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1. A client exhibits weakness, atrophy, and fasciculations of the right side of the
tongue and lower face. The client also has right vocal-fold weakness and nasal
regurgitation of fluid when swallowing. These problems are the result of damage
to which part of the nervous system?
A. Brain stem
B. Cerebellum
C. Left cerebral cortex
D. Right cerebral cortex - ANSWER A.Brain stem
***Why? -- Weakness, atrophy, fasciculations, and the other described symptoms
are all consistent with a lower motor neuron locus and suspected cranial nerve
abnormalities (primarily CN X and XII). These cranial nerves emerge directly from
the brain stem and help mediate the transfer of messages from the brain to the
brain stem and to the structures of the head and neck.
2. Which of the following constitutes the major component of an audiologic
rehabilitation program for infants with a moderate sensorineural hearing loss?
A. Development of cognitive skills
B. Development of social skills
,C. Parent-mediated auditory stimulation
D. Gestural stimulation - ANSWER C.Parent-mediated auditory stimulation
***Why?-- For an infant known to have a hearing loss, parents are in the best
position to provide consistent auditory stimulation, which the infant needs in
order to develop an awareness of sound.
3. A child exhibits the following production errors.
w/r
θ/s
t/ʃ
t/tʃ
z/dʒ
t/k
d/g
If a target sound for initial intervention is to be selected on the basis of
established developmental norms, then that sound will be
A./s/
B./ʃ/
C./k/
D./tʃ/ - ANSWER /k/--- According to developmental norms, /k/ is the target
phoneme that should be selected for intervention.
4. A public-school-based speech-language pathologist is employed in a state that
sets the maximum caseload at 65. However, the clinician's caseload is currently at
64 with a waiting list of 10 additional students. The school principal insists that
,the speech-language pathologist enroll the 10 students immediately, because the
district cannot locate another clinician to assist with the caseload. Which of the
following is the most appropriate way for the speech-language pathologist to
address the sit
- ANSWER A. Enroll 1 of the 10 students and provide the principal with a
written statement of caseload needs, mentioning the amount, type, and
frequency of treatment
**Why?--It provides the principal with a statement detailing the needs of the
students awaiting treatment but also observes the state's caseload limit.
5. Fiber-optic instrumentation is appropriate for evaluation of which of the
following types of disorders?
A. Articulation
B. Phonation
C. Proprioception
D. Respiration - ANSWER Phonation--- Fiber-optic nasopharyngoscopy or
laryngoscopy is a commonly used approach to evaluate vocal fold anatomy and
physiology for voice production (phonation).
6. Which of the following views make up a standard video fluoroscopic swallow
study?
A. Frontal
B. Lateral
C. Transverse
, D. Anterior-posterior - ANSWER Lateral & Posterior/Anterior--- A lateral view is
best for seeing all stages of a swallow, and an anterior-posterior view shows the
symmetry (or asymmetry) of the swallow.
7. Hearing loss in infants who are born with a cleft palate is usually related to
which of the following?
A. The infant's inability to create positive pressure in the oral cavity
B. Malformation of the middle-ear ossicles associated with malformation of the
palate
C. Eustachian tube dysfunction
D. Cochlear dysfunction - ANSWER Eustachian tube dysfunction--- a major
factor contributing to middle-ear disease and conductive hearing loss, is nearly
universal in infants with cleft palate.
8. Which of the following, if observed in the speech of an African American child,
is most likely to represent a dialectical variation rather than an articulation error?
A. /f/ for /θ/ in postvocalic position
B. /θ/ for /s/ in all positions
C. Affricates for fricatives in word-final position
D. Dentals for velars in word-initial position - ANSWER /f/ for /θ/ in postvocalic
position---The use of voiceless labiodental fricatives for voiceless interdental
fricatives is a feature of African American Vernacular English (AAVE).
9. Children diagnosed as having specific language impairments are likely to exhibit
the greatest deficits in which of the following?
A. Production of sentences with appropriate inflectional morphology and syntax