The speech disorder verbal dyspraxia involves an impairment of motor programming.

A. True
B. False
ANSWER: A

The speech disorder dysarthria can be found in an adult who sustains a stroke.
A. True
B. False
ANSWER: A

The Royal College of Speech and Language Therapists estimates that 2.5 million
people in the UK have a communication disorder.
A. True
B. False
ANSWER: A

Which of the following is not associated with communication disorders?

A. reduced scores on quality of life assessments
B. reduced educational and occupational opportunity
C. increased rates of depression
D. increased rates of psychosomatic illness
ANSWER: D

Models of language processing have been developed and revised as information is

gleaned from the study of language-impaired subjects. The properties of the
semantic system, for example, have been directly based on the findings of studies
conducted in subjects with Aphasia.
A. True
B. False
ANSWER: A

The schizophrenic adult who says 'I am being help with the food and the medicate'
has a problem with derivational suffixes only.
A. True
B. False
ANSWER: B

Adults who sustain a traumatic brain injury can often present with repetitive and
disorganised discourse skills.
A. True
B. False
ANSWER: A

It is not unusual for children at age three to have difficulty with some speech
sounds, however speech should be understandable to most people, both familiar and
unfamiliar.
A. True
B. False
ANSWER: A
The most common sounds that will be difficult for children are: s, r, l, k, th.
A. True
B. False
ANSWER: A
Speech-Language Pathologists who work with young children provide help for a
variety of problems, including:
A. articulation
B. language
C. stuttering
D. vocabulary development
E. all of these
ANSWER: E

If a bolus is blocking the airway below the true vocal folds before, during, or
after the pharyngeal phase of swallowing, it is considered
A. Globus
B. Deglutition
C. Penetration
D. Aspiration
ANSWER: D

The main purpose of a screening is:

A. To determine if an individual needs a comprehensive assessment
B. None
C. To diagnose an individual with dysphagia
D. Both
ANSWER: A

What does typical phonatory quality (how well the two vocal folds work during
vibratory cyclE. look like for a client with Muscle Tension Dysphonia (MTD)?
A. Hypofunction: Describes vocal folds that are underfunctioning and have
inadequate tension
B. Hyperfunction: When vocal folds are overly tense and compress together too
tightly
C. Diplophonia: Means double pitch and describes a vocal quality in which the vocal
folds produce two different pitches simultaneously
D. ALL
ANSWER: D

Which of the following is an example of unhealthy vocal hygiene?

A. Overusing the voice
B. Yelling and whispering frequently
C. Using adequate breath support
D. Both Overusing the voice and Yelling and whispering frequently
ANSWER: D

What is the role of the larynx in vocal production?

A. Open and close glottis
B. Adjust vocal fold function
C. Bring the vocal folds to the midline
D. ALL
ANSWER: D

Which statement does NOT describe the Bernoulli Effect?

A. The Bernoulli Effect allows for the opening of the vocal folds.
B. The Bernoulli Effect draws the vocal folds together with the help of the
intrinsic muscles.
C. In the Bernoulli Effect, the air stream taken in creates pressure against the
closed vocal folds until they are blown apart.
D. The Bernoulli effect causes a reduction in pressure inside a constricted fluid
flow.
ANSWER: A

At what point does counseling fall outside of an SLP's scope of practice?

A. When the patient discusses their emotions towards their disorder
B. When it falls outside the realm of speech, language, hearing or swallowing
C. Both
D. When personal relationships are affected by their disorder
ANSWER: B

Which of the following criteria must be met for a child to have a language disorder
rather than a language delay?
A. When an individual exhibits significant and persistent difficulties with the
comprehension or expression of spoken or written language
B. When an individual isn't developing speech and language at an expected rate
C. When an individual exhibits a positive impact on their health: socially,
psychologically, and educationally.
D. When an individual has language difficulties in the absence of any other
disability that can be held accountable
ANSWER: A

Which of the following correctly differentiates between primary language impairment

and secondary language impairment?
A. A primary language impairment is the first impairment a child presents with in
his/her development, while a secondary impairment is any impairment following the
primary impairment.
B. A primary language impairment is a disorder of language functioning in the
absence of other disorders, while a secondary language impairment presents in
conjunction with other disabilities.
C. A primary language impairment presents in conjunction with other disabilities,
while a secondary language impairment is a disorder of language functioning in the
absence of other disorders.
D. A primary language impairment is when the child is not developing language at
the expected rate, while a secondary language impairment is when the child's basic
language learning processes are impaired.
ANSWER: B

Which of the following does not coordinate with the term "pragmatics"?
A. Rules associated with the use of language in conversation
B. Social aspects of language
C. Speech sounds
D. In written language, deals with making sure the writer has an understanding of
point-of-view
ANSWER: C

Choose the BEST answer. What is the difference between speech and language?
A. Language is a system of communication which differs among cultures. Speech is
how language is expressed.
B. Language involves form and content. Speech is the expressive form of language
which involves use, voice, and fluency.
C. Language is a system of communication which involves pragmatics and syntax.
Speech is verbal communication of language which involves phonology.
D. Language involves form, content and use. Speech is an expressive form of
language which involves voice, articulation, and fluency.
ANSWER: D

Which scenario would be difficult for a child with an expressive language disorder?
A. Completing tasks verbally introduced to him/her
B. None
C. Describing to a teacher what they need help with
D. Comprehending questions on a verbal quiz
ANSWER: C

Which of the following is NOT a benefit of an early and accurate diagnosis of ASD?
A. Strengthening of the interprofessional team
B. The ability to completely cure the individual's ASD
C. Significantly improve long term outcomes for the individual.
D. Helps family access appropriate and necessary services.
ANSWER: B

ASD describes a variety of conditions characterized by:

A. Difficulties in social relationships
B. Communication
C. Repetitive behaviors such as hand flapping, stacking and lining up objects and
overly restricted interests
D. ALL
ANSWER: D

Joint engagement refers to:

A. Child and caregiver are both actively involved in an activity and the child
acknowledges the caregiver
B. Child and caregiver are both doing table therapy together with the therapist
C. Child and caregiver are both actively involved in an activity and the child
doesn't acknowledge the caregiver
D. Both
ANSWER: A

Which is the best example of using Cognitive Behavioral Therapy (CBT)?

A. A child begins to scream and cry because recess is indoors today, to calm him
you provide him with a stress ball.
B. When a child begins to experience anxiety because there is a fire drill, you let
him release his anger and then tell that fire drills happen.
C. When a child is worried and starts to react in a loud manner because someone
used the crayon he was going to use next, explain to him that it is okay to be
frustrated, but ask how else he could solve the problem next time. Then suggest
that asking for the crayon in a friendly manner would be more appropriate.
D. After a child begins to yell because there are not any blue coloring sheets
left, give him a purple piece and see if he can figure out where to go to find more
blue color sheets.
ANSWER: C

Which of the following helps determine the severity of ASD?

A. social communication impairments
B. high functioning
C. low functioning
D. None
ANSWER: A

What are the approaches to target selection in interventions for Speech Sound
Disorders?
A. Minimal pairs (Pictures of 2 words, produce the difference., Multiple opposites
(Multiple words), and Complexity approaches (Phonetic contrasts)
B. Developmental approach (Earlier sounds first), Complexity approach (Harder
sounds first), and Systemic approach (Choosing targets in minimal pairs)
C. Use of hierarchy of temporal delay (Certain target words), Emphasis on tactile
and visual cueing (Picture showing sounD. and Incorporation of motor learning
principles
D. Both
ANSWER: B

Choose the correct statement regarding dysarthria.

A. A neuromotor issue with an actual weakness of the speech muscles.
B. A speech sound disorder that results in messages from the brain to motor
articulators being overanalyzed or distorted. There is no weakness or deterioration
in the muscles.
C. The inability to produce the /r/ phoneme
D. The inability to produce voiced phonemes
ANSWER: A

A child produces /rait/ for ride. This phonological distortion is an example of

which phonological processes?
A. Progressive assimilation
B. Assimilation
C. Devoicing
D. Both Assimilation and Devoicing
ANSWER: D

Which of the following would NOT result as a speech sound disorder?

A. Dysarthria
B. Functional Disorders
C. Childhood Apraxia of Speech
D. Wernicke's Aphasia
ANSWER: D

Which statement is the MOST accurate:

A. Phonological disorders can cause self-esteem problems in children and can lead
into adult life
B. Articulation disorders affect academic progress and social life
C. Both articulation and phonological disorders can create social, emotional, and
academic stress
D. Articulation disorders make impact how one views their own abilities
ANSWER: C

Which of the following is NOT a role of the Speech-Language Pathologist in the

NICU?
A. Provide support and intervention for the infant and family
B. Conduct an evaluation of the infant's gross motor movement
C. Identify infants at risk
D. Conduct clinical assessment of the infant
ANSWER: B

Why might a child who was born prematurely need articulation therapy in their early
intervention services?
A. Changing dentition and delayed tooth growth
B. Early issues with feeding and swallowing
C. None
D. Both
ANSWER: A

A child of 12 months old will occupy which of these developmental milestones?

A. Turns to name, follows one-step commands, and sits
B. Babbles, comprehends requests, and crawls
C. Makes non-verbal requests, follows one-step commands, and crawls
D. Interacts with others to gain attention, points to body parts, and sits
ANSWER: B

How is speech perception measured in infants during prelinguistic development?

A. Suck rate
B. Heart rate
C. Blink rate
D. Both Suck rate and Heart rate
ANSWER: D

Which of the following would NOT be an assessment used when discharging an infant
from the NICU?
A. Can the child breathe without support?
B. Is the child gaining weight at a rapid pace?
C. Is the child free of any potential infections?
D. Can the child breastfeed and/or bottle feed properly?
ANSWER: B

The following are all characteristics of a child with Down Syndrome EXCEPT:
A. Hypotonia
B. Articulation disorders and delayed language
C. High risk for psychopathology
D. Attention difficulties
ANSWER: C

What IQ score will qualify a person for intervention services?

A. Two or more standard deviations above the mean
B. Three or more standard deviations above the mean
C. Two or more standard deviations below the mean
D. One standard deviation below the mean
ANSWER: C

What challenges would you see in bilingual speech-language therapy?

A. Lack of resources, assessments/materials, research, and evidence-based practice
B. Institutional agency of opposition: one language being better than the other
C. Not enough bilingual speech language pathologists
D. Fewer treatments and opportunities
E. ALL
ANSWER: E

Which of the following is a Least Restrictive Environment (LRE. providing the least
amount of services?
A. Placing a child in a general education classroom with technological support.
B. Placing a child in a classroom with peers who all share the same learning
disability as that child.
C. Placing a child in a general education classroom and pulling him or her out of
the classroom everyday to meet in smaller groups for a few hours.
D. Placing a child in a general education classroom without any special services.
ANSWER: D

Which of the following is a reason why the American Speech-Language-Hearing

Association does not support cognitive referencing?
A. IQ scores determine language abilities
B. language abilities can surpass cognitive levels
C. comparing IQ scores and language scores is valid in determining service
eligibility
D. service eligibility should be based on IQ scores and language scores only
ANSWER: B

In which of the following ways does a CVA affect communication?

A. Emotional content
B. Muscle paralysis and paresis
C. Perception
D. ALL
ANSWER: D

Which type of dysarthria can be categorized by having a harsh voice quality?

A. Spastic
B. Flaccid
C. Hyperkinetic
D. Hypokinetic
ANSWER: A

What area of the brain is most closely associated with comprehending speech?
A. Broca's area
B. Primary Motor Cortex
C. Wernicke's area
D. Primary Auditory Cortex
ANSWER: C

A coupler having a ____________ cc cavity is used during hearing aid analysis.

A. 1.2
B. 2.0
C. 2.2
D. 6.0
ANSWER: B

A physical phenomenon which negatively affects the transmission of mid to high

frequencies to the side of the far ear is ______________ effect.
A. body baffle
B. precedence
C. transmission
D. head shadow
ANSWER: D

An average adult REUR has a primary peak around __________ Hz of around _________
dB.
A. 1000, 4
B. 4200, 10
C. 2700, 17
D. 2900, 17
ANSWER: C

Hearing aids in which both, the processing of the audio signals and the control for
the processing is done by digital aids are ____________ aids.
A. quasi-digital
B. programmable
C. all-digital
D. semi-digital
ANSWER: C

_____________ systems involve the transmission of radio frequency waves.

A. Hardwire
B. FM
C. Loop induction
D. Infra red
ANSWER: B

The ratio of the change in input SPL to the change in output SPL at a specified
input level in an AGC system is called as ____________.
A. Compression ratio
B. Slewing ratio
C. AGC ratio
D. Compression threshold
ANSWER: A

The number of new cases in a population during a specified period of time is

__________.
A. prevalence
B. incidence
C. transmission
D. inheritance
ANSWER: B

VRA procedure is an example of ___________ type of conditioning.

A. pure classical
B. pure operant
C. more classical than operant
D. more operant than classical
ANSWER: D

A marked decrease in speech recognition ability with increasing intensity level is

a feature of __________ pathology.
A. cochlear
B. central
C. conductive
D. retrocochlear
ANSWER: D

The communication between scala vestibule and scala tymapani is established through
__________.
A. Helicotrema
B. Hamulus
C. Hebemula perforate
D. Scala media
ANSWER: A

The mass and stiffness factors of the middle ear system are affected in __________.
A. Cholesteatoma
B. TM perforation
C. Osteospongiosis
D. Ossicular discontinuity
ANSWER: A

Occlusion effect is found to be absent in cases with ____________ loss.

A. Unilateral
B. Functional
C. Conductive
D. Sensorineural
ANSWER: C

Interaural attenuation for bone conduction is ___________.

A. 40
B. 10
C. 0
D. -10
ANSWER: C

The ability of binaural listening to 'tune in' to a wanted signal and at the same
time to minimize the interfering effects of unwanted background noise is referred
to as __________ effect.
A. squelch
B. head shadow
C. precedence
D. summation
ANSWER: A

____________ is a high, front and unrounded vowel.

A. /e/
B. /i/
C. /a/
D. /�/
ANSWER: B

_____________ is a disorder in which motor plans are intact but individual motor
gestures are disturbed.
A. Ideomotor apraxia
B. Ideational apraxia
C. Apraxia of spech
D. Buccofacial apaxia
ANSWER: A

The two cerebral hemispheres are connected with a mass of white matter called
__________.
A. Arcuate fasiculus
B. Central sulcus
C. Corpus callosum
D. Angular gyrus
ANSWER: C

The _____________ act is referred to listener's interpretation of the message.

A. Illocutionary act
B. Perlocutionary act
C. Locutionary act
D. None
ANSWER: B

___________ is the primary proponent of behavioristic theory of language

acquisition.
A. Chomsky
B. Skinner
C. Osgood
D. Piaget
ANSWER: B

The nativistic theory emphasizes on ____________ component of language.

A. Pragmatics
B. Syntax
C. Morphology
D. Semantics
ANSWER: B

Diagnosis made on the basis of results of inducing symptoms of a suspected

disability is
A. Provocative Diagnosis
B. Clinical Diagnosis
C. Instrumental Diagnosis
D. Team diagnosis
ANSWER: A

In _____________ technique there is breaking of a complex or difficult response

into smaller more easily learned components.
A. Recast
B. Modelling
C. Shaping
D. Prompting
ANSWER: C

In dysphagia clients with weakened posterior pharyngeal wall ____________ strategy

is effective.
A. Masako Maneuver
B. Mendelshohn Maneuver
C. Effortfull swallow
D. Supraglottic swallow
ANSWER: A

In ___________ condition an individual is unable to recognize previously known

people.
A. Somatoagnosia
B. Prosopagnosia
C. Autotopagnosia
D. Astereognosia
ANSWER: B

_____________ type of aphasia has good repetition skills and impaired naming and
non-fluent conversational speech.
A. Transcortical motor
B. Global
C. Broca's
D. Anomic
ANSWER: A

If CVA occurs in............ artery, the patient may experience aphasia,alexia,

agraphia or visual deficits.
A. Internal carotid artery
B. Middle cerebral artery
C. Anterior cerebral artery
D. Basilar artery
ANSWER: B

Monopitch, monoloudness, short rushes of speech and reduced loudness are speech
characteristics of ______________.
A. Hyperkinetic Dysarthria
B. Flaccid Dysarthria
C. Spastic Dysarthria
D. Hypokinetic Dysarthria
ANSWER: D

Which of the following approaches typically is not used in phonological therapy

A. Minimal pairs approach
B. Cycles approaches
C. Traditional approach
D. Distinctive feature approach
ANSWER: C

____________ is characterized by violent, forceful flinging movements of the arms

and legs.
A. Ballism
B. Chorea
C. Dyskinesia
D. Bradykinesia
ANSWER: A

The pharyngeal phase initiated as the bolus reaches ____________.

A. tonsils
B. back of the tongue
C. esophagus
D. lower sphincter
ANSWER: B

____________ is an autosomal dominant multiple tic disorder that begins in

childhood.
A. Landua-Klefner syndrome
B. Tourette syndrome
C. Treacher's colin syndrome
D. Usher's syndrome
ANSWER: B

Following are muscles of pharynx except one that is _________.

A. Superior constrictor
B. Palatoglossus
C. Salpingopharyngeus
D. Inferior constrictor
ANSWER: B
In ____________ approach a child's prior utterance is added by relevant grammatical
and semantic details by the clinician.
A. parallel talk
B. expansion
C. extension
D. recast sentences
ANSWER: C

Following are the factors that determine progress of therapy sequence except
_________.
A. Stimulus type
B. Response level
C. Task mode
D. Gestures
ANSWER: D

___________ type of test gives clinician flexibility in terms of administration,

scoring and testing environment.
A. Criterion referenced test
B. Norm referenced test
C. Questionnaire
D. None
ANSWER: C

Incidental teaching is most effective for ____________ children.

A. ADHD
B. Hearing impairment
C. Autism
D. ALL
ANSWER: C

What liquid viscosity is mildly thickened and can still run off the end of the
spoon?
A. Honey thick
B. Pudding thick
C. Nectar thick
D. Thin liquids
E. Modified thick
ANSWER: C

What cranial nerves are involved in the pharyngeal stage?

A. IX, VII, V
B. VII, II
C. V, VII, X, XI, XII
D. X
ANSWER: C

Passage of bolus through the lower esophageal sphincter (LES) and stomach occurs
during this stage
A. Oral preparatory stage
B. Esophageal stage
C. Pharyngeal stage
D. Oral stage
ANSWER: B

Adaptive lids for dysphagia do not include:

A. Depressive
B. Anti-splash with straw hole
C. Wedge
D. Long spout
ANSWER: C

Which of the following is a voice option post laryngectomy?

A. Artificial larynx
B. Tracheoesophageal speech
C. Esophageal speech
D. ALL
ANSWER: D

All of the following are laryngectomy complications EXCEPT

A. Swallowing difficulty
B. Development of a fistula
C. Chronic ear infections
D. Rupture of the carotid artery
E. Infection
F. None
ANSWER: F

Functions of the larynx include (select all):

A. Phonation
B. None
C. Mastication
D. Audition
ANSWER: A

Mr. Thomas has undergone total laryngectomy recently, he addresses his financial
difficulty during the counseling session. Keeping this in mind, which type of
alaryngeal speech would you recommend for him?
A. Electrolarynx
B. Esophageal speech
C. Voice prosthesis
D. None
ANSWER: B

In what ways can the SLP help a patient make sounds and learn to speak again after
a laryngectomy?
A. Voice prosthesis
B. Esophageal speech
C. Electrolarynx
D. ALL
ANSWER: D

A near-total laryngectomy essentially combines which two procedures?

A. Cordectomy and frontolateral laryngectomy
B. Hemilaryngectomy and supraglottic laryngectomy
C. Supraglottic laryngectomy and cordectomy
D. Hemilaryngectomy and cordectomy
ANSWER: B

What is the role of an SLP when working with a patient with head and neck cancer?
A. Focusing on the patient's quality of life
B. Counseling the patient before and after medical treatment
C. Educating other professionals about the patient's needs
D. ALL
ANSWER: D

What is the most common cause of laryngeal cancer?

A. Smoking
B. Poor oral hygiene
C. Stroke
D. Environmental chemicals
ANSWER: A

All of the following are reasons for a patient to have a laryngectomy EXCEPT:
A. Cancer
B. Trauma
C. Dysphagia
D. Radiation exposure
ANSWER: C

Which of the following parts of life are affected post-laryngectomy surgery?

A. Environmental factors
B. Relationship with others
C. Spontaneous speech
D. ALL
ANSWER: D

After a laryngectomy, a person may experience problems with which of the following?
A. Sense of smell
B. Respiration
C. Sense of taste
D. Both
ANSWER: D

Which of the following alaryngeal speech options utilizes a prosthesis to move air
into the esophagus?
A. Electrolarynx
B. Esophageal Speech
C. Tracheoesophageal Speech
D. None
ANSWER: C

What assessment tool is best for children that need manipulatives to retrieve
articulation samples?
A. TOLD P-4
B. PLS-5
C. CASL-2
D. Rossetti Infant and Toddler Scale
ANSWER: B

If a child says "ship" instead of "chip" which phonological deviation is this an

example of?
A. Deaffrication
B. Fronting
C. Velar assimilation
D. Backing
ANSWER: A

Which of the following is a role of the speech-language pathologist on the head and
neck cancer team?
A. Counseling before and after medical management to address needs of persons with
HNC
B. Making decisions about the functional management of communication and swallowing
C. Both
D. None
ANSWER: C