SLP Test Prep Kahoot - Praxis

An infant with cleft palate will likely have hearing problems because:

Eustachian tube dysfunction

3 bones of the middle ear: MISO = ?

Malleus, Incus, Stapes = Ossicles

Language assessment results for a person showed: fluent verbal output with significant jargon. The individual had limited preserved auditory comprehension, and difficulty with repetition of even single words. Based on this scenario, the type of aphasia the person would MOST LIKELY be diagnosed with is:

Wernicke's aphasia

Damage to which of the following left cerebral arteries would result in damage to Wernicke's area?

Middle cerebral artery

A person with acute onset of aphasia whose first language is Spanish and who knows only a few words of English has been assigned to the caseload of a monolingual English-speaking speech-language pathologist (SLP) in a large urban medical center. The SLP should:

Arrange to have a professional interpreter to be present during the evaluation and use the English-language tests he/she usually uses with the interpreter translating the items

Computer assisted phonological analysis can be described as

Time-saving, but not a replacement for clinical judgment

The place, manner & voicing for the phoneme /h/ is:

glottal, fricative, voiceless

The place, manner & voicing for the phoneme /g/ is:

velar, stop, voiced

An identified problem in assessment practices regarding cultural and linguistic diversity is

Overdependence of standardized assessment tools

Clinical Directed intervention is considered _______ when compared to child-centered and hybrid approaches

Least natural

A 6 year old child produces /t/ for /s/, /d/ for /z/, /p/ for /f/, and /b/ for /v/. Intervention for this problem would target language at the level of:

Phonology

Individuals with the right hemisphere damage (RHD) typically have deficits which are purely linguistic (t/f)

False

Screening tools to detect changes in cognitive functioning in adults may include

R-BANS, MMSE, SLUMS, MoCA

Which of the following terms refers to a denial of illness which can occur in individuals with cognitive-linguistic communication disorders?

Anosagnosia

The International Classification of Functioning, Disability (ICF), a framework used for assessment and rehabilitation planning, does NOT include which of the following:

Intervention

Best Practice for supporting communication across the lifespan is best described as:

Providing muli-modal communication support

When successful, fluency-shaped techniques do which of the following?

Reduce the frequency of stuttering but require the client to pay attention to the act of talking

If stuttering is considered to be due to specific word anxiety, which of the following should hold true?

The dominant feature of stuttering should be repetition or avoidance of the specific word

Electrical Impulses associated with sound travel from the cochlea to the brain via cranial nerve VIII

True

Which structure is part of the outer ear?

Pinna

Which of the following nerves provides efferent innervation to the stylopharyngeus muscle and contributes toward the elevation of the pharynx and the larynx?

The glossopharyngeal

Excessive nasality is associated with inadequate velopharyngeal closure. An SLP is training a client to self-monitor nasality during speech. Which of the following tactics will best allow the speaker to determine whether there is excessive nasal airflow?

Speaking/phonating while alternately leaving the nostrils open and pinching them closed

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

The trigeminal and facial

Social skills training alone is recommended for the management of attention deficit hyperactivity disorder

False

Adults with social communication deficits would likely have difficulty with

Small talk, understanding ambiguous or figurative language, repairing communication breakdowns

Social communication behaviors such as eye contact, facial expressions, and body language are influenced by sociocultural and individual factors (Curenton & Justice, 2004; Inglebret et al., 2008)

True

When completing a videofluoroscopic swallow study on a geriatric patient, which of the following findings is most appropriately considered typical development?

Liquid bolus enters pharynx before hyolaryngeal excursion begins

A 65-year-old-male who is hospitalized with pneumonia completed a videofluoroscopic swallowing study. Findings showed aspiration after the swallow due to a reduced upper esophageal sphincter opening diameter separating the bolus tail, which was then retained in the pyriform sinuses. Which of the following interventions was designed to and is shown to improve upper esophageal sphincter opening?

Shaker (head list) exercise

A client has been determined to have poor upper 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 the underlying disorder?

Mendelsohn maneuver

Which of the following is a type of 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 would be most likely to help a client who has aphonia?

Development of phonation through coughing or throat clearing

One treatment option for adductor spasmodic dysphonia involves the percutaneous injection of which of the following into the thyroarytenoid muscle

Botulinum toxin

The most severe type of non-fluent aphasia is which of the following?

Global Aphasia

In order to help a patient understand professinoal journals again, he brings his long-time collaborator (and friend) to therapy. The clinician explains how she has been instructing the patient to exploit the use of headings, key words, and photos to improve his comprehension of text. The tree brainstorm how to apply this to a journal article and agree that articles lend themselves nicely to this approach b/c of the extensive use of headings, subheadings, and figures to organize and explain the study and study results. When reading an excerpt of a results section from a journal, the friend "accidentally" covers-up the figure that accompanies the section. What treatment is being described?

Supported Reading Comprehension

Language assessment results for a person showed: non-fluent verbal output with significant agrammatism, with a co-occurring apraxia of speech. The individual had relatively preserved auditory comprehension, but difficulty with repetition of even single words. Based on this scenario, the type of aphasia the person would MOST LIKELY be diagnosed with is

Broca's aphasia

There is limited to no evidence to support non-speech oral motor exercises (NSOMES) as part of articulation or phonological therapy

True

The most accurate way to capture a child's phoneme productions during testing is:

Narrow transcription

Acoustic parameters that are important to speech production are frequency, amplitude and

Duration

A typically-developing 10 month old child will exhibit which of the following skills?

Canonical babbling

A language screening is different from a language assessment because screenings:

cannot be used to diagnose

Recasting sentences is an intervention technique that falls under the ______ intervention approach

Child-centered

Check all treatments that may apply to adults with dementia living in a long term care facility:

Reminiscence therapy, caregiver/staff training, compensatory strategies for memory

According to Park, Engels (2001) and Sohlberg, Mateer (2001), what are the 2 basic methods for implementing cognitive rehabilitation?

Restorative, compensatory

Use of AAC will prevent someone from developing spoken language (T/F)

False

A clinician is describing the benefits of voluntary stuttering to a new adult client. Which of the following is an example of what the clinician would NOT include?

Voluntary stuttering increases the likelihood that listeners will also begin to stutter

While a client who stutters maintains a state of deep muscle relaxation, the clinician suggests scenes dealing with a certain feared speaking situation for the client to imagine, beginning with the least anxiety-arousing scene and progressing to the most anxiety-arousing scene. This procedure is commonly known as

Systematic desensitization

A child without impairment at the level of the outer, middle, or inner ear who has difficulty processing auditory information may be impacted by:

Central auditory processing disorder

When the hair cells of the inner ear are permanently damaged, this leads to:

Sensorineural hearing loss

Primary motor intervention to the larynx and velum is provided by which cranial nerve?

X

A 5-year-old girl with a repaired cleft palate has recently undergone a pharyngeal flap operation to correct velopharyngeal incompetence, but she continues to use glottal stops, pharyngeal fricatives, and mid-dorsum palatal stops. Which of the following is the most appropriate action for the SLP to take?

Initiating articulation treatment to teach the correct placement for the stops and fricatives

The following assessments are useful in identifying pragmatic language difficulties in adults:

Composite approaches that use several of the above techniques (investigation involving the family concerning the person's communicative style and needs, observing and coding the efficiency of a person's communication in various situations)

Specific communication challenges may become apparent when difficulties arise in which of the following:

- changing communication to match the context or needs of the listener (repairing communication breakdowns)

- Misinterpretation of contextual meaning

- Sentence grammar and lexical semantics

- Understanding nonliteral or ambiguous language

- Communicating socially in ways that are appropriate for the particular social context

- Inferential language

- following rules for conversation and storytelling

A 67-year-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 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 55-year-old female presents for a speech evaluation because of concerns with recent changes in the clarity of her speech. She has also noticed occasional coughing when drinking, and her friends have commented that her voice sounds different. A recent visit to her primary care doctor could not determine the cause of her speech changes or coughing. Select the most important factor(s) for the SLP to explore during the patient interview

Onset and duration of her speech changes

Which of the following factors contributes to UES opening?

- superior and anterior hyolaryngeal excursion

- partial relaxation of the cricopharyngeal portion of the inferior constrictor muscle

A 28-year-old classroom teacher complaining of frequent voice loss is seen by an SLP and an otolaryngologist. It is determined the patient's symptoms are linked to significant vocal demands. Which of the following recommendations if the most appropriate first step to treat the underlying disorder

Recommending voice amplification with resonant voice therapy

An evaluation is performed on a 5 year old with frequent hoarseness. Which of the following measures is primarily included in the endoscopic examination?

Laryngeal visualization

According to literature on men's and women's voices, the prevalence of benign vocal fold lesions in women can best be explained by differences in

Rates of vocal fold vibration

Which would be most likely to occur in an individual with fluent aphasia:

Paragrammatism

Diphthongs are a combination of

Two vowels

The place, manner & voicing for the phoneme /z/ is:

Alveolar, fricative, voiced

If a child has multiple sounds in error, clinicians should examine the speech sample for patterns (T/F)

True

____ refers to grammar, while ____ refers to meaning

Syntax, semantics

According to most researchers, the stages of memory are:

Attention, encoding, storage, retrieval

Individuals of all ages with severe communication disorders overwhelming benefit from a high-tech AAC device compared to a low-tech AAC device (T/F)

False

Children with a history of hearing loss are unlikely to have difficulties with their speech (T/F)

False

For which of the following conditions is it most appropriate for the SLP to recommend that the patient's primary-care physician refer the patient to a prosthodontist for construction of a palatal-lift appliance?

Flaccid paralysis of the soft palate

Which of the following conditions is primarily associated with a short lingual frenulum, heart-shaped tongue tip, and a failure to elevate the tongue tip beyond the mandibular incisors, as revealed during oral-facial examination?

Ankyloglossia

Which of the following procedures best establishes whether velopharyngeal dysfunction causing hypernasality is present in a patient with flaccid dysarthria?

A nasopharyngoscopy

Pocketing is considered this stage of dysphagia:

Oral

Airway protection during the swallow includes true and false vocal fold adduction (closure) as well as:

Aryepiglottic fold constriction

A 75-year-old patient with a history of chronic obstructive pulmonary disease underwent a three-vessel coronary artery bypass graft surgery. The patient needed to be intubated for three days following surgery. After extubation, the medical team requested a swallow consultation to determine if it was safe for the patient to take oral medications and initiate oral nutrition. Based on the patient's condition, which of the following assessment procedures is most appropriate for an SLP to practice

Completing a clinical bedside swallow evalaution to determine patient readiness for an instrumental evaluation and then completing the instrumental evaluation if the patient is ready

A patient presents to a speech-language pathologist with voice changes. After completing a patient assessment, the SLP notes that the patient's vocal quality and function indicate the possibility of a superior laryngeal nerve injury. Which of the following presentations is most consistent with this impression?

Reduced pitch range

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

Assisting the patient to produce a hard glottal attack

Which one of these is a semantic paraphasia?

'Brother" for "son"

After a stroke, an individual is unlikely to experience both aphasia an apraxia of speech (T/F)

False

Childhood apraxia of speech has a primary characteristic of inconsistent speech errors (T/F)

True

The cycles approach focuses on one speech sound at a time until mastery is achieved (T/F)

False

The use of cycles as an intervention approach is support by data from

Hodson

________ is a form of dynamic assessment that examines a child's learning potential with mediated learning experiences after initial testing session

Test-teach-retest

The consultation model of intervention involves:

An agent of intervention different than the SLP

Language problems associated with frontotemporal dementia (FTD) include:

Better preserved memory and orientation difficulty finding common words, impaired comprehension of speech and written material, anomia

Cognition and behavior at the levels of: no response, generalized response, localized response, confused-agitated, confused-inappropriate, confused-appropriate, automatic-appropriate, and purposeful appropriate are assessed using which TBI diagnostic assessment

Rancho Los Amigos Levels of Cognitive Function

A commonly used method to determine the best AAC system or program for an individual is:

Feature matching

An 8-year-old boy is referred for a fluency evaluation. Part-word repetitions, whole-word repetitions, and sound prolongations are observed in casual conversation and during his reading of a standard passage. Th boy produces fewer dysfluencies during successive readings of the same passage. This behavior is an example of the:

Adaptation effect

A classroom for children with hearing impairment makes use of both American Sign Language and verbal communication in spoken English. This would be an example of:

Total communication

To justify providing individual treatment for a 2 1/2 year old with apraxia of speech, which of the following would be LEAST important for the SLP to include in the evaluation report?

A description of the language development of the child's older siblings

A 42-year-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 hypernasality 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

Pragmatics therapy should include, when necessary, teaching the meaning of facial expressions and gestures (T/F)

True

Social communication skills include the ability to:

- use the structural aspects of language (e.g., vocabulary, syntax, and phonology)

- adjust speech style based on context

- understand the perspectives of others

- understand and appropriately use the rules for verbal and nonverbal communication

A 42-year-old male teacher is referred for a voice evaluation. History and perceptual voice assessments reveal an eight-month history of progressive dysphonia, which is currently characterized by a rough and breathy voice. Acoustic and aerodynamic assessments reveal aperiodic voice signal, reduced frequency range, increased subglottal air pressure, and increased transglottal airflow. The patient complains of voice fatigue at the end of the day and pain during phonation. The patient reports moderate alcohol use but is not currently a smoker. He has no previous history of chronic voice problems, surgery, or neurological disease.

Based on the patient's history, which of the following assessments will best allow the SLP to assess vocal fold vibratory dynamics during phonation?

Laryngeal videostroboscopy

Which of the following is an accurate statement about whispered speech?

It is composed largely of aperiodic sounds

_____ strokes are characterized by ruptured blood vessels resulting in bleeding in the brain, while _____ strokes are caused by a lack of or interruption in blood flow in the brain

Hemorrhagic, Ischemic

An example of a syllabic cue would be:

The word starts with 'dri'

Which one of these is a semantic paraphasia?

'brother' for 'son'

The linguistic culture of the speaker is not a factor to consider when deciding on the need for speech-language intervention (T/F)

False

All published research in phonology is created equal (T/F)

False

If a Mainstream American English dialect speaking child leaves off the past tense marker -ed when discussing something that happened in the past, this would be an example of which domain of language?

Morphology

Phonological awareness is the relationship between a specific letter and its sound as it relates to the written word (T/F)

False

All individuals diagnosed with mild cognitive impairment will ultimately develop Alzheimer' disease (T/F)

False