COMD 674 SIMUCASE DICK SLP
INTERVENTION AND ASSESSMENT
RESULTS COMPLETE CLINICAL
SOLUTIONS DETAILED CORRECT
ANSWERS WITH RATIONALES CORRECT
VERIFIED ANSWERS GRADE A+ |
INSTANT DOWNLOAD | 100% PASS
GUARANTEE
COMD 674 SimuCase: Dick (SLP Intervention &
Assessment Results) | Comprehensive Exam
Question 1: Dick is a 68-year-old right-handed male who is 4
weeks post-left hemisphere cerebrovascular accident (CVA).
During the initial evaluation, the speech-language pathologist
(SLP) notes that Dick’s speech is highly effortful, halting, and
characterized by inconsistent sound distortions and prosodic
abnormalities, but his auditory comprehension is relatively
intact for conversational topics. Which of the following co-
occurring diagnoses is most strongly supported by this clinical
presentation?
A) Wernicke’s aphasia and flaccid dysarthria
B) Broca’s aphasia and apraxia of speech (AOS)
C) Global aphasia and spastic dysarthria
D) Anomic aphasia and ataxic dysarthria
Correct Answer: B) Broca’s aphasia and apraxia of speech
(AOS)
Rationale: Effortful, halting speech with inconsistent sound
distortions and prosodic abnormalities (e.g., equal stress,
,slowed rate) in the presence of relatively intact auditory
comprehension is the hallmark clinical presentation of apraxia
of speech (AOS), which frequently co-occurs with Broca’s (non-
fluent) aphasia following a left hemisphere CVA.
Question 2: When selecting a standardized assessment to
quantify the severity and profile of Dick’s language deficits,
which tool is considered the gold standard for calculating an
Aphasia Quotient (AQ) and classifying aphasia type?
A) The Cognitive-Linguistic Quick Test (CLQT)
B) The Western Aphasia Battery-Revised (WAB-R)
C) The Comprehensive Aphasia Test (CAT)
D) The Arizona Battery for Communication Disorders of
Dementia (ABCD)
Correct Answer: B) The Western Aphasia Battery-Revised
(WAB-R)
Rationale: The WAB-R is widely considered the gold
standard for classifying aphasia types and calculating the
Aphasia Quotient (AQ), which provides a standardized metric
of overall language severity based on spontaneous speech,
auditory comprehension, repetition, and naming.
Question 3: During the oral mechanism examination, the SLP
observes that Dick has mild right-sided facial weakness,
reduced lip seal, and slow, irregular alternating motion rates
(AMRs) for /pa/, /ta/, and /ka/. These findings are most
indicative of which type of motor speech disorder?
A) Hyperkinetic dysarthria
B) Mixed flaccid-spastic dysarthria
C) Hypokinetic dysarthria
D) Unilateral upper motor neuron (UUMN) dysarthria
,Correct Answer: B) Mixed flaccid-spastic dysarthria
Rationale: A left hemisphere CVA often results in right-sided
lower facial weakness (flaccid component due to CN VII lower
motor neuron or upper motor neuron tract involvement) and
slow, irregular AMRs, which, when combined with other upper
motor neuron signs (like mild spasticity or hyperreflexia in the
limbs), points toward a mixed flaccid-spastic dysarthria profile
common in post-stroke patients.
Question 4: To assess Dick’s functional communication abilities
in real-world contexts, rather than just his impairment-level
deficits, which assessment tool should the SLP prioritize?
A) Boston Diagnostic Aphasia Examination (BDAE-3)
B) Communicative Activities Log (CAL) or ASHA FACS
C) Peabody Picture Vocabulary Test (PPVT-4)
D) Clinical Evaluation of Language Fundamentals (CELF-5)
Correct Answer: B) Communicative Activities Log (CAL)
or ASHA FACS
Rationale: The ASHA Functional Assessment of
Communication Skills (ASHA FACS) or the Communicative
Activities Log (CAL) specifically measure how well an
individual communicates in daily, real-world situations,
aligning with the ICF model’s focus on activity and
participation rather than just body structure/function.
Question 5: Dick frequently exhibits frustration and says, "I
know what I want to say, but the words won't come out right."
He demonstrates multiple self-corrections and groping
articulatory postures. Which intervention approach is most
evidence-based for targeting this specific deficit?
A) Semantic Feature Analysis (SFA)
, B) Integral Stimulation (e.g., "Watch me, listen to me, do what I
do")
C) Melodic Intonation Therapy (MIT)
D) Phonological Components Analysis (PCA)
Correct Answer: B) Integral Stimulation (e.g., "Watch me,
listen to me, do what I do")
Rationale: Integral stimulation is a foundational, evidence-
based treatment for apraxia of speech. It utilizes multisensory
cues (visual, auditory, tactile) to help the patient establish
correct articulatory postures and sequences, directly addressing
the motor planning/programming deficit described.
Question 6: When writing a short-term goal for Dick to improve
his functional naming of high-frequency nouns, which of the
following represents a properly formatted, measurable SMART
goal?
A) Dick will improve his naming skills with moderate cues.
B) Given a field of 4 pictures and a semantic cue, Dick will
independently name 15 high-frequency nouns with 80%
accuracy across 3 consecutive therapy sessions.
C) Dick will name objects in the therapy room to improve his
functional communication.
D) The SLP will provide semantic cues to help Dick name 15
items with 80% accuracy.
Correct Answer: B) Given a field of 4 pictures and a
semantic cue, Dick will independently name 15 high-frequency
nouns with 80% accuracy across 3 consecutive therapy
sessions.
Rationale: A SMART goal must be Specific, Measurable,
Achievable, Relevant, and Time-bound. Option B includes the
condition (given a field of 4 pictures and a semantic cue), the
INTERVENTION AND ASSESSMENT
RESULTS COMPLETE CLINICAL
SOLUTIONS DETAILED CORRECT
ANSWERS WITH RATIONALES CORRECT
VERIFIED ANSWERS GRADE A+ |
INSTANT DOWNLOAD | 100% PASS
GUARANTEE
COMD 674 SimuCase: Dick (SLP Intervention &
Assessment Results) | Comprehensive Exam
Question 1: Dick is a 68-year-old right-handed male who is 4
weeks post-left hemisphere cerebrovascular accident (CVA).
During the initial evaluation, the speech-language pathologist
(SLP) notes that Dick’s speech is highly effortful, halting, and
characterized by inconsistent sound distortions and prosodic
abnormalities, but his auditory comprehension is relatively
intact for conversational topics. Which of the following co-
occurring diagnoses is most strongly supported by this clinical
presentation?
A) Wernicke’s aphasia and flaccid dysarthria
B) Broca’s aphasia and apraxia of speech (AOS)
C) Global aphasia and spastic dysarthria
D) Anomic aphasia and ataxic dysarthria
Correct Answer: B) Broca’s aphasia and apraxia of speech
(AOS)
Rationale: Effortful, halting speech with inconsistent sound
distortions and prosodic abnormalities (e.g., equal stress,
,slowed rate) in the presence of relatively intact auditory
comprehension is the hallmark clinical presentation of apraxia
of speech (AOS), which frequently co-occurs with Broca’s (non-
fluent) aphasia following a left hemisphere CVA.
Question 2: When selecting a standardized assessment to
quantify the severity and profile of Dick’s language deficits,
which tool is considered the gold standard for calculating an
Aphasia Quotient (AQ) and classifying aphasia type?
A) The Cognitive-Linguistic Quick Test (CLQT)
B) The Western Aphasia Battery-Revised (WAB-R)
C) The Comprehensive Aphasia Test (CAT)
D) The Arizona Battery for Communication Disorders of
Dementia (ABCD)
Correct Answer: B) The Western Aphasia Battery-Revised
(WAB-R)
Rationale: The WAB-R is widely considered the gold
standard for classifying aphasia types and calculating the
Aphasia Quotient (AQ), which provides a standardized metric
of overall language severity based on spontaneous speech,
auditory comprehension, repetition, and naming.
Question 3: During the oral mechanism examination, the SLP
observes that Dick has mild right-sided facial weakness,
reduced lip seal, and slow, irregular alternating motion rates
(AMRs) for /pa/, /ta/, and /ka/. These findings are most
indicative of which type of motor speech disorder?
A) Hyperkinetic dysarthria
B) Mixed flaccid-spastic dysarthria
C) Hypokinetic dysarthria
D) Unilateral upper motor neuron (UUMN) dysarthria
,Correct Answer: B) Mixed flaccid-spastic dysarthria
Rationale: A left hemisphere CVA often results in right-sided
lower facial weakness (flaccid component due to CN VII lower
motor neuron or upper motor neuron tract involvement) and
slow, irregular AMRs, which, when combined with other upper
motor neuron signs (like mild spasticity or hyperreflexia in the
limbs), points toward a mixed flaccid-spastic dysarthria profile
common in post-stroke patients.
Question 4: To assess Dick’s functional communication abilities
in real-world contexts, rather than just his impairment-level
deficits, which assessment tool should the SLP prioritize?
A) Boston Diagnostic Aphasia Examination (BDAE-3)
B) Communicative Activities Log (CAL) or ASHA FACS
C) Peabody Picture Vocabulary Test (PPVT-4)
D) Clinical Evaluation of Language Fundamentals (CELF-5)
Correct Answer: B) Communicative Activities Log (CAL)
or ASHA FACS
Rationale: The ASHA Functional Assessment of
Communication Skills (ASHA FACS) or the Communicative
Activities Log (CAL) specifically measure how well an
individual communicates in daily, real-world situations,
aligning with the ICF model’s focus on activity and
participation rather than just body structure/function.
Question 5: Dick frequently exhibits frustration and says, "I
know what I want to say, but the words won't come out right."
He demonstrates multiple self-corrections and groping
articulatory postures. Which intervention approach is most
evidence-based for targeting this specific deficit?
A) Semantic Feature Analysis (SFA)
, B) Integral Stimulation (e.g., "Watch me, listen to me, do what I
do")
C) Melodic Intonation Therapy (MIT)
D) Phonological Components Analysis (PCA)
Correct Answer: B) Integral Stimulation (e.g., "Watch me,
listen to me, do what I do")
Rationale: Integral stimulation is a foundational, evidence-
based treatment for apraxia of speech. It utilizes multisensory
cues (visual, auditory, tactile) to help the patient establish
correct articulatory postures and sequences, directly addressing
the motor planning/programming deficit described.
Question 6: When writing a short-term goal for Dick to improve
his functional naming of high-frequency nouns, which of the
following represents a properly formatted, measurable SMART
goal?
A) Dick will improve his naming skills with moderate cues.
B) Given a field of 4 pictures and a semantic cue, Dick will
independently name 15 high-frequency nouns with 80%
accuracy across 3 consecutive therapy sessions.
C) Dick will name objects in the therapy room to improve his
functional communication.
D) The SLP will provide semantic cues to help Dick name 15
items with 80% accuracy.
Correct Answer: B) Given a field of 4 pictures and a
semantic cue, Dick will independently name 15 high-frequency
nouns with 80% accuracy across 3 consecutive therapy
sessions.
Rationale: A SMART goal must be Specific, Measurable,
Achievable, Relevant, and Time-bound. Option B includes the
condition (given a field of 4 pictures and a semantic cue), the
