SPEECH LANGUAGE PATHOLOGY (SLP)
Praxis Exam Version 1 Questions and Answers
100% Correct Graded A+ 2025
QUESTION
Kimberly, a patient who suffered a brain stem stroke and has had a fairly successful recovery,
complained of food sticking in her throat and needing to swallow two to three times to clear
liquid and solid boluses. She underwent a videofluoroscopic swallowing study that showed a
limited duration of upper esophageal sphincter opening. The SLP decides to employ an
intervention plan that includes the Mendelsohn maneuver. Which of the following strategies is
most likely to be effective in accomplishing this goal?
A. Completing a fiberoptic endoscopic evaluation of swallowing (FEES) to determine if the
patient is performing the maneuver properly
B. Performing cervical auscultation (CA) to quantify improved swallowing with the maneuver
C. Using submental surface electromyography (sEMGs) as biofeedback during attempts to
perform the maneuver
D. Teaching the patient to use palpation of her neck and a mirror to help her master the
Answer:
(C)
Rationale:
. Submental surface EMG has been shown to improve acquisition of the Mendelsohn maneuver
in some people though the maneuver itself is very difficult to learn.
QUESTION
Which of the following statements accurately describes state licensure requirements that must
be met for an SLP to legally provide services via telepractice within the state or across state
lines?
A. An SLP is required to hold a specialty certification to provide services via telepractice
because this service delivery method requires additional skills.
B. No state licensure requirements apply to individual SLPs providing services via telepractice,
as long as their employers can obtain reimbursement.
C. The SLP should check with all relevant state licensure boards before delivering telepractice
services.
D. As long as the SLP has the ASHA Certificate of Clinical Competence and is licensed in the
SLP's state of residence, the SLP can legally provide services via telepractice anywhere.
,Answer:
(C)
Rationale:
. States differ on licensure rules regarding telepractice at this time, and failing to know the
relevant regulations is not an excuse for practicing without a license.
QUESTION
An evaluation is performed on a 5 year old with frequent hoarseness. Which of the following
measures is primarily included in the endoscopic examination?
A. Amplitude perturbation
B. Laryngeal visualization
C. Laryngeal airway resistance
D. Perceptual judgment
Answer:
(B)
Rationale:
. Observing the larynx is part of an endoscopic examination.
QUESTION
According to literature on men's and women's voices, the prevalence of benign vocal fold
lesions in women can best be explained by differences in
A. daily dairy consumption
B. speaking duration
C. rates of vocal fold vibration
D. neck circumference
Answer:
(C)
Rationale:
. The increased fundamental frequency of most female voices results in an increased number of
glottal contacts during a fixed period of voice use. This increased number of contacts is thought
to increase the risk of development of benign vocal fold lesions.
QUESTION
, A child has been demonstrating significant progress in producing the targeted responses in the
therapy room; however, observation in the classroom indicates little mastery of the targeted
responses. Which of the following would be the most appropriate revision to the treatment plan?
A. Delivering treatment in the classroom
B. Increasing the frequency of treatment in the therapy room
C. Increasing the duration of treatment in the therapy room
D. Changing the IEP goals
Answer:
(A)
Rationale:
. The child's treatment plan should now focus on generalizing the production of the targeted
responses outside of the therapy room. Generalization of the targeted response must be
systematic with implementation of classroom-based intervention; this revision to the therapy
plan represents an integration of therapy services.
QUESTION
During videofluoroscopic evaluation of an adult patient, the SLP notices material in both
pyriform sinuses after the patient swallows. Upon review, the SLP sees that both pyriform
sinuses clear during the pharyngeal swallow but then refill quickly as the structures return to rest.
Which of the following statements best explains this observation?
A. Pharyngeal stripping was not adequate to fully clear the pyriform sinuses, so there was
material in the pyriform sinuses after each swallow.
B. The patient had small pharyngeal pouches (pharyngoceles) that filled with barium during the
swallow and then emptied into the pyriform sinuses after each swallow.
C. Hyolaryngeal elevation was not sufficient, leaving material in the pyriform sinuses after each
swallow.
D. The patient had a tracheoesophageal fistula, and contrast was deposited in the pyriform
sinuses after each swallow.
Answer:
(B)
Rationale:
. Pharyngoceles emptying into the sinuses after each swallow could be diagnosed by analyzing
slow-motion videofluoroscopic images.
QUESTION
A child with developmental apraxia of speech is not making progress in a school setting. The
parents wish to schedule additional therapy. An SLP in a local clinic evaluates and determines
, that a more individualized treatment plan is warranted. Which of the following actions is most
Praxis Exam Version 1 Questions and Answers
100% Correct Graded A+ 2025
QUESTION
Kimberly, a patient who suffered a brain stem stroke and has had a fairly successful recovery,
complained of food sticking in her throat and needing to swallow two to three times to clear
liquid and solid boluses. She underwent a videofluoroscopic swallowing study that showed a
limited duration of upper esophageal sphincter opening. The SLP decides to employ an
intervention plan that includes the Mendelsohn maneuver. Which of the following strategies is
most likely to be effective in accomplishing this goal?
A. Completing a fiberoptic endoscopic evaluation of swallowing (FEES) to determine if the
patient is performing the maneuver properly
B. Performing cervical auscultation (CA) to quantify improved swallowing with the maneuver
C. Using submental surface electromyography (sEMGs) as biofeedback during attempts to
perform the maneuver
D. Teaching the patient to use palpation of her neck and a mirror to help her master the
Answer:
(C)
Rationale:
. Submental surface EMG has been shown to improve acquisition of the Mendelsohn maneuver
in some people though the maneuver itself is very difficult to learn.
QUESTION
Which of the following statements accurately describes state licensure requirements that must
be met for an SLP to legally provide services via telepractice within the state or across state
lines?
A. An SLP is required to hold a specialty certification to provide services via telepractice
because this service delivery method requires additional skills.
B. No state licensure requirements apply to individual SLPs providing services via telepractice,
as long as their employers can obtain reimbursement.
C. The SLP should check with all relevant state licensure boards before delivering telepractice
services.
D. As long as the SLP has the ASHA Certificate of Clinical Competence and is licensed in the
SLP's state of residence, the SLP can legally provide services via telepractice anywhere.
,Answer:
(C)
Rationale:
. States differ on licensure rules regarding telepractice at this time, and failing to know the
relevant regulations is not an excuse for practicing without a license.
QUESTION
An evaluation is performed on a 5 year old with frequent hoarseness. Which of the following
measures is primarily included in the endoscopic examination?
A. Amplitude perturbation
B. Laryngeal visualization
C. Laryngeal airway resistance
D. Perceptual judgment
Answer:
(B)
Rationale:
. Observing the larynx is part of an endoscopic examination.
QUESTION
According to literature on men's and women's voices, the prevalence of benign vocal fold
lesions in women can best be explained by differences in
A. daily dairy consumption
B. speaking duration
C. rates of vocal fold vibration
D. neck circumference
Answer:
(C)
Rationale:
. The increased fundamental frequency of most female voices results in an increased number of
glottal contacts during a fixed period of voice use. This increased number of contacts is thought
to increase the risk of development of benign vocal fold lesions.
QUESTION
, A child has been demonstrating significant progress in producing the targeted responses in the
therapy room; however, observation in the classroom indicates little mastery of the targeted
responses. Which of the following would be the most appropriate revision to the treatment plan?
A. Delivering treatment in the classroom
B. Increasing the frequency of treatment in the therapy room
C. Increasing the duration of treatment in the therapy room
D. Changing the IEP goals
Answer:
(A)
Rationale:
. The child's treatment plan should now focus on generalizing the production of the targeted
responses outside of the therapy room. Generalization of the targeted response must be
systematic with implementation of classroom-based intervention; this revision to the therapy
plan represents an integration of therapy services.
QUESTION
During videofluoroscopic evaluation of an adult patient, the SLP notices material in both
pyriform sinuses after the patient swallows. Upon review, the SLP sees that both pyriform
sinuses clear during the pharyngeal swallow but then refill quickly as the structures return to rest.
Which of the following statements best explains this observation?
A. Pharyngeal stripping was not adequate to fully clear the pyriform sinuses, so there was
material in the pyriform sinuses after each swallow.
B. The patient had small pharyngeal pouches (pharyngoceles) that filled with barium during the
swallow and then emptied into the pyriform sinuses after each swallow.
C. Hyolaryngeal elevation was not sufficient, leaving material in the pyriform sinuses after each
swallow.
D. The patient had a tracheoesophageal fistula, and contrast was deposited in the pyriform
sinuses after each swallow.
Answer:
(B)
Rationale:
. Pharyngoceles emptying into the sinuses after each swallow could be diagnosed by analyzing
slow-motion videofluoroscopic images.
QUESTION
A child with developmental apraxia of speech is not making progress in a school setting. The
parents wish to schedule additional therapy. An SLP in a local clinic evaluates and determines
, that a more individualized treatment plan is warranted. Which of the following actions is most
