Question 1
Which of the following is the major physical or organic factor underlying impairment in the
speech of persons with cleft palate?
(A) Congenital hearing loss from otitis media
(B) Broad irregular maxillary arch
(C) Palatopharyngeal insufficiency
(D) Irregular vocal fold abduction
CORRECT ANSWER
(C) is correct. Palatopharyngeal insufficiency or, more specifically, velopharyngeal
insufficiency is the major cause of the hypernasal speech associated with cleft palate. (A),
(B), and (C) are incorrect because otitis media is not congenital; in cleft palate, the
maxillary arch is often collapsed and thus is narrow; and irregular vocal fold abduction is
not associated with cleft palate.
Question 2
An SLP determines the mean length of utterance (MLU) of a language sample from a three-
year-old child. Two weeks later, the SLP reevaluates the same sample and again
determines the MLU. The extent to which the two scores are similar is most directly a
function of the
(A) validity of the scores
(B) reliability of the scores
(C) skewness of the score distribution
(D) speededness of the measure
CORRECT ANSWER
(B) is correct. Reliability is the consistency with which a test measures or the degree to
which repeated measurement with the same instrument of the same individual would
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@THE STUDY VAULT
, tend to produce the same result. Larger values indicate greater reliability; a reliability of
0.90 or greater is desirable for a test to be used in making decisions about individuals.
Question 3
An SLP is providing services to adults with neurogenic disorders of communication. Of the
following clients, which will likely have the most favorable management prognosis?
(A) John, who has a brain injury resulting in a slight concussion
(B) Jim, who has a traumatic brain injury resulting in paralysis
(C) Juan, who has amyotrophic lateral sclerosis
(D) Helen, who has Huntington's chorea
CORRECT ANSWER
(A) is correct. The disorder is most limited in scope among those mentioned and,
therefore, most likely to be amenable to therapy or treatment. (B) is incorrect because
the problem described is diffused or dispersed throughout the head with major
impairments to the nerves. (C) and (D) are incorrect because the disorders mentioned
are progressive in nature.
Question 4
An SLP has targeted the phonological process of "stopping on initial fricatives" for
remediation and is using the word "shoes" to establish the new behavior. The SLP now
wishes to investigate whether the speaker can generalize the newly learned pattern to
untrained words. If it is assumed that generalization will occur on words whose phonetic
characteristics are most like the trained word "shoes," which of the following words
should be selected?
(A) Shouting
(B) Fished
(C) Ocean
(D) Shook
CORRECT ANSWER
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@THE STUDY VAULT
, (D) is correct. Generalization probes are a principle feature of phonological therapy. The
answer choices require the clinician to pay attention to the position of the fricative sound in
a word and also the word's syllable structure.
Question 5
The Spanish-speaking parents of a nine-year- old bilingual child report that their child
communicates in Spanish with complete utterances and has a good vocabulary in
comparison to other children in the neighborhood. Their concern is that the child
interrupts their conversations and has not learned social rules that are important within
the family and community. Testing confirms similar problems in English-speaking settings.
The SLP would most likely recommend that therapy focus on which of the following
language areas?
(A) Syntax
(B) Morphology
(C) Semantics
(D) Pragmatics
CORRECT ANSWER
(D) is correct. The parents have described adequate syntactic and semantic knowledge by
the child. Testing in English confirms similar strengths. The area that has been identified
as a weakness is pragmatics and social rules for interaction.
Question 6
A 60-year-old man has Parkinson's disease and is in the early stage of dementia. It would
be appropriate to address which of the following goals first in therapy?
(A) To educate the family or caregivers
(B) To decrease jargon
(C) To decrease circumlocution
(D) To improve motor skills
CORRECT ANSWER
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@THE STUDY VAULT
Which of the following is the major physical or organic factor underlying impairment in the
speech of persons with cleft palate?
(A) Congenital hearing loss from otitis media
(B) Broad irregular maxillary arch
(C) Palatopharyngeal insufficiency
(D) Irregular vocal fold abduction
CORRECT ANSWER
(C) is correct. Palatopharyngeal insufficiency or, more specifically, velopharyngeal
insufficiency is the major cause of the hypernasal speech associated with cleft palate. (A),
(B), and (C) are incorrect because otitis media is not congenital; in cleft palate, the
maxillary arch is often collapsed and thus is narrow; and irregular vocal fold abduction is
not associated with cleft palate.
Question 2
An SLP determines the mean length of utterance (MLU) of a language sample from a three-
year-old child. Two weeks later, the SLP reevaluates the same sample and again
determines the MLU. The extent to which the two scores are similar is most directly a
function of the
(A) validity of the scores
(B) reliability of the scores
(C) skewness of the score distribution
(D) speededness of the measure
CORRECT ANSWER
(B) is correct. Reliability is the consistency with which a test measures or the degree to
which repeated measurement with the same instrument of the same individual would
1
@THE STUDY VAULT
, tend to produce the same result. Larger values indicate greater reliability; a reliability of
0.90 or greater is desirable for a test to be used in making decisions about individuals.
Question 3
An SLP is providing services to adults with neurogenic disorders of communication. Of the
following clients, which will likely have the most favorable management prognosis?
(A) John, who has a brain injury resulting in a slight concussion
(B) Jim, who has a traumatic brain injury resulting in paralysis
(C) Juan, who has amyotrophic lateral sclerosis
(D) Helen, who has Huntington's chorea
CORRECT ANSWER
(A) is correct. The disorder is most limited in scope among those mentioned and,
therefore, most likely to be amenable to therapy or treatment. (B) is incorrect because
the problem described is diffused or dispersed throughout the head with major
impairments to the nerves. (C) and (D) are incorrect because the disorders mentioned
are progressive in nature.
Question 4
An SLP has targeted the phonological process of "stopping on initial fricatives" for
remediation and is using the word "shoes" to establish the new behavior. The SLP now
wishes to investigate whether the speaker can generalize the newly learned pattern to
untrained words. If it is assumed that generalization will occur on words whose phonetic
characteristics are most like the trained word "shoes," which of the following words
should be selected?
(A) Shouting
(B) Fished
(C) Ocean
(D) Shook
CORRECT ANSWER
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@THE STUDY VAULT
, (D) is correct. Generalization probes are a principle feature of phonological therapy. The
answer choices require the clinician to pay attention to the position of the fricative sound in
a word and also the word's syllable structure.
Question 5
The Spanish-speaking parents of a nine-year- old bilingual child report that their child
communicates in Spanish with complete utterances and has a good vocabulary in
comparison to other children in the neighborhood. Their concern is that the child
interrupts their conversations and has not learned social rules that are important within
the family and community. Testing confirms similar problems in English-speaking settings.
The SLP would most likely recommend that therapy focus on which of the following
language areas?
(A) Syntax
(B) Morphology
(C) Semantics
(D) Pragmatics
CORRECT ANSWER
(D) is correct. The parents have described adequate syntactic and semantic knowledge by
the child. Testing in English confirms similar strengths. The area that has been identified
as a weakness is pragmatics and social rules for interaction.
Question 6
A 60-year-old man has Parkinson's disease and is in the early stage of dementia. It would
be appropriate to address which of the following goals first in therapy?
(A) To educate the family or caregivers
(B) To decrease jargon
(C) To decrease circumlocution
(D) To improve motor skills
CORRECT ANSWER
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@THE STUDY VAULT
