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Matthews 2 Exam
Matthews 2 Exam
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1
Dysarthria: most common feature is distortion; imprecise articulation; lesion in motor neuron system; facial weakness
False
True
2
Stuttering is more common in females than in males
False
True
3
Neurolinguistic features of transcortical motor aphasia
normal articulatory agility, normal prosody, normal phrase length
fluent, impaired auditory comprehension, frequent paraphasia, jargon
superior naming ability compared to spontaneous speech, similar to Broca's
preserved ability to repeat, non fluent
4
The most common cause of aphasia is...
TBI
brain tumor(s)
cerebral vascular accident
stroke
5
Alexia is a symptom of aphasia and means...
difficulty writing
dyslexia acquired from a stroke or brain injury
6
Spasmodic Dysphonia is...
involuntary movement of muscles in larynx, tight, strained quality of voice
inflammation of the larynx, hoarseness & vocal changes,, irritating feeling
soft growths on vocal folds, due to vocal misuse, smoking, sound hoarse
1 or both of the vocal folds is paralysis & unable to pull vocal folds tog
7
Stuttering can lead to fear, frustration, anxiety, depression, and low self-esteem
True
False
8
Non fluent types of aphasia are: global, broca's, and transcortical motor
False
True
9
Phonemic paraphasia (gog/dog)
True
False
10
What is a disfluency?
A disruption or break in the smooth flow of speech
A speech pattern which flows in a rhythmic, smooth manner
11
Cluttering is when the client's speech is usually more fluent with strangers
False
True
12
Signs & symptoms of oral & pharyngeal dysphagia include all of the following except:
inability to control food or saliva in mouth
recurring pneumonia
stomach pain
frequent coughing during or after meal
13
The clinician is faced with several thorny problems when planning an examination of a young person who stutters
They lack insight and cooperation necessary to analyze their problem
The therapist is like a teacher to the child and may not listen
the child has no choice entering treatment
Children are reluctant or unable to verbalize their internal feelings
14
Broca's Aphasia is a non fluent aphasia.
False
True
15
Stuttering and cluttering are the same thing
False
True
16
Apraxia has low proportion of sequencing errors and frequent and predictable substitutions
False
True
17
When a client stutters they are usually less fluent with strangers
True
False
18
Broca's Aphasia is fluent aphasia
False
True
19
Aphasia has low proportion of sequencing errors
True
False
20
Stuttering usually has a known cause or reason
True
False
21
Apraxia is often differentiated from aphasia on the basis of the patient's relatively normal auditory comprehension as..
True
False
22
Example of typical disfluencies...
grammatical difficulties, artic. & motor, lang. & learning disabilities
interjections, revisions, polysyllabic word repetitions, phrase rep.
lack of rhythm & musical ability and poorly organized thinking,
part word, single syllable word rep., disruptions of air flow, prolongation
23
Examples of cluttering...
grammatical difficulties, artic. & motor, lang. & learning disabilities
lack of rhythm & musical ability and poorly organized thinking
interjections, revisions, polysyllabic word repetitions, phrase rep.
part word, single syllable word rep., disruptions of air flow, prolongation
24
Neurolinguistic features of Anomic Aphasia
good auditory comprehension, good articulation and phrase length
minimal paraphasic errors, appropriate grammatical forms
severe word finding deficits, frequent circumlocutions, fluent speech
severe loss of all receptive modalities
25
Major disfluency types are...
whole, part, and phrase rep., prolongations, interjections, and blocks
there are no types of disfluencies
silent pauses, broken words, and revisions
stuttering and cluttering
26
A client who clutters may have fewer language problems
True
False
27
A Neurogenic disfluency occurs after...
Having a stroke, brain tumor, or TBI
damage to the nervous system
28
Functional Voice Disorder is...
inflammation of the larynx, hoarseness & vocal changes,, irritating feeling
larynx appears normal, no etiology, normal cough
involuntary movement of muscles in larynx, tight, strained quality of voice
soft growths on vocal folds, due to vocal misuse, smoking, sound hoarse
29
There are visible displays of tension involving parts of the oral-facial mechanism
eye blinking, wrinkling the forehead, exhaustive exhaling, and frowning
Distorting the mouth, moving the head and quivering the nostrils
There are no visible displays of tension while stuttering
Moving other body parts not associated with speech
30
Neurolinguistic features of Wernicke's Aphasia
fluent, impaired auditory comprehension, frequent paraphasia, jargon
normal articulatory agility, normal prosody, normal phrase length
extreme difficulty with nouns, excessive paraphasia, resembles Wernicke's
full range of grammatical forms, preserved syntax, impaired naming & rep.
31
A client who stutters may have fewer language problems
False
True
32
Fluency- both non fluent speech and very fluent speech including logorrhea
False
True
33
Assess. of disfluency: presence of types of disfluencies, frequency, duration, speech rhythm & rate, assoc. behavior
False
True
34
Abductor Paralysis is..
inflammation of the larynx, hoarseness & vocal changes,, irritating feeling
involuntary movement of muscles in larynx, tight, strained quality of voice
soft growths on vocal folds, due to vocal misuse, smoking, sound hoarse
1 or both of the vocal folds is paralysis & unable to pull vocal folds tog
35
General symptoms of right hemisphere damage
Their language gets better
poor motivation, memory problems, disorganization, problem solving deficits
denial of illness, impaired judgment, impaired self-monitoring
it's impossible to have right hemisphere damage
36
People stutter in certain environments but not others
False
True
37
How many types of aphasia is there?
4
8
7
2
38
lang. areas for most people are on the left side. But right side damage can still result in lang. issues cause behaviora
False
True
39
The most frequent speech symptoms associated with acquired apraxia of speech in adults are:
True
false
40
True or False
True
False
41
Many children experience a period of disfluency speech between the ages of 2 and 5
False
True
42
The swallow is triggered during this phase of the following process:
esophageal phase
oral phase
pharyngeal phase
43
Aphasia and apraxia are the same thing.
True
False
44
Motor speech disorders often coexist with language disorders, particularly aphasia.
False
True
45
Dysarthria assessment would most likely include..
oral facial exam
speech intelligibility
FEES
stress testin 2-4 min. of reading or speaking aloud 2 assess deterioration
46
It is possible to have apraxia and dysarthria with aphasia
False
True
47
Look over this and then we start questions!
Nope. Not ready for this.
Yep, I'm ready. Bring it on!
I give up
I am going to drop out now
48
Aphasia is associated with a posterior brain lesion
True
False
49
The assessment and treatment of stuttering in older students is even more challenging than with younger children.
they lack the insight of the problem
fears and apprehensions become chronic
denial of the problem, lack of cooperation, and lack of motivation
They are frustrated while speaking
50
Dysphagia assessment practices including instrumental assessment: What is MBS?
Modified Barium Swallow: Videofluroscopy (x-ray view from side)
Modified Barium Swallow: endoscopic (camera thru nose or mouth)
51
Dementia or TBI are damage to the left hemisphere
True
False
52
Wernicke's Aphasia is non fluent aphasia
False
True
53
Fluent types of aphasia are: Wernicke's, conduction, transcortical sensory
True
False
54
Verbal Paraphasia (heart/hand)
True
False
55
Stuttering runs in families
True
False
56
Apraxia of speech is a neuromuscular and motor-speech problem
False
True
57
Examples of stuttering disfluencies...
lack of rhythm & musical ability and poorly organized thinking,
grammatical difficulties, artic. & motor, lang. & learning disabilities
part word, single syllable word rep., disruptions of air flow, prolongation
interjections, revisions, polysyllabic word repetitions, phrase rep.edr
58
Obtaining samples from more than 1 session is strongly recommended
False
True
59
Symptoms of aphasia: fluency, grammatical integrity, anomia, paraphasias, repetition
False
True
60
Polyps are..
inflammation of the larynx, hoarseness & vocal changes,, irritating feeling
involuntary movement of muscles in larynx, tight, strained quality of voice
1 or both of the vocal folds is paralysis & unable to pull vocal folds tog
soft growths on vocal folds, due to vocal misuse, smoking, sound hoarse
61
Stuttering is more frequent in children described as sensitive
True
False
62
RHI can affect these areas:
difficulty recognizing faces, pragmatic deficits, tangential output
disordered executive function and motor output
63
Co-articulation and simulation are not the same thing. Co-articulation is the concept & simulation is the process.
True
False
64
Apraxia is associated with anterior brain lesion
True
False
65
Agrammatism is a type of grammatical integrity and means words left out.
False
True
66
Even speakers who are normally fluent, experience disfluencies
True
False
67
A client who stutters is...
their speech is more fluent with strangers
aware of disfluencies & is less fluent when concentrating
they tend to have more language problems present
unaware of disfluencies & is fluent when concentrating
68
Dysphagia assessment practices including instrumental assessment: What is FEES?
Flexible Endoscopic Evaluation of Swallowing: videofluroscopy view from sid
Flexible Endoscopic Evaluation of Swallowing- view the swallow as it happen
69
What is fluency?
A disruption or break in the smooth flow of speech
A speech pattern which flows in a rhythmic, smooth manner
70
Neurolinguistic features of Broca's Aphasia
impaired fluency, limited verbal output, good auditory comprehension
telegraphic and agrammatic (reduced use of articles, prepositions, copulas)
severe loss of all receptive modalities, severe loss of all expressive mod.
impaired articulatory agility, stereotyped grammar, prosodic alterations
71
The most basic way to categorize aphasia types is fluency. Is the client fluent or non-fluent?
True
False
72
Apraxia: the absence of muscle weakness, slowness; groping and effortful speech; some part word rep. may be present
True
False
73
Neologisitic paraphasia: creation of new words
False
True
74
Instead of saying, "the boy is speaking to the girl" due to this aphasic error, it comes out as "he speak"...
agrammatism
paraphrasias
paragrammatism
anomia
75
Aphasia patients have prosody intact and frequent and unpredictable substitutions.
True
False
76
A client who clutters is...
unaware of disfluencies & is fluent when concentrating
aware of disfluencies & is less fluent when concentrating
spon. speech is less fluent than oral reading and directed speech
has fewer language problems
77
Stuttering is when the client is UNAWARE of his/her's disfluencies
True
False
78
Neurolinguistic features of Conduction Aphasia
severe word finding deficits, frequent circumlocutions, fluent speech
poor repetition ability, fluent speech; good artic. & phrase length
frequent paraphasia, some auditory comprehension impairment
acute awareness of errors
79
Neurolinguistic features of Global Aphasia
almost absent speech, stereotypic utterances (normal melody & intonation)
severe loss of all receptive modalities, severe loss of all expressive mod.
superior naming ability compared to spontaneous speech, similar to Broca's
preserved ability to repeat, non fluent
80
Look over this and then we start questions!
What's apraxia? Never heard of it
Nope. I'm not ready
Yep, I'm ready. Bring it on!
81
apraxia of speech is a neuro-cognitive disorder...
False
True
82
The assessment of stuttering in adults..
adults do not stutter
avoidance, disguise, & negative attitudes hamper and distort relationships
fears and apprehensions become chronic
speech interruptions are more complex & characteristically compulsive
83
Apraxia: the most common feature is distortion; imprecise articulation; lesion in motor neuron system; facial weakness
True
False
84
Ethnographic interviews...
To assemble an assessment plan
Help the diagnostician understand the client and family's experiences
Help the therapist figure out a research method
To figure out the case history
85
Cluttering is when speech becomes more fluent when the client concentrates on being fluent.
True
False
86
Cluttering is more than just a fluency disorder. Symptoms vary & often co-occur w/ other speech, lang., and behav. diso
False
True
87
Anomia is also known as word frame
True
False
88
Wernicke's Aphasia is fluent aphasia.
True
False
89
With RHI you affect...
memory, attention deficit, problem solving, and executive functioning
Something in your brain
Nothing.
pick green
90
Chronic Laryngitis & GERD (gastroesophageal reflux disorder) is..
soft growths on vocal folds, due to vocal misuse, smoking, sound hoarse
inflammation of the larynx, hoarseness & vocal changes,, irritating feeling
involuntary movement of muscles in larynx, tight, strained quality of voice
1 or both of the vocal folds is paralysis & unable to pull vocal folds tog
91
During the evaluation process- you might try and feed the patient applesauce to test their ability to safely take:
thin liquids
thick liquids
pureed
chopped solids
92
Paragrammatism is a type of grammatical integrity and means mistakes
False
True
93
Do all people exhibit disfluencies?
Yes
No
94
See below..
True
False
95
Apraxia has high proportion of sequencing errors
False
True
96
Psychogenic stuttering may be a maladaptive solution or reaction to an acute psychological problem. 1 of the rarer types
False
True
97
Neurolinguistic features of Transcortical Sensory Aphasia
frequent paraphasia, some auditory comprehension impairment
poor repetition ability, fluent speech; good artic. & phrase length
preserved ability to repeat, conversations resemble Wernicke's
extreme difficulty with nouns, excessive paraphasia, resembles Wernicke's
98
Speech sampling is the most important procedure for any eval. of stuttering as it is the primary basis of analyses
False
True