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1. You are evaluating a 4-year-old patient whose mother states that she is
concerned about his mild hypernasality and frequent ear infections. During
an oral mechanism examination, you observe a bifid uvula. The presence of
a bifid uvula may indicate that the patient has:
A. Velopharyngeal incompetence
B. A submucous cleft palate
C. Dysarthria
D. Hypertrophy and edema of the vocal folds - ANSWER B. A submucous cleft
palate
2. A screening test for dementia is:
A. Arizona Battery for Communication Disorders of Dementia (ABCD)
B. Short Portable Mental Status Questionnaire (SPMQ)
C. Functional Linguistic Communication Inventory (FLCI)
D. Dementia Mood Assessment Scale - ANSWER B. Short Portable Mental
Status Questionnaire (SPMQ)
, 3. Using a likelihood ratio can be helpful when discussing test results with
family members. If the test yields a positive result and the likelihood ratio
for a positive result it 6.5, what does this mean?
A. The client is six and a half times more likely to have a certain disorder than a
client whose test is negative.
B. The client is three and a half times more likely to have a to have a certain
disorder than a client whose test is negative.
C. The client is six and a half times less likely to have a certain disorder than a
client whose test is negative.
D. The client is three and a half times more likely to have a certain disorder than a
client whose test is negative. - ANSWER A. The client is six and a half times
more likely to have a certain disorder than a client whose test is negative.
4. A mother comes to you to ask for advice about Gabe, her 7-year old son
who has severe cerebral palsy. She has heard of a low-technology method
of communication where the clinician initially teaches the child to exchange
specific pictures to communicate with a partner. She thinks that this
method of communication may eventually help Gabe to use spontaneous
verbal expressions. This mother is referring to:
A. pre-mack type symbols, or shapes/pictures that can be arranged to look like
printed words
B. blissymbols, or pictures that represent objects or events along with words
C. Picture Exchange Communication System
D. neuro-assisted AAC - ANSWER
5. All of the following may be expected when treating a patient with
velocardiofacial syndrome, except:
,A. Intellectual disability
B. Cleft palate and/or velopharyngeal insufficiency
C. Language deficits
D. Visual, spatial, and attentional deficits - ANSWER D. Visual, spatial, and
attentional deficits
6. What is the primary clinical task for a speech-language pathologist when
assessing a client with cleft palate?
A. Infer the effects of structural deviations on the speech behavior observed
B. Compare data to developmental norms
C. Assess the child's speech sound system
D. Confirm a diagnosis - ANSWER A. Assess the child's speech sound system
7. A 2-year-old with an unrepaired cleft palate was recently seen for an
evaluation. When comparing the child's data to developmental norms, the
speech-language pathologist determines that the child has not mastered
bilabial stops. Why would developmental norms not determine whether the
child receives speech treatment?
A. The child does not have the anatomical capacity to produce bilabial stops.
B. The speech-language pathologist would need to consult with medical
professionals before determining treatment.
C. Developmental data do not apply to every child.
D. Every child develops at a different pace. - ANSWER A. The child does not
have the anatomical capacity to produce bilabial stops.
, 8. Which of the following is the most commonly seen speech disorder in
individuals with cleft palate?
A. A fluency disorder
B. A disordered speech sound system
C. A voice disorder
D. Apraxia - ANSWER B. A disordered speech sound system
9. The following surgical procedure for patients with a cleft includes a
substance that is implanted or injected into the posterior pharyngeal wall to
make it bulge:
A. Pharyngeal flap
B. Pharyngoplasty
C. Delayed hard palate closure
D. The von Langenbeck surgical method - ANSWER B. Pharyngoplasty
10. Priscilla, a 15-year-old patient with a diagnosis of velocardiofacial
syndrome, is seen in an outpatient facility. A clinician is currently seeing this
patient for language and articulation deficits; however, she notices
increased coughing and laryngeal pumping as Priscilla was having a snack.
Priscilla's mother noted that this was common, but that she did not think
that is was an issue. Further evaluation is recommended, but it is possible
that Priscilla has:
A. Pharyngeal hypotonia
B. Nasal regurgitation
C. Oral apraxia