If a child received a standard score of 100 on the GFTA, what would we know?
Their score fell within average range
What should you assess during an oral mech exam
structures, functions, breathing, facial symmetry
T/F Many articulation tests are not standardized for children beyond the ages of 12 or 13
True
Why are many articulation tests are not standardized for children beyond the ages of 12 or 13?
System is done developing
T/F Most articulation tests do not sample the most frequently misarticulated sounds in many contexts
True
T/F Due to HIPPA, the SLP should not record the speech sample, and just attempt to transcribe while the child is speaking
False, permission first
T/F A blue tint on a palate might suggest a submucous clef
true
Children with phonological based disorders have difficulty _____ phonemes to differentiate meaning
contrasting
If a child produces T for S in all contexts, this is an example of a ___ (inconsistent realization or consistent loss)
consistent loss
___ refers to a judgment made by a clinician based on how much of an utterance can be understood
intelligibility
The ___ of phonological processes happens naturally in the speech of normally developing children
suppression
Which articulation test can be used with the Khan Lewis
Goldman
Which articulation test gives weighted scores for every consonant and tests vowels
Arizona Articulation Proficiency Scale (Arizona 3)
Which articulation test uses actual photographs
photo articulation test
If a child receives a standard score of 72 on the GFTA, what would we know?
Their score falls in the below average range
If a child receives a standard score of 136 on the GFTA, what would we know?
Their score is above average
The target is tree, the kid says tee (articulation issue)
omission
The target is blue, the kid says buhlue
addition
The target is chicken, the kid says ticken
substitution
The target is house, the kid says how
deletion
You are going to take a spontaneous speech sample, what are four things to assess while analyzing a speech sample
syntax, semantics, morphology, voice, prosody, fluency
Speech sample should be how many words in length
100
A child has a tongue that is too large for his cavity, what is the medical diagnosis they would receive
macroglossia
A child has a tongue that is too small for his cavity, what is the medical diagnosis they would receive
microglossia
What are some characteristics of a child with a delayed phonological system
short utterances, avoidance of situations, unintelligible, small vocabulary, minimal number of syllable shapes
Children ___ and older usually have no issue completing an articulation test, stimulability test, and oral mech exam
3
What factors should you consider when selecting a measure of articulation
the age of the patient, development of client, analysis of sound errors, sounds relevant to the client, ability to provide a standard score
T/F SLPs are not qualified to perform IQ testing in most settings
true
T/F Some clients show a regular production of speech sounds in one context but not in another
true
That is the basis of what disorder is that a patient can say a sound in one context, but not another
phonological disorder
T/F Articulation and phonemic based sound disorders can cooccur
true
T/F Cow and no have similar syllable shapes
true
T/F Initial consonant deletion is a developmental phonological process in young children
false
T/F 2 year olds are about 50% intelligible
true
What is the prevocalic consonant in the word no
n
Which assessment evaluates phonological patterns and is linked to the cycles approach
Hodson
What is the postvocalic consonant in rob
b
What is the intervocalic consonant in table
b
If a child replaces K, S, Z, CH with a T, would a SLP suspect an articulation or phonological disorder
phonological
Why would you suspect a phonological disorder if a child replaces K, S, Z, CH with a T?
multiple sounds have collapsed into one sound
You have administered the GFTA. The client produced the th for the s in all positions, but was stimulable in the word see. Write three words to use in therapy alongside see.
seek, seat, seep
Thinking about the vowel quadrilateral, what would be your next move if the child is able to produce the s when with a long e (see)
i as in hit
Write a list of three words to use in therapy that target s short i (sin)
sit, sip, sick
List the stop plosives
p b t d k g
List the fricatives
s, z, f, v, sh, ʒ, voiced th, voiceless th, h
List the affricates
ch and dʒ
List the iquids
l r
List the glides
w j
List the nasals
m n ng
List the bilabials
p b m
List the lingual alveolars
t s d z l n
List the lingual velars
k g ng
List the labiodentals
f v
List the linguadentals
th
List the lingua palatals
sh ʒ j w ch dʒ r
Voiced or unvoiced b
voiced
Voiced or unvoiced T
unvoiced
Voiced or unvoiced N
voiced
Voiced or unvoiced Z
voiced
Voiced or unvoiced R
voiced
Ex of a minimal pair
cat bat
You have completed an analysis of a child with a phonological process disorder, the child is stopping. Write a goal addressing stopping.
The client will suppress stopping at the word level with 85% accuracy with minimal cues.
What are the types of data you need to collect when analyzing a child with an emerging phonological system
syllable shapes, inventory or speech sounds, constrains noted, sound sequences
Why is transcribing what the child says considered the best option during a speech sound assessment
most data
You completed an initial speech language eval on a 5 year old child, multiple errors on s z n r ths. You are using an intelligibility deciding factor as to what sounds to address first. Write a short term goal addressing this phoneme
The client will correctly produce the n sound in all positions of the word with 85% intelligibility.
You completed an initial speech language eval on a 5 year old child, multiple errors on s z n r ths. You are using the developmental approach when deciding factor as to what sounds to address first. Write a goal
The client will correctly produce the n sound in all positions of the word with 85% accuracy.
What is the error: Cup to tup
/k for t/, placement, fronting
What is the error: Wagon to wadon
/g to d/, placement, fronting
What is the error: House to hout
/s to t/, manner, stopping
What is the error: Bath to baf
/th to f/, placement, fronting
What is the error: Doll to tall
/d to t/, voice, devoicing
List some advantages to using an artic test
easy to give and score, minimal time used, necessary part of eval, compares client with others in similar age, provides a list of incorrect sound production in different positions, document client’s need/progress in therapy
List some disadvantages to using an artic test
examines sounds/articulation in selected words, doesn’t give enough information on a client’s phonological system, don’t test sounds in all contexts, only examines a small portion of persons articulatory behavior
If a child substitutes the b for an f in the initial position of words (binger for finger), but is able to produces the f sound correctly between two vowels (telephone). This is an example of an _____ (inconsistent realization or consistent loss)
inconsistent realization
If a child is ___ for a particular sound, the clinician can attempt the sound for a trial period in therapy
stimulable
The term ___ refers to the structure of syllables within a word
syllable shape
A ___ refers to any restriction or limitation established in the production of syllable shapes
syllable constraint