Term Exam
An SLP provides home practice for a patient with aphasia as part of discharge plans. The patient is
approximately six-months post left-hemisphere stroke that resulted in aphasia. Verbal output has
improved significantly since the stroke; however, the patient is still very concerned that written
expression is moderately impaired at the single-word level. The homework assignment is to implement
copy-and-recall treatment to improve written expression, which involves practicing writing target words
(from photographs) and then copying those words multiple times. However, during a follow-up phone
call, the SLP determines that the patient is struggling to write the assigned target words because the
patient "can't think of the correct letters." Although a model is provided on the back of each target
photograph, the patient wants to find a way to practice without looking at the answer. The SLP's best
course of action is to su - ✔✔Correct Answer: A
Option (A) is correct. This approach would give the client the best access to completing the homework.
The letter tiles would provide a support for the client to complete the homework and are a regular part
of this treatment approach.
Which of the following instruments is often used to document stages of recovery after traumatic brain
injury (TBIT B I) ?
A.Glasgow Coma Scale
B.Scale of Executive Function
C.Sequenced Inventory of Communication Development
D.Rancho Los Amigos Scales of Cognitive Function - ✔✔Correct Answer: D
Option (D) is correct. The Rancho Los Amigos Scales of Cognitive Function is the only truly "scaled"
instrument developed specifically for rehabilitation documentation following TBIT B I.
A large metropolitan school district wants to determine the prevalence of developmental stuttering
among all enrolled students during the past year. Which of the following approaches is most appropriate
for accomplishing the task?
A.Dividing the total number of students who currently stutter by the total number of students who were
enrolled during the past year
,B.Subtracting the total number of students who received treatment for stuttering during the past year
from the total number of students who currently stutter
C.Multiplying the total number of students who currently stutter by the total number of students
enrolled during the past year
D.Dividing the total number of newly identified students who stutter by the total number of students
enrolled during the past year - ✔✔Correct Answer: A
Option (A) is correct. The prevalence of stuttering is the percentage found by dividing the number of
students who currently stutter by the number of students enrolled in school.
An SLP uses evidence-based practice by integrating the perspectives and values of the client, patient, or
caregivers into the treatment plan. Which of the following best reflects simultaneous incorporation of
the host culture's perspectives and values and maintenance of the native culture's perspectives and
values?
A.Acculturation
B.Assimilation
C.Enculturation
D.Ethnocentrism - ✔✔Correct Answer: A
Option (A) is correct. Acculturation is the incorporation of the host culture's perspective and the native
culture's perspective and values.
The commonly used chin-down posture was initially developed to eliminate thin-liquid aspiration in
people with delayed pharyngeal stage onset after having a stroke, and when its efficacy was
investigated, it was found to be 50% effective. For whom is the chin-down posture ineffective at
eliminating thin-liquid aspiration?
A.People who have cricopharyngeal dysfunction
B.People who aspirate residue from the pyriform sinuses
C.People who have impaired lingual function
D.People who aspirate residue from the valleculae - ✔✔Correct Answer: B
Option (B) is correct. Shanahan et al. (1993) found that 50 percent of people with stroke- and
swallowing-related aspiration due to delayed onset of the pharyngeal response continued to aspirate
from the pyriform sinuses using the chin-down posture. Moreover, Eisenhuber et al. (2002) found that
,people with a pyriform sinus residue with a height that was less than 50 percent of the pyriform sinus
height aspirated significantly more than those with less or no pyriform sinus residue.
Which of the following strategies to treat compensatory articulation errors is most appropriate for a
child with hypernasality and glottal stop substitutions following surgery for velopharyngeal
insufficiency?
A.Using oral motor exercises
B.Using a straw to elicit /s/forward slash s forward slash
C.Using tactile cues to elicit phonemes
D.Using negative practice - ✔✔Correct Answer: C
Option (C) is correct. Tactile cues are used to elicit correct articulation placement.
Which of the following neuroimaging studies specifies which artery or arteries is/are occluded in a
patient with a stroke?
A.Electroencephalography
B.Magnetoencephalography
C.Evoked-response potentials
D.CT or MR angiography - ✔✔Correct Answer: D
Option (D) is correct. These studies will give results which specify which artery is occluded.
Which of the following statements best indicates a screening tool with high sensitivity?
A.The majority of the children who passed the screening were found to have a communication disorder.
B.Many of the children who passed the screening did not have a communication disorder.
C.All of the children who failed the screening were found to have a communication disorder.
D.Most of the children who failed the screening did not have a communication disorder. - ✔✔Correct
Answer: C
Option (C) is correct. Sensitivity is the success rate in identifying all of the children who truly have a
disorder.
, A 72-year-old right-handed female is evaluated following a left-hemisphere stroke. Findings reveal a
moderate Broca's aphasia. Which of the following is the primary goal of intervention for the client?
A.To improve the client's pragmatics skills and abilities
B.To increase the client's ability to express functional comprehension abilities
C.To improve the client's ability to express production of syntactically appropriate sentences
D.To enable the client's ability to use a digital augmentative communication system - ✔✔Correct
Answer: C
Option (C) is correct. Improvement of expression, particularly syntax, is the most appropriate focus of
treatment for Broca's aphasia.
An SLP tries to elicit correct production of the target sound /s/forward slash s forward slash. Which of
the following words provides the best coarticulatory conditions to meet the SLP's goal?
A.Spoon
B.Sea
C.Sob
D.Soup - ✔✔Correct Answer: B
Option (B) is correct. The target sound /s/forward slash s forward slash and the vowel /i/forward slash i
forward slash that follows it both require lip spreading. The vowel /i/forward slash i forward slash is high
and front.
Management of which one of the following examination observations alone will produce the best
improvement in the pneumonia risk of an adult patient with chronic dysphagia?
A.Poor oral bolus control and containment
B.Poor oral hygiene and dependence for oral care
C.Delayed onset of the pharyngeal stage of swallowing
D.Impaired distension of the upper esophageal sphincter - ✔✔Option (B) is correct. Studies have
identified poor oral hygiene (including presence of decayed teeth) and dependency for oral care as
significant independent predictors of pneumonia in people with chronic dysphagia.