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1. Which of the following groups of phonemes can best be described as
the Six-Sound Test by Ling?
A. /u/, as in the word ooze, /e/, as in the word way, /o/, as in the word own,
/a/, as in the word path, /æ/ /ə/
B. /f/, /s/, /θ/, /ʃ/, /z/, /h
C. /m/, /a/, /u/, /i/, /s/, /ʃ /
D. /d/, /g/, /e/, /o/, /s/, /ʃ/
Option (C) is correct.
2. The six phonemes that are part of Ling's Six-Sound Test are /m/, /a/, /u/, /i/,
/s/, /ʃ /
A school-age patient being assessed for a language disorder listens to a short
passage and is asked "wh" questions based on the passage. The SLP reviews the
patient's responses, records any errors, and then teaches the patient strategies to
answer "who" and "what" questions. The SLP makes careful notes about how
much assistance the client requires to achieve a correct response. After several
sessions, the SLP reassesses the patient's responses to "wh" questions. Which of
,the following types of assessment is primarily exemplified in the scenario?
A. Standardized assessment
B. Criterion-referenced assessment
C. Dynamic assessment
D. Curriculum-based assessment
Option (C) is correct.
3. Dynamic assessment employs a test-teach-retest procedure; it is not a static
assessment in which the client has only one chance to select the correct answer.
When completing an oral mechanism examination on a patient presenting with
stroke-like symptoms, which of the following findings would be most likely to
predict aspiration during an instrumental swallow evaluation?
A. Inability to swallow on command
B. Facial droop
C. Absent gag reflex
D. Breathy phonation
Option (D) is correct.
Studies have demonstrated that breathy phonation would indicate possible vocal
fold and/or pharyngeal paralysis.
4. A mother reports that her three-year-old son's speech seems normal at school,
but at home his speech is either loud or fast, or he stops talking altogether. The
mother further reports that she, her husband, and their two older children speak
quickly and interrupt each other frequently. She is concerned that her son is not
developing the speech and language skills to keep up. Which of the following
statements is most accurate with respect to the mother's concern?
,A. Based on the child's age, speech is typically intermittent and thus he is very
likely developing language skills normally.
B. The child's speech neuromotor system can keep up with the language systems
of children his own age but not with the more advanced systems in his household.
C. The child's situational lack of language is more consistent with a cognitive delay
than a speech or language deficit.
D. The child is employing compensatory speech production techniques at school
but not at home.
Option (B) is correct.
5. Young children, particularly those with frequent disfluency, often have difficulty
competing with more advanced speech systems.
Which of the following approaches most accurately helps an SLP know if a
treatment plan for an adolescent with language disorders is having an impact on
academic learning?
A. Reviewing the results of state standards-based assessments
B. Administering the Peabody Picture Vocabulary Test (PPVT)
C. Analyzing performance on classroom-based assessments
D. Using the Clinical Evaluation of Language Fundamentals (CELF-5) assessment
Option (C) is correct.
6. An adolescent with language disorders would best show academic progress
through performance on classroom assessments.
When an SLP assesses the communication skills of a bilingual child, it is important
for the SLP to evaluate both languages primarily to
A. establish a baseline of skills in order to track changes
B. determine which language to treat
C. establish rapport with the child
D. diagnose a communication disorder
, Option (D) is correct.
7. Diagnosis is required prior to initiating therapy, and a diagnosis of a
communication disorder cannot be established without evaluating skills in both
languages.
Spastic
D. Performing pushing-pulling
exercises
Ataxic
B. Practicing relaxation exercises
Flaccid
C. Implementing sensory tricks
Hyperkinetic
A. Using rhythmic or metered
cueing
Dysarthria - Motor speech disorder
Disturbance - articulation, resonance, breath support
The correct matches are
Spastic - Practicing relaxation exercises, (UMN, loss of skilled movement, may deal
with dysphagia/drooling, strangled/harsh sounding)
Ataxic - Using rhythmic or metered cueing,
(Cerebellar lesion, No muscle weakness, lack of coordination, "drunk speech",
broad stance/gait, slowness/inaccuracy in force and timing of speech movements)
Flaccid - Performing pushing-pulling exercises, and (LMN, muscle weakness,
reduced tone)
Hyperkinetic - Implementing sensory tricks. (Disturbance in basal ganglia, Excess
movements - tremors - Huntington's disease, Tourette's)