CETP Questions

Total laryngectomy includes the removal of:

A. Larynx

B. Tongue

C. Esophagus

D. All of the above

A. Larynx

Following a total laryngectomy, the patient breathes through the:

A. Larynx

B. Nose

C. Mouth

D. Stoma

D. Stoma

Type(s) of alaryngeal communication include:

A. Voicing with vocal cords

B. Artificial larynx

C. Tongue

D. None of the above

B. Artificial Larynx

TEP stands for:

A. Total Esphophopharyngectomy

B. Tracheoesophageal puncture/prosthesis

C. Trans-laryngeal pharyngotomy

D. Tracheoesophageal pharyngectomy

B. Tracheoesophageal puncture/prosthesis

Ideal alaryngeal communication can be achieved with:

A. Artificial larynx

B. Esophageal speech

C. Tracheoesophageal speech

D. The one the patient prefers

D. The one the patient prefers

Which of the following parameters should be collected in an assessment of common dysphonia?

A. Videostroboscopic evaluation

B. Acoustic Voice Parameters

C. Aerodynamic Voice Parameters

D. All of the above

D. All of the above

What is the purpose of having the patient produce a louder than normal sustained /a/ sample?

A. To determine if the patient can maintain adequate glottal closure

B. To determine if the patient can produce voice over 60 dB SPL

C. To determine if the patient has a dysphonia during prolonged, loud speech

D. None of the above

A. To determine if the patient can maintain adequate glottal closure

When conducting an MPT test, which of the following are procedural steps to follow?

A. Take longest production of 3 trials

B. Make sure patient takes short, quick breaths before voicing

C. Patient should produce their highest pitch while phonating

All of the above

A. Take the longest production of 3 trials

Which of the following vocal parameters are assessed using the CAPE-V?

A. Vocal Behavior

B. Pitch

C. Grade

D. None of the above

B. Pitch

Which of the following stroboscopic assessment criteria is defined as the "Quantitative rating of the 'mirror' motion of both vocal folds"?

A. Glottal Closure

B. Regularity

C. Mucosal Wave

D. Symmetry

D. Symmetry

Lip Buzzes, Tongue Trills and Yawn-Sign are examples of which direct behavioral voice therapy approach?

A. Relaxation

B. Bridging Techniques

C. Respiratory Manipulations

D. Laryngeal Manipulations

B. Bridging Techniques

The purpose of laryngeal massages is to:

A. Increase circulation

B. Increase extrinsic laryngeal tension

C. Decrease circulation

D. Increase muscle tension

A. Increase Circulation

Which of the following are targeted muscle groups that affect your voice?

A. Oral facial

B. Thoracic

C. Laryngeal

D. All of the above

D. All of the above

Which of the following is an SOVT exercises?

A. Tongue trill

B. Stretching

C. Easy Onset

D. Diaphragmatic Breathing

A. Tongue Trill

Which of the following is an effective technique to minimize hyperfunctional voice?

A. Diaphragmatic breathing

B. Tongue stretches

C. Yawn-sigh

D. Resonant voice therapy

C. Yawn-sigh

This type of breathing causes vocal fold strain and muscle tension:

A. Diaphragmatic breathing

B. Clavicle breathing

C. Rest breathing

D. All of the above

B. Clavicle breathing

This technique reduces vocal hard glottal attack and vocal fold compression:

A. Easy onset

B. Diaphragmatic breathing

C. Lip trill

D. Glissando

A. Easy onset

Which of the following is considered a screening assessment for mTBI?

A. The Western Aphasia Battery

B. The Rivermead Behavioral Memory Test

C. The Attention Process Training Test

D. The Montreal Cognitive Assessment

D. The Montreal Cognitive Assessment

Which of the following symptoms resulting from head trauma is not related to mTBI?

A. Memory impairment

B. Attention impairment

C. Severe dysphagia

D. Stuttering

C. Severe dysphagia

Which of the following is an example of a formal stroke assessment?

A. Western Aphasia Battery

B. Woodcock-Johnson Reading Assessment

C. Observing family conversation

D. Wechsler Individual Achievement Test

A. Western Aphasia Battery

Which of the following is an example of a functional treatment activity for stroke?

A. Teaching the names and purposes for patient medications by having the patient look up the medications in a pocket drug guide, then focus on recalling them.

B. Working on orientation to person, place, and situation

C. A delayed recall task from a notebook

D. Immediate recall of five words

A. Teaching the names and purposes for patient medications by having the patient look up the medications in a pocket drug guide, then focus on recalling them.

What is the most functional and evidence-based treatment for dysarthria?

A. Speaking and swallowing

B. Electronic stimulation

C. Myofascial release

D. Oral motor exercises

A. Speaking and swallowing

Which of the following is a consideration prior to evaluation?

A. Family dynamics

B. Communication

C. Medications

D. All of the above

D. All of the above

Dysphagia results in which of the following outcomes?

A. Longer hospital stays

B. Higher cost

C. Higher mortality rates

D. All of the above

D. All of the above

Sensitivity measures can be described as:

A. Actual positives

B. False positives

C. Actual negatives

D. False negatives

A. Actual positives

Specificity is the measure by which we can use swallow screening to:

A. Rule in dysphagia

B. Rule out dysphagia

C. Predict dysphagia outcomes

D. Identify diagnostic signs

B. Rule out dysphagia

The Yale Swallow Screen:

A. Includes a 3 oz water test

B. Is to be administered by MDs or RNs only

C. Includes an assessment of short term recall

Is designed only for clients with CVA

A. Includes a 3 oz water test

Research into the use of pulse oximetry to measure oxygen saturation as it relates to aspiration risk has demonstrated which of the following?

A. A significant drop in oxygen saturation is predictive of an aspiration event

B. Aspiration events cause drops in oxygen saturation

C. Low post-swallow oxygen saturation levels definitively predict aspiration

D. Low pre-swallow oxygen saturation levels may be predictive of aspiration

D. Low pre-swallow oxygen saturation levels may be predictive of aspiration

A chin down head position:

A. Prevents aspiration from pyriform sinuses

B. Widens the laryngeal vestibule

C. Requires more effort

D. Increases space between the tongue base and the pharyngeal wall

C. Requires more effort

Modified Barium Swallow studies and FEES studies can BOTH provide information regarding:

A. Internal appearance of the larynx

B. Presence and cause of aspiration

C. Oral bolus propulsion

D. Esophageal clearance

B. Presence and cause of aspiration

What is the current and preferred label for describing children who have difficulty planning/programming the movements required for production of speech?

A. Dyspraxia

B. Developmental Verbal Apraxia

C. Childhood Apraxia of Speech

D. Apraxia

C. Childhood Apraxia of Speech

Which of the following is the most current theory associated with CAS?

A. Linguistic

B. Neurological

C. Combination of Linguistic and Motor Programming

D. Pure Motor

C. Combination of Linguistic and Motor Programming

Comorbidities commonly associated with CAS include:

A. Language Problems

B. Gross Motor Problems

C. Academic Problems

D. All of the above

D. All of the above

Which of the following features is commonly agreed upon by experts to help with differential diagnosis of CAS?

A. Rapid rate of speech

B. Inconsistent errors across repeated productions

C. Consistent errors every time a problem sound is produced

D. Poor respiratory support for speech

B. Inconsistent errors across repeated production

Which of the following is an example of providing feedback about results?

A. "Put your tongue behind your teeth"

B. "Close your teeth"

C. "Good job on that /s/!"

D. "You put your lips together like this"

C. "Good job on that /s/!"

Which of the following is an example of providing knowledge?

A. "You know how you bit your bottom lip? That's how you do it"

B. "Well done"

C. "Not quite there, but close"

D. "Awesome

A. "You know how you bit your bottom lip? That's how you do it"

How often should a child with CAS receive speech therapy?

A. As frequently and intensely as will be tolerated based on the child's age/severity of impairment

B. Once to twice a week

C. Every other week, with a home program carried out between clinic treatment sessions

D. Therapy should be provided in a group setting, so whenever the group can meet

A. As frequently and intensely as will be tolerated based on the child's age/severity of impairment

A tympanogram provides information regarding:

A. The compliance of the middle ear system (how well sound passes through the eardrum to the middle ear system)

B. Ear canal volume

C. Middle ear pressure

D. All the above

D. All the above

Which measure is plotted vertically on the tympanogram?

A. Compliance

B. Middle ear pressure

C. Ear canal volume

D. Sound pressure level

A. Compliance

Maximum compliance of the middle ear system occurs when the pressure in the middle ear system is _____ to the pressure in the external auditory canal:

A. Less than

B. Greater than

C. Equal to

D. Zero

C. Equal to

Which measure is plotted horizontally on the tympanogram?

A. Compliance

B. Middle ear pressure

C. Ear canal volume

D. Sound pressure level

B. Middle ear pressure

Which type of tympanogram looks like a teepee, and indicates a normal middle ear system, free of fluid or physiological anomalies which would prevent the admittance of sound from the middle ear into the cochlea?

A. Type A

B. Type B

C. Type C

D. None of the above

A. Type A

Which type of tympanograms are a flat line, which is consistent with middle ear pathology, such as fluid or infection behind the ear drum.

A. Type A

B. Type B

C. Type C

D. None of the above

B. Type B

Which type of tympanograms are still shaped like a teepee, but are shifted negatively on the graph. This indicates negative pressure in the middle ear space, often consistent with sinus or allergy congestion, or the end-stages of a cold or ear infection.

A. Type A

B. Type B

C. Type C

D. None of the above

C. Type C

Which type of service delivery model works separately and independently, come together to report assessment results and intervention outcomes from the perspective of their own discipline, and do not engage in joint planning or intervention?

A. Unidisciplinary team

B. Multidisciplinary team

C. Interdisciplinary team

D. Transdisciplinary team

B. Multidisciplinary team

Which type of service delivery model discusses and shares perspectives to set goals and identify intervention priorities, collaborates and communicates for assessment and intervention, and aims to provide less fragmentation of services?

A. Unidisciplinary team

B. Multidisciplinary team

C. Interdisciplinary team

D. Transdisciplinary team

C. Interdisciplinary team

Which type of service delivery model coordinates and collaborates for assessment and intervention frequently, blends professional boundaries, offers flexible professional roles, shares information for planning and intervention, determines intervention goals jointly, and shares responsibility for documenting student outcomes?

A. Unidisciplinary team

B. Multidisciplinary team

C. Interdisciplinary team

D. Transdisciplinary team

D. Transdisciplinary team

Auditory processing disorders (APD):

A. Have normal peripheral hearing

B. Is a breakdown in auditory abilities

C. May lead to or be associated with difficulties in higher order language, learning,and communication functions.

D. All of the above

D. All of the above

Inadequate tone of the cartilaginous rings of trachea resulting in tracheal collapse during exhalation is known as:

A. Laryngomalacia

B. Respiratory distress syndrome

C. Tracheomalacia

D. Bronchopulmonary dysplasia

C. Tracheomalacia