Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SLP - MSD 6052 > MSD quiz > Flashcards

MSD quiz Flashcards

1
Q

True/false: Vowel prolongation is affected by one’s respiratory and phonatory abilities.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Stress testing would help detect which disorder?

A

Myasthenia gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The location of the lesion in the basal ganglia control circuit is likely to lead to which type of dysarthria?

A

Hypokinetic & Hyperkinetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the subsystems are examined in evaluation of spontaneous speech production? (choose all that apply)

A

Respiration, Phonation, Resonance, Articulation, Prosody

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The type of motor speech disorder that may show excessive speech rate would be:

A

Hypokinetic dysarthria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Issues that may interfere with an ideal evaluation include the following (choose all that apply):

A

Time constraints, Lack of client cooperation, Language barrier

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The following information does not belong in a case history section of your evaluation (choose all that apply):

A

The client presented with mild apraxia of speech. The client coughed on thin liquids during the evaluation. The client showed reduced articulatory precision for consonant sounds when reading the Grandfather Passage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True/false: In order to perform a valid motor speech exam, a person must use a complete formal test, such as the Frenchay Dysarthria Assessment (FDA).

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True/false: For diadochokinetic rate, it is within normal limits for a person to have slower repetition of velar sounds than of bilabial sounds.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

True/false: Comprehensibility assessment examines how much the person with the motor speech disorder understands his non-impaired communication partner in conversation.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Someone with a diagnosis of AOS will show difficulty with the following areas (choose all that apply):

A

Sequential motion rates for speech production, Articulation of multisyllabic utterances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

True/false: When addressing speech sound production for someone with AOS, work on speed and then on accuracy.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The most sensitive test within the motor speech exam from the options listed below to test for AOS is the following:

A

AMR/SMR testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When choosing sounds to address in treatment for AOS, the order to consider would involve which considerations? Choose all that apply:

A

Oral/nasal distinctions before voicing distinctions, Bilabial sounds before velar sounds, Singletons before consonant clusters, High frequency words before low frequency words, Single syllable words before multisyllabic words, Stressed words before unstressed words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The following are some strategies to improve praxis for the person with moderate apraxia of speech (choose all that apply):

A

Repetition of the target, Phonetic placement, Minimal contrast practice, Use finger tapping to control rate, Use automatic speech tasks such as counting or singing, Tactile cues, Melodic intonation therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A person with AOS who also presents with aphasia is likely to present with which classification of aphasia?

A

Broca’s aphasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A person with AOS from CVA may also present with dysarthria. The type of dysarthria likely to present with AOS is the following:

A

Unilateral upper motor neuron dysarthria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The reason for the presentation of AOS with aphasia and dysarthria is:

A

proximity of the location of the lesion to the areas that contribute to motor planning, language, and execution of movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True/false: If a person presents with severe expressive aphasia, it will be difficult to determine the presence/severity of AOS in that individual.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

List in order of amount of difficulty a person with AOS would struggle with the following:

A

1 Vocalizing in imitation
2 Counting to 10
3 Reading a simple passage
4 Conversing about previous work history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

True/false: The PROMPT technique is an example for articulatory-kinematic (A-K) approaches.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

True/false: A metronome, pacing board, hand/finger tapping or counting, and other intersytemic gestural rate control strategies can provide a temporal basis for organizing sequences of speech movements.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

True/false: In AOS there are phonemic paraphasias.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

True/false: Medications are often helpful to treat individuals with AOS.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following is NOT a rate and/or rhythm approaches? Contrastive stress tasks, Metronome, Metrical Pacing Therapy (MPT), Eight-step (integral stimulation) approach, Melodic intonation therapy

A

Eight-step (integral stimulation) approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

True/false: The control circuits have contact with the LMN?

A

false

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

True/false: Do direct activation pathway and indirect activation pathway have direct contact with the LMN?

A

True the indirect motor pathway however has multiple synapses with the cortical and the LMN nuclei.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When the lesion is in the UMN on the right side, the tongue will deviate to the _______.

A

Left side - Gets the signal but the weakness there is on the LMN lesion, weakness to the left side.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

True or False: Left UMN damage to the facial nerve causes upper and lower right facial paralysis?

A

False – only lower face.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Lesion on the left LMN or facial nerve cause weakness on the ___________.
a) left upper and lower face b) right upper and lower face

A

a)left upper and lower face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

True/false: Flaccid dysarthria is caused by peripheral nerve damage.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

True/false: Myasthenia gravis test positive for stress testing.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

True/false: People with UM lesions test positive for stress testing.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

True/false: Typically the mirror will get foggy during the production of /m/, /n/, and /ng/.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

True/false: If the mirror gets foggy with non-nasal sounds this could be inadequate closure of the velopharyngeal port?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Neurons in the direct and indirect activation pathway are: a) LMN b) UMN

A

b) UMN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

You see a clinician assessing a patient’s gag reflex. This would give info about the function of the _________ nerve? a) V b) VII c) IX d) XII

A

c) IX – glossopharyngeal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

True/false: Basal ganglia control circuit is also regarded as part of the extrapyramidal system?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

True or false: LMN’s are part of the extrapyramidal pathways?

A

false LMNS are part of the final common pathway.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

True/false: Cerebellar control circuit plays a role in coordination of speech movements?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

The_________ branch of the Vagus nerve mediates few pharyngeal function? a) pharyngeal b) superior c) recurrent

A

a) pharyngeal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What is the name of the CN V?

A

Trigeminal, CN VII – facial, CN XII - hypoglossal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

You see a clinician assessing the duration of sustained vowel production. This is ____? a) AMR b) SMR c) MPT/MPD d) none of the above

A

c) MPT/MPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Which of the types of aphasia co-occur with apraxia of speech? a) Broca’s b) global c) conduction d) anomic e) A and B

A

e) A and B - Broca’s and global

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Damage to which of the following sections of Vagus nerve results in hypernasality?_______

A

Pharyngeal branch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Which of the following is a confirmatory sign for a motor speech disorder diagnosis?______
a. Breathy voice
b. Lingual fasciculations
c. Imprecise articulation
d. None of these

A

d. None of these

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Which of the following types of dysarthria is associated with basal ganglia dysfunction?_____
a. Flaccid
b. Spastic
c. Hyperkinetic
d. Hypokinetic
e. Both a and b
f. Both c and d

A

f. Both c and d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

If you are assessing vocal quality, which of the following subsystems of speech are you mainly assessing?________
a. Phonatory system
b. Articulatory system
c. Resonatory system
d. Respiratory system

A

a. Phonatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

In motor speech disorder assessment, AMR stands for ______
a. Alternating Motion Rate
b. Alternative Motor Response
c. Alert Motor Reflex

A

a. Alternating Motion Rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

If the clinician is stroking the back of the tongue during assessment, s/he is assessing____
a. Snout reflex
b. Sucking reflex
c. Palmomental reflex
d. Gag reflex

A

d. Gag reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

“_______________ are visible, arrhythmic, isolated twitches in resting muscle that result from spontaneous motor unit discharges in response to nerve degeneration or irritation.” (Duffy, 2020)
a. Atrophy
b. Fibrillations
c. Fasciculations
d. Tremors

A

c. Fasciculations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

In facial nerve lesion, atrophy can lead to facial asymmetry.____
a. True
b. False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

It is a red flag if a 50-year-old male patient’s maximum phonation duration is 7 seconds (hint: refer to the table from your textbook)
a. True
b. False

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

A 40-year old man, following traumatic brain injury, shows spastic dysarthria. Also, he exhibits laughing and crying disproportionate to the situation and at times without apparent reason. He is exhibiting____
a. Reduced facial tone
b. Emotional lability
c. Facial apraxia

A

B - Emotional lability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

In Motor Speech Disorders, FDA stands for
a. Frenchay Dysarthria Assessment
b. Functional Disability Assessment
c. Fixed Dynamic Analysis

A

a. Frenchay Dysarthria Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

________________refers “The degree to which a listener understands the acoustic signal produced by a speaker (Duffy, 2020)”
a. Efficiency
b. Comprehensibility
c. Intelligibility

A

c. Intelligibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Corticospinal and corticobulbar tracts are part of _____________
a. Direct activation system
b. Indirect activation system

A

a. Direct activation system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Mr. A, an SLP, asks Mr. C, a client with ALS, to puff his cheeks and hold it tight. Mr. A is assessing
a. CN V
b. CN VII
c. CN IX
d. CN X

A

b. CN VII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Apraxia of speech (AOS) is a language disorder.
a. True
b. False

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Dysarthria is a type of motor speech disorder.
a. True
b. False

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

MSD treatment: Palatal lift is an example of prosthetic management.
a. True
b. False

A

True

55
Q

The recurrent laryngeal nerve branch of the Vagus nerve is important for vocal fold opening and closing.
a. True
b. False

A

True

56
Q

The ABA is a test used for AOS assessment.
a. True
b. False

A

True

57
Q

MSD treatment: Dopaminergic drugs are often recommended for patients with Parkinson’s disease.
a) True
b) False

A

True

58
Q

True/false: The leading cause for spastic and flaccid dysarthria is neurodegenerative disease

A

True

59
Q

True/false: HYPERACTIVE gag reflex is more common in flaccid than other dysarthria types.

A

False

60
Q

Hypernasality can result from damage to the ________ cranial nerve.

A

X

61
Q

The dysarthria caused by Myasthenia gravis is considered
a) Spastic dysarthria
b) Flaccid dysarthria
c) Ataxic dysarthria
d) Hypokinetic dysarthria

A

b) Flaccid dysarthria

62
Q

True/false: Facial nerve paralysis can result in perioral fasciculations.

A

True

63
Q

Vocal fold adduction paralysis can be caused by damage to which of the following branches of the Vagus nerve.
a) Superior
b) Recurrent
c) Pharyngeal

A

b) Recurrent

64
Q

True/false: Diplophonia can manifest in cases of unilateral paralysis of the recurrent branch of the Vagus nerve.

A

True

65
Q

Damage to the peripheral facial nerve causes upper and lower facial weakness on the ___________side of the lesion
a) Same
b) Opposite

A

a) Same

66
Q

Lingual atrophy can result from damage to
a) V cranial nerve
b) VII cranial nerve
c) X cranial nerve
d) IX cranial nerve
e) XII cranial nerve

A

e) XII cranial nerve

67
Q

True/false: In case of Trigeminal nerve paralysis, palpation of masseter or temporalis muscle may be decreased for weak side when biting down.

A

True

68
Q

You are assessing a client who had a TBI that damaged several cranial nerves. He reports difficulty moving his jaw. What CN damage do you suspect?
a) V
b) VII
c) IX
d) X
e) XII

A

a) V

69
Q

Which of the following statements is FALSE?
a) Tourette’s syndrome is the prototypic tic disorder
b) In adductor spasmodic dysphonia there is spasming of the vocal folds during adduction
c) Mycolonus is a fast hyperkinesia
d) Dystonia is a slow hyperkinesia
e) Sensory tricks could be an option to reduce the interference of adventitious movements on speech in individuals with ataxic dysarthria

A

e) Sensory tricks could be an option to reduce the interference of adventitious movements on speech in individuals with ataxic dysarthria

70
Q

True/false: For individuals with severely impaired intelligibility due to spastic dysarthria, alphabet board could be an option if they would like to still continue to use their speech.

A

True

71
Q

True/false: Bilateral UMN damage causes spastic dysarthria

A

True

72
Q

___ is characterized by increased resistance to sudden movement (active or passive), increased resistance to faster movement and more resistance at the beginning of the movement.

A

Rigidity

73
Q

__________ activation pathway is responsible for quick, skilled, discrete movements, like speech.
a) Direct
b) Indirect

A

a) Direct

74
Q

True/false: Psuedobulbar affect can interfere with quality of life of affected individuals as it affects their social interaction.

A

True

74
Q

True/false: In case of spastic dysarthria, pushing/pulling exercises should be recommended.

A

False

75
Q

True/false: Central weakness and reduced range of movement of the articulators, slow rate of speech, strained-strangled voice quality and hypernasality can be seen in individuals with spastic dysarthria.

A

True

75
Q

True/false: There is a lot of scientific evidence that non-speech oral-motor exercises facilitate speech movements.

A

False

76
Q

Multiple system atrophy (MSA), progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS) are considered ____ parkinsonism.
a) typical
b) atypical

A

b) atypical

76
Q

True/false: Essential tremors tend to be worse during movement than when at rest.

A

True

77
Q

True/false: Currently, the diagnosis of “corticobasal DEGENERATION” can only be confirmed after a brain autopsy.

A

True

78
Q

True/false: Normal Pressure Hydrocephalus (NPH) is a medical condition characterized by enlarged ventricles.

A

True

78
Q

True/false: Every patient with vascular parkinsonism is responsive to dopaminergic medications.

A

False

79
Q

Visual hallucinations are typically seen in which of the following conditions?
a) PD
b) PSP
c) Lewy body dementia
d) MSA

A

c) Lewy body dementia

80
Q

TRAP is an acronym for 4 cardinal symptoms of PD. What does A stand for?
a) Aphasia
b) Akinesia/bradykinesia
c) Aphonia
d) Alexia
e) Agraphia

A

b) Akinesia/bradykinesia

81
Q

In ________spasmodic dysphonia there is spasming of the vocal folds during adduction?
a) Adductor
b) Abductor

A

a) Adductor

82
Q

True/false: Irregular articulatory breakdown is often the distinguishing feature of ataxic dysarthria.

A

True

83
Q

True/false: Pseudobulbar affect is not a motor speech characteristic, but it can interfere with social communication.

A

True

84
Q

True/false: Lee Silverman Voice Treatment (LSVT) shows efficacy only for treatment of hypokinetic dysarthria.

A

False

85
Q

Symptoms of Parkinson’s disease include which of the following (choose all that apply):

Postural deficits
Difficulty initiating movement
Weakness
Rigidity
Tremor (at rest)
Spasticity
Reduced coordination
Slow movement
Small handwriting
Cognitive changes

A

Postural deficits
Difficulty initiating movement
Rigidity
Tremor (at rest)
Slow movement
Small handwriting
Cognitive changes

85
Q

The principles of Lee Silverman Voice Treatment include the following (choose all that apply):

a) Use of intensive treatment
b) Focus on articulatory precision
c) High level of physical effort
d) Treatment addresses primarily pitch variation
e) Limit focus to 1-2 subsystems
f) Increase sensory awareness
g) Use of yawn-sign to reduce muscle tension

A

a) Use of intensive treatment
c) High level of physical effort
e) Limit focus to 1-2 subsystems
f) Increase sensory awareness

86
Q

A common complaint from a person with Parkinson’s disease would be:

a) Having a hard time understanding other people
b) Other people complaining of his unclear speech
c) Hearing loss
d) Reduced episodic memory

A

b) Other people complaining of his unclear speech

87
Q

True/false: Someone with Parkinson’s disease with deep brain stimulation may present with primarily spastic dysarthria.

A

True

88
Q

A person with a diagnosis of progressive supranuclear palsy can present similarly to someone with Parkinson’s disease, but the motor speech disorder will likely also include which of the following (choose all that apply):

Spastic dysarthria
Flaccid dysarthria
Ataxic dysarthria
Hyperkinetic dysarthria
UUMN dysarthria

A

Spastic dysarthria
Ataxic dysarthria

89
Q

True/false: A relative increase of dopamine or relative decrease in acetylcholine in the basal ganglia control circuit is likely to manifest in a hyperkinetic disorder.

A

True

90
Q

True/false: Involuntary movements are only associated with lesions in the basal ganglia control circuit.

A

False

91
Q

True/false: Hyperkinesias are never under volitional control.

A

False

92
Q

Which of the following symptoms of hyperkinetic dysarthria of chorea are you likely to encounter during the task for vowel prolongation?

Hypernasality
Monopitch
Strained-harsh vocal quality
Articulatory distortions
Irregular articulatory breakdowns
Loudness variations
Sudden forced inspiration/expiration
Monoloudness

A

Hypernasality
Strained-harsh vocal quality
Loudness variations
Sudden forced inspiration/expiration

93
Q

True/false: Behavioral treatment for spasmodic dysphonia is only effective after medical intervention.

A

True

93
Q

True/false: Action tremor is associated with Parkinson’s disease.

A

False

93
Q

Some behavioral treatments for abductor spasmodic dysphonia include the following (choose all that apply):

Hard glottal onset of phonation
Easy onset speech
Making voiceless sounds voiced
Making voiced sounds voiceless

A

Hard glottal onset of phonation
Making voiceless sounds voiced

94
Q

True/false: A lot of behavioral treatments for hyperkinetic disorders involve compensating for the interference imposed by the extraneous movements.

A

True

95
Q

Which of the following is not a common symptom of unilateral upper motor neuron dysarthria?

Reduced coordination
Muscle resistance to movement
Symmetrical weakness of the lips
None of the above

A

Symmetrical weakness of the lips

96
Q

The presence of fasciculations or atrophy point to a lesion in which area?

Cortex
Basal ganglia
Lower motor neuron
Cerebellum

A

Lower motor neuron

96
Q

A person with ataxic dysarthria presents with:

a) Reduced coordination and muscle tone
b) Reduced coordination and increased muscle tone
c) Normal coordination and impaired vocal volume
d) Reduced pitch variation and normal articulation

A

Reduced coordination and muscle tone

97
Q

True/false: AMRs for a person with ataxic dysarthria are slow and regular.

A

False

98
Q

Mixed dysarthria can result from which of the following:

a. Presence of more than one neurological diagnosis/disorder
b. Presence of multiple lesions or events within the same cause
c. Degenerative disease that affects more than one part of the nervous system
d. All of the above

A

d. All of the above

98
Q

True/false: Rate control exercises are generally used to increase speed of speech production.

A

False

99
Q

The type of motor speech disorder that multiple sclerosis and amyotrophic lateral sclerosis share within the diagnosis of mixed dysarthria is the following:

Flaccid dysarthria
Spastic dysarthria
Ataxic dysarthria
Hypokinetic dysarthria
Hyperkinetic dysarthria
UUMN dysarthria
Apraxia of speech

A

Spastic dysarthria

100
Q

True/false: ALS, PD, HD, PSP, and MS all impact cognition in addition to motor speech ability.

A

True

101
Q

True/false: The time to introduce the concept of AAC to someone with ALS is the same time that you begin the AAC assessment for him.

A

False

102
Q

True/false: An appropriate time to begin the assessment for AAC for someone who presents with ALS is when the person’s speech rate has deteriorated to 200 words per minute for reading sentences.

A

False

103
Q

True/false: Assessment of comprehensibility includes both the person’s intelligibility and any other means the person uses to convey his message.

A

True

104
Q

True/false: Giving a cue regarding the topic for the utterance is a better comprehensibility strategy for milder dysarthria, rather than more severe dysarthria.

A

True

105
Q

The most common cause of neurologic deficits and, probably, MSDs, is:

a. Progressive, degenerative neuronal atrophy
b. Neoplasm
c. Vascular disease
d. None of the above

A

c. Vascular disease

106
Q

A branch of this cranial nerve innervates the tensor veli palatini, tensor tympani, jaw opening and lateralizing muscles (lateral pterygoids), and jaw closing muscles (temporalis, masseter, medial pterygoids).
a. CN 5
b. CN 7
c. CN 9
d. CN10

A

CN 5

107
Q

Recognizing and understanding predictable patterns of speech disturbance and their underlying neurophysiologic bases are valuable for:

a. Understanding nervous system organization for speech motor control
b. Differential diagnosis and localization of neurologic disease
c. management of motor speech disorders
d. all of the above

A

d. all of the above

108
Q

Fasciculations are generally seen with disorder at which part of the neurological system?

a. UMN
b. LMN
c. Basal ganglia control control circuit
d. Cerebellar control circuit

A

LMN

108
Q

True or False: Though most of the cranial nerves originate in the brainstem, the nerve nuclei are considered part of the peripheral nervous system and lesions at their level are therefore classified differently from lesions in the supratentorial level regarding dysarthria type.

A

True

109
Q

When a single dysarthria type leads to anarthria, the most likely type of dysarthria present is the following:

Hyperkinetic
Flaccid
Ataxic
Spastic

A

Spastic

110
Q

True or False: Of the arteries that lead to the brain, the left posterior cerebral artery is most likely to be related to apraxia of speech when there is vascular etiology.

A

False

111
Q

Neurologic signs and symptoms generally reflect:

a. the location of a lesion and not necessarily its specific cause.
b. The cause of the symptoms but not the location of the lesion
c. Both the location and the cause
d. Neither the location nor the cause

A

a. the location of a lesion and not necessarily its specific cause.

112
Q

The major distinction between PNS nerves and CNS tracts is that:

a. CNS tracts have myelination and PNS nerves do not.
b. CNS tracts transmit impulses to other neurons, whereas PNS nerves transmit impulses from nerves to end organs, such as muscle.
c. For CNS tracts, functionally significant regeneration of axons does occurs after cell bodies die or when axons are separated from their cell bodies by injury or disease. For PNS nerves, regeneration of the nerve is not possible, even if the cell body survives.

A

b. CNS tracts transmit impulses to other neurons, whereas PNS nerves transmit impulses from nerves to end organs, such as muscle.

113
Q

true or false: The evaluation of anyone with a suspected MSD begins with a perceptually based speech assessment.

A

True

114
Q

Electromyography, kinematic measures, and aerodynamic measures are all forms of what type of method for studying motor speech disorders?

physiological
perceptupal
acoustic
all of the above

A

physiological

115
Q

True or false: all the cranial nerves originate in the brainstem.

A

False

116
Q

True/false: The location of the lesion will impact the type and nature of neuromuscular deficit seen and can affect the severity level of the deficit.

A

True

117
Q

which of the following would not fall into the category of motor speech disorders (choose all that apply)?

dysarthria
apraxia of speech
aphasia
anarthria
cleft palate

A

aphasia
cleft palate

118
Q

True or false: sensory deficits may be implicated in some motor speech disorders.

A

True

119
Q

True/false: Bilateral UMN lesions can cause spastic dysarthria.

A

True

120
Q

Hypokinetic dysarthria results from damage to:

FCP
Pyramidal tract
Basal ganglia control circuit

A

Basal ganglia control circuit

121
Q

Disruption of the left UMN innervation for facial nerve causes weakness on ___________lower face.

Left
Right

A

Right

122
Q

t or f: Although not in every individual, the tongue predominantly receives contralateral UMN innervation.

A

true

123
Q

Corticobulbar tracts are:

Direct activation pathways
Extrapyramidal pathways

A

Direct activation pathways

124
Q

The client presents with a lesion at the left cranial nerve nucleus of the seventh cranial nerve. He presents with facial droop - on which side and which part of the face?

a. Full left side of the face
b. Full right side of the face
c. Lower half of the left side of the face
d. Lower half of the right side of the face

A

Full left side of the face

125
Q

The client presents with a cortical lesion to the right frontal lobe. The client presents with facial droop - which side of the face and which part of the face?

a. Full left side of the face
b. Full right side of the face
c. Lower half of the left side of the face
d. Lower half of the right side of the face

A

Lower half of the left side of the face

126
Q

A lesion at the cranial nerve nucleus is likely to show more severe weakness of the impacted muscles than a cortical lesion that affects the same muscles.
True
False

A

True

127
Q

The cranial nerve nuclei for the trigeminal and facial nerves receive different levels of contribution from each hemisphere of the cortex than the other cranial nerve nuclei.
True
False

A

False

128
Q

The client presents with a lesion to the right cranial nerve nucleus to the 12th cranial nerve. The speech sounds that the client is likely to have trouble with include which of the following?
a. All bilabial sounds
b. All velar sounds
c. All voiced sounds
d. All nasal sounds

A

b. All velar sounds

129
Q

Treatment for spastic dysarthria would include the following - choose all that apply:

a. Pushing/pulling exercises
b. Rate modification to increase speech rate
c. Relaxation exercises
d. Rate modification to slow rate
e. Easy onset phonation
f. Respiratory compensation exercises for breath support

A

c. Relaxation exercises
d. Rate modification to slow rate
e. Easy onset phonation
f. Respiratory compensation exercises for breath support

130
Q

True/false: Pseudobulbar affect can be successfully treated surgically.

A

False

130
Q

True/false: Nonspeech oromotor exercises may be used to treat flaccid or spastic dysarthria.

A

True

131
Q

The decision to address respiration in treatment would depend on:

a. How much air pressure the person can currently sustain on exhalation
b. How well the person can support phonation with his current respiration
c. How many words the person can say on one breath
d. All of the above

A

d. All of the above

132
Q

Key characteristics of spastic dysarthria are the following: (choose all that apply)

a. Slow but regular AMRs
b. Slow speech rate
c. Extraneous movements during speech production
d. Hypernasality
e. Strained-strangled vocal quality
f. Reduced coordination for speech sound production
g. Tremor

A

a. Slow but regular AMRs
b. Slow speech rate
d. Hypernasality
e. Strained-strangled vocal quality

SLP - MSD 6052 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions