MSD Exam 2

Question 1

It is possible to identify the salient speech features of ataxic dysarthria when the patient is speaking a different language just based on the perceptual judgments of speech AMRs, as well as the rate and prosodic characteristics of conversational speech.
True
False

Answer 1

True

Question 2

A person with a unilateral upper motor neuron type dysarthria may or may not have a hoarse vocal quality.
True
False

Answer 2

True

Question 3

Childhood apraxia of speech makes up the majority of speech sound disorders.
True
False

Answer 3

False

Question 4

The primary speech subsystem affected by unilateral upper motor neuron type dysarthria is articulation.
True
False

Answer 4

True

Question 5

Discuss at least 5 ways to differentially diagnosis apraxia of speech from aphasia.

Answer 5

AoS
Prosodic abnormalities (prolonged interword intervals and syllable segregation)
Language processing intact in isolated AoS
Articulatory distortions (errors approximate target)
Slow rate
Equalized stress and errors in stress assignment
Often attempt to correct speech errors
Errors greatly influenced by articulatory complexity

Question 6

A general term used to refer to abnormal, involuntary movements, regardless of etiology is…
dystonia
dyskinesia
myoclonus
ballismus

Answer 6

dyskinesia

Question 7

An oral mechanism examination finding that is common for ataxic dysarthria is…
facial droop
normal gag
drooling
reduced oral musculature strength

Answer 7

normal gag

Question 8

This dysarthria type is the most frequent within mixed dysarthrias.
hyperkinetic
unilateral upper motor neuron
spastic
none of the above

Answer 8

spastic

Question 9

Mixed dysarthria types - choose the most frequently occurring type for each degenerative disease
Amyotrophic lateral sclerosis (ALS)
Multiple sclerosis (MS)
Progressive supranuclear palsy syndrome (PSPS)

Answer 9

ALS = spastic-flaccid
MS = spastic-ataxic
PSPS = spastic-hypokinetic

Question 10

rhythmic tremor of the body or head

Answer 10

titubation