COMD 674 Simucase Connie Intervention SLP
Complete Assessment & Practice Simulation
Official Practice Exam Actual Exam 2026/2027
with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: APHASIA & ADULT LANGUAGE INTERVENTION Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 68-year-old retired teacher with moderate Broca's aphasia post-left MCA stroke lives with
her spouse and wants to return to her book club. During evaluation, she demonstrates good
auditory comprehension for conversational speech but struggles with word retrieval and
agrammatic output. The clinician is selecting an intervention approach for the initial
treatment plan.
A. Implement script training focused on conversational phrases she uses at book club,
emphasizing functional participation in her valued life activity. ✓ CORRECT
B. Administer daily confrontation naming drills using flashcards to restore her semantic
network at the impairment level.
C. Begin melodic intonation therapy to improve prosodic intonation and transfer to
connected speech contexts.
D. Focus exclusively on written expression tasks to bypass her spoken language deficits
entirely.
Correct Answer: A
Rationale: Script training aligns with the Life Participation Approach to Aphasia by targeting
meaningful, automatic conversational routines that support return to social roles and
functional communication. Confrontation naming drills in isolation address impairment-level
deficits but fail to generalize to real-world book club participation where contextualized
scripts are more effective. When selecting aphasia interventions, prioritize approaches that
match the client's specific daily activities and communication partners.
Question 2 of 50
,A 72-year-old man with Wernicke's aphasia and severe auditory comprehension deficits is six
weeks post-stroke. He becomes frustrated when family members cannot understand his
jargon-filled output. His wife asks what she can do during conversations at home to improve
mutual understanding.
A. Ask him to repeat single words slowly until they are produced without paraphasic errors.
B. Use the Supported Conversation for Adults with Aphasia (SCA) technique, providing visual
supports, confirming or clarifying messages, and acknowledging his competence. ✓
CORRECT
C. Encourage him to speak in complete sentences to strengthen syntactic processing
through forced output.
D. Request that he write all messages down, as written expression is always preserved in
fluent aphasia.
Correct Answer: B
Rationale: SCA techniques are evidence-based for fluent aphasia, compensating for
comprehension deficits by using multimodal supports and honoring the individual's
communicative competence. Forcing accurate word repetition or complete sentences
ignores the underlying comprehension impairment and creates frustration without functional
gain. In Wernicke's aphasia, partner training is as critical as client treatment because
communication is a shared activity.
Question 3 of 50
A 55-year-old accountant with conduction aphasia exhibits frequent phonemic paraphasias
and poor repetition despite relatively preserved comprehension. She must return to making
phone calls to clients. The clinician designs a treatment task.
A. Teach her to use circumlocution exclusively to avoid attempting word production entirely.
B. Implement melodic intonation therapy to improve repetition through rhythmic chanting.
C. Use phonemic cueing hierarchies and repetition drills with functional phrases relevant to
her work calls, fading cues as accuracy improves. ✓ CORRECT
D. Focus treatment on auditory comprehension tasks since his repetition deficit is secondary
to comprehension.
Correct Answer: C
Rationale: Phonemic cueing hierarchies directly target the impaired phonological encoding
and repetition deficits characteristic of conduction aphasia while maintaining functional
relevance to his vocational needs. Circumlocution alone abandons the restorative goal for
repetition, and MIT is not the primary evidence-based approach for this syndrome. Functional
relevance ensures treatment gains transfer to real-world telephone communication.
Question 4 of 50
, A 64-year-old woman with anomic aphasia following a left temporal lobe stroke names only
40% of items on the Boston Naming Test. She reports that her primary concern is telling her
grandchildren about family recipes. The clinician writes a treatment goal.
A. The client will improve confrontation naming accuracy to 80% on the BNT within eight
weeks.
B. The client will name common objects with 90% accuracy given semantic feature cues in a
quiet therapy room.
C. The client will complete written naming tasks for 50 kitchen items to bypass spoken word
retrieval deficits.
D. The client will describe three family recipes using semantic feature analysis and script
training with 80% accuracy of key content words in a structured storytelling task within six
weeks. ✓ CORRECT
Correct Answer: D
Rationale: This goal is SMART and functionally anchored to the client's meaningful activity,
using semantic feature analysis to strengthen word retrieval within a script that mirrors
real-life communication. Impairment-level naming accuracy on standardized tests does not
guarantee generalization to storytelling with grandchildren. Client-centered goal writing
should always connect linguistic targets to personally relevant communicative contexts.
Question 5 of 50
A 70-year-old man with global aphasia is three months post-stroke and lives in an assisted
living facility. He communicates using gestures, single words, and facial expressions. The
interdisciplinary team is considering his discharge from skilled therapy. The SLP
recommends the next step.
A. Transition to a community aphasia group that uses total communication approaches and
focuses on life participation and social connection. ✓ CORRECT
B. Discontinue all services because restorative potential is exhausted after three months
post-onset.
C. Continue individual drill-based language exercises four times weekly to maximize
neuroplasticity.
D. Refer exclusively to occupational therapy for communication board training without SLP
follow-up.
Correct Answer: A
Rationale: Community aphasia groups provide ongoing functional communication practice
and psychosocial support for individuals with global aphasia through multimodal,
life-participation frameworks. Discontinuing services based on an arbitrary timeline ignores
evidence that functional communication can improve with appropriate social and group
interventions. Total communication approaches honor all available modalities and prevent
isolation.
Complete Assessment & Practice Simulation
Official Practice Exam Actual Exam 2026/2027
with Detailed Rationales | Complete Exam-Style
Questions | Pass Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: APHASIA & ADULT LANGUAGE INTERVENTION Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 68-year-old retired teacher with moderate Broca's aphasia post-left MCA stroke lives with
her spouse and wants to return to her book club. During evaluation, she demonstrates good
auditory comprehension for conversational speech but struggles with word retrieval and
agrammatic output. The clinician is selecting an intervention approach for the initial
treatment plan.
A. Implement script training focused on conversational phrases she uses at book club,
emphasizing functional participation in her valued life activity. ✓ CORRECT
B. Administer daily confrontation naming drills using flashcards to restore her semantic
network at the impairment level.
C. Begin melodic intonation therapy to improve prosodic intonation and transfer to
connected speech contexts.
D. Focus exclusively on written expression tasks to bypass her spoken language deficits
entirely.
Correct Answer: A
Rationale: Script training aligns with the Life Participation Approach to Aphasia by targeting
meaningful, automatic conversational routines that support return to social roles and
functional communication. Confrontation naming drills in isolation address impairment-level
deficits but fail to generalize to real-world book club participation where contextualized
scripts are more effective. When selecting aphasia interventions, prioritize approaches that
match the client's specific daily activities and communication partners.
Question 2 of 50
,A 72-year-old man with Wernicke's aphasia and severe auditory comprehension deficits is six
weeks post-stroke. He becomes frustrated when family members cannot understand his
jargon-filled output. His wife asks what she can do during conversations at home to improve
mutual understanding.
A. Ask him to repeat single words slowly until they are produced without paraphasic errors.
B. Use the Supported Conversation for Adults with Aphasia (SCA) technique, providing visual
supports, confirming or clarifying messages, and acknowledging his competence. ✓
CORRECT
C. Encourage him to speak in complete sentences to strengthen syntactic processing
through forced output.
D. Request that he write all messages down, as written expression is always preserved in
fluent aphasia.
Correct Answer: B
Rationale: SCA techniques are evidence-based for fluent aphasia, compensating for
comprehension deficits by using multimodal supports and honoring the individual's
communicative competence. Forcing accurate word repetition or complete sentences
ignores the underlying comprehension impairment and creates frustration without functional
gain. In Wernicke's aphasia, partner training is as critical as client treatment because
communication is a shared activity.
Question 3 of 50
A 55-year-old accountant with conduction aphasia exhibits frequent phonemic paraphasias
and poor repetition despite relatively preserved comprehension. She must return to making
phone calls to clients. The clinician designs a treatment task.
A. Teach her to use circumlocution exclusively to avoid attempting word production entirely.
B. Implement melodic intonation therapy to improve repetition through rhythmic chanting.
C. Use phonemic cueing hierarchies and repetition drills with functional phrases relevant to
her work calls, fading cues as accuracy improves. ✓ CORRECT
D. Focus treatment on auditory comprehension tasks since his repetition deficit is secondary
to comprehension.
Correct Answer: C
Rationale: Phonemic cueing hierarchies directly target the impaired phonological encoding
and repetition deficits characteristic of conduction aphasia while maintaining functional
relevance to his vocational needs. Circumlocution alone abandons the restorative goal for
repetition, and MIT is not the primary evidence-based approach for this syndrome. Functional
relevance ensures treatment gains transfer to real-world telephone communication.
Question 4 of 50
, A 64-year-old woman with anomic aphasia following a left temporal lobe stroke names only
40% of items on the Boston Naming Test. She reports that her primary concern is telling her
grandchildren about family recipes. The clinician writes a treatment goal.
A. The client will improve confrontation naming accuracy to 80% on the BNT within eight
weeks.
B. The client will name common objects with 90% accuracy given semantic feature cues in a
quiet therapy room.
C. The client will complete written naming tasks for 50 kitchen items to bypass spoken word
retrieval deficits.
D. The client will describe three family recipes using semantic feature analysis and script
training with 80% accuracy of key content words in a structured storytelling task within six
weeks. ✓ CORRECT
Correct Answer: D
Rationale: This goal is SMART and functionally anchored to the client's meaningful activity,
using semantic feature analysis to strengthen word retrieval within a script that mirrors
real-life communication. Impairment-level naming accuracy on standardized tests does not
guarantee generalization to storytelling with grandchildren. Client-centered goal writing
should always connect linguistic targets to personally relevant communicative contexts.
Question 5 of 50
A 70-year-old man with global aphasia is three months post-stroke and lives in an assisted
living facility. He communicates using gestures, single words, and facial expressions. The
interdisciplinary team is considering his discharge from skilled therapy. The SLP
recommends the next step.
A. Transition to a community aphasia group that uses total communication approaches and
focuses on life participation and social connection. ✓ CORRECT
B. Discontinue all services because restorative potential is exhausted after three months
post-onset.
C. Continue individual drill-based language exercises four times weekly to maximize
neuroplasticity.
D. Refer exclusively to occupational therapy for communication board training without SLP
follow-up.
Correct Answer: A
Rationale: Community aphasia groups provide ongoing functional communication practice
and psychosocial support for individuals with global aphasia through multimodal,
life-participation frameworks. Discontinuing services based on an arbitrary timeline ignores
evidence that functional communication can improve with appropriate social and group
interventions. Total communication approaches honor all available modalities and prevent
isolation.
