Speech-Language Pathology [2026 Updated] Carlos Albizu University.
Section 1: Patient Background & Case History (Questions 1-15)
1. Don's medical history indicates he had a stroke. Which additional medical
condition documented in his chart is most critical for the SLP to consider during
the aphasia evaluation?
A) Hypertension
B) Atrial fibrillation (Afib)
C) Diabetes mellitus
D) Hyperlipidemia
Answer: B
Rationale: Atrial fibrillation is a significant risk factor for embolic strokes and may
impact the patient's overall medical stability. The evaluation reveals Don has Afib,
which the SLP must be aware of for safety considerations and prognosis.
,2. Don lost consciousness for how long following his stroke?
A) 24 hours
B) 3 days
C) One week
D) Two weeks
Answer: C
Rationale: The documentation states "After Don's stroke- He lost consciousness
for a week." This prolonged loss of consciousness indicates a severe stroke and
helps inform prognosis.
3. Which medical specialist would be primarily responsible for Don's atrial
fibrillation management?
A) Neurologist
,B) Cardiologist
C) Endocrinologist
D) Neurosurgeon
Answer: B
Rationale: The collaborative team documentation lists "Cardiologist - A Fib
(report)" as the specialist managing his atrial fibrillation.
4. Don had his thyroid removed. Which specialist would have performed this
procedure?
A) Neurologist
B) Cardiologist
C) Endocrinologist
D) Otolaryngologist
, Answer: C
Rationale: The collaborative team documentation includes "Endocrinologist -
Thyroid Cancer (report)" indicating this specialist managed his thyroid condition.
5. Why is establishing rapport with Don described as "crucial" in the Simucase?
A) To complete the evaluation faster
B) To allow for open communication, trust, and collaboration essential for positive
outcomes
C) To satisfy insurance requirements
D) To reduce the number of therapy sessions needed
Answer: B
Rationale: The Simucase materials explicitly state: "Rapport is crucial for a
successful SLP-client relationship. It allows for open communication, trust, and
collaboration, which are essential for positive speech therapy outcomes."