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Which THREE of the following variables are considered risk factors for
late language emergence?
A.Male gender
B.Access to print material
C.Low socioeconomic status
D.Moderately low birth weight
E.Exposure to rich and varied vocabulary - ANSWER -A, C, D
During a trip to the grocery store, a three-year-old boy with delayed
language points to an apple on the floor and says to his mother, "Apple."
The boy's mother says, "Yes, that's a big, shiny apple."
Based on the mother's response, which of the following language
stimulation techniques is she using?
A.Imitation
B.Parallel talk
C.Think aloud
D.Expansion - ANSWER -D
Which of the following are the THREE types of velopharyngeal
dysfunction?
A.Velopharyngeal insufficiency
B.Velopharyngeal mislearning
C.Velopharyngeal mismatching
D.Velopharyngeal ineffectiveness
E.Velopharyngeal incompetence - ANSWER -A, B, E
, Joanna is a 36-month-old child who is enrolled in a treatment program
for stuttering. The SLPS L P is involving Joanna's parents and 5-year-
old brother in treatment activities. Every time Joanna's brother
participates in a treatment activity, Joanna begins to stutter much more
severely than she does when interacting with her parents. Which of the
following actions is the most appropriate for the SLPS L P to take next?
A.Helping the parents devise strategies for limiting how often Joanna
and her brother converse with each other at home
B.Engaging Joanna in a role-playing activity that seeks to identify how
she would like her brother to interact with her during conversations
C.Analyzing recorded conversations between Joanna and her brother to
identify discourse factors that might affect the severity of Joanna's
stuttering
D.Teaching her brother to produce statements that support Joanna's
attempts to talk - ANSWER -C
An SLP works with a 4-year-old patient diagnosed with autism
spectrum disorder. The patient is nonverbal, does not have a functional
communication system, and does not follow simple directions. Which of
the following communicative target goals is most appropriate for the
SLP to prioritize for the patient?
A.Matching identical pictures in an array of pictures
B.Requesting wants in any modality
C.Labeling of common items verbally
D.Imitating a sequence of two actions - ANSWER -B
A 75-year-old patient with a history of chronic obstructive pulmonary
disease underwent a three-vessel coronary artery bypass graft surgery.
The patient needed to be intubated for three days following surgery.
After extubation, the medical team requested a swallow consultation to
,determine if it was safe for the patient to take oral medications and
initiate oral nutrition. Based on the patient's condition, which of the
following assessment procedures is most appropriate for an SLP to
practice?
A.Administering a clinical bedside swallow evaluation and
recommending an oral diet as there were no clinical signs or symptoms
of aspiration during the evaluation
B.Deferring the evaluation for 24 hours because the patient was just
extubated to allow a possible improvement in the patient's swallow
function before evaluation
C.Completing a clinical bedside swallow evaluation to determine patient
readiness for an instrumental ev - ANSWER -C, Option (C) is correct.
Several studies using instrumental assessment have concluded that some
patients recover airway protection and swallow function within 24 hours
of extubation and others much later than 24 hours post-extubation
following prolonged endotracheal intubation, suggesting that a 24-hour
"deferral time" benchmark is not particularly useful.
Which of the following procedures is most important for an SLP to
consider when assessing the social aspect of a school-age child's
communication skills?
A.Collecting a language sample to assess narrative skills
B.Assessing expressive vocabulary used by the child on a picture
vocabulary test
C.Observing the child interacting with peers in natural settings, such as
during recess
D.Looking for a discrepancy between the child's IQI Q and
communication skills to determine eligibility - ANSWER -C
, A study is conducted to determine how well a dysphagia screening test
predicts aspiration that is later confirmed with a videofluoroscopic
swallow study (VFSSV F S S). The study results are presented in the
table below.
(Top left) Failed Screen/Aspiration: 45
(Bottom left) Passed Screen/Aspiration: 5
(Top right) Failed Screen/No Asp: 20
(Bottom right) Passed Screen/No Asp: 30
Which THREE of the following statements about this dysphagia
screening test are true?
A.The screening test's sensitivity is 90%
B.The screening test's sensitivity is 69%
C.The screening test's specificity is 90%
D.The screening test's specificity is 60%
E.The number of false negatives was 5
F.The number of false negatives was 20 - ANSWER -A, D, E, Options
(A), (D), and (E) are correct. The screening test's sensitivity is the
proportion of patients who aspirated and failed the screen (top cell in the
first column) to the total of all patients who aspirated on the VFSS (total
of the first column); therefore, 45/50 = 0.9045 divided by 50, equals
0.90. The screening test's specificity is the proportion of patients who
did not aspirate and passed the screen (bottom cell in the second
column) to the total of all patients who did not aspirate on the VFSSV F
S S (total of second column); therefore, 30/50 = 0.6030 divided by 50,
equals 0.60. False negatives are patients who passed the screen who
actually aspirated on the VFSSV F S S (bottom cell of first column).