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1. A 5-year-old girl with a repaired cleft palate has recently undergone a
pharyngeal flap operation to correct velopharyngeal incompetence, but she
continues to use glottal stops, pharyngeal fricatives, and mid-dorsum palatal
stops. Which of the following is the most appropriate action for the SLP to take?
A. Recommending that the child be examined by a cleft palate team to determine
the cause of the persistent articular errors
B. Referring the child back to the surgeon to determine the need for a revision of
the pharyngeal flap
C. Initiating articulation treatment to teach the correct placement for the stops
and fricatives
D. Initiating articulation treatment to teach correct production of non pressure
consonant sounds - ANSWER Option (C) is correct. This child is using
compensatory glottal stops, mid-dorsum palatal stops, and pharyngeal fricatives
for standard American English stops and fricatives. She has had surgical
management to correct velopharyngeal incompetence. She now needs to learn to
produce the stops and fricatives for which she is making compensations.
Therefore, articulation treatment is appropriate.
2. A single exposure of several hours duration to continuous music with an overall
level of 100 dB SPL will most likely produce
A. tinnitus and a temporary threshold shift in high frequencies
,B. tinnitus and a distortion of speech perception
C. a temporary threshold shift in the low frequencies
D. a permanent threshold shift - ANSWER Option (A) is correct. A single
exposure of several hours duration to continuous music at a level of about 100 dB
SPL will most likely produce tinnitus and a temporary threshold shift in the high
frequencies.
3. The major objective of auditory training in the treatment of a client with a
hearing loss is to
A. improve the client's awareness of position and movements of the speech
mechanism
B. improve the client's kinesthetic and auditory awareness
C. increase the client's kinesthetic and proprioceptive discrimination
D. teach the client to make discriminations among speech sounds - ANSWER
Option (D) is correct. Auditory training focuses on the interpretation of auditory
input and would thus teach a client to discriminate speech sounds.
4. A 70-year-old female has dysphagia characterized by poor posterior oral
containment of the bolus during the oral preparatory stage, causing aspiration
before the swallow. Cognition and the pharyngeal stage of the swallow are intact.
Which of the following is the most appropriate treatment approach for the client?
A. Providing a puree diet with thickened liquids
B. Having the client flex her head forward (perform the chin-down posture) during
oral preparation and transit stages of the swallow
C. Having the client turn (rotate) her head to the right when swallowing
,D. Providing a diet that consists of thin liquids - ANSWER Option (B) is correct.
This treatment alters oral configuration to place the base of the tongue superior
to the bolus inside the oral cavity. Since liquid cannot flow uphill against gravity,
this intervention compensates for impaired palatoglossus contraction, which is
causing impaired posterior oral containment.
5. An SLP receives a referral regarding a 4-year-old boy who uses two words
spontaneously and functionally, who began walking at 3 years of age, and who
responds to his name inconsistently. On the basis of the information alone, the
SLP can legitimately conclude that the child's communication profile reflects
A. a developmental delay
B. autism spectrum disorder
C. a chromosomal anomaly
D. a metabolic disorder - ANSWER Option (A) is correct. A 4-year-old typically
developing child would have 4 word utterances and would respond to his name
consistently. Most children start to walk around age 1. Therefore, the delay in
walking, along with the delay in language, indicates a general developmental
delay.
6. Successful use of an alternative and augmentative communication system is
based on such factors as selecting appropriate vocabulary, seating and positioning,
and having a reliable method of controlling the system. To facilitate the most
effective use of the system, clinicians most often advocate which of the following
approaches?
A. Unimodal
B. Multimodal
C. Bimodal
, D. Gestural - ANSWER Option (B) is correct. A multimodal approach offers
more communicative options than any other of the approaches listed.
7. 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 - ANSWER
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.
8. Which of the following is the most important acoustic cue that distinguishes
between an unreleased final /p/ and an unreleased final /b/, as in "cap" versus
"cab"?
A. Locus frequency of burst
B. Voice onset time
C. Vocal fundamental frequency
D. Duration of the preceding vowel - ANSWER Option (D) is correct. Research
shows that vowel duration influences a listener's perception of voicing. Vowels
that precede unreleased voiced stop consonants are as much as 1.5 times as long
as vowels that precede voiceless stops.
9. When counseling the parents of a child who has an articulation disorder, the
SLP can cite developmental norms to show which of the following?
A. The child's misarticulation will interfere with reading skills.