TEXAS SPEECH LANGUAGE PATHOLOGIST
LICENSING EXAM WITH ANSWERS
ALREADY VERIFIED BY EXPERTS WITH
RATIONALE INSTANT DOWNLOAD
1. A speech-language pathologist evaluates a 4-year-old child who
produces /w/ for /r/, saying “wabbit” for “rabbit.” The child’s
overall intelligibility is good, and there are no structural
abnormalities. What is the most appropriate interpretation?
A. The child demonstrates a phonological disorder requiring immediate
intensive therapy
B. The child demonstrates a typical developmental articulation pattern
C. The child demonstrates dysarthria
D. The child demonstrates childhood apraxia of speech
Answer: B. The child demonstrates a typical developmental
articulation pattern
Rationale: /w/ for /r/ is a common developmental substitution because
/r/ is one of the later-acquired sounds. If intelligibility is functional
and no other errors exist, therapy may not be indicated. Dysarthria
involves motor execution problems, and apraxia involves motor
planning deficits.
2. Under Texas licensure requirements, a speech-language
pathologist must primarily demonstrate competency in:
A. Only clinical assessment procedures
B. Independent diagnosis of all medical conditions
C. Evaluation, diagnosis, and treatment of communication and
1
,swallowing disorders
D. Prescription of medication for speech disorders
Answer: C. Evaluation, diagnosis, and treatment of communication
and swallowing disorders
Rationale: Speech-language pathologists are trained professionals
responsible for evaluating, diagnosing, and treating communication
and swallowing disorders. They do not prescribe medications or
independently diagnose medical diseases.
3. A patient with Broca’s aphasia most likely presents with:
A. Fluent speech with poor comprehension
B. Nonfluent speech with relatively preserved comprehension
C. Normal speech with impaired swallowing only
D. Echolalia with excessive verbal output
Answer: B. Nonfluent speech with relatively preserved
comprehension
Rationale: Broca’s aphasia is a nonfluent expressive aphasia caused
by damage to the left frontal lobe. Patients typically have effortful
speech but relatively intact comprehension.
4. Which assessment is commonly used to evaluate language abilities
in children?
A. Goldman-Fristoe Test of Articulation
B. Clinical Evaluation of Language Fundamentals (CELF)
C. Pure-tone audiometry
D. Modified Barium Swallow Study
Answer: B. Clinical Evaluation of Language Fundamentals (CELF)
2
,Rationale: The CELF evaluates receptive and expressive language
skills. Goldman-Fristoe evaluates articulation, audiometry evaluates
hearing, and modified barium swallow evaluates swallowing
physiology.
5. A child who understands language but has difficulty expressing
thoughts verbally most likely demonstrates:
A. Expressive language disorder
B. Receptive language disorder
C. Hearing loss
D. Fluency disorder
Answer: A. Expressive language disorder
Rationale: Expressive language disorders involve difficulty producing
language, including vocabulary, grammar, and sentence formulation,
while comprehension may remain intact.
6. The primary purpose of a Modified Barium Swallow Study
(MBSS) is to:
A. Measure hearing sensitivity
B. Evaluate swallowing physiology using imaging
C. Diagnose articulation disorders
D. Assess cognitive intelligence
Answer: B. Evaluate swallowing physiology using imaging
Rationale: MBSS uses fluoroscopy to visualize oral, pharyngeal, and
upper esophageal swallowing phases and identify aspiration risks.
3
, 7. A patient who produces distorted speech after a stroke but has
intact language abilities most likely has:
A. Aphasia
B. Dysarthria
C. Cognitive communication disorder
D. Apraxia
Answer: B. Dysarthria
Rationale: Dysarthria is a motor speech disorder caused by weakness
or impaired coordination of speech muscles. Language formulation
remains intact.
8. Childhood apraxia of speech is primarily caused by impairment
in:
A. Muscle strength
B. Hearing sensitivity
C. Motor planning and programming
D. Vocabulary development
Answer: C. Motor planning and programming
Rationale: CAS involves difficulty planning and sequencing voluntary
speech movements despite adequate muscle strength.
9. A patient with unilateral upper motor neuron dysarthria typically
demonstrates:
A. Slow, strained speech with imprecise articulation
B. Complete inability to understand language
C. Excessive nasal airflow due to cleft palate
D. Fluent but meaningless speech
4
LICENSING EXAM WITH ANSWERS
ALREADY VERIFIED BY EXPERTS WITH
RATIONALE INSTANT DOWNLOAD
1. A speech-language pathologist evaluates a 4-year-old child who
produces /w/ for /r/, saying “wabbit” for “rabbit.” The child’s
overall intelligibility is good, and there are no structural
abnormalities. What is the most appropriate interpretation?
A. The child demonstrates a phonological disorder requiring immediate
intensive therapy
B. The child demonstrates a typical developmental articulation pattern
C. The child demonstrates dysarthria
D. The child demonstrates childhood apraxia of speech
Answer: B. The child demonstrates a typical developmental
articulation pattern
Rationale: /w/ for /r/ is a common developmental substitution because
/r/ is one of the later-acquired sounds. If intelligibility is functional
and no other errors exist, therapy may not be indicated. Dysarthria
involves motor execution problems, and apraxia involves motor
planning deficits.
2. Under Texas licensure requirements, a speech-language
pathologist must primarily demonstrate competency in:
A. Only clinical assessment procedures
B. Independent diagnosis of all medical conditions
C. Evaluation, diagnosis, and treatment of communication and
1
,swallowing disorders
D. Prescription of medication for speech disorders
Answer: C. Evaluation, diagnosis, and treatment of communication
and swallowing disorders
Rationale: Speech-language pathologists are trained professionals
responsible for evaluating, diagnosing, and treating communication
and swallowing disorders. They do not prescribe medications or
independently diagnose medical diseases.
3. A patient with Broca’s aphasia most likely presents with:
A. Fluent speech with poor comprehension
B. Nonfluent speech with relatively preserved comprehension
C. Normal speech with impaired swallowing only
D. Echolalia with excessive verbal output
Answer: B. Nonfluent speech with relatively preserved
comprehension
Rationale: Broca’s aphasia is a nonfluent expressive aphasia caused
by damage to the left frontal lobe. Patients typically have effortful
speech but relatively intact comprehension.
4. Which assessment is commonly used to evaluate language abilities
in children?
A. Goldman-Fristoe Test of Articulation
B. Clinical Evaluation of Language Fundamentals (CELF)
C. Pure-tone audiometry
D. Modified Barium Swallow Study
Answer: B. Clinical Evaluation of Language Fundamentals (CELF)
2
,Rationale: The CELF evaluates receptive and expressive language
skills. Goldman-Fristoe evaluates articulation, audiometry evaluates
hearing, and modified barium swallow evaluates swallowing
physiology.
5. A child who understands language but has difficulty expressing
thoughts verbally most likely demonstrates:
A. Expressive language disorder
B. Receptive language disorder
C. Hearing loss
D. Fluency disorder
Answer: A. Expressive language disorder
Rationale: Expressive language disorders involve difficulty producing
language, including vocabulary, grammar, and sentence formulation,
while comprehension may remain intact.
6. The primary purpose of a Modified Barium Swallow Study
(MBSS) is to:
A. Measure hearing sensitivity
B. Evaluate swallowing physiology using imaging
C. Diagnose articulation disorders
D. Assess cognitive intelligence
Answer: B. Evaluate swallowing physiology using imaging
Rationale: MBSS uses fluoroscopy to visualize oral, pharyngeal, and
upper esophageal swallowing phases and identify aspiration risks.
3
, 7. A patient who produces distorted speech after a stroke but has
intact language abilities most likely has:
A. Aphasia
B. Dysarthria
C. Cognitive communication disorder
D. Apraxia
Answer: B. Dysarthria
Rationale: Dysarthria is a motor speech disorder caused by weakness
or impaired coordination of speech muscles. Language formulation
remains intact.
8. Childhood apraxia of speech is primarily caused by impairment
in:
A. Muscle strength
B. Hearing sensitivity
C. Motor planning and programming
D. Vocabulary development
Answer: C. Motor planning and programming
Rationale: CAS involves difficulty planning and sequencing voluntary
speech movements despite adequate muscle strength.
9. A patient with unilateral upper motor neuron dysarthria typically
demonstrates:
A. Slow, strained speech with imprecise articulation
B. Complete inability to understand language
C. Excessive nasal airflow due to cleft palate
D. Fluent but meaningless speech
4
