An elderly patient with multiple diagnoses including Parkinson's disease (PD) presents
to a home health SLP for treatment. The SLP recommends that the patient follow a
mechanical soft diet with thin liquids, alternate bites and sips, take small bites, and
have supervision when eating. Throughout the course of treatment, the patient
exhibits a 12 percent weight loss with variable intake levels. To which of the following
professionals is it most appropriate for the SLP to refer the patient?
A.A gastroenterologist, for possible feeding tube placement
B.A dietitian, for nutrition management
C.An ENTE N T specialist, for possible esophageal deficits
D.A neurologist, for assessment of progression of PD
Give this one a try later!
Option (B) is correct. A dietitian will be able to assess caloric intake and
recommend supplements and other ways for the patient to maintain a
healthy weight.
,Based on Michael's case history, the SLP would most appropriately provide activities
to
A.stabilize muscle tone to improve gross motor support of speech movement
B.improve receptive-language ability
C.strengthen tongue, lip, and jaw muscles
D.increase the accuracy of CV, VC, and CVC syllable sequences
Give this one a try later!
Option (D) is correct. Michael's case history suggests that his poor
intelligibility is tied to his inconsistent sequencing of speech sounds and
syllables.
Two months after undergoing surgery to improve velopharyngeal function, a client
continues to exhibit nasal airflow only on the production of /s/ and /sh/forward slash s
forward slash and forward slash s h forward slash, and also exhibits glottal stops for
several pressure consonants. The most appropriate next action for the SLP to take is
to
A.request consideration of prosthetic management
B.request a nasoendoscopic study
C.inform the surgeon that the client is not making satisfactory progress
D.provide speech treatment to correct compensatory articulation errors
Give this one a try later!
Option (D) is correct. It would be appropriate to provide speech-language
services with the objective of reducing and eliminating the speech-
production errors evidenced by the patient.
,Which of the following is most important for an SLP to do when assessing a child who
has an acquired brain injury?
A.Evaluate pragmatics through a structured language test
B.Compare premorbid performance with present performance
C.Ensure administration of an intelligence test
D.Compare nonverbal performance with verbal performance
Give this one a try later!
Option (B) is correct. An SLP needs to know what skills the child attained
prior to the brain injury in order to select appropriate treatment goals.
Which of the following interventions could be deployed while the patient is
swallowing to increase intrabolus pressure?
A.Tongue tether maneuver
B.Mendelsohn maneuver
C.Breath-holding with Valsalva maneuver
D.Effortful swallow maneuver
Give this one a try later!
Option (D) is correct. Several studies have shown that when correctly
performed, the effortful swallow maneuver increases intrabolus pressure
during the swallow.
Which of the following activities is an example of a metalinguistic strategy used to
assist a student with language difficulties?
A.Providing a definition of a word
, B.Placing story elements in sequential order
C.Editing the writing of same-aged peers
D.Discussing similarities and differences between two pictures
Give this one a try later!
Option (C) is correct. Editing the writing of a same-age peer is an example
of a metalinguistic activity because it involves the awareness, analysis, and
control of language form, content, and use.
Over the past six weeks, the general education teacher implemented evidence-based
classroom and teaching modifications for a student struggling in a language arts
class. Careful observation has not shown an increase in the student's performance.
The teacher informs the student's parents of plans to refer the student to the speech-
language pathologist at school. The teacher then makes an official referral to the local
educational agency. Which of the following choices is the maximum time allowed by
IDEAI D E A from the official referral for eligibility determination to completion of the
evaluation?
A.14 days
B.30 days
C.60 days
D.120 days
Give this one a try later!
Option (C) is correct. The official referral begins the formal process of
determining eligibility for special education services. Once a referral is
provided, the school must obtain consent from the parent(s) or legal
guardian(s) to begin the evaluation phase of the referral process. IDEAI D E
A requires that students referred for special education services receive an
evaluation within 60 days of the referral date.
to a home health SLP for treatment. The SLP recommends that the patient follow a
mechanical soft diet with thin liquids, alternate bites and sips, take small bites, and
have supervision when eating. Throughout the course of treatment, the patient
exhibits a 12 percent weight loss with variable intake levels. To which of the following
professionals is it most appropriate for the SLP to refer the patient?
A.A gastroenterologist, for possible feeding tube placement
B.A dietitian, for nutrition management
C.An ENTE N T specialist, for possible esophageal deficits
D.A neurologist, for assessment of progression of PD
Give this one a try later!
Option (B) is correct. A dietitian will be able to assess caloric intake and
recommend supplements and other ways for the patient to maintain a
healthy weight.
,Based on Michael's case history, the SLP would most appropriately provide activities
to
A.stabilize muscle tone to improve gross motor support of speech movement
B.improve receptive-language ability
C.strengthen tongue, lip, and jaw muscles
D.increase the accuracy of CV, VC, and CVC syllable sequences
Give this one a try later!
Option (D) is correct. Michael's case history suggests that his poor
intelligibility is tied to his inconsistent sequencing of speech sounds and
syllables.
Two months after undergoing surgery to improve velopharyngeal function, a client
continues to exhibit nasal airflow only on the production of /s/ and /sh/forward slash s
forward slash and forward slash s h forward slash, and also exhibits glottal stops for
several pressure consonants. The most appropriate next action for the SLP to take is
to
A.request consideration of prosthetic management
B.request a nasoendoscopic study
C.inform the surgeon that the client is not making satisfactory progress
D.provide speech treatment to correct compensatory articulation errors
Give this one a try later!
Option (D) is correct. It would be appropriate to provide speech-language
services with the objective of reducing and eliminating the speech-
production errors evidenced by the patient.
,Which of the following is most important for an SLP to do when assessing a child who
has an acquired brain injury?
A.Evaluate pragmatics through a structured language test
B.Compare premorbid performance with present performance
C.Ensure administration of an intelligence test
D.Compare nonverbal performance with verbal performance
Give this one a try later!
Option (B) is correct. An SLP needs to know what skills the child attained
prior to the brain injury in order to select appropriate treatment goals.
Which of the following interventions could be deployed while the patient is
swallowing to increase intrabolus pressure?
A.Tongue tether maneuver
B.Mendelsohn maneuver
C.Breath-holding with Valsalva maneuver
D.Effortful swallow maneuver
Give this one a try later!
Option (D) is correct. Several studies have shown that when correctly
performed, the effortful swallow maneuver increases intrabolus pressure
during the swallow.
Which of the following activities is an example of a metalinguistic strategy used to
assist a student with language difficulties?
A.Providing a definition of a word
, B.Placing story elements in sequential order
C.Editing the writing of same-aged peers
D.Discussing similarities and differences between two pictures
Give this one a try later!
Option (C) is correct. Editing the writing of a same-age peer is an example
of a metalinguistic activity because it involves the awareness, analysis, and
control of language form, content, and use.
Over the past six weeks, the general education teacher implemented evidence-based
classroom and teaching modifications for a student struggling in a language arts
class. Careful observation has not shown an increase in the student's performance.
The teacher informs the student's parents of plans to refer the student to the speech-
language pathologist at school. The teacher then makes an official referral to the local
educational agency. Which of the following choices is the maximum time allowed by
IDEAI D E A from the official referral for eligibility determination to completion of the
evaluation?
A.14 days
B.30 days
C.60 days
D.120 days
Give this one a try later!
Option (C) is correct. The official referral begins the formal process of
determining eligibility for special education services. Once a referral is
provided, the school must obtain consent from the parent(s) or legal
guardian(s) to begin the evaluation phase of the referral process. IDEAI D E
A requires that students referred for special education services receive an
evaluation within 60 days of the referral date.
