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SLP Praxis II Practice Questions With
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You are evaluating a 5-year-old boy whose mother has a history of alcohol abuse while she was carrying her son. In your assessment, you would look for specific speech and language problems; in addition, you would look for which of the following positive or negative signs?
A. Normal motor and intellectual development, normal play activities, and normal facial and skull features
B. Language problems, but no speech problems, coupled with good eye contact and generally compliant behavior
C. Lack of gestures, good eye contact, and lack of attachment to new people
D. Low birth weight and length, behavior problems, and possible swallowing difficulties
D. Low birth weight and length, behavior problems, and possible swallowing difficulties
An opera singer complains that she is unable to maintain adequate breath support to produce her optimal voice. You want to measure the singer's lung volume to check for adequate breath support for optimal voice. You will need to measure ___________, which is the volume of air that the singer can exhale after a maximal inhalation.
vital capacity
You are assessing a 60-year-old woman for a possible diagnosis of aphasia. You are interested in finding out the specific type of aphasia. You notice she has an inability to whistle, cough, or wink on command. This condition alone might suggest which type of aphasia that the woman has?
buccofacial apraxia
A patient comes to you complaining of a sore throat and hoarseness. After talking with the patient, you discover that he often experiences heartburn and indigestion. You consult with the on-call physician who mentions that this patients gastric contents are spontaneously emptying into his esophagus. The physician diagnoses that the problem is...
GERD
When analyzing a client's speech-sample with an unrepaired cleft palate, what determines the timing of speech intervention?
A. Intelligibility
B. Misarticulations
C. Nasal Emission
D. Surgical procedures
D. Surgical procedures.
A patient complains of aching pains, tingling sensations and coldness. The SLP's evaluation reveals the patient's voice is soft, breathy and hoarse. Other symptoms include a mask-like face with slurred speech
You are working in an elementary school setting. A classroom teacher comes to you to refer an 8-year- old boy whose voice sounds consistently "hoarse" and "breathy" and gets more severe during recess and lunch. The child does not display symptoms of stridor, aspiration, or pain. As the speech-language pathologist, what should you initially suggest based on the child's symptoms?
A. The child should be referred to an otolaryngologist.
B. You should perform a complete head and neck evaluation.
C. The child should go for a radiologic evaluation.
D. The child should try singing to see if there is a difference in the voice.
B. You should perform a complete head and neck evaluation.
A speech-language pathologist on a cleft palate and craniofacial team wishes to develop a simple measure of hypernasality to begin quantifying (however subjectively) the amount of hypernasality he hears in the speech of the children seen by the team each month. He will pass on this information to the plastic surgeon and other team members to assist them in making surgical decisions for each child. The speech-language pathologist devises the following scale:
1 -- almost no hypernasality
2 -- slight hypernasality
3 -- moderate hypernasality
4 -- great amount of hypernasality
What is this type of scale called?
A. Logarithmic scale
B. Ordinal scale
C. Nominal scale
D. Interval scale
B. Ordinal scale
James, a 4-year-old boy, attends your cleft palate center for a speech evaluation. James was born with a complete bilateral cleft lip and palate. He is unable to close his velopharyngeal port and, as a result, has difficulty producing non-nasal sounds. This patient's non-nasal speech sounds would have which of the following characteristics?
A. Hyponasality
B. Hypernasality
C. Assimilative nasality
D. Cul-de-sac resonance
B. Hypernasality
Select the statement that is true of the screening procedure.
A. It results in a diagnosis.
A. Down syndrome
B. Pierre-Robin syndrome
C. Fragile X syndrome
D. Prader-Willi syndrome
C. Fragile X syndrome
You are assessing a 76-year-old woman for a possible diagnosis of aphasia. You are interested finding out the specific type of aphasia that the woman is experiencing. You notice that she has strong repetition skills but has trouble answering questions spontaneously. Her language comprehension is relatively intact but her speech lacks intonation and rhythm. You notice that she has marked buccofacial apraxia. This condition alone might suggest which of the following?
A. Wernicke's aphasia
B. Anomic aphasia
C. Transcortical sensory aphasia
D. Transcortical motor aphasia
D. Transcortical motor aphasia
49 - year-old patient was involved in a motor vehicle accident and suffered damage to the cerebellum or brainstem vestibular nuclei. He was experiencing problems with articulation and prosody. He also exhibited slurred speech and discoordination of sounds. His direction, force, and timing of movements were affected. The physician diagnosed him with:
A. Hyperkinetic dysarthria
B. Ataxic dysarthria
C. Flaccid dysarthria
D. Spastic dysarthria
B. Ataxic dysarthria
A specialist uses a bright light source and a small, round, 21- 25 - mm mirror angled on a long slender handle to lift the velum and press gently against her patient's posterior pharyngeal wall. Next, the specialist maneuvers the mirror to view the laryngeal structures during quiet respiration and while the patient is producing "eeee." This procedure is known as
A. indirect laryngoscopy.
B. direct laryngoscopy.
C. endoscopy.
D. videostroboscopy.
During an informal conversation with an adolescent who has come to you for assessment, you notice the following problems: difficulty in using figurative language, difficulty in using words with multiple
Which is not part of the Glasgow Coma Scale (GCS)?
A. Eye opening
B. Motor responses
C. Verbal responses
D. Range of motion
D. Range of motion
The criteria for diagnosing autism in children include which of the following?
A. Normal intelligence, normal early language acquisition that begins to deteriorate, and appearance of symptoms after age 6
B. An unusual interest in acquiring nonverbal means of communication, a strong preference for varied environmental arrangements, and a lower than normal prevalence of seizure disorders
C. Maternal failure to bond with the child, absence of motor deficits, absence of pragmatic language deficiencies
D. Impaired social interaction, stereotypic behaviors and interests, and disturbed communication
D. Impaired social interaction, stereotypic behaviors and interests, and disturbed communication
A high school teacher refers a Mandarin-speaking 16-year-old to you for an evaluation. The student and his family came to the United States 2 years ago from China. The teacher says that the student does well academically, but she shares that she has difficulty understanding him when he speaks. When you screen the student, you find some articulation and language differences. Which one of the following would not be predictable based on the student's first language of Mandarin?
A. Substitutions of t/th (e.g., tin/thin)
B. Epenthesis in words with consonant blends
C. Confusions of /r/ and /l/
D. Substitutions of f/th (e.g., fick/thick)
D. Substitutions of f/th (e.g., fick/thick)
You are evaluating a 4-year-old patient whose mother states that she is concerned about his mild hypernasality and frequent ear infections. During an oral mechanism examination, you observe a bifid uvula. The presence of a bifid uvula may indicate that the patient has:
A. Velopharyngeal incompetence
B. A submucous cleft palate
C. Dysarthria
D. Hypertrophy and edema of the vocal folds
B. A submucous cleft palate
D. The client is three and a half times more likely to have a certain disorder than a client whose test is negative.
A. The client is six and a half times more likely to have a certain disorder than a client whose test is negative.
A mother comes to you to ask for advice about Gabe, her 7-year old son who has severe cerebral palsy. She has heard of a low-technology method of communication where the clinician initially teaches the child to exchange specific pictures to communicate with a partner. She thinks that this method of communication may eventually help Gabe to use spontaneous verbal expressions. This mother is referring to:
A. pre-mack type symbols, or shapes/pictures that can be arranged to look like printed words
B. blissymbols, or pictures that represent objects or events along with words
C. Picture Exchange Communication System
D.
neuro-assisted AAC
All of the following may be expected when treating a patient with velocardiofacial syndrome, except:
A. Intellectual disability
B. Cleft palate and/or velopharyngeal insufficiency
C. Language deficits
D. Visual, spatial, and attentional deficits
D. Visual, spatial, and attentional deficits
What is the primary clinical task for a speech-language pathologist when assessing a client with cleft palate?
A. Infer the effects of structural deviations on the speech behavior observed
B. Compare data to developmental norms
C. Assess the child's speech sound system
D. Confirm a diagnosis
A. Assess the child's speech sound system
A 2-year-old with an unrepaired cleft palate was recently seen for an evaluation. When comparing the child's data to developmental norms, the speech-language pathologist determines that the child has not mastered bilabial stops. Why would developmental norms not determine whether the child receives speech treatment?
A. The child does not have the anatomical capacity to produce bilabial stops.
B. The speech-language pathologist would need to consult with medical professionals before determining treatment.
C. Developmental data do not apply to every child.
D. Every child develops at a different pace.
A. The child does not have the anatomical capacity to produce bilabial stops.
Which of the following is the most commonly seen speech disorder in individuals with cleft palate?
D. Decreased anterior to posterior transit time
A. Pharyngeal hypotonia
Anjali, a 7-year-old, was referred for speech therapy by her classroom teacher. Anjali uses inappropriate behaviors such as loud screaming or physical violence when presented with a problem and has difficulty understanding idioms. When a confrontation with another student arises, she is unable to explain actions or feelings to the teacher. Which of the following best describes Anjali's diagnosis?
A. Hearing loss
B. Expressive aphasia
C. Autism
D. Behavior disorder
D. Behavior disorder
The physical characteristics of Moebius syndrome may include involvement of any of the following cranial nerves, except the:
A. Facial nerve
B. Hypoglossal nerve
C. Trigeminal nerve
D. Vagus nerve
D. Vagus nerve
One year post cleft lip and palate surgery you are revaluating a 3-year-old patient. It appears that after her surgery, she does not have any medical difficulties; however, she has mild hypernasality. Her family notes that they would be more comfortable addressing her mild hypernasality during speech therapy rather than getting surgery. Which of the following best describes the information that you should share with your patient's family?
A. Surgical procedures to correct structural abnormalities is the only way to correct her mild hypernasality.
B. Voice therapy could be provided to address her mild hypernasality.
C. Articulation therapy could be provided to address her mild hypernasality.
D. There is no treatment to reduce hypernasality.
B. Voice therapy could be provided to address her mild hypernasality.
A 2-year-old client with delayed language was added to your caseload. Following initial introductions with the client's mother, she noted that he recently started having difficulties with feeding and breathing. You complete an oral mechanism examination and notice that his tongue is positioned posteriorly (glossoptosis), covering his airway. He has an unusually small mandible and has incomplete closure of the roof of the mouth (cleft palate). He also presents with a unilateral conductive hearing loss. This patient should receive further evaluation, but the symptoms indicate that he has:
A. Landau-Kleffner syndrome
B. Pierre-Robin syndrome
C. Fragile X syndrome
D. Moebius syndrome
B. Pierre-Robin syndrome
D. Language disorders
B. Fluency disorders
A new client is on your caseload with a medical history of a cleft lip and palate repair. Which of the following speech deviations would you expect as a result from the cleft lip and palate?
A. Hyponasal resonance of vowels and semivowels
B. Strong pressure consonants and increased intraoral air pressure
C. Lack of nasality in stops and fricatives
D. Compensatory articulatory gestures in the vocal tract
D. Compensatory articulatory gestures in the vocal tract
Clients with a cleft palate will almost universally have issues related to which of the following?
A. Persistent otitis media leading to conductive hearing loss
B. Anatomical deformities causing sensorineural hearing loss
C. Otitis media leading to sensorineural hearing loss
D. Congenital conductive hearing loss
A. Persistent otitis media leading to conductive hearing loss
Mukisa, a 6-year-old boy with verbal apraxia, has been added to your caseload. One of the parents' concerns is the child's lack of intelligibility and limited interaction with peers and with his 8-year-old brother, Akiki. Mukisa's brother attends the same school but has problems with understanding his brother. What is the best way to address the concerns of the parents?
A. Encourage the parents to ask the sibling to speak slower at home.
B. Allow the sibling to come to therapy sessions to increase his understanding of unintelligible speech.
C. Send the client home with lots of homework.
D. Provide the family a book that explains apraxia.
B. Allow the sibling to come to therapy sessions to increase his understanding of unintelligible speech.
When considering an infant's readiness for oral feeding, all of the following must be taken into account, except:
A. Severity of medical condition
B. Gestational age
C. Chronological age
D. Behavioral state
C. Chronological age
In comparison with non-cleft peers, children with unrepaired cleft palates differ in which aspect of their consonant inventories in both manner and placement?
More ___________ ; Less _______________
more Nasals, less Alveolars
You are developing an individualized education program (IEP) for a 5-year-old with multiple articulation errors. The statement, "The student will receive speech pathology services for 30 minutes twice a week starting October 12th," belongs in which section of the IEP?
