SLP ETS PRACTICE TEST FORM 3
An SLP engages in interprofessional practice in a large health care center and works
with a neurologic rehabilitation team to treat a patient who is status post left-hemisphere
stroke. The SLP's primary focus on the team is to
A.lead the interdisciplinary team to improve patient care
B.reduce costs and the number of professionals working at the site
C.obtain licenses in multiple areas of practice to engage in a range of services
D.improve the patient experience and outcome of care at the site - Answers :Option (D)
is correct. The primary goal of interprofessional practice is to improve patient care.
Which of the following nerves provides efferent innervation to the stylopharyngeus
muscle and contributes toward the elevation of the pharynx and the larynx?
A.The trigeminal
B.The hypoglossal
C.The vagus
D.The glossopharyngeal - Answers :Option (D) is correct. The functions described are
controlled by cranial nerve IX9, the glossopharyngeal.
A patient presents to a speech-language pathologist with voice changes. After
completing a patient assessment, the SLP notes that the patient's vocal quality and
function indicate the possibility of a superior laryngeal nerve injury. Which of the
following presentations is most consistent with this impression?
A.Inspiratory stridor
B.Hypernasal resonance
C.Complete aphonia
D.Reduced pitch range - Answers :Option (D) is correct. The superior laryngeal nerve
controls the cricoarytenoid muscles, which lengthen the vocal folds for pitch elevation.
Injury to this nerve can result in reduced pitch range, particularly in the higher frequency
range.
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 (sEMG) 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 -
Answers :Option (C) is correct. 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.
Which of the following procedures best establishes whether velopharyngeal dysfunction
causing hypernasality is present in a patient with flaccid dysarthria?
A.A nasopharyngoscopy
B.A videofluoroscopic swallow study
C.A laryngoscopy
D.A manometry - Answers :Option (A) is correct. Nasopharyngoscopy is the only
procedure that allows visualization of the velopharyngeal port during speech.
A school district does not use a standard therapy log for SLP services. An SLP who
works for the district develops a form to document therapy services provided. Which
THREE of the following are key to include on the form to document the provision of
speech and language IEP services?
A.The date a student's IEP was established
B.Student performance during the therapy session
C.Names of other students in the group
D.Types of services provided within a therapy session
E.Signature from the SLP verifying delivery of services - Answers :Options (B), (D), and
(E) are correct. Information on student performance is important data and helps to track
progress, listing the types of services indicates what was provided, and the SLP's
signature documents who provided the service.
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. - Answers :Option (C) is correct. 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.
, 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 - Answers :Option (C) is correct. 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.
A 55-year-old female presents for a speech evaluation because of concerns with recent
changes in the clarity of her speech. She has also noticed occasional coughing when
drinking, and her friends have commented that her voice sounds different. A recent visit
to her primary care doctor could not determine the cause of her speech changes or
coughing. Select the THREE most important factors for the SLP to explore during the
patient interview.
A.Difficulties with hearing, vision, and fine or gross motor skills
B.History of a psychological or psychiatric disorder
C.Employment history and current stressors in her life
D.Onset and duration of her speech changes
E.Consistency of the symptoms - Answers :Options (A), (D), and (E) are correct. This
patient scenario is strongly suggestive of a late-onset or acquired neurological disorder
based on the combination of speech changes across multiple subsystems and
swallowing problems. In this case, the most important information for the SLP to obtain
includes whether changes in other motor skills and vision and hearing accompany the
changes in the duration, onset, course, and consistency of the changes in swallowing,
voice, and resonance. This would help the SLP determine the most important
procedures to include in the evaluation and referrals regarding the etiology of the
symptoms.
An aphasia evaluation of a 68-year-old retired woman reveals utterances of one to two
words, no apraxia of speech, and relatively good comprehension. When the patient
makes production errors, they are typically semantic errors and she attempts to correct
them, often with success. Her goal is to use more words to convey ideas using
complete sentences. She is active and wants to communicate in various settings, such
as at her volunteer job, with her family, and when traveling. Which of the following
treatments best prioritizes the patient's language needs and personal goals?
A.Providing a script for the patient to recite that allows her to tell people about her
stroke
B.Starting Verb Network Strengthening Treatment (VNeST) to increase word retrieval in
untrained discourse
C.Engaging the patient in semantic feature analysis (SFA) to teach her self-cuing
techniques and aid with word retrieval
An SLP engages in interprofessional practice in a large health care center and works
with a neurologic rehabilitation team to treat a patient who is status post left-hemisphere
stroke. The SLP's primary focus on the team is to
A.lead the interdisciplinary team to improve patient care
B.reduce costs and the number of professionals working at the site
C.obtain licenses in multiple areas of practice to engage in a range of services
D.improve the patient experience and outcome of care at the site - Answers :Option (D)
is correct. The primary goal of interprofessional practice is to improve patient care.
Which of the following nerves provides efferent innervation to the stylopharyngeus
muscle and contributes toward the elevation of the pharynx and the larynx?
A.The trigeminal
B.The hypoglossal
C.The vagus
D.The glossopharyngeal - Answers :Option (D) is correct. The functions described are
controlled by cranial nerve IX9, the glossopharyngeal.
A patient presents to a speech-language pathologist with voice changes. After
completing a patient assessment, the SLP notes that the patient's vocal quality and
function indicate the possibility of a superior laryngeal nerve injury. Which of the
following presentations is most consistent with this impression?
A.Inspiratory stridor
B.Hypernasal resonance
C.Complete aphonia
D.Reduced pitch range - Answers :Option (D) is correct. The superior laryngeal nerve
controls the cricoarytenoid muscles, which lengthen the vocal folds for pitch elevation.
Injury to this nerve can result in reduced pitch range, particularly in the higher frequency
range.
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 (sEMG) 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 -
Answers :Option (C) is correct. 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.
Which of the following procedures best establishes whether velopharyngeal dysfunction
causing hypernasality is present in a patient with flaccid dysarthria?
A.A nasopharyngoscopy
B.A videofluoroscopic swallow study
C.A laryngoscopy
D.A manometry - Answers :Option (A) is correct. Nasopharyngoscopy is the only
procedure that allows visualization of the velopharyngeal port during speech.
A school district does not use a standard therapy log for SLP services. An SLP who
works for the district develops a form to document therapy services provided. Which
THREE of the following are key to include on the form to document the provision of
speech and language IEP services?
A.The date a student's IEP was established
B.Student performance during the therapy session
C.Names of other students in the group
D.Types of services provided within a therapy session
E.Signature from the SLP verifying delivery of services - Answers :Options (B), (D), and
(E) are correct. Information on student performance is important data and helps to track
progress, listing the types of services indicates what was provided, and the SLP's
signature documents who provided the service.
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. - Answers :Option (C) is correct. 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.
, 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 - Answers :Option (C) is correct. 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.
A 55-year-old female presents for a speech evaluation because of concerns with recent
changes in the clarity of her speech. She has also noticed occasional coughing when
drinking, and her friends have commented that her voice sounds different. A recent visit
to her primary care doctor could not determine the cause of her speech changes or
coughing. Select the THREE most important factors for the SLP to explore during the
patient interview.
A.Difficulties with hearing, vision, and fine or gross motor skills
B.History of a psychological or psychiatric disorder
C.Employment history and current stressors in her life
D.Onset and duration of her speech changes
E.Consistency of the symptoms - Answers :Options (A), (D), and (E) are correct. This
patient scenario is strongly suggestive of a late-onset or acquired neurological disorder
based on the combination of speech changes across multiple subsystems and
swallowing problems. In this case, the most important information for the SLP to obtain
includes whether changes in other motor skills and vision and hearing accompany the
changes in the duration, onset, course, and consistency of the changes in swallowing,
voice, and resonance. This would help the SLP determine the most important
procedures to include in the evaluation and referrals regarding the etiology of the
symptoms.
An aphasia evaluation of a 68-year-old retired woman reveals utterances of one to two
words, no apraxia of speech, and relatively good comprehension. When the patient
makes production errors, they are typically semantic errors and she attempts to correct
them, often with success. Her goal is to use more words to convey ideas using
complete sentences. She is active and wants to communicate in various settings, such
as at her volunteer job, with her family, and when traveling. Which of the following
treatments best prioritizes the patient's language needs and personal goals?
A.Providing a script for the patient to recite that allows her to tell people about her
stroke
B.Starting Verb Network Strengthening Treatment (VNeST) to increase word retrieval in
untrained discourse
C.Engaging the patient in semantic feature analysis (SFA) to teach her self-cuing
techniques and aid with word retrieval
