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Flashcards in online test Deck (43):

Intervention from an SlP for a nursing home who is in a late stage of progressive dementia will effectively focus on

assisting in communication routines


For a test of expressive morphology and syntax for speakers of African American Vernacular English (AAVE), the test item would be considered LEAST biased against such speakers

Agreement of personal pronouns with their antecedents in gender and numbers.


In treatment of Wernicke's Aphasia, the initial focus should be on

encouraging self-monitoring of the adequacy of verbal output


An otolaryngologist has referred a 45 years old man for voice treatment following medialization thyroplasty for a paralyzed vocal fold. Which of the following is the most appropriate therapeutic strategy for SLP use?

Assisting the client to produce a hard glottal attack


A 9 month old was observed during a speech language evaluation. To express herself, the child occasionally touched her mother, gained eye contact, and then gestured toward an object. If the childs development is normal within the next month or so the child will begin to :

use consistent sound and intonation patterns as signals for specific intentions


For a patient with communication and swallowing disorders secondary to acquired immunodeficiency syndrome (AIDS), a speech-language pathologist will most appropriately

provide treatment in consultation with the patient's primary care physician or medical team


Which of the following muscles produces the opposing actions to those that produce velopharyngeal closure



Which of the following is a perturbation that can be measured to determine the amount of noise in the voice?

F0 cycle to cycle variations in sound energy over time


Which of the following describes an important diagnostic distinction between apraxia of speech and dysarthria

Strength and coordination of musculature are intact in clients with apraxia of speech, weakness, incoordination , or altered tone of speech musculature are associated with dysarthria


Naturalistic teaching chiefly involves which of the following?

establishing successful and useful communication


Ms Helene, a 60 year old woman with a suspected neurological disorder is referred for speech language evaluation. She achieves a score of 35/50 on a measure of confrontation object-naming ability. This score is below norms established for individuals of her age and educational level. based on these results alone, which of the following statements can most reliably be made about Ms. Helene's disorder?

She has difficulty with naming, but the precise nature of the deficit cannot be determined on the basis of this test score alone


A 67 years old male patient with no history of swallowing problems has undergone a cardiothoracic surgical procedure. Postoperatively, he is found to be aspirating while swallowing and he is diagnosed with a left vocal-fold paralysis and left pharyngeal paresis. Which of the following is the most likely etiology?

Damage to the left recurrent laryngeal nerve


A team of SLPs is evaluating whether a new language intervention is suitable for use with children who are on their caseload. The clinicians read an article documenting research on the effect of a novel treatment on the language performance of 30 children with specific language impairment. The researchers administered a standardized test to the children before and after the treatment program. The children's post treatment scores on the test were significantly higher than their pretreatment scores. this lead the researchers to conclude that the treatment was highly effective. Based on the preceding description, which of the following appears to be a significant limitation of the design of the study?

The use of a single group pretest-postest design
The absence of a control group
The inability to rule out the possibility that the children's language scores improved for reasons other than treatment


Primary motor innervation to they larynx and velum is provided by which cranial nerve



Fiber optic instrumentation is appropriate for evaluation of which of the following types of disorders



Fela is a third grade student in a public school. She is a speaker of African American Vernacular English (AAVE) who has difficulty with the Standard American English (SAE) dialect used in her classroom. Her teacher believes that Fela's language skills are affecting her academic performance and has referred her to school's speech language pathologist. Which of the following is an appropriate rationale for providing language intervention for Fela

It will likely improve Fela's code switching ability with her teacher and other adult speaker of SAE


John is 4 1/2 year old whose consonant inventory includes word-initial [w], [m], [n], [p], [b], [t], [d] and [f]. He uses [t] for /k/, [d] for /g/, [b] for /v/, and f for [0}. He produces no consonant clusters. His word final consonantal inventory consists of [m] and[n]. His word shape inventory includes V, CV, CVC, AND CVCV. The information given most strongly indicates that the child has

delayed phonological development.


After sustaining a CVA, Ms. Williams, age 75, was referred to an SLP for speech and language evaluation. While Ms William was describing the cookie-theft picture, the SLP observed that her grammatical structure appeared to be intact and her prosody was normal but many of her sentences were meaningless, did not fit the context and included nonsensical paraphrasic errors. Additional testing also revealed that Ms. Williams exhibited poor repetition and naming skills, did not respond appropriately to many simple commands and had difficulty ready. Ms Williams appeared happy and talked excessively. She did not appear aware of her communication deficits. what is most likely the location of her lesion?

Left posterior superior temporal gyrus


A client exhibit weakness, atrophy, and fasciculations of the right side of the tongue and lower face. The client has also the 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?

Brain stem


A video fluoroscopic study of a client with dysphagia revealed post swallow vallecular residue occupying more than 50 percent vallecular height. Which of the following is the most likely overt symptom that the client will experience?

Couching after swallowing


Laborious, halt in, telegraphic utterances are typical of clients with which of the following types of aphasia?

TRanscortical motor


A 3 year old child presents for an evaluation of communication skills. When the SLP says "Sit in your seat" the child responds by saying [ti i ti]. When the SLP asks the child to "put the big block in the box" the child responds by saying [bi ba i ba]. Based on the responses, the child's primary problem with communication is most likely which of the following?

A receptive and/or expressive language impairment


A 4 1/1 year old boy has significant speech and language difficulties exemplified by poor oral motor control slight difficulty in swallowing, high palate, poor tongue mobility, and fasciculation on protrusion. During an evaluation, the SLP notes very poor paper-pencil grasp, poor posture, and inability to complete performance tasks requiring fine motor control. To which of the following should the child be referred in order to obtain additional diagnostic information?

A physical therapist


A 4 year old child presents with general speech patterns that include liquid gliding, stridency deletion, final consonant deletion, and consonant cluster reduction. Which of the following is the SLP's most appropriate recommendation for this child?

Treatment should use a phonological approach and foci initially on the production of final consonants


A SLP sees a college educated 22 year old man who has sustained a brain injury as a result of a motor vehicle accident 18 months earlier. The man was unconscious for 5 days and postraumatic amnesia for 3 months. In the last year he has gel 3 unskilled jobs, from which he was released for unspecified reasons. Based on the information given, the man's most pervasive condition is most likely impaired

attention memory


stopping observed only on th 85%
fronting /k/ -[t] 90%
/g/ -[d] 100%
/ng/-[n] 20%
Gliding /r/-[w] 100%
final consonant deletion obstruents a null 80%
epenthesis 10%

Final consonant deletion


Which of the following is the most reasonable standard to apply when judging whether a client has achieved generalization of a targeted skill?

The client use targeted skill under stimulus conditions that were not present during the training process and without reinforcement


Establishment of which of the following is most important in ensuring that the results of any diagnostics test of speech language are replicable?

interjudge validity


If a child's language exhibits the phonological process of gliding, the child might say [wed] for "red". When asked, "do you mean wed? " the child may respond, "No! [wed]! "Such a response demonstrates which of the following?

Linguistic performance lags behind linguistic competence


Linguistic approaches to the treatment of sound-production errors in children are based on the nation that the errors are systematic and rule based on the notion that errors are systematic and ruled based and that the goal of treatment is to modify a child's rule system to approximate the rule system used by adults. Which of the following is a treatment objective that reflects a linguistic approach to treatment?

The child will contrast alveolar stops with velar stops in meaningful word pairs.


An individual trying to sustain /f/ is shown in the midsagittal view above. The most important reason why this speaker will not produce an acceptable /f/ is that:

intra oral air pressure will be insufficient


A client has been determined to have poor esophageal sphincter opening secondary to decreased hyolaryngeal excursion, following a lateral medullary stroke. Cognitive functions are within normal limits. Which of the following interventions would be the most appropriate recommendation for this client as an initial course of treatment for underlying disorder?

mendelsohn maneuver


Which of the following contributes to UES opening?

Partial relaxation of the cricopharyngeal portion of the inferior constrictor muscle
Velopharyngeal closure


Which of the following muscles is primarily responsible for vocal abductions?

posterior cricoarytenoid


Which of the following is the ratio of reinforcement that will most quickly cause a newly acquired behavior to be habituated?

A random ratio of tokens to correct responses


Mr. Charles age 78, has had Alzheimer's disease for the past 9 years. A recent speech and language evaluation at his nursing home indicated severe deficits in verbal reasoning, memory, word finding, discourse, pragmatics, phonology, semantics, and syntax. Which of the following should the SLP do next?

Examine the living conditions if necessary, educate the staff concerning ways to help him communicate more efficiently


What of the following communication disorders is most frequently associated with significant dysphagia?

Flaccid dysarthria


Language impairment in a child with Down syndrome is often determined by comparing performance on one or more standardized tests wight the child's mental age, rather than with the child's chronological age. Although mental age should not be used to specify the need for treatment, mental age can legitimately be used as a performance criterion because

using chronological age would over identify language disorders


For which of the following reasons would therapy for a client whose language loss is due to brain injury differ from therapy for a client whose language loss is due to a progressive disorder?

there is much higher chance of spontaneous recovery for the client with brain injury.


A 42 years old client with upper and lower extremity weakness and a diagnosis of amyotrophic lateral sclerosis is referred for a speech language evaluation. The evaluation reveals a progressive severe dysarthria that is characterized by imprecise articulation secondary to bilateral facial and lingual weakness atrophy, and fasciculations; mild to moderate hyper nasality and weak pressure consonants with associated nasal emission during speech and strained harsh groaning voice quality with occasional inhalatory stridor. Speech intelligibility is poor. Which of the following will most effectively improve this client's ability to communicate

augmentative communication system


The sensorimotor integration of the muscles of the lower face depends on which 2 of the cranial nerves?

The trigeminal and facial


A child repeatedly inserts an inappropriate sound in certain environments, for example {dpi} for [fi]. Which of the following would likely be most helpful for the child as a target for treatment?

Words that contrats the child's error pattern with the target pattern.


Individuals diagnosed as having hemifacial microsomia are also most likely to have

ear malformation