Pediatric Ax and Tx: Exam 2 Case Study Review

Jacob, a SLP in the community, evaluates a 24-month old, Brian. He has the barn and kitchen set available. Brian puts all of the barn animals and kitchen utensils in the oven. He communicated 14 times in 15 minutes using vocalizations (mostly vowels) and a few gestures. He followed unusual commands, such as “kiss the barn” and “brush the apple.”

The SLP is worried about Brian’s

Stage of play development

Jacob, a SLP in the community, evaluates a 24-month old, Brian. He has the barn and kitchen set available. Brian puts all of the barn animals and kitchen utensils in the oven. He communicated 14 times in 15 minutes using vocalizations (mostly vowels) and a few gestures. He followed unusual commands, such as “kiss the barn” and “brush the apple.”

Jacob wants to know if Brian’s communication during the evaluation is representative of what he uses at home. Which disorder-specific measure should Jacob use?

Parent Questionnaire

How many communicative attempts should a 24-month old make?

5-7 acts/min

Jacob, a SLP in the community, evaluates a 24-month old, Brian. He has the barn and kitchen set available. Brian puts all of the barn animals and kitchen utensils in the oven. He communicated 14 times in 15 minutes using vocalizations (mostly vowels) and a few gestures. He followed unusual commands, such as “kiss the barn” and “brush the apple.”

Brian’s play (putting all barn animals and kitchen utensils into the oven) is age appropriate.

False

What are typical play behaviors for 24-month olds?

B and C

Esteban is a 4-year-old male whose parents are concerned with his communication because he typically speaks in 2 or 3-word utterances. The SLP collected a language sample and administered the PLS-5. With a mean of 100, standard deviation of 15, and SEM of 5, Esteban scored 2 SD below the mean for expressive language and 1 SD below the mean for receptive language.

The SLP is cautious about making decisions solely based on the PLS-5, due to reports that it will under-identify kids with LI. The SLP suspects the PLS-5 has:

Low sensitivity

Esteban is a 4-year-old male whose parents are concerned with his communication because he typically speaks in 2 or 3-word utterances. The SLP collected a language sample and administered the PLS-5. With a mean of 100, standard deviation of 15, and SEM of 5, Esteban scored 2 SD below the mean for expressive language and 1 SD below the mean for receptive language.

To collect a representative language sample, the SLP:

Engages Esteban in play with toys related to his interests

Regarding comprehension, the SLP would expect a 4-year-old to:

Understand both probable and improbable 3-term simple sentences

Amon is a 4^th grade student identified by the Student Support Team as someone who needs to be evaluated by the SLP because of his struggles in the classroom.

Which would be true for Amon?

He is expected to be at the conventional literacy stage.

Amon is a 4^th grade student identified by the Student Support Team as someone who needs to be evaluated by the SLP because of his struggles in the classroom.

Strategies the SLP could use to assess Amon’s phonological skills include all except:

Respond to a confrontation naming task

Amon is a 4^th grade student identified by the Student Support Team as someone who needs to be evaluated by the SLP because of his struggles in the classroom.

If Amon is a “typical” child with SLI, one would expect that he:

Has difficulty shifting conversational style

Amon is a 4^th grade student identified by the Student Support Team as someone who needs to be evaluated by the SLP because of his struggles in the classroom.

Amon’s story retell lacks adequate cohesion.  Typical children achieve cohesion by using:

Pronouns that tie clearly to referents

Amon is a 4^th grade student identified by the Student Support Team as someone who needs to be evaluated by the SLP because of his struggles in the classroom.

Amon’s conversational sample includes these utterances: I hope that we stop for lunch soon. I wanted the car that I saw last week. Which types of clauses did he use?

Nominal and relative

Serena is a high school Junior who received SLP services from age 3 to age 9 and then was dismissed. Her World History teacher is concerned that Serena’s writing has numerous mechanical errors, and her essays are very short, and consist of mostly simple sentences.

What symptoms would you expect given Serena’s history?

She has poor comprehension of metaphors, similes, and idioms.

Serena is a high school Junior who received SLP services from age 3 to age 9 and then was dismissed. Her World History teacher is concerned that Serena’s writing has numerous mechanical errors, and her essays are very short, and consist of mostly simple sentences.

all of the above