casual conversation with teachers at school?
A. Use the auxiliary "have" in place of "be" in progressive tenses
B. Use incorrect word order with prepositional phrases
C. Use conjunctions in place of prepositions
D. Use multiple negation improperly - ✔✔D. Use multiple negation improperly
- Multiple negation is a grammatical feature of Spanish but not English
✔✔A prospective client is described as a man in his forties who is under chronic stress.
He uses his voice extensively in daily life, has a hard-driving personality, and exhibits
glottal fry. The client has the classic profile of a person at high risk for
A. spastic dysphonia
B. acute laryngitis
C. vocal nodules
D. contact ulcers - ✔✔D. contact ulcers
✔✔Which of the following is an accurate statement about whispered speech?
A. it is produced by approximating the arytenoid cartilages so that their medial surfaces
are in direct contact
B. it is composed largely of aperiodic sounds
C. spectrographic analysis of it reveals no discernible formants for the vowels
D. most people can produce longer utterances per breath using it than they can using
conventional phonation - ✔✔B. it is composed largely of aperiodic sounds
- whispered speech is composed largely of aperiodic sounds, as the vocal folds do not
vibrate while whispering is taking place
✔✔Which of the following will most effectively control the problem of over referral in
school screening programs that use impedance/immittance measurements?
A. obtaining the measurements in a professional sound-insulated room
B. including 500Hz in the audiometric screening procedure
C. retesting immediately those who did not pass the first screening
D. waiting 3-5 weeks to retest those who did not pass the first screening - ✔✔D. waiting
3-5 weeks to retest those who did not pass the first screening
- some children may have a temporary problem due to a cold or ear infection, which
may resolve in a few weeks
✔✔Six months ago, an SLP evaluated 4-year-old Molly's speech fluency during
conversation. At that time, she displayed physically relaxed repetitions of words and
phrases (occurring at a frequency of 2 per 100 words), and interjections such as "um"
(occurring at a frequency of 1 per 100 words). She did not display any sound
,prolongations or facial grimaces; she did not produce any pitch rises or phonatory
breaks; and she did not appear to avoid any sounds or words. Results from several
formal tests suggested that her articulation and language development were within
normal limits. Molly reportedly began producing repetitions and interjections at age 24
months, and the frequency of these disfluency types reportedly has remained stable
since then. The SLP did not recommend speech-language intervention following the
previous evaluation; however, she did provide the parents with information about
fluency development, sympto - ✔✔B. recommend that Molly be released from the SLPs
active caseload
- Molly's fluency development was within normal limits at the previous evaluation, and
based on the parents report, it also seemed to be within normal limits at age 2.
✔✔Naturalistic teaching chiefly involves which of the following?
A. establishing successful and useful communication
B. using multiple trials and training techniques
C. using more adult-initiated interactions than child-initiated interactions
D. using differential reinforcement, fading, and modelling - ✔✔A. establishing successful
and useful communication
- naturalistic teaching focuses on the successful production of utterances that are useful
in context for communicating
✔✔A team of SLPs is evaluating whether a new language intervention is suitable for
use with children who are on their caseload. The clinicians read an article documenting
research on the effect of a novel treatment on the language performance of 30 children
with specific language impairment. The researchers administered a standardized
language test to the children before and after the treatment program. The children's
posttreatment scores on the test were significantly higher than their pretreatment
scores. This led the researchers to conclude that the treatment was highly effective.
Based on the preceding description, which of the following appears to be a significant
limitation of the design of the study?
Select all that apply.
A.The use of a single-group pretest-posttest design
B.The absence of a control group
C.The inability to rule out the possibility that the children's language scores improved for
reasons oth - ✔✔A, B, C
- the use of a single-group pretest-posttest design is a limitation because there is
inadequate control of internal and external validity without a control group
- the absence of a control group is a limitation because control groups are a way of
introducing control and can better isolate the effect of the treatment
- since it is a longitudinal study, improvement based on language development cannot
be ruled out
, ✔✔Which of the following muscles produces the opposing action to those that produce
velopharyngeal closure?
A. musculus uvulae
B. levator veli palatini
C. palatoglossus
D. stylopharyngeus - ✔✔C. palatoglossus
- velopharyngeal closure is largely produced by soft palate elevation, and the only
muscle in the list that produces soft palate depression is the palatoglossus.
✔✔Michael is a 32-month-old boy who has been receiving early intervention services
over the past ten months for delayed speech and expressive-language development.
Although his birth was reportedly unremarkable, Michael does have a history of
recurrent otitis media with effusion. His parents described him as having been a "well-
behaved and quiet baby." When Michael began receiving services, he communicated
mainly through gestures and crude vocalizations. An open resting mouth position with
slight tongue protrusion was sometimes noted. However, his receptive-language skills
were found to be age appropriate and he showed no oral motor deficits during feeding.
Michael's expressive-language skills have shown some progress since he began
working with the speech-language pathologist, but he remains poorly intelligible.
Michael's imitation of tongue, lip, and jaw movements is characterized by inconsistent
groping and errors o - ✔✔D. an otolaryngologist
✔✔An otolaryngologist has referred a 45-year-old man for voice treatment following
medialization thyroplasty for a paralyzed vocal fold. Which of the following is the most
appropriate therapeutic strategy for the SLP to use?
A.Assisting the patient to produce a soft glottal attack
B.Digitally manipulation of the patient's neck to reduce strap-muscle tension
C.Assisting the patient to produce a hard glottal attack
D.Employing techniques aimed at increasing airflow - ✔✔C. Assisting the patient to
produce a hard glottal attack
- medialization thyroplasty moves the paralyzed vocal fold closer to the mid-glottis to
allow better compensation by the unaffected fold, only the production of a hard glottal
attack addresses the compensatory behavior
✔✔For a test of expressive morphology and syntax for speakers of African American
Vernacular English (AAVE), the test item that would be considered LEAST biased
against such speakers would be one requiring
A.use of the auxiliary verb "be" in the present progressive tense
B.use of the past-tense ending "-ed"
C.use of sentences with multiple negation
D.agreement of personal pronouns with their antecedents in gender and number -
✔✔D. agreement of personal pronouns with their antecedents in gender and number
