June 25 Slides 2nd Deck

Question 1

What would you note when beginning an oral mech exam?

Answer 1

* Tonsils?
• Lip scars?
• Palate scars?
• High arched palate? • Palatal Lift?
• Occlusion?

Question 2

What constitutes a perceptual speech exam?

Answer 2

1. Conversational speech

2. Structuredlisteningtasks

Question 3

Conversation is important: Mild forms of VPI only manifest in what?

Answer 3

complexity of conversation

Question 4

Sometimes, the velopharynx can push closed what kind of utterances?

Answer 4

short

Question 5

When the velopharynx pushes closed for short utterances,, can it sustain over time?

Answer 5

NO

Question 6

Describe a structured listening task.

Answer 6

Use a commercial standardized test
– Most SLPs have
– Yields a standard score, percentile, age equivalency
– Evaluates all consonants, positions

Question 7

Name 3 benefits to a non-standarized assessment.

Answer 7

• May be easier to categorize

* May be organized by sound class • May be easier to spot patterns

Question 8

What speech productions do you begin with in the oral mech exam?

Answer 8

Begin with CVCs
• Mom—pop—bib
• Nine—Tight—Dad
• Coke—gag
• Fife—valve—sis—zoos 
Shush—church—judge  
Lull—roar

Question 9

What do you advance to after cvcs?

Answer 9

more complex tasks: words, phrases, sentences

Question 10

What do you use when you advance to more complex tasks: words, phrases, sentences

Answer 10

• The Resonance vs. Articulation Quick Check

* (Handout available)

Question 11

After the Resonance vs. Articulation Quick Check, what do you do?

Answer 11

repeat it, but plug the nose if you are concerned about hypernasality or weak consonants

Question 12

What if there is a fistula especially in the hard palate or the hard-soft junction?

Answer 12

plug it

Question 13

Then what do you do after you plug the fistula especially in the hard palate or the hard-soft junction?

Answer 13

repeat your test and note if there is a difference

Question 14

If the fistula is plugged what happens to the speech resonance and pressure? Is further VP assessment needed?

Answer 14

• they normalize

- no

Question 15

If fistula is plugged and there is no change, or improvement, what do you do?

Answer 15

• proceed to other studies, but plug the fistula

Question 16

When fistula is plugged during perceptual speech exam, what do you use?

Answer 16

Be sure to use only appropriate articulations

Question 17

What do you do if the child has a significant facial difference when giving perceptual speech exam?

Answer 17

repeat your test, but don’t look at the child

Question 18

If the child has a significant facial difference, you repeat your test, take notes, and check if you hear WHAT with appropriate articulations?

Answer 18

• Hypernasality
• Nasal emission
• Nasal turbulence
• Nasal grimacing
• Weakened consonants
• Nasalized consonants

Question 19

If you hear • Hypernasality
• Nasal emission
• Nasal turbulence
• Nasal grimacing
• Weakened consonants
• Nasalized consonants

WHAT SHOULD YOU DO?

Answer 19

Refer back to the team for further study:
– Imaging
– PressureFlow
– Acoustic

Question 20

What should you do if the child only has nasals and glottals?

Answer 20

• Begin therapy to expand the repertoire
• This child is not ready for imaging or other evaluation techniques
• The medical team can evaluate more fully if you have at least [p,b] in syllables, words, or phrases

Question 21

What if there are a variety of articulation errors? Do you treat (provide speech therapy) obligatory errors?

Answer 21

No, you don’t treat obligatory errors

Question 22

Do you treat (provide speech therapy) adaptive errors?

Answer 22

No, you don’t treat adaptive errors?

Question 23

Do you treat (provide speech therapy) maladaptive errors?

Answer 23

definitely treat

Question 24

Do you treat (provide therapy) developmental errors?

Answer 24

treat if and when appropriate as you would any other child

Question 25

What do you ask parents to do for perceptual speech exam?

Answer 25

Ask parents to sign release
allowing you to
communicate with the
treating team

Send your evaluation results
Ask questions
Relay your concerns
Report your treatment plan