online test 2

Question 1

Doing which of the following would likely yield the most useful information about effectiveness of an intervention strategy?

Answer 1

Utilizing a single subject design (ABAB or a reversal procedure ABA

Question 2

Following anoxic encephalopathy , clients are likely yo experience the most significant long term impairments in the area of

Answer 2

memory

Question 3

Which of the following is a typical symptom of cerebellar involvement

Answer 3

overshooting or undershooting an intended target.

Question 4

Treatment of apraxia of speech most appropriately emphasizes

Answer 4

auditory visual stimulation, oral motor repetition and phonetic placement.

Question 5

For which of the following conditions is it most appropriate for the SLP to recommend that the patient’s primary care physician refer the patient to a prosthodontist for construction of a palatal lift appliance?

Answer 5

Flaccid paralysis of the soft palate

Question 6

Which of the following errors is likely to persist the longest in the speech of children who are learning SAE as a first language and following the normal developmental course for speech acuisition?

Answer 6

consonant cluster reduction

Question 7

No Kitty-it's not a kitty
my doggie- this toy dog is mine
no goat- it's not a goat
kitty house-the cat is in the house
big kitty-it's a big cat
doggie ball-the dog pushed the ball
Which of the following semantic-synctatic constructions does the child show evidence of using?

Answer 7

possessor+possesion
attribute+ entity
agent+action

Question 8

Control over the fundamental frequency of the laryngeal tone is the most closely related to the activity of which of the following muscles?

Answer 8

cricothyroid

Question 9

ms lopez articulation errors consist of the following: f/v , sh/g, and s/z. On the basis of these errors, the SLP should begin remediation that focuses on:

Answer 9

voicing

Question 10

Native speakers of a language possess several capacities or abilities to provide insight into their language competence. Sentences such as “visiting friends can be a nuisance” are especially useful to test a person’s ability to

Answer 10

recognize syntactic ambiguity

Question 11

Which of the following provides the most important diagnostic information to an SLP making a differential diagnosis between childhood apraxia of speech and flaccid dysarthria in a child?

Answer 11

A history of the child’s development of chewing, eating and swallowing

Question 12

A disfluent 4 yrs child is referred to an SLP for assessment. Which of the following is most important for the SLP to consider in deciding whether the child is developmentally non fluent or stuttering

Answer 12

The nature and frequency of the child’s disfluencies

Question 13

A teacher asks the SLP for advice regarding a child who talks excessively during class, rarely listens to instructions and does work only intermittently. Attempts at alternative seating for the child have not been successful. Of the following which is the most appropriate recommendation that the SLP can provide to the teacher?

Answer 13

refer the child for evaluation by members of the child’s study team

Question 14

An SLP is planning treatment for a 5 yrs with multiple speech production errors. The most effective strategy the clinician can use to treat the child is to

Answer 14

Delineate phonological processes in operation and address them through minimal pairs

Question 15

Which of the following would be most likely to help a client who has aphonia?

Answer 15

Development of phonation through coughing or throat clearing

Question 16

in terms of communication impairment, an adult with Alzheimers-type dementia tends to differ from an adult with aphasia associated with a CVA in that:

Answer 16

The capacity of the adult with aphasia to make appropriate comments about recent events is generally better

Question 17

In treatment of voice disorders, the chewing technique is used to do which of the following?

Answer 17

Reduce tension in the laryngeal area

Question 18

Research regarding the use of intensive phonemic-awereness treatment for children who have difficulty learning to read has demonstrated that the treatment

Answer 18

might have no direct relationship to improvement in reading abilities

Question 19

A child with discourse problems is most likely to need remediation directed at which of the following?

Answer 19

Cohesive device (prenominal references)

Question 20

Which of the following type of cerebral palsy is characterized by slow, arrhythmic writhing and involuntary movements of the extremities?

Answer 20

Athetoid

Question 21

To justify providing individual treatment for a 2 1/2 year old with apraxia of speech, which of the following would be the LEAST important for the SLP to include in the evaluation report?

Answer 21

A description of language development of the child’s older siblings.

Question 22

The speech reception threshold (SRT) is a basic component of an evaluation of hearing function. Which of the following statements about the SRT is most accurate?

Answer 22

It is measured in decibels and corresponds to the intensity level at which spondaic words can be recognized approximately 50% of the time.

Question 23

A clinician who employs active listening is doing which of the following?

Answer 23

Responding to both the content and the affect of the client’s remarks

Question 24

A number of research reports have described poor auditory memory in children with language impairments. Which of the following can most appropriately be concluded from these studies?

Answer 24

Poor auditory memory could be a reflection or a cause of a language impairment or could be related to some other factor, and further research is needed to determine which is the case.

Question 25

A 55 years old woman, recently hospitalized for probable cerebrovascular accident (CVA), is referred for evaluation of stuttering speech. The initial conversation with the client indicates that speech is characterized by frequent initial-phoneme repetitions and prolongations as well as associated mildly effortful eye blinking. Which of the following pieces of information is crucial to accurate speech diagnosis and decisions regarding management of the speech problem?

Answer 25

Whether the disfluencies began before or after the suspected CVA

Question 26

Which of the following is the best action to take initially with a client who presents with poor oral control of liquids and solids, coughing and choking while eating and drinking, and a history of hospitalizations associated pneumonia?

Answer 26

Obtain a modified barium swallow study to determine appropriate intervention

Question 27

Children diagnosed as having specific language impairments are likely to exhibit the greatest deficits in which of the following?

Answer 27

Production of sentences with appropriate inflectional morphology and syntax

Question 28

The major objective of auditory training in the treatment of a client with hearing loss is to

Answer 28

Teach the client to make discriminations among speech sounds

Question 29

Which of the following views make up a standard video fluoroscopic swallow study?

Answer 29

Lateral

Anterior posterior

Question 30

Which of the following is the most important acoustic cue that distinguishes between an unreleased final /p/ and an unreleased final /b/, as in ‘cap’ versus “cab”?

Answer 30

Duration of the preceding vowel

Question 31

Language intervention for a child at the one word stage should most strongly be influenced by a consideration of the child’s

Answer 31

cognitive skills

Question 32

A single exposure of several hours duration to continuous music with an overall level of 100 dB SPL will most likely produce

Answer 32

A tinnitus and a temporary threshold shift in high frequencies

Question 33

According to research on the development of brown’s morphemes in young children, which of the following is a determinant of acquisition order?

Answer 33

Semantic and syntatic complexity

Question 34

A 70 yrs old female has dysphagia characterized by poor posterior oral containment of the bolus during the oral predatory stage, causing aspiration before the swallow. Cognition and the pharyngeal stage of swallow are intact. Which of the following is the most appropriate treatment approach for the client?

Answer 34

Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages.

Question 35

hearing loss in infants who are born with a cleft palate is usually related to

Answer 35

eustachian tube dysfunction

Question 36

Which of the following is most important for an SLP to do when assessing a child who has acquired brain injury?

Answer 36

Compare premorbid performance with present performance

Question 37

Immediately following removal of a benign tumor from the base of the brain, a 76 year-old client exhibits severe nasalization and a weak, breathy voice. A 4 month post surgical assessment reveals no improvement. At this time, the remediation strategy for this client should focus on

Answer 37

evaluation for prosthetic or surgical intervention

Question 38

Which of the following procedures would be effective in remediating a falsetto voice for an adult male with a severe bilateral hearing loss?

Answer 38

manual depression of the larynx

Question 39

cognitive therapy for stuttering focuses on which of the following?

Answer 39

changing the distorted beliefs about self-efficacy and the need to speak with complete fluency.

Question 40

A prospective client is described as a man in his forties who is under chronic stress. He uses his voice extensively in daily life, has a hard driving personality, and exhibits glottal fry. The client has the classic profile of a person at risk for

Answer 40

contact ulcers

Question 41

A 12 yrs old native speaker of Spanish who has been studying English as a second language for 3 yrs, is most likely to do which of the following when speaking English in casual conversation with teachers at school?

Answer 41

use multiple negation improperly

Question 42

Excessive nasality is associated with inadequate velopharyngeal closure. An SLP is training a client to self-monitor nasality during speech. Which of the following tactics will best allow the speaker to determine whether there is excessive airflow?

Answer 42

speaking/phonating while alternately leaving the nostrils open and pinching them closed

Question 43

Which of the following is an accurate statement about whispered speech?

Answer 43

It is largely composed of aperiodic sounds

Question 44

Which of the following actions will most effectively control the problem of ever referral in school screening programs that use impedance/immittance measurements

Answer 44

Waiting 3 to 5 weeks to retest those who did not pass the first screening