More Practive Questions Flashcards
What is the purpose of using the chewing technique in the treatment of voice disorders?
Reducing tension in the laryngeal area
Ms. Badea, a 55-year-old woman with dysphagia, has a delayed swallowing reflex. Which of the following is a technique that most often is useful for temporary remediation of such a delayed swallowing reflex?
Thermotactile stimulation
Which of the following is the most common phonological problem later evidenced by children with a history of otitis media during the first two years of life?
Stridency deletion
Of the following, which is generally the most appropriate treatment with a laryngectomy?
Restoration of oral communication
A speech-language pathologist is planning treatment for a 5-year-old child with multiple speech-production errors. The most effective strategy for this child would
be for the clinician to:
Delineate phonological processes in operation and address them through minimal-contrast pairs
Which of the following statements most accurately compares the cognitive problems of children with brain injuries with the cognitive problems of children with learning disabilities?
Children with brain injuries tend to have greater difficulty managing their deficits.
Ms. Martine, age 69, receives speech-language treatment in her home for aphasia secondary to a cerebrovascular accident (CVA). Medicare is reimbursing the home health care agency for Ms. Martine’s speech-language treatments. In order to ensure that reimbursements continue, it is necessary that the speech-language pathologist perform an assessment and write a treatment plan....
that is signed my Ms. Martine’s physician every nine weeks as long as treatments are necessary
Treatment for apraxia of speech most appropriately emphasizes
auditory-visual stimulation, oral-motor repetition, and phonetic placement
A 32-year-old man is diagnosed as having a moderate fluency disorder. Which of the following, if true for this client, would be the factor indicating the most favorable prognosis for treatment?
He has recently graduated from college and is preparing to seek employment.
Immediately following removal of a benign tumor at the base of the brain, a 76-year-old client exhibits severe nasalization and a weak, breathy voice. A four-month postsurgical assessment reveals no improvement. At this time, the remediation strategy for this client
should focus on
evaluation for prosthetic and/or surgical intervention
Which of the following is the ratio of reinforcement that would most quickly cause a newly acquired behavior to be habituated?
A random ratio of tokens to correct responses
For which of the following conditions is it most appropriate for the speech-language pathologist to recommend to the patient’s primary-care physician referral of the patient to a prosthodontist for construction of a palatal lift
appliance?
Flaccid paralysis of the soft palate
Which of the following is true of the terms “agent” and “subject” as they are used to describe language?
They should be kept distinct, because whether something is an agent depends on semantics, whereas
whether something is a subject depends on syntax.
Mr. Leone is an 82-year-old man with dysphagia. He is fed via a percutaneous endoscopic gastrostomy (PEG) tube because he is at risk for aspiration of thin liquids. From a modified barium swallow study, it was determined that he has laryngeal penetration for nectar-thick liquids in amounts greater than one teaspoonful. Mr. Leone’s daily hydration needs would be best met by
PEG tube primarily
An adult client exhibits visuospatial disorganization, an inability to initiate interactions, unilateral neglect, and lack of facial expression. This combination of behaviors is best associated with which of the following?
Right-hemisphere traumatic brain injury
A dysfluent 4-year-old child is referred for assessment. In deciding whether the child is developmentally nonfluent or is stuttering, the speech-language pathologist would appropriately assign greatest importance to which of the following?
The nature and frequency of the child’s repetitions
Which of the following is NOT useful for the assessment of swallowing ability?
Gastrostomy
A child repeatedly inserts an inappropriate sound in certain environments, for example [fpish] for [fish]. Which of the following would likely be most helpful for this child as a target for treatment?
Words containing combinations of phonemes that are similar in place and manner to those into which the child makes the inappropriate insertion
It is most appropriate for the speech-language pathologist to treat hyperadduction of the vocal folds by having the client
use light and gentle vocal-fold contacts
A speech-language pathologist evaluated a 5-year-old boy presenting with microcephaly, a large mouth with thick lips, microdontia, and limited joint movement. The child was friendly and talkative and used good syntax, but he displayed some perseveration when using colloquial expressions. The speech-language pathologist’s most appropriate conclusions and recommendations are that the child
might be exhibiting symptoms of Williams syndrome; therefore, he should receive a cognitive evaluation, and his family should be given counseling
Which of the following would provide the most important diagnostic information when a speech-language pathologist is making a differential diagnosis between developmental apraxia of speech and flaccid dysarthria in a child?
A history of the child’s development of chewing, eating, and swallowing
Prostheses such as those developed by Blom-Singer or Panje help the client with laryngectomy to produce sound by
shunting air from the trachea to the esophagus to be used much like regular esophageal speech
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 period over time
An otolaryngologist has referred a 45-year-old man for voice treatment following medialization throplasty for a paralyzed vocal fold. Of the following, which is the most appropriate therapeuting strategy for the speech-language pathologist to take?
Assist the patient to produce a hard glottal attack
What symptoms are associated with Frontotemporal dementia associated with Pick’s disease
Uninhibited and inappropriate social behavior, excessive eating, depression, impaired judgment, and dominant language problems, with better-preserved memory and orientation
You are working with Devin, a 9-year-old boy with an orofacial myofunctional disorder (OMD). Devin has been referred by his orthodontist because orthodontia is not effective due to Devin’s problems accompanying the OMD. You have been asked to evaluate Devin and provide remediation, if needed. Which one of the following most accurately describes the situation you will probably encounter?
During Devin’s speech production, his tongue may exert some force against his front teeth and he will probably have a deviant swallow as well as articulation errors involving /s/, /z/, and others.