Voice Practice Praxis Test Questions And
Answers With Complete Solutions
As part of a routine preschool screening, an SLP tests a 4-year-old whose speech
is characterized by sound omissions, hypernasality, nasal emission, and weak
consonants. Which of the following would be most appropriately evaluated
initially?
A. Oral-motor behavior
B. Velopharyngeal function
C. Laryngeal function
D. Phonological awareness
B. Velopharyngeal function
The characteristics described are consistent with a resonance disorder, hence
velopharyngeal function would be evaluated initially.
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
D. Reduced pitch range
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,
particulary in the higher frequency range.
An evaluation is performed on a 5-year-old with frequent hoarseness. Which of
the following measures is primarily included in the endoscopic examination?
A. Amplitude perturbation
B. Laryngeal visualization
C. Laryngeal airway resistance
D. Perceptual judgment
, B. Laryngeal visualization
Observing the larynx is part of an endoscopic examination.
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
C. rates of vocal fold vibration
The increased fundamental frequency of most female voices results in an increased
number of glottal contacts during a fixed period of voice use. The increased number of
contacts is thought to increase the risk of development of benign vocal fold lesions.
According to current research, which of the following is most contributing to a
rise in oropharyngeal cancers in the United States?
A. Cigarettes
B. Human papillomavirus (HPV)
C. Alcohol
D. Smokeless tobacco
B. Human papillomavirus (HPV)
Research shows that oropharyngeal cancer caused by HPV is increasing.
Studies of the anatomy of human vocal folds and of mucosal behavior during
phonation have led to the current cover-body characterization of the vocal fold.
Which of the following is included in the vocal-fold transition?
A. The epithelium and superficial lamina propria
B. The epithelium and deep lamina propria
C. The intermediate and deep layers of the lamina propria
D. The lamina of the thyroid cartilage
C. The intermediate and deep layers of the lamina propria
The intermediate and deep layers are considered transitional because of where they are
located anatomically.
A 42-year-old male teacher is referred for a voice evaluation. History and
perceptual voice assessments reveal an eight-month history of progressive
dysphonia, which is currently characterized by a rough and breathy voice.
Acoustic and aerodynamic assessments reveal aperiodic voice signal, reduced
frequency range, increased subglottal air pressure, and increased transglottal
airflow. The patient complains of voice fatigue at the end of the day and pain
during phonation. The patient reports moderate alcohol use but is not currently a
smoker. He has no previous history of chronic voice problems, surgery, or
neurological disease.
Answers With Complete Solutions
As part of a routine preschool screening, an SLP tests a 4-year-old whose speech
is characterized by sound omissions, hypernasality, nasal emission, and weak
consonants. Which of the following would be most appropriately evaluated
initially?
A. Oral-motor behavior
B. Velopharyngeal function
C. Laryngeal function
D. Phonological awareness
B. Velopharyngeal function
The characteristics described are consistent with a resonance disorder, hence
velopharyngeal function would be evaluated initially.
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
D. Reduced pitch range
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,
particulary in the higher frequency range.
An evaluation is performed on a 5-year-old with frequent hoarseness. Which of
the following measures is primarily included in the endoscopic examination?
A. Amplitude perturbation
B. Laryngeal visualization
C. Laryngeal airway resistance
D. Perceptual judgment
, B. Laryngeal visualization
Observing the larynx is part of an endoscopic examination.
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
C. rates of vocal fold vibration
The increased fundamental frequency of most female voices results in an increased
number of glottal contacts during a fixed period of voice use. The increased number of
contacts is thought to increase the risk of development of benign vocal fold lesions.
According to current research, which of the following is most contributing to a
rise in oropharyngeal cancers in the United States?
A. Cigarettes
B. Human papillomavirus (HPV)
C. Alcohol
D. Smokeless tobacco
B. Human papillomavirus (HPV)
Research shows that oropharyngeal cancer caused by HPV is increasing.
Studies of the anatomy of human vocal folds and of mucosal behavior during
phonation have led to the current cover-body characterization of the vocal fold.
Which of the following is included in the vocal-fold transition?
A. The epithelium and superficial lamina propria
B. The epithelium and deep lamina propria
C. The intermediate and deep layers of the lamina propria
D. The lamina of the thyroid cartilage
C. The intermediate and deep layers of the lamina propria
The intermediate and deep layers are considered transitional because of where they are
located anatomically.
A 42-year-old male teacher is referred for a voice evaluation. History and
perceptual voice assessments reveal an eight-month history of progressive
dysphonia, which is currently characterized by a rough and breathy voice.
Acoustic and aerodynamic assessments reveal aperiodic voice signal, reduced
frequency range, increased subglottal air pressure, and increased transglottal
airflow. The patient complains of voice fatigue at the end of the day and pain
during phonation. The patient reports moderate alcohol use but is not currently a
smoker. He has no previous history of chronic voice problems, surgery, or
neurological disease.
