Texas Speech-Language Pathologist Licensing
Exam Test Questions And Correct Answers
(Verified Answers) Plus Rationales 2025/2026
Q&A | Instant Download Pdf
1. Which cranial nerve is primarily responsible for articulation of speech?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve XII
D. Cranial nerve IX
Rationale: Cranial nerve XII (hypoglossal) innervates the muscles of the
tongue, which are critical for articulation.
2. A patient with Broca’s aphasia will most likely present with:
A. Fluent speech with paraphasias
B. Nonfluent, effortful speech with good comprehension
C. Severe comprehension deficits
D. Normal speech
Rationale: Broca’s aphasia is characterized by nonfluent, effortful speech
but relatively intact comprehension.
3. The most common type of hearing loss in adults is:
A. Conductive
, B. Mixed
C. Sensorineural
D. Central
Rationale: Sensorineural hearing loss is the most common in adults, often
due to age-related changes or noise exposure.
4. Which standardized test is commonly used to assess expressive and
receptive language in children?
A. CELF-5
B. PLS-5
C. GFTA-3
D. TOWRE-2
Rationale: The PLS-5 (Preschool Language Scale, Fifth Edition) assesses
both expressive and receptive language in children.
5. Which of the following is a hallmark characteristic of stuttering?
A. Phonemic substitutions
B. Repetitions, prolongations, and blocks
C. Reduced comprehension
D. Hypernasality
Rationale: Stuttering is defined by involuntary repetitions, prolongations,
and blocks in speech.
6. Apraxia of speech is most often caused by damage to:
A. Wernicke’s area
B. Left inferior frontal gyrus / Broca’s area
C. Cerebellum
, D. Auditory cortex
Rationale: Apraxia of speech is typically caused by damage to motor
planning areas in the left hemisphere, including Broca’s area.
7. Which voice disorder is characterized by a harsh, breathy voice with vocal
fatigue?
A. Spasmodic dysphonia
B. Vocal nodules
C. Laryngeal cancer
D. Paradoxical vocal fold motion
Rationale: Vocal nodules cause a breathy, hoarse, and fatigued voice due
to chronic vocal misuse.
8. Which of the following assessments evaluates articulation in children?
A. CELF-5
B. GFTA-3
C. PLS-5
D. TNL
Rationale: The GFTA-3 (Goldman-Fristoe Test of Articulation, Third
Edition) is specifically designed for articulation assessment.
9. A child substitutes /w/ for /r/ in all positions. This is an example of:
A. Stopping
B. Fronting
C. Gliding
D. Cluster reduction
, Rationale: Gliding occurs when liquids like /r/ and /l/ are replaced by
glides such as /w/ or /j/.
10.Which of the following is a primary function of the Eustachian tube in
speech and hearing?
A. Amplify sound
B. Equalize middle ear pressure
C. Transmit neural signals
D. Protect cochlea from loud noises
Rationale: The Eustachian tube equalizes pressure in the middle ear,
which is essential for normal hearing.
11.Dysphagia therapy often focuses on:
A. Improving comprehension
B. Strengthening swallowing muscles
C. Enhancing vocabulary
D. Correcting articulation errors
Rationale: Dysphagia therapy aims to improve the strength and
coordination of swallowing muscles.
12.Which type of aphasia typically involves fluent speech but impaired
comprehension?
A. Broca’s
B. Global
C. Wernicke’s
D. Anomic
Exam Test Questions And Correct Answers
(Verified Answers) Plus Rationales 2025/2026
Q&A | Instant Download Pdf
1. Which cranial nerve is primarily responsible for articulation of speech?
A. Cranial nerve V
B. Cranial nerve VII
C. Cranial nerve XII
D. Cranial nerve IX
Rationale: Cranial nerve XII (hypoglossal) innervates the muscles of the
tongue, which are critical for articulation.
2. A patient with Broca’s aphasia will most likely present with:
A. Fluent speech with paraphasias
B. Nonfluent, effortful speech with good comprehension
C. Severe comprehension deficits
D. Normal speech
Rationale: Broca’s aphasia is characterized by nonfluent, effortful speech
but relatively intact comprehension.
3. The most common type of hearing loss in adults is:
A. Conductive
, B. Mixed
C. Sensorineural
D. Central
Rationale: Sensorineural hearing loss is the most common in adults, often
due to age-related changes or noise exposure.
4. Which standardized test is commonly used to assess expressive and
receptive language in children?
A. CELF-5
B. PLS-5
C. GFTA-3
D. TOWRE-2
Rationale: The PLS-5 (Preschool Language Scale, Fifth Edition) assesses
both expressive and receptive language in children.
5. Which of the following is a hallmark characteristic of stuttering?
A. Phonemic substitutions
B. Repetitions, prolongations, and blocks
C. Reduced comprehension
D. Hypernasality
Rationale: Stuttering is defined by involuntary repetitions, prolongations,
and blocks in speech.
6. Apraxia of speech is most often caused by damage to:
A. Wernicke’s area
B. Left inferior frontal gyrus / Broca’s area
C. Cerebellum
, D. Auditory cortex
Rationale: Apraxia of speech is typically caused by damage to motor
planning areas in the left hemisphere, including Broca’s area.
7. Which voice disorder is characterized by a harsh, breathy voice with vocal
fatigue?
A. Spasmodic dysphonia
B. Vocal nodules
C. Laryngeal cancer
D. Paradoxical vocal fold motion
Rationale: Vocal nodules cause a breathy, hoarse, and fatigued voice due
to chronic vocal misuse.
8. Which of the following assessments evaluates articulation in children?
A. CELF-5
B. GFTA-3
C. PLS-5
D. TNL
Rationale: The GFTA-3 (Goldman-Fristoe Test of Articulation, Third
Edition) is specifically designed for articulation assessment.
9. A child substitutes /w/ for /r/ in all positions. This is an example of:
A. Stopping
B. Fronting
C. Gliding
D. Cluster reduction
, Rationale: Gliding occurs when liquids like /r/ and /l/ are replaced by
glides such as /w/ or /j/.
10.Which of the following is a primary function of the Eustachian tube in
speech and hearing?
A. Amplify sound
B. Equalize middle ear pressure
C. Transmit neural signals
D. Protect cochlea from loud noises
Rationale: The Eustachian tube equalizes pressure in the middle ear,
which is essential for normal hearing.
11.Dysphagia therapy often focuses on:
A. Improving comprehension
B. Strengthening swallowing muscles
C. Enhancing vocabulary
D. Correcting articulation errors
Rationale: Dysphagia therapy aims to improve the strength and
coordination of swallowing muscles.
12.Which type of aphasia typically involves fluent speech but impaired
comprehension?
A. Broca’s
B. Global
C. Wernicke’s
D. Anomic
