A speech-language pathologist (SLP) has been assigned to provide therapy to a child
with a documented history of velopharyngeal insufficiency (VPI). Which activity would
be the most appropriate method of therapy for the SLP to utilize this particular client?
A. blowing exercises
B. oral-motor exercises
C. articulation therapy
D. increasing oral activity
Give this one a try later!
, C. articulation therapy
A client arrives at the speech-pathology clinic at an acute care hospital with
complaints of "a change in voice." After comprehensive endoscopic evaluation, the
speech-language pathologist (SLP) notes that the deficit is most likely not one of
resonance due to problems of velopharyngeal closure, as this client exhibits "the most
common pattern of velopharyngeal closure." Which of the following BEST describes
this client's pattern of closure?
A. Circular pattern with approximately equal activity of the velum, lateral pharyngeal
walls and posterior pharyngeal wall
B. Coronal pattern with the velum contacting the pharyngeal wall
C. Sagittal pattern with medial pharyngeal wall motion as the primary contributor to
closure
D. Circular patten with a Passavant's ridge
Give this one a try later!
B. Coronal pattern with the velum contacting the pharyngeal wall
A neonate was diagnosed with cleft palate, micrognathia and airway obstruction.
Given these characteristics, which of the following disorders is this infant MOST
LIKLEY experiencing?
A. Pierre Robin sequence
B. Velocardiofacial syndrome
C. Down syndrome
D. Pfeiffer syndrom
Give this one a try later!
, A. Pierre Robin sequence
A clinician in a private practice is approached by the parents of Tommy D., a 5-year-
old boy. The parents want to place tommy in Kindergarten in the fall but say, "We
know there's something wrong with him--we're just not sure what." According to
Tommy's parents, he is a "sweet, lovable boy who will go to anybody. He likes to sing
a lot, too." Because the parents live in a rural area, health care access has been
limited. After seeing Tommy for the first time, the clinician refers his parents to a
neurologist because she suspects that Tommy has a syndrome. He is small for his age
and has an elfin-like appearance characterized by a small chin, turned-up nose,
puffiness around the eyes, a long upper lip, and a wide mouth. His teeth are small and
widely spaced.
The clinician knows that she will probably end up seeing Tommy for intervention if his
parents are able to bring him on a weekly basis. She will probably be working on
which of the following goals?
A. Pragmatics to increase Tommy's ability to interact with others
B. Oral-motor coordination, because children with this syndrome usually have oral-
motor coordination problems, which contribute to decreased intelligibility
C. Overall expressive and receptive language, because children with this syndrome
generally have IQs of 50-70 (although some have good language skills)
D. Morphological skills, because although children with this syndrome usually have
above-average IQs, they frequently delete bound morphemes from the beginnings
and end of words
E. Feeding, because children with this syndrome tend to have feeding problems
Give this one a try later!
C. Overall expressive and receptive language, because children with this
syndrome generally have IQs of 50-70 (although some have good
language skills)
with a documented history of velopharyngeal insufficiency (VPI). Which activity would
be the most appropriate method of therapy for the SLP to utilize this particular client?
A. blowing exercises
B. oral-motor exercises
C. articulation therapy
D. increasing oral activity
Give this one a try later!
, C. articulation therapy
A client arrives at the speech-pathology clinic at an acute care hospital with
complaints of "a change in voice." After comprehensive endoscopic evaluation, the
speech-language pathologist (SLP) notes that the deficit is most likely not one of
resonance due to problems of velopharyngeal closure, as this client exhibits "the most
common pattern of velopharyngeal closure." Which of the following BEST describes
this client's pattern of closure?
A. Circular pattern with approximately equal activity of the velum, lateral pharyngeal
walls and posterior pharyngeal wall
B. Coronal pattern with the velum contacting the pharyngeal wall
C. Sagittal pattern with medial pharyngeal wall motion as the primary contributor to
closure
D. Circular patten with a Passavant's ridge
Give this one a try later!
B. Coronal pattern with the velum contacting the pharyngeal wall
A neonate was diagnosed with cleft palate, micrognathia and airway obstruction.
Given these characteristics, which of the following disorders is this infant MOST
LIKLEY experiencing?
A. Pierre Robin sequence
B. Velocardiofacial syndrome
C. Down syndrome
D. Pfeiffer syndrom
Give this one a try later!
, A. Pierre Robin sequence
A clinician in a private practice is approached by the parents of Tommy D., a 5-year-
old boy. The parents want to place tommy in Kindergarten in the fall but say, "We
know there's something wrong with him--we're just not sure what." According to
Tommy's parents, he is a "sweet, lovable boy who will go to anybody. He likes to sing
a lot, too." Because the parents live in a rural area, health care access has been
limited. After seeing Tommy for the first time, the clinician refers his parents to a
neurologist because she suspects that Tommy has a syndrome. He is small for his age
and has an elfin-like appearance characterized by a small chin, turned-up nose,
puffiness around the eyes, a long upper lip, and a wide mouth. His teeth are small and
widely spaced.
The clinician knows that she will probably end up seeing Tommy for intervention if his
parents are able to bring him on a weekly basis. She will probably be working on
which of the following goals?
A. Pragmatics to increase Tommy's ability to interact with others
B. Oral-motor coordination, because children with this syndrome usually have oral-
motor coordination problems, which contribute to decreased intelligibility
C. Overall expressive and receptive language, because children with this syndrome
generally have IQs of 50-70 (although some have good language skills)
D. Morphological skills, because although children with this syndrome usually have
above-average IQs, they frequently delete bound morphemes from the beginnings
and end of words
E. Feeding, because children with this syndrome tend to have feeding problems
Give this one a try later!
C. Overall expressive and receptive language, because children with this
syndrome generally have IQs of 50-70 (although some have good
language skills)
