modules 18 and 20

Question 1

list the sampling contexts for assessing cleft palate speech

Answer 1

single words, sentences, and zoo passage

Question 2

what is gathered by sampling single words in cleft palate speech?

Answer 2

high pressure consonants /p, f, esh, g/

Question 3

what is gathered by sampling sentences in cleft palate speech?

Answer 3

high pressure consonants, nasal consonants, and low pressure consonants (glides and liquids)

Question 4

what is gathered by sampling the zoo passage in cleft palate speech?

Answer 4

no nasal consonants to assess hypernasality

Question 5

what is involved in the analysis of a cleft speech sample?

Answer 5

rating of overall intelligibility, phonetic inventory, resonance, nasal air emissions

Question 6

analysis of phonetic inventory includes ___

Answer 6

inventory size, comparison to developmental norms, and presence of compensatory maladaptive articulations

Question 7

name the four types of speech deviations associated with cleft palate speech

Answer 7

resonance (hyper nasality), airflow (nasal air emissions), air pressure (weak or absent oral pressures), and articulation (maladaptive compensatory articulations)

Question 8

describe the cause of constant / pervasive nasal air emissions

Answer 8

likely due to a true velopharyngeal closure problem

Question 9

describe nasal air emissions due to fistula

Answer 9

relating to place of production, which is likely at or anterior to the fistula

Question 10

describe phoneme-specific nasal air emission

Answer 10

learned; only affects certain phonemes

Question 11

where are potential sources of nasal air emission related to fistula?

Answer 11

anterior, posterior, and nasolabial

Question 12

what are potential sources of nasal air emission related to fistula?

Answer 12

true velopharyngeal problem, phoneme specific nasal emission, and persisting post-op nasal emission

Question 13

true or false: compensatory misarticulations can persist after a cleft is repaired and can be a source of VPI

Answer 13

true

Question 14

SLPs should meet with parents before the child is ___ months in order to educate

Answer 14

three months

Question 15

intervention for prelinguistic kiddos focuses on ___

Answer 15

training parents so they can encourage / reinforce correct behaviors

Question 16

the early focus of intervention for prelinguistic kiddos is ___

Answer 16

achieving any sounds that have oral airflow

Question 17

therapy for kiddos at least three years old involves ___

Answer 17

traditional articulation techniques

Question 18

traditional articulation techniques used in speech therapy for kiddos at least three years old emphasizes ___

Answer 18

teaching: location and action of oral structures, how sounds are made (using a multi sensory approach - visual, auditory, tactile-kinesthetic; teaching difference between oral and nasal airflow), teaching phonetic placement techniques, and teaching sound contrasts

Question 19

in articulation therapy for kiddos, ___ are not expected to respond to behavioral treatments

Answer 19

obligatory errors (unless the problem is subtle or mild)

Question 20

obligatory errors are better treated via ___

Answer 20

surgery or prosthetics

Question 21

define treatable errors

Answer 21

errors that are learned and are no longer obligatory, for example, because the problem is now repaired (as in cleft palate)