Stimucase Kara Lynn Assessment (SLP) Study
Guide Comprehensive Speech-Language
Pathology Case Review
Exam Coverage Summary
This comprehensive examination covers all major domains of speech-language
pathology practice including: articulation and phonological disorders, fluency
disorders, voice disorders, swallowing and dysphagia, language disorders in
children and adults, cognitive-communication disorders, augmentative and
alternative communication, motor speech disorders including apraxia and
dysarthria, cleft palate and craniofacial anomalies, hearing and auditory
disorders, counseling principles, professional ethics and legal issues, assessment
and diagnostic procedures, treatment planning and intervention strategies,
evidence-based practice, cultural and linguistic diversity, anatomy and physiology
of speech and hearing mechanisms, neuroscience foundations, research
methodology and statistics, developmental milestones across the lifespan,
standardized and criterion-referenced assessment tools, interdisciplinary
collaboration, documentation and reimbursement practices, and AAC device
implementation. The examination emphasizes clinical reasoning, differential
diagnosis, scenario-based decision making, and application of theoretical
knowledge to real-world clinical situations across all practice settings including
schools, hospitals, rehabilitation facilities, and private practice.
1. Which of the following muscles is primarily responsible for adducting the vocal
folds during phonation?
A. Posterior cricoarytenoid
B. Cricothyroid
C. Lateral cricoarytenoid
D. Thyroarytenoid
✓ C. Lateral cricoarytenoid
,The lateral cricoarytenoid muscles rotate the arytenoid cartilages medially,
bringing the vocal folds together for phonation, while the posterior cricoarytenoid
abducts the vocal folds.
2. A 4-year-old child presents with difficulty producing /s/, /z/, /ʃ/, /ʒ/, /tʃ/, and /dʒ/.
Which phonological process is most likely responsible?
A. Gliding
B. Stopping
C. Fronting
D. Cluster reduction
✓ B. Stopping
Stopping involves substituting stop consonants for fricatives and affricates, which
is exactly what this child is demonstrating across multiple fricative and affricate
targets.
3. Which of the following cranial nerves innervates the muscles of mastication?
A. CN V
B. CN VII
C. CN IX
D. CN XII
✓ CN V
The trigeminal nerve (CN V) innervates the masseter, temporalis, and medial and
lateral pterygoid muscles, which are responsible for chewing and jaw movements.
4. A patient with a left hemisphere stroke presents with difficulty comprehending
spoken language but produces fluent, meaningless speech. Which diagnosis is most
consistent?
A. Broca's aphasia
B. Wernicke's aphasia
C. Conduction aphasia
D. Anomic aphasia
, ✓ B. Wernicke's aphasia
Wernicke's aphasia is characterized by fluent but meaningless speech with
significant comprehension deficits, typically resulting from damage to the superior
temporal gyrus.
5. An SLP is evaluating a bilingual Spanish-English speaking child. Which
approach best distinguishes a language disorder from language difference?
A. Testing only in English
B. Testing only in Spanish
C. Testing in both languages and comparing performance
D. Relying solely on parent report
✓ C. Testing in both languages and comparing performance
Comprehensive bilingual assessment requires testing in both languages to
determine if difficulties exist in both systems, which would suggest a disorder
rather than a difference.
6. What is the recommended maximum time for completing an initial evaluation
after receiving parental consent under IDEA?
A. 30 school days
B. 45 calendar days
C. 60 calendar days
D. 90 calendar days
✓ C. 60 calendar days
IDEA mandates that initial evaluations must be completed within 60 days of
receiving parental consent, though some states may have slightly different
timelines.
7. Which of the following swallowing maneuvers involves holding the breath
before and during the swallow to protect the airway?
, A. Mendelsohn maneuver
B. Supraglottic swallow
C. Effortful swallow
D. Chin tuck
✓ B. Supraglottic swallow
The supraglottic swallow requires the patient to take a breath, hold it, swallow, and
then cough to clear any residue, protecting the airway during the swallow.
8. A 72-year-old patient with Parkinson's disease presents with reduced loudness
and monotone speech. Which treatment approach is most appropriate?
A. Lee Silverman Voice Treatment
B. Melodic Intonation Therapy
C. Oral motor exercises
D. Respiratory muscle training
✓ Lee Silverman Voice Treatment
LSVT LOUD is specifically designed for patients with Parkinson's disease to
improve vocal loudness and reduce the monotone quality characteristic of
hypokinetic dysarthria.
9. Which formant frequency is most closely associated with tongue advancement in
vowel production?
A. F0
B. F1
C. F2
D. F3
✓ C. F2
The second formant (F2) frequency is inversely related to tongue advancement,
with higher F2 values indicating more anterior tongue placement and lower values
indicating more posterior placement.
Guide Comprehensive Speech-Language
Pathology Case Review
Exam Coverage Summary
This comprehensive examination covers all major domains of speech-language
pathology practice including: articulation and phonological disorders, fluency
disorders, voice disorders, swallowing and dysphagia, language disorders in
children and adults, cognitive-communication disorders, augmentative and
alternative communication, motor speech disorders including apraxia and
dysarthria, cleft palate and craniofacial anomalies, hearing and auditory
disorders, counseling principles, professional ethics and legal issues, assessment
and diagnostic procedures, treatment planning and intervention strategies,
evidence-based practice, cultural and linguistic diversity, anatomy and physiology
of speech and hearing mechanisms, neuroscience foundations, research
methodology and statistics, developmental milestones across the lifespan,
standardized and criterion-referenced assessment tools, interdisciplinary
collaboration, documentation and reimbursement practices, and AAC device
implementation. The examination emphasizes clinical reasoning, differential
diagnosis, scenario-based decision making, and application of theoretical
knowledge to real-world clinical situations across all practice settings including
schools, hospitals, rehabilitation facilities, and private practice.
1. Which of the following muscles is primarily responsible for adducting the vocal
folds during phonation?
A. Posterior cricoarytenoid
B. Cricothyroid
C. Lateral cricoarytenoid
D. Thyroarytenoid
✓ C. Lateral cricoarytenoid
,The lateral cricoarytenoid muscles rotate the arytenoid cartilages medially,
bringing the vocal folds together for phonation, while the posterior cricoarytenoid
abducts the vocal folds.
2. A 4-year-old child presents with difficulty producing /s/, /z/, /ʃ/, /ʒ/, /tʃ/, and /dʒ/.
Which phonological process is most likely responsible?
A. Gliding
B. Stopping
C. Fronting
D. Cluster reduction
✓ B. Stopping
Stopping involves substituting stop consonants for fricatives and affricates, which
is exactly what this child is demonstrating across multiple fricative and affricate
targets.
3. Which of the following cranial nerves innervates the muscles of mastication?
A. CN V
B. CN VII
C. CN IX
D. CN XII
✓ CN V
The trigeminal nerve (CN V) innervates the masseter, temporalis, and medial and
lateral pterygoid muscles, which are responsible for chewing and jaw movements.
4. A patient with a left hemisphere stroke presents with difficulty comprehending
spoken language but produces fluent, meaningless speech. Which diagnosis is most
consistent?
A. Broca's aphasia
B. Wernicke's aphasia
C. Conduction aphasia
D. Anomic aphasia
, ✓ B. Wernicke's aphasia
Wernicke's aphasia is characterized by fluent but meaningless speech with
significant comprehension deficits, typically resulting from damage to the superior
temporal gyrus.
5. An SLP is evaluating a bilingual Spanish-English speaking child. Which
approach best distinguishes a language disorder from language difference?
A. Testing only in English
B. Testing only in Spanish
C. Testing in both languages and comparing performance
D. Relying solely on parent report
✓ C. Testing in both languages and comparing performance
Comprehensive bilingual assessment requires testing in both languages to
determine if difficulties exist in both systems, which would suggest a disorder
rather than a difference.
6. What is the recommended maximum time for completing an initial evaluation
after receiving parental consent under IDEA?
A. 30 school days
B. 45 calendar days
C. 60 calendar days
D. 90 calendar days
✓ C. 60 calendar days
IDEA mandates that initial evaluations must be completed within 60 days of
receiving parental consent, though some states may have slightly different
timelines.
7. Which of the following swallowing maneuvers involves holding the breath
before and during the swallow to protect the airway?
, A. Mendelsohn maneuver
B. Supraglottic swallow
C. Effortful swallow
D. Chin tuck
✓ B. Supraglottic swallow
The supraglottic swallow requires the patient to take a breath, hold it, swallow, and
then cough to clear any residue, protecting the airway during the swallow.
8. A 72-year-old patient with Parkinson's disease presents with reduced loudness
and monotone speech. Which treatment approach is most appropriate?
A. Lee Silverman Voice Treatment
B. Melodic Intonation Therapy
C. Oral motor exercises
D. Respiratory muscle training
✓ Lee Silverman Voice Treatment
LSVT LOUD is specifically designed for patients with Parkinson's disease to
improve vocal loudness and reduce the monotone quality characteristic of
hypokinetic dysarthria.
9. Which formant frequency is most closely associated with tongue advancement in
vowel production?
A. F0
B. F1
C. F2
D. F3
✓ C. F2
The second formant (F2) frequency is inversely related to tongue advancement,
with higher F2 values indicating more anterior tongue placement and lower values
indicating more posterior placement.
