Free SLP Screening, Evaluation, and Diagnosis Questions and Answers — Questions and Answers
Question 1: Which of the following is MOST accurate about the articulation of individuals with hearing loss who speak?
- They must rely entirely on visual information.
- They produce devocalized sounds more easily.
- Vocalized speech sounds are easier to learn. (Correct answer)
- Voiced and unvoiced sounds are equally hard.
Correct answer: Vocalized speech sounds are easier to learn.
Explanation: <br> Deaf and hard-of-hearing (HOH) individuals can learn to produce vocalized (voiced) speech sounds more easily because even the deaf can feel the vibrations, and the hard-of-hearing can hear some of the sounds. <br> Hence, they rely not only on visual information (A) but also on vibrations and residual hearing in those who have it. Devocalized (unvoiced) sounds are harder, not easier, to learn (C) for those with hearing loss because the HOH have less information without sound and the deaf have less information without vocal vibration.
Question 2: Which of the following would be commonly observed in a typically developing 24-month-old child?
- 90% speech intelligibility
- 4-word combinations
- Beginning to follow 1-step directions
- An MLU around 2.0 (Correct answer)
Correct answer: An MLU around 2.0
Explanation: <br> An MLU around 2.0 is commonly observed in 24-month-olds.
Question 3: Which of the following is true of cognitive academic language proficiency (CALP)?
- It is the language used during conversation.
- It is easily assessed during a language sample.
- It takes 5-7 years to acquire. (Correct answer)
- It includes turn-taking/simple speech acts.
Correct answer: It takes 5-7 years to acquire.
Explanation: <br> CALP takes longer to acquire due to increased complexity.
Question 4: A speech-language pathologist is evaluating a child who only speaks Spanish. Which of the following is not an erroneous assessment strategy for the SLP to utilize for linguistically diverse patients?
- Translating the standardized test to Spanish
- Modifying the standardized test to make it more relevant for the specific culture
- Relying on language sampling/observation
- Including an ethnographic approach (Correct answer)
Correct answer: Including an ethnographic approach
Explanation: <br> An ethnographic approach encourages the clinician to utilize the child’s family for important information and promotes comparison of the child’s language to expectations of the culture (e.g., gender roles, age roles, and syntax structure).
Question 5: Jimmy is a person who stutters. Which of the following age ranges correctly represents when his onset of stuttering most likely began?
- 2-4 years old (Correct answer)
- 4-9 years old
- 9-12 years old
- 12-15 years old
Correct answer: 2-4 years old
Explanation: <br> The age of onset is typically between the years of 2-4.
Question 6: The 3rd frontal gyrus, also known as Brodmann area 44, correlates with what anatomical area or structure?
- Basal ganglia
- Broca’s area (Correct answer)
- Wernicke’s area
- Heschl’s gyrus
Correct answer: Broca’s area
Explanation: <br> Broca’s area is located in the frontal lobe and is identified as Brodmann area 44.
Question 7: Kennedy is a 57-year-old woman who has noticed increased muscle fatigue during meals. After resting, the fatigue appears to disappear. Kennedy went to the neurologist and was diagnosed with damage to the acetylcholine receptors at the neuromuscular junction. What disease is Kennedy likely diagnosed with?
- Parkinson’s Disease
- Alzheimer’s Disease
- Muscular Dystrophy
- Myasthenia Gravis (Correct answer)
Correct answer: Myasthenia Gravis
Explanation: <br> Myasthenia gravis is caused when there is a miscommunication at the neuromuscular junction. The disease is usually first targets the jaw, facial, and neck muscles.
Question 8: A speech-language pathologist evaluates a woman who presents with slurred speech, excess and equal stress, distorted vowels, and irregular articulatory breakdowns. Which type of dysarthria is described? Where is the probable site of the lesion?
- Ataxic dysarthria, cerebellum (Correct answer)
- Spastic dysarthria, basal ganglia
- Ataxic dysarthria, basal ganglia
- Spastic dysarthria, cerebellum
Correct answer: Ataxic dysarthria, cerebellum
Explanation: <br> The characteristics described are concurrent with ataxic dysarthria. Ataxic dysarthria is caused by damage to the cerebellum.
Question 9: Austin is a 24-month-old toddler who is utilizing gestures to provide additional meaning to his utterances. For example, he will point to the back door while saying, “Go!”. Which of the following is true regarding Austin’s use of gestures?
- Austin’s use of gestures does not predict his use of multi-word utterances.
- Austin is using supplementary gestures. (Correct answer)
- Austin’s caregivers should ignore his gestures and reinforce spoken words.
- Austin is using complementary gestures.
Correct answer: Austin is using supplementary gestures.
Explanation: <br> Supplementary gestures add information to spoken utterances. Pointing to the back door allowed the caregiver to know exactly where Austin wanted to go. Without the gesture, the caregiver would have been responsible for guessing what Austin wanted.
Question 10: Which of the following is associated with a posterior cerebral artery (PCA) stroke?
- Apraxia
- Non-fluent Aphasia
- Fluent Aphasia
- Hemianopia (Correct answer)
Correct answer: Hemianopia
Explanation: <br> Typically, a posterior cerebral artery stroke results in hemianopsia. The PCA supplies blood to the occipital lobe which is responsible for vision.
Question 11: Blake, a speech-language pathologist, is creating his assessment plan for a pediatric evaluation he has later this week. Which of the following is an example of a formal measure used during assessment?
- Language sample
- Criterion-referenced test
- Developmental scale (Correct answer)
- Behavioral observation
Correct answer: Developmental scale
Explanation: <br> Developmental scales are formal assessment measures because they contain psychometric properties and assess overall achievement/ mastery of skills compared to peers.
Free SLP Screening, Evaluation, and Diagnosis Questions and Answers
Which of the following is MOST accurate about the articulation of individuals with hearing loss who speak?