IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 1.** Which of the following best describes the typical phonological
development milestone for a 2‑year‑old child?
A) Use of fricatives such as /s/ and /f/ in all word positions
B) Production of final consonants in simple CVC words
C) Mastery of all adult speech sounds
D) Consistent use of complex clusters like /str/
Answer: B
Explanation: By age 2, children usually begin to produce final consonants in simple
CVC words (e.g., “cat,” “dog”). Fricatives and clusters develop later.
**Question 2.** The primary neural substrate for speech perception is located in
which cortical area?
A) Broca’s area (inferior frontal gyrus)
B) Wernicke’s area (posterior superior temporal gyrus)
C) Primary motor cortex
D) Hippocampus
Answer: B
Explanation: Wernicke’s area is critical for processing auditory language input and
speech perception.
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 3.** Which of the following distinguishes an articulation disorder
from a phonological disorder?
A) Errors are rule‑based and affect multiple sounds
B) Errors are consistent across all contexts
C) Errors involve mis‑placement of the tongue or lips
D) Errors are limited to vowel production
Answer: C
Explanation: Articulation disorders are motoric in nature, involving incorrect
placement or movement of articulators; phonological disorders are pattern‑based.
**Question 4.** In the International Phonetic Alphabet (IPA), the symbol [θ]
represents which sound?
A) Voiced dental fricative
B) Voiceless alveolar stop
C) Voiceless dental fricative
D) Voiced labiodental fricative
Answer: C
Explanation: [θ] denotes the voiceless dental fricative as in “thin.”
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 5.** Which phonological process is most commonly observed in the
speech of a 4‑year‑old child?
A) Final consonant deletion
B) Gliding of /l/ and /r/ to /w/ and /j/
C) Cluster reduction
D) Stopping of fricatives
Answer: B
Explanation: Gliding (e.g., “rabbit” → “wabbit”) is typical in early childhood but
usually resolves by age 4‑5.
**Question 6.** Primary stuttering behaviors are best defined as:
A) Secondary avoidance strategies such as word substitutions
B) Core dysfluencies like part‑word repetitions and prolongations
C) Emotional reactions to dysfluency
D) Physical tension during speech
Answer: B
Explanation: Primary behaviors are the core dysfluencies that reflect the
underlying disorder (e.g., repetitions, prolongations).
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 7.** Which of the following is a secondary stuttering behavior?
A) Sound prolongation
B) Speech‑related facial grimacing
C) Whole‑word repetition
D) Interjection of filler words (e.g., “um”)
Answer: B
Explanation: Secondary behaviors are learned responses such as facial tension,
avoidance, or abnormal breathing.
**Question 8.** A child presents with a monotone voice, decreased loudness, and
a strained quality. The most likely diagnosis is:
A) Hyperfunctional dysphonia
B) Spasmodic dysphonia
C) Vocal fold paralysis
D) Functional aphonia
Answer: A
Explanation: Hyperfunctional dysphonia is characterized by excessive muscular
effort leading to strained, low‑volume voice.
Practice Exam
**Question 1.** Which of the following best describes the typical phonological
development milestone for a 2‑year‑old child?
A) Use of fricatives such as /s/ and /f/ in all word positions
B) Production of final consonants in simple CVC words
C) Mastery of all adult speech sounds
D) Consistent use of complex clusters like /str/
Answer: B
Explanation: By age 2, children usually begin to produce final consonants in simple
CVC words (e.g., “cat,” “dog”). Fricatives and clusters develop later.
**Question 2.** The primary neural substrate for speech perception is located in
which cortical area?
A) Broca’s area (inferior frontal gyrus)
B) Wernicke’s area (posterior superior temporal gyrus)
C) Primary motor cortex
D) Hippocampus
Answer: B
Explanation: Wernicke’s area is critical for processing auditory language input and
speech perception.
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 3.** Which of the following distinguishes an articulation disorder
from a phonological disorder?
A) Errors are rule‑based and affect multiple sounds
B) Errors are consistent across all contexts
C) Errors involve mis‑placement of the tongue or lips
D) Errors are limited to vowel production
Answer: C
Explanation: Articulation disorders are motoric in nature, involving incorrect
placement or movement of articulators; phonological disorders are pattern‑based.
**Question 4.** In the International Phonetic Alphabet (IPA), the symbol [θ]
represents which sound?
A) Voiced dental fricative
B) Voiceless alveolar stop
C) Voiceless dental fricative
D) Voiced labiodental fricative
Answer: C
Explanation: [θ] denotes the voiceless dental fricative as in “thin.”
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 5.** Which phonological process is most commonly observed in the
speech of a 4‑year‑old child?
A) Final consonant deletion
B) Gliding of /l/ and /r/ to /w/ and /j/
C) Cluster reduction
D) Stopping of fricatives
Answer: B
Explanation: Gliding (e.g., “rabbit” → “wabbit”) is typical in early childhood but
usually resolves by age 4‑5.
**Question 6.** Primary stuttering behaviors are best defined as:
A) Secondary avoidance strategies such as word substitutions
B) Core dysfluencies like part‑word repetitions and prolongations
C) Emotional reactions to dysfluency
D) Physical tension during speech
Answer: B
Explanation: Primary behaviors are the core dysfluencies that reflect the
underlying disorder (e.g., repetitions, prolongations).
, IL153ILTS Speech Language Pathologist Teaching
Practice Exam
**Question 7.** Which of the following is a secondary stuttering behavior?
A) Sound prolongation
B) Speech‑related facial grimacing
C) Whole‑word repetition
D) Interjection of filler words (e.g., “um”)
Answer: B
Explanation: Secondary behaviors are learned responses such as facial tension,
avoidance, or abnormal breathing.
**Question 8.** A child presents with a monotone voice, decreased loudness, and
a strained quality. The most likely diagnosis is:
A) Hyperfunctional dysphonia
B) Spasmodic dysphonia
C) Vocal fold paralysis
D) Functional aphonia
Answer: A
Explanation: Hyperfunctional dysphonia is characterized by excessive muscular
effort leading to strained, low‑volume voice.
