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SLP Comprehensive Exam
SLP Comprehensive Exam
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1
Damage to CN III can cause Ptosis, this is...
blindness
deafness
eyelid drooping
loss of pupilary reflexes
2
What CN's are involved in the Esophegeal Phase of the swallow?
V, IX, X
X, XII
IX, X
X
3
A lesion in the cerebellar system with associated symptoms such as dysmetria & inaccurate/slow movement is associated w/
Spastic dysarthria
Ataxic dysarthria
Hyperkinetic Dysarthria
Hypokinetic Dysarthria
4
This CN is responsible for motor gag reflex, & motor/sensory to phryanx/larynx/epiglottis/vicsera of transvers colon..
CN III
CN IX
CN XII
CN X
5
Which one of these treatment's is typically designed for patient's with Wernicke's aphasia?
Treatment of Equivocal Response
Melodic Intonation Therapy
Response Elaboration Training
Treatment of Underlying Forms
6
Lee SIlverman Voice Treatment is used with Parkinson disease patients and addresses the...
respiration subsystem
prosody subsystem
phonation subsystem
articulation subsystem
7
This is used to assess brain injury and contains scores for eye opening, verbal response, and motor response...
Galveston Orientation and Amnesia test
Glasgow Coma Scale
Global Deterioration Scale
Rancho Los Amigos Scale
8
Choose the aphasia treatment that SPECIFICALLY targets language production.. (NOT word retrieval, fluency, writing, etc)
Response Elaboration Therapy
Script Training
Verb Network Strengthening Treatment
Copy and Recall Treatment
9
Which of the following is an advantage of the FEES assessment over the MBSS?
SLP can use more naturalistic foods
SLP can test multiple consistencies
SLP can assess aspiration
SLP can assess esophageal clearance
10
Presbycusis is...
Age-related hearing loss
Deaf and blindness due to gene mutation
Excessive endolymph fluid
Idiopathic hearing loss
11
Which type of therapy focuses on audition ONLY?
Cued Speech
Auditory Verbal Therapy
Total Communication
Speech Reading
12
A bilateral cortical CVA with hypertonia and limited ROM is associated with...
Spastic Dysarthria
Hyperkinetic dysarthria
Flaccid Dysarthria
Hypokinetic Dysarthria
13
A brainstem CVA with associated symptoms including fasciculations and hypotonia typically is associated with...
Spastic Dysarthria
Ataxic Dysarthria
Flaccid Dysarthria
Hypokinetic dysarthria
14
What are the CN responsible for the majority of functions for speech/language/swallowing?
CN V, XII, XIII, X, XI
CN V, XII, IX, X, XII
CN V, VII, X, XI, XII
CN III, VI, VII, X, XII
15
Choose the definition of a perseveration...
Indirect, roundabout language to describe a word or concept
made-up word, jargon
continuation of previous response after new stimuli is presented
word/phrase repetitions in inappropriate situations
16
Which part of the brain is responsible for crucial life functions such as blood pressure, heart rate, swallowing, etc.?
Midbrain
Cerebellum
Medulla
Pons
17
The Central Nervous System is made up of the...
Cranial and Spinal Nerves
Brain and Spinal Cord
Brain and Spinal Nerves
Brain and Cranial Nerves
18
Intrinsic laryngeal muscles are responsible for...
epiglottis function
finer, more delicate movements
arytenoid movement
larger movements such as elevation and depression
19
Which speech subsystem is most commonly impacted by Unilateral Upper Motor Neuron Dysarthria?
articulation
resonance
respiration
resonance
20
A person struggling with hemispatial neglect following a RH stroke might use this treatment...
digit span and paragraph retelling
mnemonic strategies and rehearsal
PROMPT training
visual anchors and limb activiation using the affected side
21
When a clinician sates "watch me, listen, do as I do" they are following principles of..
integral stimulation
path of least resistance
instrumental biofeedback
appropriate treatment dosage
22
What is presbyphagia?
typical changes in swallow with age
disordered chewing
deficit in epiglottis function
esophageal dysfunction
23
A patient with a TBI is struggling to lay down new memories post injury. This is called...
Anterograde Amnesia
No
Post-traumatic amnesia
Retrograde Amnesia
24
Client is fluent, but auditory comprehension, repetition, and naming are impaired
Wernicke's
Transcortical Sensory
Transcortical Mixed
Broca's
25
Treatment typically used with TVF atrophy or neurological impairment in need of "filler" to improve glottal closure...
Direct Laryngoscopy
Microlarygnoscopy
Injection Augmentation
Microflap Dissection
26
Choose the correct definition for circumlocution...
ommision of function words/reduced grammatical forms
made up word
continuation of response after new stimuli is presented
indirect, roundabout language
27
Client is fluent, auditory comp is relatively intact but naming and repetition is impaired..
Anomic Aphasia
Transcortical Sensory
Conduction aphasia
Transcortical Mixed
28
This is an example of a chart you might use with this kind of treatment...
Semantic Feature Analysis
Verb Network Strengthening Treatment
Response Elaboration Training
Phonological Component Analysis
29
Tympanometry evaluates the...
Inner Ear
Outer Ear
Both the Inner and Outer Ear
Middle Ear
30
Efferent = ____ and Afferent = ________
Nuclei, Tracts
Motor, Sensory
Tracts, Nuclei
Sensory, Motor
31
Which statement is NOT true regarding receiving a cochlear implant
Child demonstrates no benefits from hearing aids
Child needs to be at least 12 months of age
Child has a severe-profound hearing loss
Child needs to be at least 24 months of age
32
How does a Bone Anchored Hearing Aid work?
Improves bone conduction of the ossicles
Sends signals directly to the auditory nerve
stimulates the middle ear by bypassing the outer ear
stimulates the inner ear by bypassing the outer ear
33
Why types of counseling focuses on the patient learning about hearing loss, listening device technology and services?
Information Counseling
Direct Counseling
Peer Counseling
Auditory Counseling
34
The Posterior Cerebral Artery supplies the...
Cerebellum
Medial Frontal and Parietal Lobes
Lateral Cerebral Hemisphere
Medial Occipital and Temporal Lobes
35
What are the levels of awareness following a brain injury?
decontextualized, contextualized, novel
retrograde, anterograd, post-traumatic
intellectual, emergent, anticipatory
external, situational, compensatory
36
Client is nonfluent, anomic, and repetition is impaired, but auditory comp. is intact..
Global
Transcortical Motor
Wernicke's
Broca's
37
Which helps us most effectively identify childhood apraxia of speech?
use of simple syllable shapes
groping behaviors and inconsistent voicing errors
limited consonant and vowel repertoire
poor intelligibility and frequent sound ommissions
38
The lateral cricoarytenoid...
adducts the vocal folds
decreases length of vocal folds
increases length of vocal folds
abducts the vocal folds
39
Treatment focus for the Oral Preparatory and Oral Phase of swallow includes all of the following EXCEPT..
laryngeal weakness
Tongue weakness
lip weakness
oral sensory deficits
40
Simultaneously watching a child and cooking dinner is likely to use which type of attention?
divided
selective
sustained
shifting/switching
41
Parkinson Disease typically impacts which subsytems?
respiration and phonation
respiration only
phonation only
respiration, phonation, articulation, and prosody
42
Alexia is a...
reading deficit
paraphasia
writing deficit
transcortical aphasia
43
Which begins the swallowing trial portion of the clinical swallowing examination?
Dry swallow/saliva swallow
Thing Liquids via straw
Thin liquids via single cup
puree via teaspoon
44
Which is NOT an example of an Acoustic Analysis measure
Fundamental Frequency
S/Z ratio
Intensity
Shimmer
45
One reason to use impairment-based diagnostic testing is that it...
allows us to engage in differential diagnosis
allows us to examine patient's life experience
help us to develop person-centered treatment
allows to learn what is motivating to the patient for treatment purposes
46
What aspect of the brain is responsible for our "fight or flight" response?
amygdala
hypthalamus
cerebellum
hippocampus
47
Which is an etiology for Laryngeal Aspiration/Penetration AFTER the swallow?
poor oral bolus containment
reduced pharyngeal clearance
reduced laryngeal closure
reduced lingual control
48
Feedback such as "put your tongue up higher" or "try and keep your lips together" is...
biofeedback
knowledge of performance
knowledge of results
indirect feedback
49
The Communication Participation Item Bank is an example of
a questionnaire to examine memory impairment specifically
a norm referenced-standardized test
A patient reported outcome measure
a test for differential diagnosis
50
The Superior Laryngeal Nerve (SLN) supplies ____ sensation and motor to the ______..
subglottic; cricothyroid
supraglottic; cricothyroid
subglottic; posterior cricothyroid
supraglottic; lateral cricoarytenoid
51
Which is NOT a common cause of dysphagia?
Cerebral Palsy
Dermatitis
Parkinson Disease
Stroke
52
Which part of the brain is responsible for level of arousal/eye movements?
Medulla
Midbrain
Basal Ganglia
Cerebellum
53
Which is a treatment approach that can used as a compensatory strategy for the pharyngeal phase of swallow
Masako only
Masako and effortful
Mendelsohn only
Mendelsohn and Effortful
54
Which laryngeal muscle is responsible for ABDUCTION of the vocal folds?
lateral cricoarytenoid
cricothyroid
posterior cricoarytenoid
thyrovocalis
55
This type of hearing loss is characterized by abnormal bone and air conduction, and an air to bone gap of at least 10 dB
Conductive
Mixed
Sensorineural
Normal
56
Habitual/highly learned motor skills (riding a bike) is stored as...
Short Term Memory
Episodic Memory
Procedural Memory
Semantic Memory
57
A higher score on the Glasgow Coma Scale indicates
Severe Deficit
Mild Deficit
Very Severe Deficit
Moderate Deficit
58
Aspiration is...
Residue in oral cavity
material passes below the vocal folds
Residue in pharynx
material enters at or above the vocal folds (laryngeal vestibule)
59
Cricothyroid muscle...
abducts vocal folds
adducts vocal folds
increases vocal fold length
decreases vocal fold length
60
When a pt experiences difficulty with the clock drawing portion of SLUMS or CLQT this suggests they may have deficits in
auditory memory
Short Term memory
Executive Function
confrontation naming
61
The pyramidal system is...
important for postural tone and stability
associated with flaccid dysarthria
final common pathway to the muscle and contains crainal/spinal nerves
direct activation pathway and contains corticospinal/corticobulbar tracts
62
gog for dog is an example of....
Phonemic paraphasia
Auditory Agnosia
Alexia
Semantic paraphasia
63
Script Training and Melodic Intonation Therapy are generally best for...
Broca's/TMA
Conduction Aphasia
Wernicke's/TSA
Global Aphasia
64
The Anterior Cerebral Artery supplies the
Medial Frontal and Parietal Lobes
Midbrain
Medial Cerebral Hemisphere
Cerebellum
65
Client is nonfluent, anomic but auditory comprehension & repetition are relatively intact..
Transcortical Sensory
Global
Transcortical Motor
Broca's
66
The proper term for a deficit in writing is...
anomia
agraphia
alexia
agnosia
67
which of the following exercises best follows the maxim "treat swallowing with swallowing"
chin tuck
lingual press
buccal press
mendlesohn maneuver
68
This CN is responsible for 1/3 post. tongue temp/taste, sensory to gag reflex, and some motor to pharynx/larynx..
CN V
CN IX
CN XII
CN X
69
Where is the primary somatosensory cortex located?
Occipital
Temporal
Frontal
Parietal
70
A patient knows that he is married, but can't recall where it took place, when, or who attended. This is a deficit in
Semantic Memory
Episodic Memory
Attention
Working Memroy
71
Motor learning principles important for dysarthria and apraxia treatment include
age of onset and site of lesion
severity of dysfunction and ability to participate
site of lesion and illness
practice distribution and feedback type
72
Choose the example of a semantic paraphasia
cat for car
spog for spoon
orange for apple
wot for rot
73
Which of these is NOT a neurogenic voice disorder?
Muscle Tension Dysphonia
TVF Paralysis or Paresis
Spasmodic Dysphonia
Essential Vocal Tremor
74
Which is NOT a example of Consequence and Participation-Based therapy? (which is impairment based)
Schuell's Stimulation-Facilitation Appraoch
Life Participation Approach to Aphasia (LPAA)
Reciprocal Scaffolding Treatment (RST)
Prompting Aphasics Communicative Effectiveness (PACE)
75
A hearing loss at 55-70 decibels is considered...
Profound
moderate
moderate-severe
Mild
76
This compensatory strategy helps prevent pre-swallow spill and widens the valleculae..
head tilt
chin tuck
head back
head turn
77
What CN's are involved in the pharyngeal phase of swallow?
V, IX, X, XI, XII
V, VII, IX, X
IV, VI, IX, X
VII, IX, X
78
The basal ganglia control circuit is most commonly associated with...
Ataxic/Hyperkinetic Dysarthria
Flaccid/Spastic Dysarthria
Hyperkinetic/Hypokinetic Dysarthria
Ataxic Dysarthria
79
This CN is responsible for 2/3 ant. tongue tactile/temp sensation, muscles of mastication, and facial sensation
CN V
CN VII
CN X
CN IX
80
What is an advantage of an MBSS over FEES?
SLP can visualize aspiration
SLP can visualize the esophagus
SLP can visualize secretion management
SLP can test multiple consistencies
81
The proper term for bilateral, callus-like swelling on the superficial layer of the lamina propria on the TVF is....
Polyps
Nodules
Granuloma
Cysts
82
What are the CN's involved in the Oral Prep and Oral Phase of swallow?
V, VII, XII
IV, V, VII
VII, X, XII
V, VII, X
83
People diagnosed with mild cognitive impairment are...
experiencing decline in function greater than expected given age/education
having deficits that interfere with social and vocational function
exhibiting characteristics of normal aging
experiencing post traumatic amnesia
84
Early hearing detection and intervention follows these rules..
Screened by 1 month, hearing aids by 3 months, implant by 6 months
Screened by 1 month, follow up by 3 month, intervention by 6 month
Screen by 1 month, follow up by 3 months, hearing aids by 6 months
Screened by 3 month, follow up by 6 month, intervention by 9 month
85
Which of the following would NOT be an effective strategy for someone struggling with slowed, effortful chewing?
Smaller bites
more cohesive bolus
supraglottic swallow
softer foods
86
This type of hearing loss is characterized by damage to the middle and outer ear..
Mixed
Conductive
Sensorineural
Normal
87
People with right hemisphere disorders experience difficulty with discourse production, this looks like..
reduced long term memory
word retrieval deficits
Problems with organization and cohesion
receptive aphasia
88
The Middle Cerebral Artery supplies the...
Midbrain
Lateral Cerebral Hemisphere
Medial Temporal and Occipital Lobes
Spinal Cord
89
Pt remembers their room number but struggles to remember directions to their room after therapy. This is related to...
Prospoganosia
simultanagnosia
anosognosia
topographical disorientation
90
When a patient cannot differentiate between sounds despite intact hearing, it is called..
Auditory agnosia
Auditory anomia
phonological deafness
Alexia
91
Which part of the brain is responsible for coordination of movement and equilibrium?
Midbrain
Medulla
Basal Ganglia
Cerebellum
92
A person with flaccid dysarthria exhibits breathy vocal qulaity/hypernasality has involvement with which CN?
VN VIII
CN VI
CN VII
CN X
93
Which of these is characterized by vocal fold ADDUCTION during inspiration?
Muscle Tension Dysphonia
Paradoxical Vocal Fold Motion/VCD
Reinke's Edema
Vocal Fold Hemmorage
94
Where is the primary somatomotor cortex located?
Parietal
Occipital
Temporal
Frontal
95
Which is the following is an example of phonetic placement training?
Use your hand to tap out the syllables
"start with a "t" sound and see if you can transition to an "s" sound"
"Try to say bye and transition to my"
"put your tongue like this and make a "snake" sound"
96
Choose the correct order to treat subsystems...
1. Respiration & Resonance, 2. Phonation, 3. Articulation & Prosody
1. articulation and prosody 2. resonance, 3. Respiration/phonation,
1. Respiration 2. Articulation 3. Prosody 4. Phonation 5. Resonance
1. Respiration & Phonation, 2. Resonance, 3. Articulation and Prosody
