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As part of a routine preschool screening, an SLP tests a 4 year old whose
speech is characterized by sound omissions, hypernasality, nasal
emission, and weak consonants. Which of the following would be most
appropriately evaluated initially?
A.Oral-motor behavior
B.Velopharyngeal function
C.Laryngeal function
D.Phonological awareness - ANS>> B
Which of the following is the minimal contrast approach most appropriately
used to treat?
A.Phonological disorders
B.Dysphagia
C.Dysarthria
D.Global aphasia - ANS>> A
Alicia is a fourth-grade student with a language impairment that interferes
with her academic performance and social communication. On a
standardized test of expressive language ability, she received an overall
score of 97.5, placing her in the 65th percentile. Alicia's test result indicates
that she
A.performed as well as or better than 65% of the individuals on whom the
norms were developed
B.responded correctly to 65% of the 150 items included in the expressive-
language test
C.performed as well as or better than 65% of the other fourth graders who
took the same test
D.responded correctly to 97.5% of the test items, as did 65% of the other
children taking the test - ANS>> A
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 - ANS>> A, C, D
,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 - ANS>> B
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 - ANS>> D
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 - ANS>> 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 - ANS>> 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 - ANS>> 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).
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 TWO of the following statements about the results of a screening
test are correct?
A.Sensitivity is the proportion of people who fail the screening test who are
aspirators
B.Specificity is the proportion of people who pass the screening test who
are aspirators
C.Sensitivity is the proportion of people who pass the screening test who
are not aspirators
D.Specificity is the proportion of people who pass the screening test who
are not aspirators - ANS>> A, D
During a speech-language evaluation at a preschool, a child has difficulty
with receptive language tasks and responds with only one-word utterances
to expressive language items. The child's eye contact is poor throughout
the session. When observed with the other children in class, the child does
not engage with peers but prefers self-stimulating behaviors such as
flapping arms and throwing papers up in the air. According to the child's
teacher, these are typical behaviors for the child. Given the data obtained,
which of the following steps is most appropriate for the SLP to take next?
A.Engaging in an inter-professional practice (IPP) to determine the
appropriate diagnosis of ASDA S D
B.Conducting the full evaluation when the child is more cooperative so that
accurate recommendations can be made
C.Initiating expressive language therapy to focus on expanding
conversational utterances
D.Training the teacher to deliver - ANS>> A