CCC Fluency and Voice Disorders 1 — Questions and Answers
Question 1: Which type of stuttering event involves the prolongation of a sound or syllable?
- Interjection
- Revision
- Sound/syllable repetition
- Prolongation (Correct answer)
Correct answer: Prolongation
Prolongations are stuttering-like disfluencies in which a sound is stretched beyond its normal duration.
Question 2: The Stuttering Severity Instrument (SSI-4) rates severity based on which three components?
- Frequency, duration, and physical concomitants (Correct answer)
- Rate, intelligibility, and tension
- Avoidance, anticipation, and struggle
- Frequency, avoidance, and attitude
Correct answer: Frequency, duration, and physical concomitants
The SSI-4 measures stuttering frequency, average duration of the three longest stuttering events, and physical concomitants.
Question 3: Which treatment for stuttering teaches clients to initiate phonation gently and manage airflow to produce fluent speech?
- Stuttering modification therapy
- Fluency shaping therapy (Correct answer)
- Acceptance and commitment therapy
- Easy onset only
Correct answer: Fluency shaping therapy
Fluency shaping therapy uses targets like easy onset, light articulatory contacts, and slow rate to establish fluency from scratch.
Question 4: Van Riper's stuttering modification therapy targets which emotional aspect of stuttering in addition to the speech behavior itself?
- Only speech rate
- Fear, avoidance, and negative attitudes toward stuttering (Correct answer)
- Phonological awareness
- Voice onset time
Correct answer: Fear, avoidance, and negative attitudes toward stuttering
Stuttering modification addresses the fear, avoidance behaviors, and negative attitudes that maintain and exacerbate stuttering.
Question 5: Which disfluency types are considered 'stuttering-like disfluencies' (SLDs)?
- Interjections, revisions, and phrase repetitions
- Part-word repetitions, prolongations, and blocks (Correct answer)
- Revisions and abandoned utterances only
- Filled pauses and multisyllabic word repetitions
Correct answer: Part-word repetitions, prolongations, and blocks
SLDs include part-word repetitions, prolongations, and blocks, which are more closely associated with developmental stuttering.
Question 6: Natural recovery from stuttering without treatment occurs in approximately what percentage of children?
- 10–15%
- 25–35%
- 50–80% (Correct answer)
- 90–95%
Correct answer: 50–80%
Research indicates that 50–80% of children who stutter will naturally recover, often before puberty.
CCC Fluency and Voice Disorders 1
Which type of stuttering event involves the prolongation of a sound or syllable?