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