Michigan Speech-Language Pathology
Advanced Exam Questions and Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. Which cranial nerve is primarily responsible for the movement of
the tongue?
a) Cranial Nerve V (Trigeminal)
b) Cranial Nerve VII (Facial)
c) Cranial Nerve XII (Hypoglossal)
d) Cranial Nerve X (Vigus)
The hypoglossal nerve (XII) controls intrinsic and extrinsic muscles
of the tongue, which are essential for articulation and swallowing.
2. Which type of aphasia is characterized by fluent speech with
paraphasias and poor comprehension?
a) Broca’s aphasia
b) Wernicke’s aphasia
c) Global aphasia
d) Conduction aphasia
Wernicke’s aphasia results in fluent but nonsensical speech and
impaired auditory comprehension, due to lesions in the posterior
superior temporal gyrus.
3. A patient demonstrates difficulty repeating words but has
relatively preserved comprehension and fluent speech. Which
, type of aphasia does this indicate?
a) Broca’s aphasia
b) Wernicke’s aphasia
c) Conduction aphasia
d) Global aphasia
Conduction aphasia typically arises from damage to the arcuate
fasciculus, causing impaired repetition with intact fluency and
comprehension.
4. Which assessment tool is commonly used to evaluate language
development in children?
a) Boston Naming Test
b) Clinical Evaluation of Language Fundamentals (CELF)
c) Functional Communication Profile
d) Western Aphasia Battery
The CELF assesses receptive and expressive language in children,
providing scores for language structure and content.
5. Dysarthria is best described as:
a) Impaired language comprehension
b) Loss of vocabulary
c) Motor speech disorder affecting articulation, phonation, and
respiration
d) Difficulty with word finding
Dysarthria results from neurological injury affecting the muscles
used for speech, leading to slurred or slow speech patterns.
6. The term “apraxia of speech” refers to:
a) Muscle weakness in speech
b) Impaired motor planning for speech movements
c) Cognitive-linguistic deficits
d) Sensory deficits in hearing
, Apraxia of speech involves difficulty planning and programming
the sequences of movements necessary for accurate articulation,
despite normal strength and comprehension.
7. Which structure is critical for coordinating voluntary motor
movements of the tongue and lips?
a) Cerebrum
b) Cerebellum
c) Brainstem
d) Hippocampus
The cerebellum regulates coordination, timing, and precision of
motor movements, including those required for articulation.
8. Which voice disorder is often associated with vocal fold nodules?
a) Spasmodic dysphonia
b) Laryngeal cancer
c) Hoarseness and breathy voice
d) Hypophonia
Vocal fold nodules, typically caused by chronic vocal misuse, result
in a rough, hoarse, or breathy quality due to incomplete glottal
closure.
9. In children, a persistent phonological disorder may impact:
a) Only reading skills
b) Speech intelligibility, literacy, and social communication
c) Motor planning exclusively
d) Hearing acuity
Phonological disorders affect patterns of sound production, which
can impact reading, spelling, and social interactions.
10. The term “echolalia” refers to:
a) Difficulty initiating speech
b) Slurred speech
Advanced Exam Questions and Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. Which cranial nerve is primarily responsible for the movement of
the tongue?
a) Cranial Nerve V (Trigeminal)
b) Cranial Nerve VII (Facial)
c) Cranial Nerve XII (Hypoglossal)
d) Cranial Nerve X (Vigus)
The hypoglossal nerve (XII) controls intrinsic and extrinsic muscles
of the tongue, which are essential for articulation and swallowing.
2. Which type of aphasia is characterized by fluent speech with
paraphasias and poor comprehension?
a) Broca’s aphasia
b) Wernicke’s aphasia
c) Global aphasia
d) Conduction aphasia
Wernicke’s aphasia results in fluent but nonsensical speech and
impaired auditory comprehension, due to lesions in the posterior
superior temporal gyrus.
3. A patient demonstrates difficulty repeating words but has
relatively preserved comprehension and fluent speech. Which
, type of aphasia does this indicate?
a) Broca’s aphasia
b) Wernicke’s aphasia
c) Conduction aphasia
d) Global aphasia
Conduction aphasia typically arises from damage to the arcuate
fasciculus, causing impaired repetition with intact fluency and
comprehension.
4. Which assessment tool is commonly used to evaluate language
development in children?
a) Boston Naming Test
b) Clinical Evaluation of Language Fundamentals (CELF)
c) Functional Communication Profile
d) Western Aphasia Battery
The CELF assesses receptive and expressive language in children,
providing scores for language structure and content.
5. Dysarthria is best described as:
a) Impaired language comprehension
b) Loss of vocabulary
c) Motor speech disorder affecting articulation, phonation, and
respiration
d) Difficulty with word finding
Dysarthria results from neurological injury affecting the muscles
used for speech, leading to slurred or slow speech patterns.
6. The term “apraxia of speech” refers to:
a) Muscle weakness in speech
b) Impaired motor planning for speech movements
c) Cognitive-linguistic deficits
d) Sensory deficits in hearing
, Apraxia of speech involves difficulty planning and programming
the sequences of movements necessary for accurate articulation,
despite normal strength and comprehension.
7. Which structure is critical for coordinating voluntary motor
movements of the tongue and lips?
a) Cerebrum
b) Cerebellum
c) Brainstem
d) Hippocampus
The cerebellum regulates coordination, timing, and precision of
motor movements, including those required for articulation.
8. Which voice disorder is often associated with vocal fold nodules?
a) Spasmodic dysphonia
b) Laryngeal cancer
c) Hoarseness and breathy voice
d) Hypophonia
Vocal fold nodules, typically caused by chronic vocal misuse, result
in a rough, hoarse, or breathy quality due to incomplete glottal
closure.
9. In children, a persistent phonological disorder may impact:
a) Only reading skills
b) Speech intelligibility, literacy, and social communication
c) Motor planning exclusively
d) Hearing acuity
Phonological disorders affect patterns of sound production, which
can impact reading, spelling, and social interactions.
10. The term “echolalia” refers to:
a) Difficulty initiating speech
b) Slurred speech
