SLP Practice Praxis (Form 3)
questions and answers already
passed
B - correct answer ✔✔As part of a routine preschool screening, an SLP tests a 4 year old whose
speech is characterized by sound omissions, hypernasality, nasal emission, and weak
consonants. Which of the following would be most appropriately evaluated initially?
A.Oral-motor behavior
B.Velopharyngeal function
C.Laryngeal function
D.Phonological awareness
A - correct answer ✔✔Which of the following is the minimal contrast approach most
appropriately used to treat?
A.Phonological disorders
B.Dysphagia
C.Dysarthria
D.Global aphasia
A - correct answer ✔✔Alicia is a fourth-grade student with a language impairment that
interferes with her academic performance and social communication. On a standardized test of
expressive language ability, she received an overall score of 97.5, placing her in the 65th
percentile. Alicia's test result indicates that she
A.performed as well as or better than 65% of the individuals on whom the norms were
developed
B.responded correctly to 65% of the 150 items included in the expressive-language test
C.performed as well as or better than 65% of the other fourth graders who took the same test
,D.responded correctly to 97.5% of the test items, as did 65% of the other children taking the
test
A, C, D - correct answer ✔✔Which THREE of the following variables are considered risk factors
for late language emergence?
A.Male gender
B.Access to print material
C.Low socioeconomic status
D.Moderately low birth weight
E.Exposure to rich and varied vocabulary
D - correct answer ✔✔During a trip to the grocery store, a three-year-old boy with delayed
language points to an apple on the floor and says to his mother, "Apple." The boy's mother says,
"Yes, that's a big, shiny apple."
Based on the mother's response, which of the following language stimulation techniques is she
using?
A.Imitation
B.Parallel talk
C.Think aloud
D.Expansion
B - correct answer ✔✔An SLP works with a 4-year-old patient diagnosed with autism spectrum
disorder. The patient is nonverbal, does not have a functional communication system, and does
not follow simple directions. Which of the following communicative target goals is most
appropriate for the SLP to prioritize for the patient?
A.Matching identical pictures in an array of pictures
B.Requesting wants in any modality
C.Labeling of common items verbally
,D.Imitating a sequence of two actions
C, Option (C) is correct. Several studies using instrumental assessment have concluded that
some patients recover airway protection and swallow function within 24 hours of extubation
and others much later than 24 hours post-extubation following prolonged endotracheal
intubation, suggesting that a 24-hour "deferral time" benchmark is not particularly useful. -
correct answer ✔✔A 75-year-old patient with a history of chronic obstructive pulmonary
disease underwent a three-vessel coronary artery bypass graft surgery. The patient needed to
be intubated for three days following surgery. After extubation, the medical team requested a
swallow consultation to determine if it was safe for the patient to take oral medications and
initiate oral nutrition. Based on the patient's condition, which of the following assessment
procedures is most appropriate for an SLP to practice?
A.Administering a clinical bedside swallow evaluation and recommending an oral diet as there
were no clinical signs or symptoms of aspiration during the evaluation
B.Deferring the evaluation for 24 hours because the patient was just extubated to allow a
possible improvement in the patient's swallow function before evaluation
C.Completing a clinical bedside swallow evaluation to determine patient readiness for an
instrumental ev
C - correct answer ✔✔Which of the following procedures is most important for an SLP to
consider when assessing the social aspect of a school-age child's communication skills?
A.Collecting a language sample to assess narrative skills
B.Assessing expressive vocabulary used by the child on a picture vocabulary test
C.Observing the child interacting with peers in natural settings, such as during recess
D.Looking for a discrepancy between the child's IQI Q and communication skills to determine
eligibility
A, D, E, Options (A), (D), and (E) are correct. The screening test's sensitivity is the proportion of
patients who aspirated and failed the screen (top cell in the first column) to the total of all
patients who aspirated on the VFSS (total of the first column); therefore, 45/50 = 0.9045 divided
by 50, equals 0.90. The screening test's specificity is the proportion of patients who did not
, aspirate and passed the screen (bottom cell in the second column) to the total of all patients
who did not aspirate on the VFSSV F S S (total of second column); therefore, 30/50 = 0.6030
divided by 50, equals 0.60. False negatives are patients who passed the screen who actually
aspirated on the VFSSV F S S (bottom cell of first column). - correct answer ✔✔A study is
conducted to determine how well a dysphagia screening test predicts aspiration that is later
confirmed with a videofluoroscopic swallow study (VFSSV F S S). The study results are presented
in the table below.
(Top left) Failed Screen/Aspiration: 45
(Bottom left) Passed Screen/Aspiration: 5
(Top right) Failed Screen/No Asp: 20
(Bottom right) Passed Screen/No Asp: 30
Which THREE of the following statements about this dysphagia screening test are true?
A.The screening test's sensitivity is 90%
B.The screening test's sensitivity is 69%
C.The screening test's specificity is 90%
D.The screening test's specificity is 60%
E.The number of false negatives was 5
F.The number of false negatives was 20
A, D - correct answer ✔✔A study is conducted to determine how well a dysphagia screening
test predicts aspiration that is later confirmed with a videofluoroscopic swallow study (VFSSV F S
S). The study results are presented in the table below.
(Top left) Failed Screen/Aspiration: 45
(Bottom left) Passed Screen/Aspiration: 5
(Top right) Failed Screen/No Asp: 20
questions and answers already
passed
B - correct answer ✔✔As part of a routine preschool screening, an SLP tests a 4 year old whose
speech is characterized by sound omissions, hypernasality, nasal emission, and weak
consonants. Which of the following would be most appropriately evaluated initially?
A.Oral-motor behavior
B.Velopharyngeal function
C.Laryngeal function
D.Phonological awareness
A - correct answer ✔✔Which of the following is the minimal contrast approach most
appropriately used to treat?
A.Phonological disorders
B.Dysphagia
C.Dysarthria
D.Global aphasia
A - correct answer ✔✔Alicia is a fourth-grade student with a language impairment that
interferes with her academic performance and social communication. On a standardized test of
expressive language ability, she received an overall score of 97.5, placing her in the 65th
percentile. Alicia's test result indicates that she
A.performed as well as or better than 65% of the individuals on whom the norms were
developed
B.responded correctly to 65% of the 150 items included in the expressive-language test
C.performed as well as or better than 65% of the other fourth graders who took the same test
,D.responded correctly to 97.5% of the test items, as did 65% of the other children taking the
test
A, C, D - correct answer ✔✔Which THREE of the following variables are considered risk factors
for late language emergence?
A.Male gender
B.Access to print material
C.Low socioeconomic status
D.Moderately low birth weight
E.Exposure to rich and varied vocabulary
D - correct answer ✔✔During a trip to the grocery store, a three-year-old boy with delayed
language points to an apple on the floor and says to his mother, "Apple." The boy's mother says,
"Yes, that's a big, shiny apple."
Based on the mother's response, which of the following language stimulation techniques is she
using?
A.Imitation
B.Parallel talk
C.Think aloud
D.Expansion
B - correct answer ✔✔An SLP works with a 4-year-old patient diagnosed with autism spectrum
disorder. The patient is nonverbal, does not have a functional communication system, and does
not follow simple directions. Which of the following communicative target goals is most
appropriate for the SLP to prioritize for the patient?
A.Matching identical pictures in an array of pictures
B.Requesting wants in any modality
C.Labeling of common items verbally
,D.Imitating a sequence of two actions
C, Option (C) is correct. Several studies using instrumental assessment have concluded that
some patients recover airway protection and swallow function within 24 hours of extubation
and others much later than 24 hours post-extubation following prolonged endotracheal
intubation, suggesting that a 24-hour "deferral time" benchmark is not particularly useful. -
correct answer ✔✔A 75-year-old patient with a history of chronic obstructive pulmonary
disease underwent a three-vessel coronary artery bypass graft surgery. The patient needed to
be intubated for three days following surgery. After extubation, the medical team requested a
swallow consultation to determine if it was safe for the patient to take oral medications and
initiate oral nutrition. Based on the patient's condition, which of the following assessment
procedures is most appropriate for an SLP to practice?
A.Administering a clinical bedside swallow evaluation and recommending an oral diet as there
were no clinical signs or symptoms of aspiration during the evaluation
B.Deferring the evaluation for 24 hours because the patient was just extubated to allow a
possible improvement in the patient's swallow function before evaluation
C.Completing a clinical bedside swallow evaluation to determine patient readiness for an
instrumental ev
C - correct answer ✔✔Which of the following procedures is most important for an SLP to
consider when assessing the social aspect of a school-age child's communication skills?
A.Collecting a language sample to assess narrative skills
B.Assessing expressive vocabulary used by the child on a picture vocabulary test
C.Observing the child interacting with peers in natural settings, such as during recess
D.Looking for a discrepancy between the child's IQI Q and communication skills to determine
eligibility
A, D, E, Options (A), (D), and (E) are correct. The screening test's sensitivity is the proportion of
patients who aspirated and failed the screen (top cell in the first column) to the total of all
patients who aspirated on the VFSS (total of the first column); therefore, 45/50 = 0.9045 divided
by 50, equals 0.90. The screening test's specificity is the proportion of patients who did not
, aspirate and passed the screen (bottom cell in the second column) to the total of all patients
who did not aspirate on the VFSSV F S S (total of second column); therefore, 30/50 = 0.6030
divided by 50, equals 0.60. False negatives are patients who passed the screen who actually
aspirated on the VFSSV F S S (bottom cell of first column). - correct answer ✔✔A study is
conducted to determine how well a dysphagia screening test predicts aspiration that is later
confirmed with a videofluoroscopic swallow study (VFSSV F S S). The study results are presented
in the table below.
(Top left) Failed Screen/Aspiration: 45
(Bottom left) Passed Screen/Aspiration: 5
(Top right) Failed Screen/No Asp: 20
(Bottom right) Passed Screen/No Asp: 30
Which THREE of the following statements about this dysphagia screening test are true?
A.The screening test's sensitivity is 90%
B.The screening test's sensitivity is 69%
C.The screening test's specificity is 90%
D.The screening test's specificity is 60%
E.The number of false negatives was 5
F.The number of false negatives was 20
A, D - correct answer ✔✔A study is conducted to determine how well a dysphagia screening
test predicts aspiration that is later confirmed with a videofluoroscopic swallow study (VFSSV F S
S). The study results are presented in the table below.
(Top left) Failed Screen/Aspiration: 45
(Bottom left) Passed Screen/Aspiration: 5
(Top right) Failed Screen/No Asp: 20
