An SLPS L P conducts a videofluoroscopic swallowing study (VFSSV F S S) for a
patient referred for suspected dysphagia secondary to stroke. The SLPS L P finds that
the patient has dysphagia characterized by delayed onset of the pharyngeal
response, limited lingual retraction, limited oropharyngeal propulsion, and the need
to swallow two or more times to clear boluses. Some aspiration of hypopharyngeal
residue occurs after the swallow from the pyriform sinuses. During the VFSSV F S S,
several compensatory maneuvers (chin-down posture) were attempted to test their
efficacy. The SLPS L P is developing a treatment plan to eliminate aspiration and to
improve lingual strength, retraction, and oropharyngeal propulsion through a
combined strategy using compensatory and restorative maneuvers, including a
progressive resistive exercise program of isometric tongue-press exercises using an
instrument that measures the pressure o
Give this one a try later!
, The correct order is (2), (4), (1), (3) (BDAC). The above scenario is not
specific to tonguepress exercises. It uses tongue-press exercises as a
method of treatment to illustrate a well-designed, evidence-based
intervention program of rehabilitation.
An SLPS L P plans cognitive treatment for a patient with right-hemisphere disorder
due to a stroke. Which of the following patient characteristics is most likely to have an
impact on the patient's engagement in treatment and outcomes?
A.Moderate anosognosia for identified deficits
B.Hemiparesis of the left arm and hand
C.Mild word-finding difficulties
D.Moderate expressive aprosodia
Give this one a try later!
Option (A) is correct. Anosognosia is likely to have the greatest impact on
treatment engagement and outcomes, because if patients do not
acknowledge their impairments, they are not likely to see the need for
treatment or to engage meaningfully in it.
An SLPS L P 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'sS L P'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
Give this one a try later!
, Option (D) is correct. The primary goal of interprofessional practice is to
improve patient care.
Which of the following sets of minimal pair words best targets the phonological
patterns of stopping of fricatives?
A.Sun and ton
B.Sip and ship
C.Star and tar
D.Shoe and shoot
Give this one a try later!
Option (A) is correct. "Sun" and "ton" are minimal pair words, and
substituting /t/forward slash t forward slash for /s/forward slash s forward
slash is an example of the phonological process of stopping of fricatives.
Immediately following removal of a benign tumor from the base of the brain, a 76-
year-old client exhibits severe nasalization and a weak, breathy voice. A four-month
postsurgical assessment reveals no improvement. At this time, the remediation
strategy for this client should focus on
A. evaluation for prosthetic or surgical intervention
B. strengthening exercises for the oral articulators
C. a trial period using the yawn-sign technique
D. complete vocal rest
Give this one a try later!
, Correct Answer: A
Option (A) is correct. The client has a resonance and phonation disorder
indicative of velopharyngeal and laryngeal problems. The velopharyngeal
problem could be assisted by prosthetic or surgical intervention.
Compared with children who do not have language disorders, children with language
disorders tend to
A. take more conversational turns
B. initiate topics and direct the flow of conversation more
C. ask fewer open-ended questions
D. initiate more indirect requests
Give this one a try later!
Correct Answer: C
Option (C) is correct. Children with language disorders tend to ask fewer
open-ended questions than do children who are developing normally.
A single exposure of several hours duration to continuous music with an overall level
of 100 dB SPL will most likely produce
A. tinnitus and a temporary threshold shift in high frequencies
B. tinnitus and a distortion of speech perception
C. a temporary threshold shift in the low frequencies
D. a permanent threshold shift
Give this one a try later!
patient referred for suspected dysphagia secondary to stroke. The SLPS L P finds that
the patient has dysphagia characterized by delayed onset of the pharyngeal
response, limited lingual retraction, limited oropharyngeal propulsion, and the need
to swallow two or more times to clear boluses. Some aspiration of hypopharyngeal
residue occurs after the swallow from the pyriform sinuses. During the VFSSV F S S,
several compensatory maneuvers (chin-down posture) were attempted to test their
efficacy. The SLPS L P is developing a treatment plan to eliminate aspiration and to
improve lingual strength, retraction, and oropharyngeal propulsion through a
combined strategy using compensatory and restorative maneuvers, including a
progressive resistive exercise program of isometric tongue-press exercises using an
instrument that measures the pressure o
Give this one a try later!
, The correct order is (2), (4), (1), (3) (BDAC). The above scenario is not
specific to tonguepress exercises. It uses tongue-press exercises as a
method of treatment to illustrate a well-designed, evidence-based
intervention program of rehabilitation.
An SLPS L P plans cognitive treatment for a patient with right-hemisphere disorder
due to a stroke. Which of the following patient characteristics is most likely to have an
impact on the patient's engagement in treatment and outcomes?
A.Moderate anosognosia for identified deficits
B.Hemiparesis of the left arm and hand
C.Mild word-finding difficulties
D.Moderate expressive aprosodia
Give this one a try later!
Option (A) is correct. Anosognosia is likely to have the greatest impact on
treatment engagement and outcomes, because if patients do not
acknowledge their impairments, they are not likely to see the need for
treatment or to engage meaningfully in it.
An SLPS L P 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'sS L P'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
Give this one a try later!
, Option (D) is correct. The primary goal of interprofessional practice is to
improve patient care.
Which of the following sets of minimal pair words best targets the phonological
patterns of stopping of fricatives?
A.Sun and ton
B.Sip and ship
C.Star and tar
D.Shoe and shoot
Give this one a try later!
Option (A) is correct. "Sun" and "ton" are minimal pair words, and
substituting /t/forward slash t forward slash for /s/forward slash s forward
slash is an example of the phonological process of stopping of fricatives.
Immediately following removal of a benign tumor from the base of the brain, a 76-
year-old client exhibits severe nasalization and a weak, breathy voice. A four-month
postsurgical assessment reveals no improvement. At this time, the remediation
strategy for this client should focus on
A. evaluation for prosthetic or surgical intervention
B. strengthening exercises for the oral articulators
C. a trial period using the yawn-sign technique
D. complete vocal rest
Give this one a try later!
, Correct Answer: A
Option (A) is correct. The client has a resonance and phonation disorder
indicative of velopharyngeal and laryngeal problems. The velopharyngeal
problem could be assisted by prosthetic or surgical intervention.
Compared with children who do not have language disorders, children with language
disorders tend to
A. take more conversational turns
B. initiate topics and direct the flow of conversation more
C. ask fewer open-ended questions
D. initiate more indirect requests
Give this one a try later!
Correct Answer: C
Option (C) is correct. Children with language disorders tend to ask fewer
open-ended questions than do children who are developing normally.
A single exposure of several hours duration to continuous music with an overall level
of 100 dB SPL will most likely produce
A. tinnitus and a temporary threshold shift in high frequencies
B. tinnitus and a distortion of speech perception
C. a temporary threshold shift in the low frequencies
D. a permanent threshold shift
Give this one a try later!
