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An SLP assesses a 3-year-old child with poor intelligibility. The SLP
attempts to determine whether the child has a severe phonological disorder
or childhood apraxia of speech (CASC A S). Which TWO of the following
characteristics are primarily indicative of CASC A S?
A.Presenting with decreased strength and muscle coordination
B.Displaying inconsistencies in articulation performance
C.Making the same errors independent of length of speech utterance
D.Speaking with a disrupted rate, rhythm, and stress of speech ---------
CORRECT ANSWER-----------------Options (B) and (D) are correct.
Children with CASC A S struggle to make consistent productions of
speech sounds. Children with CASC A S speak with a rate, rhythm,
and stress of speech that can be disrupted, and sometimes they can
appear to be groping for placement.
A 6-year-old child has difficulty producing both regular and irregular plural
forms. Intervention for this problem would best target language at the level
of
A.syntax
B.phonology
C.morphology
D.semantics ---------CORRECT ANSWER-----------------Option (C) is correct.
Regular and irregular plural forms are morphological markers.
A patient is referred to speech therapy after a total laryngectomy. The SLP
teaches the patient to speak by taking air in through the mouth, trapping it
in the throat, and then releasing it. Which of the following treatments is the
SLP primarily implementing with the patient?
,A.Tracheoesophageal puncture
B.Esophageal speech
C.Neck electrolarynx
D.Intraoral artificial larynx ---------CORRECT ANSWER-----------------Option
(B) is correct. Esophageal speech focuses on using the esophagus to
provide speech, and no devices are used.
Questions 33-35 refer to the following information.
A 72-year-old male presents to a skilled nursing facility (SNF) following a
complicated hospital stay. The patient is morbidly obese and has a history
of COPD, depression, hypertension, diabetes, Bell's palsy,
encephalopathy, and congestive heart failure. During his stay, he was not
intubated but became very weak as a result of extended time in bed. In the
hospital, he was placed on an NDD Level 2 diet with nectar-thick liquids
due to aspiration of thin liquids and poor oral control of regular solids. The
patient worked until he was 50 years old, but his health conditions led to his
early retirement. Before his hospitalization, the patient did not leave his
house very often, and his wife helped him with all ADLs.
While evaluating the patient at the SNF, the SLP noticed that the patient
was disoriented and confused, appeared to be hallucinating, grunted loudly
when ---------CORRECT ANSWER-----------------2- Option (C) is correct.
Once the patient understands that he is in control and can use his
voice, he will be more likely to use his voice consistently.
1- Option (A) is correct. Depression can lead to psychogenic
disorders and given what this patient has been through, it is very
likely that his depression has deepened during his hospital stay.
3-Option (B) is correct. Involving the professional who is treating the
psychological piece of the disorder will hopefully lead to success for
the patient.
,Which of the following is generally considered most effective and
appropriate for viewing the vocal folds during phonation?
A.Stroboscopy
B.Endoscopy
C.Fluoroscopy
D.Laryngeal mirror examination ---------CORRECT ANSWER-----------------
Option (A) is correct. Stroboscopy is generally the most efficient and
effective instrumentation for viewing the vocal folds during
phonation.
An SLP administers a language test to all kindergarten children in a
particular school and finds that 40 percent fall below the tenth percentile of
the normative sample. Which of the following is the most reasonable
interpretation of this finding?
A.Forty percent of the kindergarten children in the school have language
disorders.
B.The school's kindergarten population differs from the standardization
population in the language skills measured.
C.The SLP administered the test incorrectly.
D.The standardization population is not representative of the nation as a
whole. ---------CORRECT ANSWER-----------------Option (B) is correct. If
disparities exist between examinees and the norm group in terms of
skills and experiences, the conclusions based on the examinees' test
performance may be misleading.
A fourth-grade student presents to a school SLP with receptive-expressive
language disorder. The student has difficulty with asking "wh-" questions.
Specifically, the student tends to ask only "who" and "what" questions.
When probed, the student will ask "why" and "when" questions but often
uses the terms incorrectly.
When writing the annual Individualized Education Program for the student,
which of the following goals is most appropriate and measurable?
, A.The student will ask six related "wh-" questions with 100% accuracy.
B.The student will ask six related "wh-" questions with minimal cueing in
two out of three tries.
C.The student will ask six related "wh-" questions with no cueing and with
100% accuracy.
D.The student will ask six related "wh-" questions with no cueing in one out
of three tries. ---------CORRECT ANSWER-----------------Option (B) is
correct. The goal is specific, measurable, realistic, and time limited
and addresses the student's specific needs.
A clinician is starting treatment with a new client with specific language
impairment (SLIS L I). Which of the following is the most appropriate
source of information for the SLP to use in developing the treatment plan?
A.Advice from a senior colleague in the speech clinic
B.An all-day seminar presented by a leading clinician in the area of SLIS L I
C.A peer-reviewed article describing a large-scale study comparing several
methods of treatment for SLIS L I
D.A conference presentation of unpublished cutting-edge research
comparing several methods of treatment for SLI ---------CORRECT
ANSWER-----------------Option (C) is correct. When an SLP is looking for
information to develop a lesson plan for a client with SLIS L I, the best
source of information is a peer-reviewed article that focuses on a
large-scale study and compares several treatment methods.
Which of the following statements about dysphagia screening and
assessment/evaluation is true?
A.Screening identifies the likelihood of dysphagia and the need for further
assessment.
B.Screening identifies the nature and severity of dysphagia and enables
treatment planning.
C.Assessment/evaluation is a pass-fail procedure that determines whether
or not a patient is aspirating.
D.Assessment/evaluation can be performed by non-SLP observers. ---------
CORRECT ANSWER-----------------Option (A) is correct. Screening is a