C. Phonology - ANSWER-A 6-year-old child produces /t/ for /s/, /d/ for /z/, /p/ for /f/, and /b/ for /v/. Intervention for this problem would target
... [Show More] language at the level of
A. morphology
B. syntax
C. phonology
D. pragmatics
E. Semantics
C. The influence of context on the speaker and the listener - ANSWER-A treatment plan for an adult client with an acquired language disorder recommends focusing on pragmatic communication. Goals established for this client would most appropriately emphasize which of the following?
A. the rules for arranging sounds in words
B. the denotative meanings of words
C. the influence of context on the speaker and the listener
D. The rules that apply to the structure of sentences
E. the perceptual properties of speech sounds
E. Duration of the preceding vowel - ANSWER-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" vs. "cab"
A. Frequency of third formant
B. locus frequency of burst
C. Voice onset time
D. Vocal fundamental frequency
E. Duration of the preceding vowel
C. Walked - ANSWER-When using Roger Brown's system for computing mean length of utterance in a language sample, which of the following utterances would be scored as having two morphemes?
A. Bought
B. Doggie
C. Walked
D. Sticky
E. Choo-choo
A. The epithelium and superficial lamina propria - ANSWER-Anatomical studies of the human vocal folds and detailed observation of mucosal behavior during phonation has led to the current "cover-body" characterization of the vocal fold.
Which of the following is included in the vocal fold cover
A. the epithelium and superficial lamina propria
B. The epithelium and deep lamina propria
C. The intermediate and deep layers of the lamina propria
D. The vocalis portion of the thyroarytenoid muscle
E. The lamina of the thyroid cartilage
A. /b/ for /m/ - ANSWER-Which of the following substitutions is most likely to occur in conjunction with hyponasality?
A. /b/ for /m/
B. /n/ for /d/
C. /ng/ for /k/
D. glottal stop for /t/
E. /m/ for /p/
A. Provide stuttering intervention, but no articulation intervention for /r/ at the present time - ANSWER-Parents bring their daughter of 4 years and 3 months for a speech and language evaluation. The parents have expressed concern that their daughter does not pronounce the /r/ sound correctly and has exhibited periods of stuttering for the last 18 months. During the evaluation, the SLP observes that the child exhibits sound-syllable repetitions on 30 percent of her words.
What is the best action for the SLP to take?
A. Provide stuttering intervention, but no articulation intervention for /r/ at the present time
B. Provide both articulation intervention for the /r/ and stuttering intervention
C. Provide articulation intervention for the /r/ and ignore the stuttering
D. Provide articulation intervention for the /r/ first and later provide stuttering intervention
E. Provide no intervention at this time
B. Acute Laryngitis - ANSWER-Voice therapy is least appropriate for clients with
A. Ventricular phonation
B. Acute laryngitis
C. Vocal nodules
D. Contact ulcers
E. Unilateral Adductor Paralysis
B. Lower or decreased - ANSWER-An SLP is assessing the physiology of voice production in a client. If the client has a hyperfunctional voice disorder, then during phonation the client's average airflow rate is most likely to be
A. almost absent
B. lower or decreased
C. higher or increased
D. within normal limits
E. erratic and inconsistent
D. Culture - ANSWER-When experiences, language, religion, and a shared history bring people together over time, they develop shared traditions and customs, which are referred to as
A. ethnicity
B. race
C. creolization
D. culture
E. pidginization
E. no noticable abnormalities - ANSWER-During a transient ischemic attack, Mr. Mahmood has difficulty producing intelligible speech and retrieving words in conversation. One week later, Mr. Mahmood's speech and language would typically be characterized by
A. mild dysarthria
B. Expressive aphasia
C. anomic aphasia
D. both aphasic and dysarthric errors
E. no noticeable abnormalities
A. That the parents be invited to participate in the development of an individualized education plan (IEP) - ANSWER-The Individuals with Disabilties Education Act mandates which of the following for a fifth grade student who has been identified as eligible for services?
A. that the parents be invited to participate in the development of an individualized education plan (IEP)
B. That the parents be given at least three names as referral sources for treatment of the disorder
C. That the parents be notified of the results of a multidisciplinary conference within ten days of the time the conference was convened
D. that the child's name be placed on a waiting list for services and that the parents be notified when space is available.
E. that the child and parents be given an explanation of the types of support services that are available in the community and that they be informed about the possibility that an IEP will be approved for the child
D. Teach her picture representations for the intentions she expresses in other modalities. - ANSWER-Ellie is a 4 year old girl with developmental delay of unknown origin. She is ambulatory, and her receptive vocabulary, as assessed with a standardized picture vocabulary test, is in the 3 year, 0 month range. Her family members report that she uses six gestures and four words consistently. Ellie's expressive inventory appears in the table below
Repetitive contact of hands at midline = more
Right hand flicked against left arm = finished
Flapping hands above head = yes
Hand to head = mine
Head down = sad
Head shake side to side = no
/kaji/ = animal
/i^/ = no
/i/ = ice cream
/oki/ = open
How can the SLP most immediately help Ellie become more easily understood by others outside her family, such as her day-care provider and her peers?
A. teach her conventional signs to replace her idiosyncratic gestures and words.
B. Initiate oral motor treatment to improve speech intelligibility.
C. Develop her literacy skills so she can convey her thoughts in writing.
D. Teach her picture representations for the intentions she expresses in other modalities.
E. Give her a keyboard so she can type messages letter by letter and have them spoken aloud.
D. A 40 year old man who presents with severe hoarseness and recurrent laryngitis - ANSWER-For which of the following individuals is a medical evaluation most necessary before beginning a treatment program with an SLP?
A. A 2 year old child who has overall developmental delays, abnormal muscle tone, and speech-language delays
B. A 4 year old child who presents with phoneme specific nasal emissions with no visible evidence of any clefting condition
C. A 6 year old child with an articulation disorder who appears to have a restricted lingual frenulum
D. A 40 year old man who presents with severe hoarseness and recurrent laryngitis
E. A 78 year old woman who complains of occasional difficulties retrieving the names of her friends.
D. Based on the gradualness principle, since the SLP reinforces a response that involves stopping on the initial consonant, a successive approximation of the target - ANSWER-A child with a phonological disorder typically produces "sack" as /kak/. During an intervention session, the child produces /tak/ and is rewarded for it by the SLP. The situation described illustrates a therapeutic strategy that is
A. based on behavior modification principles and distributed practice
B. based on sound behavioral principles, since it involves application of a random reinforcement schedule
C. Based on the theory of negative practice, which permits occasional reinforcement of incorrect responses to prevent discouragement
D. Based on the gradualness principle, since the SLP reinforces a response that involves stopping on the initial consonant, a successive approximation of the target
E. A misapplication of variable reinforcement, since the SLP erroneously reinforces a production lacking the essential feature of stridency.
E. The SLP works with teachers and families to facilitate a student's communication and learning. - ANSWER-Which of the following best describes the role of the SLP in a collaborative-consultation service-delivery model?
A. The SLP is responsible for providing both academic/curricular instruction and speech language services
B. The SLP provides services to students individually or in small groups within the speech-language resource-room setting
C. The SLP provides services directly to the student within the classroom and other natural environments
D. The SLP sees the student for a specific amount of time each marking period to monitor communication performance
E. The SLP works with teachers and families to facilitate a student's communication and learning.
B. Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages of the swallow - ANSWER-A 70 year old female has dysphagia characterized by poor posterior oral containment of the bolus during the oral preparatory stage, causing aspiration before the swallow. Cognition and the pharyngeal stage of the swallow are intact. Which of the following is the most appropriate treatment approach for the client?
A. providing a puree diet with thickened liquids
B. Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages of the swallow
C. Having the client turn (rotate) her head to the right when swallowing
D. Having the client eat more slowly to prevent aspiration
E. Providing a diet that consists of thin liquids
A. As a result of pharyngeal flap surgery - ANSWER-An 8 year old child with moderately severe hypernasality has persistent nasal regugitation following an adenoidectomy performed 6 months eariler. The child's speech is likely to show the greatest improvement
A. as a result of pharyngeal flap surgery
B. as a result of intensive speech intervention
C. as a result of the natural regrowth of the adenoid tissue before puberty
D. gradually and spontaneously, starting at age 9
E. gradually and spontaneously, starting after puberty
B. Aspiration during the swallow - ANSWER-A 61 year old woman has dysphagia, characterized by incomplete laryngeal closure during the swallow. Which of the following is the most significant risk to the patient?
A. Aspiration before the swallow
B. Aspiration during the swallow
C. Residue in the valleculae
D. Residue on top of the epiglottis
E. Excessive weight loss
A. An occupational therapist, a pediatric physiatrist, and a physical therapist - ANSWER-In addition to an SLP, which of the following constitutes a team likely to be most helpful in the acute stage rehabilitation of a child with a moderate-to-severe traumatic brain injury?
A. An occupational therapist, a pediatric physiatrist, and a physical therapist
B. A physical therapist, a psychologist, and a special education teacher
C. An occupational therapist and a psychologist
D. A special education teacher and a pediatrician
E. A pediatrician and a geneticist
B. A teenager with a repaired cleft palate who continues to experience hypernasality - ANSWER-For which individual would an AAC intervention be least appropriate?
A. a preschool child with a language learning disorder and highly unintelligible speech
B. a teenager with a repaired cleft palate who continues to experience hypernasality
C. A young adult with severe cerebral palsy precluding functional oral communication
D. A 55 year old man who has had a laryngectomy
E. A 76 year old woman with severe Broca's aphasia
D. Referring the child to a cleft palate team for consideration of surgical or prosthetic management - ANSWER-An 8 year old child with a repaired palatal cleft has received speech intervention for two years in order to reduce moderately severe hypernasality and nasal emission. Cognitive and linguistic skills are normal. All clinical data support a conclusion that abnormal speech characteristics are primarily the result of an inadequate velopharyngeal mechanism. There have been small improvements, but none in the past six to nine months. Which of the following is the most appropriate course of action for the SLP to take with the child at this point?
A. terminating speech intervention and reassessing at three month intervals the potential for benefiting from renewed speech intervention
B. Instituting an additional three months of articulation intervention
C. Instituting a program of blowing, sucking, and swallowing exercises for a six-month trial period
D. Referring the child to a cleft palate team for consideration of surgical or prosthetic management
E. Conferring with another SLP concerning a treatment decision
A. Canonical babbling - ANSWER-A typically-developing 10 month old child will exhibit which of the following skills?
A. canonical babbling
B. imitation of sequences of four syllables
C. naming of objects
D. an expressive vocabulary of four words
E. a mean length of utterance of 1.5
C. A collaborative program emphasizing skills in establishing presuppositions within units of discourse - ANSWER-Carrie a 9 year old child, has normal receptive language abilities and normal intelligence. She produces narrativ [Show Less]