Mock Exam Flashcards
cluttering
rapid speech rate, frequent typical/normal disfluencys (not specific to stuttering ex: filler), reduced intelligibility
4–6 months
Vocal Play.They make new sounds, but don’t yet babble repeated syllables. Vocal play comes before canonical babbling.
6-9 months
Canonical babbling refers to repetition of a speech syllable e.g., “dadadada”
9-12 months
variegated babbling. They produce strings of syllables in which the sounds change (e.g., “badudi”). Variegated babbling comes after canonical babbling.
12-18 months
first true words
infant’s difficulty with sucking coordination and maintaining sucking.
Non-nutritive sucking. no swallow required
infant coordination of swallowing
suck-swallow-breathe pattern, is typically facilitated by placing a fingertip or pacifier dipped in formula, breast milk, or water on the tongue with slight downward pressure
% of individuals who experience a traumatic brain injury have permanent disabilities, including communicative and cognitive disorders.
1/3 33%
acoustic reflex
Placing a probe in the ear that measures contractions of the middle-ear muscles in response to a loud sound
Otoscopy
he clinician visually examines the external auditory meatus using a device called an otoscope
Tympanometry
Placing a probe in the ear that measures the movement of the tympanic membrane
Otoacoustic emissions
Placing a probe in the ear that measures the function of the inner hair cells
The hierarchy from least to most difficulty for a person with apraxia is
vowels, glides, and nasals – plosives – fricatives and affricates – consonant clusters.
Obligatory error
caused by the physical inability to produce a sound correctly due to structural limitations
Compensatory errors
purposly of avoiding a physically difficult sound
Metaphonological cue
“think about” a property of a speech sound. long/short etc.
compensation
strategies to make better/safer in the short term
rehabilitation
strategies excerscises to improve in long term
Stratified sampling
by grouping participants, usually by participant characteristics such as age or gender
Random sampling
is conducted so that each type of population demographic is represented in the participant group
Cluster sampling
by grouping participants, usually by geographic area
Convenience sampling
recruitment of participants who are close at hand and readily accessible
fricative
(f, v, s, z, ʃ, ʒ, ð, θ, h)
affricate sounds
(tʃ, dʒ)
stops
(p, b, t, d, k, g)
Palatal fronting
when alveolar sounds (/s, z/) are substituted for palatal sounds (ʃ, ʒ)
Velar fronting
when alveolar sounds (/t, d, n/) are substituted for velar sounds (/k, g, ŋ/)
Parallel forms reliability
refers to whether two different versions of a test (i.e., two different forms) measure the same skill consistently.
Anosognosia
a lack of awareness of one’s deficits
left hemisphere
speech and language
right hemisphere
spatial, visual
metacognitive intervention
identifying the main idea in oral and written texts
Cranial nerve XII
hypoglossal nerve, is responsible for the innervation of the tongue and is involved in most movements of the tongue. Asking the patient to smile, then pout tests the function of the muscles of facial expression
Cranial nerve V
trigeminal nerve, contributes to the movement of the hyoid and the mandible, not the tongue. Asking the patient to keep his or her mouth open while you try to close it tests the strength of the muscles of mastication
Cranial nerve VII
the facial nerve, contributes primarily to the movements of the face, lips, and nose, but not the tongue. Asking the patient to smile, then pout tests the function of the muscles of facial expression. taste test
Cranial nerve X
the vagus nerve, contributes to innervation and movement of the muscles of the pharynx, but not the tongue
Treatment Intensity
Cumulative treatment intensity refers to the number of teaching opportunities per session (100 opportunities; called the dose), multiplied by the number of sessions (8)
Dose
teaching opportunities per session
Trisomy 21
Down Syndrome, cognitive skills vary
trisomy 13, trisomy 21
cleft lip/palate
trisomy 13 and trisomy 18
severe cognitive impairment
trisomy 22
cognitive defecits are rare
All trisomy have in common
extra chromosome
apraxia of speech
more closely related to damage to left hemisphere
Right hemisphere disorder
known to effect language discourse, pragmatic language
acoustic neuroma
a non-cancerous tumor found on the auditory nerve, cranial nerve VIII
Tympanometry
a common component of a hearing screening and measures the movement of the eardrum in response to pressure changes in the ear canal.
cholesteatoma
is an abnormal cyst-like growth that forms in the middle ear space behind the eardrum. It is most often the result of infection.
Otosclerosis
a disease that causes excess bone growth in the middle and inner ears
Meniere’s disease
a condition that affects the inner ear. Fluid progressively builds up in the bony labyrinth, causing vestibular symptoms and possibly hearing loss.
Hearing Screening
500, 1000, 2000, 4000
Validity
assessment does what it says it does
CVA vs TIA
Stroke permanent and Transient Ischemic Attack temporary
Ischemic stroke
80% blockage, caused by thrombosis/embolus, most recovery 1st weeks
Hemorrhagic Stroke
20% bleeding, cause aneuryism, little improv 1st weeks
Aneurysm
weakness in blood vessel that balloons
Paradoxical Vocal Fold Dysfunction
reccurent adducting movement of vocal folds treatment respiratory retraining
Vocal Hyperfunction
larynx muscles overwork, stress/strain- treatment cough suppression, adjusting pitch
Vocal Hypofunction
incomplete closure of the vocal folds/weak- teatment increase loudness, vocal function excercise sustain vowel
Reliability
The consistency of results given
Conduction Aphasia
Fluent, good comp, poor repetition
Broca’s Aphasia
Nonfluent- Motor Speech, frontal lobe
Wernick’s Aphasia
Fluent- poor comprehension across board/ awarness poor damage central/posterior temp. lobe
Conduction Aphasia
Fluent- poor repetition
reading aloud, writing
damage to upper temp. lobe arcuate fasciculus
Transcortical Sensory Aphasia
Fluent- ecolalic, extreme defecits
comp/ naming/reading/writing
Posterior damage- middle cerebral artery
Anomic Aphasia
Fluent- word retrieval(anomia), wishy washy (could be good) everything else
poor comp
Damage outside perisylvian (angular gyrus/ inferior temp region)
Transcortical Motor Aphasia
Nonfluent- naming/reading aloud/writing
Mixed Transcortical Aphasia
Dementia, Nonfluent, Echolalic
everything
Arcuate Fasciculus
connect broca and wernicke’s areas
Perisylvian Region
language area left side brain
Left middle cerebral artery
stroke occur effecting language
Hippocampus
Memory of new info/recent events
Basal Ganglia
connects cerebral cortex and cerebellum, regulates automatic movement
Amygdala
emotional response
Corpus Collosum
highway sends visual/auditory message to Wernicke’s for comprehension
Spontaneous Speech
Wernicke-Broca-Primary Motor Cortex- Cranial Nerve
Dysphonia
hard glottal attacks, hyperfunction treatment-yawn sigh
Compensation
short term improvement
Masako Maneuver
tongue tip b/w teeth complete swallow
Supraglottic Swallow
hold breath throughout swallow
Effortful Swallow
Squeeze Swallow Muscles improve tongue base, retraction, clear residue vallecula
The Mendelsohn Maneuver
Manual Elevation of the Larynx
Cleft Lip/Palate
Trisomy 13, Trisomy 21
Superior Longitudinal tongue
Facilitate tongue tip elevation
Vertical Intrinsic Tongue
Pull tongue down
Transverse intrinsic tongue
narrow tongue
The inferior longitudinal muscles
tongue tip down
Conversion Dysphonia
psychological cause
Adducter Spasmodic dysphonia
Spasms over adduction of the vocal folds, strained/hoarse
The more reflexive functions like the cough less effected
Vocal Fold Paralysis
Weak/breathy
Hypokinetic Dysarthria
damage basal ganglia
Affiliated with Parkinson’s
Harsh, Breathy, Innapropriate Silence, Monopitch/Monoloud, inc. rate of speech, short rushes of speech
Flaccid Dysarthria
Damage LMN
Hypernasality, weak/ dec reflexes, reduced loudness, monopitch/monoloudness, shortened phrase length, phonatory incompetence
Spastic Dysarthria
Damage UMN
Same as ataxic but no respiratory issues
hypernasality
inc. reflex
Ataxic Dysarthria
Damage Cerebellum
artic breakdown, vowel distortions, drunkin speech, stress, prosody, prolonged phonemes, respiratory, harsh vocal, Monopitch/Monoloudness
Artic/Prosody Major Symptoms
Hyperkinetic Dysarthria
Damage Basal Ganglia
varied rate, varied breathy, innapproriate pause, tremor, vowel prolongation
Lewy Body Dementia
lewy bodies/excessive protein deposits
Vascular dementia
vascular disease
Wernicke Korsakoff Syndrome
associated with Vitamin B12 defeciency
Auditory Verbal Agnosia
associated with Wernicke aphasia comp. understanding
Afferent
sensory signal
Efferent
motor signal
Presbycusis
age related hearing loss
Nerve IX
Glossopharyngeal associated with swallow, salivation
Nerve XI
Accesory associated with head turn
Most commonly associated with dysarthria
Cerebral Palsy
AAE
weak syllable deletion
ordinal scale
numbered category
nominal scale
category
ratio scale
absolute zero
intellectual disability
limitation intellectual functioning and adaptability
unilateral vocal fold paralysis
left recurrent laryngeal nerve damage. Common after surgery
Zone proximal development
basis of dynamic assessment
difference between what a child can do independently and spontaneously and what he or she can achieve with instruction, modeling, and prompting from the clinician.