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1. A parent has brought a young child to an outpatient augmentative
communication clinic for a full assessment. After reading the client's intake forms,
the SLP believes the child is a candidate for AAC and is preparing tools for the
assessment. Which approach to assessment should this SLP use?
a. Select standardized assessment measures and vary response mode to see how
the child best responds
b. Select different subtests from multiple, standardized language assessment, to
see to which kind of pictures the child best responds
c. Select a standardized AAC inventory and administer according to direction, to
see how the child's AAC skills compare to others in their age group
d. Select multiple devices in order to determine the one to which the child best
responds - ANSWER a. select standardized assessment measures and vary
response mode to see how the child best responds
2. Compared to voiced stops, word-initial voiceless stops in English are expected
to have a:
a. shorter voice onset time (VOT)
b. longer VOT
c. more compact spectrum
,d. more diffuse spectrum - ANSWER b. longer VOT
3. A patient who has not been on the SLPs caseload while at a long-term acute
care setting begins complaining of gastroesophageal reflux- like symptoms during
and after every meal. The physician has asked the SLP to perform an evaluation,
which comes back negative. After using instrumental assessment methods, it is
discovered that the patient's low esophageal sphincter is not functioning properly.
Which of the following could potentially cause this patient's symptoms?
a. pharyngeal weakness, including muscle atrophy
b. a change in medication, including addition of steroids
c. lingual weakness, including fibrillation
d. Zenker's diverticulum, including residue - ANSWER b. a change in
medication, including addition of steroids
4. A speech scientist is analyzing data collected from a recently completed study.
In order to properly analyze the data, she utilizes nonparametric statistical
procedures. Which of the following scenarios BEST describes the scientist's data?
a. there is not a normal distribution of the data
b. there is a normal distribution of the data
c. there is a small median for the data
d. there is a small mode for the data - ANSWER a. there is not a normal
distribution of the data
5. In evaluating a preschool child who stutters, it is important to observe the child
interacting with the parent. The PRIMARY reason for this is:
,a. the most valid sample of communication and speech may be observed in the
child's typical interactions with the parent
b. comfort with the parent is likely to reduce disfluency and make the child feel
more comfortable
c. there are a number of legal concerns that should be considered when
separating the child from the parent
d. the use of an informal speech sample reduces the need for any other
standardized testing - ANSWER a. the most valid sample of communication
and speech may be observed in the child's typical interactions with the parent
6. A SLP working in a skilled nursing facility (SNF) has been assigned to design a
treatment plan for a long-term resident. The patient was diagnosed with
Alzheimer's dementia 5 years earlier and is considered to be in the mid-stage of
the disorder. She has one daughter who is concerned about her, but who lives far
across the country. The patient has been increasingly agitated and difficult for
clinical staff to interact with. The intervention of GREATEST BENEFIT would be:
a. a course of melodic intonation therapy (MIT) to increase phrase lengths and
improve fluency of verbal output
b. using a simulated presence therapy technique, in which taped messages are
played to the individual with dementia in times of agitation
c. using caregiver-administered active cognitive stimulation techniques, in which
the SLP assists the family member is administering cognitive stimulating tasks such
as playing card games and completing - ANSWER b. using a simulated
presence therapy technique, in which taped messages are played to the individual
with dementia in times of agitation
7. A person with healing loss has complained that listening to conversational
partners in noisy restaurants is very difficult. However, they still enjoy going out to
, eat with family and friends, regardless of this difficulty. Which level of the World
Health Organization (WHO) ICF BEST describes this person's healing problem?
a. activity limitation
b. impairment
c. participation restriction
behavioral limitation - ANSWER a. activity limitation
8. A patient arrives at an acute rehabilitation hospital, following a hip
replacement surgery. The physician has asked the SLP to perform a full evaluation
of the patient, with suspicions of cognitive changes post surgery. After performing
the evaluation, the SLP documented a hoarse/rough vocal quality, which the
patient reported was not there prior to the surgery. The SLP determines that the
patient has not received adequate hydration and is consuming too much coffee
during hospitalization. Which intervention should be utilized?
a. vocal hygiene information
b. medicalization laryngoplasty
c. consultation which the physician for appropriate prescription drugs
d. no treatment is necessary - ANSWER a. vocal hygiene information
9. A child is brought into an outpatient speech and language clinic by her parents,
with a chief complaint of "trouble speaking". After administration of a
comprehensive speech sound evaluation, the SLP reveals the following speech
sound errors: /rin/ for /ring/, /tat/ for /kat/, and /frod/ for /frog/. This child
demonstrates difficulty producing sounds with which place of articulation?