Page 1 of 69
SIMUCASE DON – INTERVENTION (SLP) TRANSCRIPT EXAM PREP 2026
QUESTIONS WITH VERIFIED ANSWERS DETAILED RATIONALES GRADED
A+
Part I: Case Overview & Clinical Foundations (Questions 1–25)
1. In the Simucase Don scenario, what is Don’s age and primary diagnosis?
A. 49-year-old with Wernicke’s aphasia
B. 59-year-old with Broca’s aphasia
C. 69-year-old with global aphasia
D. 59-year-old with apraxia of speech
Rationale: The Simucase case description explicitly identifies Don as a 59-year-old
individual with Broca’s aphasia, characterized by non-fluent, effortful speech with
relatively preserved comprehension.
2. What are Don’s stated long-term goals for therapy?
A. To improve his articulation and fluency
B. To hold a job and increase public awareness about aphasia
C. To regain full speech and language function
D. To improve his swallowing and cognitive skills
Rationale: Don’s long-term goals are specifically stated as “to hold a job and to
increase awareness so others know more about aphasia,” reflecting a functional,
participation-based approach.
3. What is the primary focus of intervention for Don?
A. Articulation drill practice
B. Functional communication, cognitive-linguistic skills, and participation
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C. Swallowing rehabilitation
D. Voice therapy
Rationale: The transcript emphasizes that the primary focus is “functional
communication, cognitive-linguistic skills, and participation,” aligning with a client-
centered approach.
4. Why does Don attend therapy sessions regularly?
A. To improve his swallowing function
B. To help him communicate with people important to him and improve naming
and reading skills
C. To work on his reading comprehension only
D. To prepare for a return to school
Rationale: Don attends therapy to communicate with important people in his life
and to improve his naming and reading skills, as stated in the case description.
5. What is the recommended time for completion of the Don Intervention
Simucase?
A. 60 minutes
B. 90 minutes
C. 120 minutes
D. 150 minutes
Rationale: The Simucase case listing states that the recommended time for
completion is 120 minutes to allow for a thorough intervention session with
clinical decision-making.
6. What setting is the Don intervention session conducted in?
A. Acute care hospital
B. Skilled nursing facility
C. Outpatient / Clinical Simulation
D. School-based setting
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Rationale: The setting is identified as “Outpatient / Clinical Simulation,” which is
typical for individuals with chronic aphasia who attend regular therapy sessions.
7. Which of the following is NOT a recommended component of the clinician
introduction?
A. Establishing rapport
B. Explaining the purpose of the session
C. Asking the client to list all their medications
D. Reducing anxiety by stating, “If anything feels difficult, that’s okay — we’ll work
through it together”
Rationale: The recommended introduction focuses on rapport, purpose, and
reducing anxiety. Medication review would be part of the case history, not the
session introduction.
8. Broca’s aphasia is characterized by which of the following speech patterns?
A. Fluent, rapid speech with poor comprehension
B. Non-fluent, effortful speech with relatively preserved comprehension
C. Fluent speech with normal comprehension
D. Total loss of both speech and comprehension
Rationale: Broca’s aphasia is characterized by non-fluent, effortful speech with
relatively preserved comprehension, which aligns with the intervention focus on
naming, reading, and functional communication.
9. In addition to Broca’s aphasia, what other conditions are suspected in Don’s
case?
A. Wernicke’s aphasia and anomia
B. Dysarthria and suspected apraxia of speech
C. Global aphasia and dysphagia
D. Conduction aphasia and anomia
Rationale: The transcript states that Don’s diagnosis is Broca’s aphasia and
dysarthria with suspected apraxia of speech following multiple strokes.
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10. Don’s self-reported communication difficulty is best described as which of the
following?
A. Difficulty understanding spoken language
B. Difficulty expressing himself clearly
C. Difficulty with reading comprehension only
D. Difficulty with voice production
Rationale: Don explicitly states, “My problem is the, I have a problem with
expressing myself clearly,” highlighting his primary expressive challenge.
11. What does Don report about his vision?
A. He has double vision
B. He has no sight in one eye
C. He has blurred vision in both eyes
D. His vision is normal
Rationale: During the client interview, Don reports, “I have no sight in the…”
indicating a visual impairment that may impact reading tasks.
12. Which of the following best describes the Simucase platform’s philosophy
regarding intervention?
A. Drill-based practice is prioritized
B. Functional, real-world tasks are prioritized over drill-based practice
C. Only standardized tests should be used
D. Intervention should be clinician-directed only
Rationale: The Simucase platform emphasizes functional, real-world tasks over
drill-based practice to promote carryover and generalization to daily life.
13. Why should intervention for Don be functional rather than drill-based?
A. Drills are not effective for adults
B. Simucase prioritizes real-life carryover over isolated skill practice
C. Don refuses to participate in drills
D. Drills are only appropriate for children
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SIMUCASE DON – INTERVENTION (SLP) TRANSCRIPT EXAM PREP 2026
QUESTIONS WITH VERIFIED ANSWERS DETAILED RATIONALES GRADED
A+
Part I: Case Overview & Clinical Foundations (Questions 1–25)
1. In the Simucase Don scenario, what is Don’s age and primary diagnosis?
A. 49-year-old with Wernicke’s aphasia
B. 59-year-old with Broca’s aphasia
C. 69-year-old with global aphasia
D. 59-year-old with apraxia of speech
Rationale: The Simucase case description explicitly identifies Don as a 59-year-old
individual with Broca’s aphasia, characterized by non-fluent, effortful speech with
relatively preserved comprehension.
2. What are Don’s stated long-term goals for therapy?
A. To improve his articulation and fluency
B. To hold a job and increase public awareness about aphasia
C. To regain full speech and language function
D. To improve his swallowing and cognitive skills
Rationale: Don’s long-term goals are specifically stated as “to hold a job and to
increase awareness so others know more about aphasia,” reflecting a functional,
participation-based approach.
3. What is the primary focus of intervention for Don?
A. Articulation drill practice
B. Functional communication, cognitive-linguistic skills, and participation
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,Page 2 of 69
C. Swallowing rehabilitation
D. Voice therapy
Rationale: The transcript emphasizes that the primary focus is “functional
communication, cognitive-linguistic skills, and participation,” aligning with a client-
centered approach.
4. Why does Don attend therapy sessions regularly?
A. To improve his swallowing function
B. To help him communicate with people important to him and improve naming
and reading skills
C. To work on his reading comprehension only
D. To prepare for a return to school
Rationale: Don attends therapy to communicate with important people in his life
and to improve his naming and reading skills, as stated in the case description.
5. What is the recommended time for completion of the Don Intervention
Simucase?
A. 60 minutes
B. 90 minutes
C. 120 minutes
D. 150 minutes
Rationale: The Simucase case listing states that the recommended time for
completion is 120 minutes to allow for a thorough intervention session with
clinical decision-making.
6. What setting is the Don intervention session conducted in?
A. Acute care hospital
B. Skilled nursing facility
C. Outpatient / Clinical Simulation
D. School-based setting
2|Page
,Page 3 of 69
Rationale: The setting is identified as “Outpatient / Clinical Simulation,” which is
typical for individuals with chronic aphasia who attend regular therapy sessions.
7. Which of the following is NOT a recommended component of the clinician
introduction?
A. Establishing rapport
B. Explaining the purpose of the session
C. Asking the client to list all their medications
D. Reducing anxiety by stating, “If anything feels difficult, that’s okay — we’ll work
through it together”
Rationale: The recommended introduction focuses on rapport, purpose, and
reducing anxiety. Medication review would be part of the case history, not the
session introduction.
8. Broca’s aphasia is characterized by which of the following speech patterns?
A. Fluent, rapid speech with poor comprehension
B. Non-fluent, effortful speech with relatively preserved comprehension
C. Fluent speech with normal comprehension
D. Total loss of both speech and comprehension
Rationale: Broca’s aphasia is characterized by non-fluent, effortful speech with
relatively preserved comprehension, which aligns with the intervention focus on
naming, reading, and functional communication.
9. In addition to Broca’s aphasia, what other conditions are suspected in Don’s
case?
A. Wernicke’s aphasia and anomia
B. Dysarthria and suspected apraxia of speech
C. Global aphasia and dysphagia
D. Conduction aphasia and anomia
Rationale: The transcript states that Don’s diagnosis is Broca’s aphasia and
dysarthria with suspected apraxia of speech following multiple strokes.
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10. Don’s self-reported communication difficulty is best described as which of the
following?
A. Difficulty understanding spoken language
B. Difficulty expressing himself clearly
C. Difficulty with reading comprehension only
D. Difficulty with voice production
Rationale: Don explicitly states, “My problem is the, I have a problem with
expressing myself clearly,” highlighting his primary expressive challenge.
11. What does Don report about his vision?
A. He has double vision
B. He has no sight in one eye
C. He has blurred vision in both eyes
D. His vision is normal
Rationale: During the client interview, Don reports, “I have no sight in the…”
indicating a visual impairment that may impact reading tasks.
12. Which of the following best describes the Simucase platform’s philosophy
regarding intervention?
A. Drill-based practice is prioritized
B. Functional, real-world tasks are prioritized over drill-based practice
C. Only standardized tests should be used
D. Intervention should be clinician-directed only
Rationale: The Simucase platform emphasizes functional, real-world tasks over
drill-based practice to promote carryover and generalization to daily life.
13. Why should intervention for Don be functional rather than drill-based?
A. Drills are not effective for adults
B. Simucase prioritizes real-life carryover over isolated skill practice
C. Don refuses to participate in drills
D. Drills are only appropriate for children
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