MSD quiz Flashcards
True/false: Vowel prolongation is affected by one’s respiratory and phonatory abilities.
True
Stress testing would help detect which disorder?
Myasthenia gravis
The location of the lesion in the basal ganglia control circuit is likely to lead to which type of dysarthria?
Hypokinetic & Hyperkinetic
Which of the subsystems are examined in evaluation of spontaneous speech production? (choose all that apply)
Respiration, Phonation, Resonance, Articulation, Prosody
The type of motor speech disorder that may show excessive speech rate would be:
Hypokinetic dysarthria
Issues that may interfere with an ideal evaluation include the following (choose all that apply):
Time constraints, Lack of client cooperation, Language barrier
The following information does not belong in a case history section of your evaluation (choose all that apply):
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
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).
False
True/false: For diadochokinetic rate, it is within normal limits for a person to have slower repetition of velar sounds than of bilabial sounds.
True
True/false: Comprehensibility assessment examines how much the person with the motor speech disorder understands his non-impaired communication partner in conversation.
False
Someone with a diagnosis of AOS will show difficulty with the following areas (choose all that apply):
Sequential motion rates for speech production, Articulation of multisyllabic utterances.
True/false: When addressing speech sound production for someone with AOS, work on speed and then on accuracy.
False
The most sensitive test within the motor speech exam from the options listed below to test for AOS is the following:
AMR/SMR testing
When choosing sounds to address in treatment for AOS, the order to consider would involve which considerations? Choose all that apply:
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
The following are some strategies to improve praxis for the person with moderate apraxia of speech (choose all that apply):
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
A person with AOS who also presents with aphasia is likely to present with which classification of aphasia?
Broca’s aphasia
A person with AOS from CVA may also present with dysarthria. The type of dysarthria likely to present with AOS is the following:
Unilateral upper motor neuron dysarthria
The reason for the presentation of AOS with aphasia and dysarthria is:
proximity of the location of the lesion to the areas that contribute to motor planning, language, and execution of movement
True/false: If a person presents with severe expressive aphasia, it will be difficult to determine the presence/severity of AOS in that individual.
True
List in order of amount of difficulty a person with AOS would struggle with the following:
1 Vocalizing in imitation
2 Counting to 10
3 Reading a simple passage
4 Conversing about previous work history
True/false: The PROMPT technique is an example for articulatory-kinematic (A-K) approaches.
True
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.
True
True/false: In AOS there are phonemic paraphasias.
False
True/false: Medications are often helpful to treat individuals with AOS.
False
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
Eight-step (integral stimulation) approach
True/false: The control circuits have contact with the LMN?
false
True/false: Do direct activation pathway and indirect activation pathway have direct contact with the LMN?
True the indirect motor pathway however has multiple synapses with the cortical and the LMN nuclei.
When the lesion is in the UMN on the right side, the tongue will deviate to the _______.
Left side - Gets the signal but the weakness there is on the LMN lesion, weakness to the left side.
True or False: Left UMN damage to the facial nerve causes upper and lower right facial paralysis?
False – only lower face.
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)left upper and lower face
True/false: Flaccid dysarthria is caused by peripheral nerve damage.
True
True/false: Myasthenia gravis test positive for stress testing.
true
True/false: People with UM lesions test positive for stress testing.
False
True/false: Typically the mirror will get foggy during the production of /m/, /n/, and /ng/.
true
True/false: If the mirror gets foggy with non-nasal sounds this could be inadequate closure of the velopharyngeal port?
true
Neurons in the direct and indirect activation pathway are: a) LMN b) UMN
b) UMN
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
c) IX – glossopharyngeal
True/false: Basal ganglia control circuit is also regarded as part of the extrapyramidal system?
True
True or false: LMN’s are part of the extrapyramidal pathways?
false LMNS are part of the final common pathway.
True/false: Cerebellar control circuit plays a role in coordination of speech movements?
True
The_________ branch of the Vagus nerve mediates few pharyngeal function? a) pharyngeal b) superior c) recurrent
a) pharyngeal
What is the name of the CN V?
Trigeminal, CN VII – facial, CN XII - hypoglossal
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
c) MPT/MPD
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
e) A and B - Broca’s and global
Damage to which of the following sections of Vagus nerve results in hypernasality?_______
Pharyngeal branch
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
d. None of these
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
f. Both c and d
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. Phonatory system
In motor speech disorder assessment, AMR stands for ______
a. Alternating Motion Rate
b. Alternative Motor Response
c. Alert Motor Reflex
a. Alternating Motion Rate
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
d. Gag reflex
“_______________ 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
c. Fasciculations
In facial nerve lesion, atrophy can lead to facial asymmetry.____
a. True
b. False
True
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
False
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
B - Emotional lability
In Motor Speech Disorders, FDA stands for
a. Frenchay Dysarthria Assessment
b. Functional Disability Assessment
c. Fixed Dynamic Analysis
a. Frenchay Dysarthria Assessment
________________refers “The degree to which a listener understands the acoustic signal produced by a speaker (Duffy, 2020)”
a. Efficiency
b. Comprehensibility
c. Intelligibility
c. Intelligibility
Corticospinal and corticobulbar tracts are part of _____________
a. Direct activation system
b. Indirect activation system
a. Direct activation system
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
b. CN VII
Apraxia of speech (AOS) is a language disorder.
a. True
b. False
False
Dysarthria is a type of motor speech disorder.
a. True
b. False
True