Form 3 – ETS SLP Praxis. A+ Graded End Term Exam
Which of the following communication diagnoses would most likely require a treatment program that is
focused on improving auditory language comprehension?
A.Right-hemisphere communication impairment
B.Global aphasia
C.Wernicke's aphasia
D.Broca's aphasia - ✔✔Option (C) is correct. The hallmark of Wernicke's aphasia is deficits in auditory
comprehension, because the site of lesions is most typically the left superior temporal gyrus.
Which of the following procedures best establishes whether velopharyngeal dysfunction causing
hypernasality is present in a patient with flaccid dysarthria?
A.A nasopharyngoscopy
B.A videofluoroscopic swallow study
C.A laryngoscopy
D.A manometry - ✔✔Option (C) is correct. Laryngoscopy is the only procedure that allows visualization
of the velopharyngeal port during speech.
The parents of an 8-year-old boy who stutters are upset because their child was placed in the lowest
reading group at school because of his poor performance on an oral reading fluency assessment in the
classroom. The parents are very sure that their child is reading at an average to above-average level
compared to his classmates. The SLP'sS L P's informal observations of the boy's reading performance
during fluency therapy sessions are consistent with the parents' report. Which of the following is the
most appropriate way for the SLPS L P to advocate for the boy?
A.Offer to conduct a reading assessment with the boy and report the score to the boy's teacher.
B.Recommend that the teacher reassess the child's reading level with an assessment that uses silent
reading.
C.Wait until the child's speech improves in therapy, and then ask the child's teacher to readminister the
oral reading assessment.
,D.Encourage the child t - ✔✔Option (B) is correct. The boy's stuttering is affecting his fluency during oral
reading, so an assessment of his silent reading fluency will provide more valid results.
Which of the following conditions is primarily associated with a short lingual frenulum, heart-shaped
tongue tip, and a failure to elevate the tongue tip beyond the mandibular incisors, as revealed during
oral-facial examination?
A.Bulbar palsy
B.Ankyloglossia
C.Glossoptosis
D.Congenital lip pits - ✔✔Option (B) is correct. Limited tongue mobility, heart-shaped tongue tip and a
failure to elevate the tongue tip beyond the mandibular incisors are all characteristics of ankyloglossia
(tongue-tied/short lingual frenulum).
A school district does not use a standard therapy log for SLPS L P services. An SLPS L P who works for the
district develops a form to document therapy services provided. Which THREE of the following are key
to include on the form to document the provision of speech and language IEPI E P services?
A.The date a student's IEPI E P was established
B.Student performance during the therapy session
C.Names of other students in the group
D.Types of services provided within a therapy session
E.Signature from the SLPS L P verifying delivery of services - ✔✔Options (B), (D), and (E) are correct.
Information on student performance is important data and helps to track progress, listing the types of
services indicates what was provided, and the SLP'sS L P's signature documents who provided the
service.
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 - ✔✔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.
Questions 20-through22 refer to the following.
A 24-year-old male self-refers for a fluency evaluation. His presenting complaint is stuttering. During
conversation at the initial assessment, he speaks intelligibly at a typical rate and produces no overt
stutter-like disfluencies. He reports that he often expects to stutter while conversing, but that he usually
can prevent or conceal the occurrence of the expected fluency disruptions either by substituting a word
or by inserting a pause or "um" before the word upon which he expects to be disfluent. He states that
these strategies are useful and that he would like to be able to "talk without thinking about talking." He
reports that he attended speech therapy from elementary school through high school and that it helped
him reduce disfluency significantly during therapy activities, but his disfluency frequency did not change
much during activities outside of therapy. H - ✔✔Option (C) is correct. Some people who stutter can
prevent anticipated instances of stutter-like disfluency either by substituting words or by delaying the
start of a word upon which stuttering is anticipated, e.g., by pausing or by interjecting fillers such as
"um." Speech-related fear, concern about listener evaluations, and anticipated disfluency are all
hallmarks of stuttering but are not typical symptoms in SLI or cluttering. Even though the SLP has not
heard stuttering-like disfluency in the patient's speech, all other symptoms are consistent with a
diagnosis of stuttering.
Which of the following approaches is the most appropriate initial therapy focus for the patient?
A.Improving the naturalness of the speech
B.Implementing use of the cancellation technique in conjunction with conversational disfluencies
C.Improving the ability to pause at appropriate linguistic boundaries when speaking
D.Reinforcing the patient's attempts to produce words without the use of fillers, pauses, or word
substitutions - ✔✔Option (D) is correct. Reinforcing open stuttering directly addresses the client's fear
of stuttering and provides opportunities for the client to objectively evaluate how other people respond
when he stutters openly.
Which of the following approaches would be the most direct way to address the patient's fear of how
coworkers might react to his disfluent speech?
, A.Application of principles from cognitive behavioral therapy
B.Fluency-shaping therapy based on prolonged speech
C.Pharmacological management
D.Application of progressive relaxation therapy principles - ✔✔Option (A) is correct. Research supports
the idea that Cognitive Behavioral Therapy (CBTC B T) can change the communication-related attitudes
of people who stutter.
Which of the following nerves provides efferent innervation to the stylopharyngeus muscle and
contributes toward the elevation of the pharynx and the larynx?
A.The trigeminal
B.The hypoglossal
C.The vagus
D.The glossopharyngeal - ✔✔Option (D) is correct. The functions described are controlled by cranial
nerve IX9, the glossopharyngeal
A patient presents to a speech-language pathologist with voice changes. After completing a patient
assessment, the SLPS L P 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 - ✔✔Option (D) is correct. 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, particularly in the higher frequency range.
Kimberly, a patient who suffered a brain stem stroke and has had a fairly successful recovery,
complained of food sticking in her throat and needing to swallow two to three times to clear liquid and
solid boluses. She underwent a videofluoroscopic swallowing study that showed a limited duration of
upper esophageal sphincter opening. The SLPS L P decides to employ an intervention plan that includes
Which of the following communication diagnoses would most likely require a treatment program that is
focused on improving auditory language comprehension?
A.Right-hemisphere communication impairment
B.Global aphasia
C.Wernicke's aphasia
D.Broca's aphasia - ✔✔Option (C) is correct. The hallmark of Wernicke's aphasia is deficits in auditory
comprehension, because the site of lesions is most typically the left superior temporal gyrus.
Which of the following procedures best establishes whether velopharyngeal dysfunction causing
hypernasality is present in a patient with flaccid dysarthria?
A.A nasopharyngoscopy
B.A videofluoroscopic swallow study
C.A laryngoscopy
D.A manometry - ✔✔Option (C) is correct. Laryngoscopy is the only procedure that allows visualization
of the velopharyngeal port during speech.
The parents of an 8-year-old boy who stutters are upset because their child was placed in the lowest
reading group at school because of his poor performance on an oral reading fluency assessment in the
classroom. The parents are very sure that their child is reading at an average to above-average level
compared to his classmates. The SLP'sS L P's informal observations of the boy's reading performance
during fluency therapy sessions are consistent with the parents' report. Which of the following is the
most appropriate way for the SLPS L P to advocate for the boy?
A.Offer to conduct a reading assessment with the boy and report the score to the boy's teacher.
B.Recommend that the teacher reassess the child's reading level with an assessment that uses silent
reading.
C.Wait until the child's speech improves in therapy, and then ask the child's teacher to readminister the
oral reading assessment.
,D.Encourage the child t - ✔✔Option (B) is correct. The boy's stuttering is affecting his fluency during oral
reading, so an assessment of his silent reading fluency will provide more valid results.
Which of the following conditions is primarily associated with a short lingual frenulum, heart-shaped
tongue tip, and a failure to elevate the tongue tip beyond the mandibular incisors, as revealed during
oral-facial examination?
A.Bulbar palsy
B.Ankyloglossia
C.Glossoptosis
D.Congenital lip pits - ✔✔Option (B) is correct. Limited tongue mobility, heart-shaped tongue tip and a
failure to elevate the tongue tip beyond the mandibular incisors are all characteristics of ankyloglossia
(tongue-tied/short lingual frenulum).
A school district does not use a standard therapy log for SLPS L P services. An SLPS L P who works for the
district develops a form to document therapy services provided. Which THREE of the following are key
to include on the form to document the provision of speech and language IEPI E P services?
A.The date a student's IEPI E P was established
B.Student performance during the therapy session
C.Names of other students in the group
D.Types of services provided within a therapy session
E.Signature from the SLPS L P verifying delivery of services - ✔✔Options (B), (D), and (E) are correct.
Information on student performance is important data and helps to track progress, listing the types of
services indicates what was provided, and the SLP'sS L P's signature documents who provided the
service.
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 - ✔✔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.
Questions 20-through22 refer to the following.
A 24-year-old male self-refers for a fluency evaluation. His presenting complaint is stuttering. During
conversation at the initial assessment, he speaks intelligibly at a typical rate and produces no overt
stutter-like disfluencies. He reports that he often expects to stutter while conversing, but that he usually
can prevent or conceal the occurrence of the expected fluency disruptions either by substituting a word
or by inserting a pause or "um" before the word upon which he expects to be disfluent. He states that
these strategies are useful and that he would like to be able to "talk without thinking about talking." He
reports that he attended speech therapy from elementary school through high school and that it helped
him reduce disfluency significantly during therapy activities, but his disfluency frequency did not change
much during activities outside of therapy. H - ✔✔Option (C) is correct. Some people who stutter can
prevent anticipated instances of stutter-like disfluency either by substituting words or by delaying the
start of a word upon which stuttering is anticipated, e.g., by pausing or by interjecting fillers such as
"um." Speech-related fear, concern about listener evaluations, and anticipated disfluency are all
hallmarks of stuttering but are not typical symptoms in SLI or cluttering. Even though the SLP has not
heard stuttering-like disfluency in the patient's speech, all other symptoms are consistent with a
diagnosis of stuttering.
Which of the following approaches is the most appropriate initial therapy focus for the patient?
A.Improving the naturalness of the speech
B.Implementing use of the cancellation technique in conjunction with conversational disfluencies
C.Improving the ability to pause at appropriate linguistic boundaries when speaking
D.Reinforcing the patient's attempts to produce words without the use of fillers, pauses, or word
substitutions - ✔✔Option (D) is correct. Reinforcing open stuttering directly addresses the client's fear
of stuttering and provides opportunities for the client to objectively evaluate how other people respond
when he stutters openly.
Which of the following approaches would be the most direct way to address the patient's fear of how
coworkers might react to his disfluent speech?
, A.Application of principles from cognitive behavioral therapy
B.Fluency-shaping therapy based on prolonged speech
C.Pharmacological management
D.Application of progressive relaxation therapy principles - ✔✔Option (A) is correct. Research supports
the idea that Cognitive Behavioral Therapy (CBTC B T) can change the communication-related attitudes
of people who stutter.
Which of the following nerves provides efferent innervation to the stylopharyngeus muscle and
contributes toward the elevation of the pharynx and the larynx?
A.The trigeminal
B.The hypoglossal
C.The vagus
D.The glossopharyngeal - ✔✔Option (D) is correct. The functions described are controlled by cranial
nerve IX9, the glossopharyngeal
A patient presents to a speech-language pathologist with voice changes. After completing a patient
assessment, the SLPS L P 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 - ✔✔Option (D) is correct. 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, particularly in the higher frequency range.
Kimberly, a patient who suffered a brain stem stroke and has had a fairly successful recovery,
complained of food sticking in her throat and needing to swallow two to three times to clear liquid and
solid boluses. She underwent a videofluoroscopic swallowing study that showed a limited duration of
upper esophageal sphincter opening. The SLPS L P decides to employ an intervention plan that includes
