SLP Speech Sound Production Disorders 2 — Questions and Answers
Question 1: A child consistently produces /s/ with the tongue tip protruding between the teeth. This error pattern is best described as:
- Lateral lisp
- Interdental lisp (Correct answer)
- Strident lisp
- Palatal lisp
Correct answer: Interdental lisp
An interdental lisp occurs when the tongue protrudes between the teeth during /s/ and /z/ production.
Question 2: Which process describes a child saying 'wabbit' for 'rabbit'?
- Stopping
- Gliding (Correct answer)
- Fronting
- Vocalization
Correct answer: Gliding
Gliding is the phonological process of replacing a liquid (/r/ or /l/) with a glide (/w/ or /j/).
Question 3: The Dynamic Systems Theory of motor speech development emphasizes:
- Maturation of the peripheral nervous system alone
- Interaction among multiple subsystems including articulatory, respiratory, and phonatory (Correct answer)
- Imitation of adult speech models as the primary driver
- Lexical acquisition preceding phonological development
Correct answer: Interaction among multiple subsystems including articulatory, respiratory, and phonatory
Dynamic Systems Theory holds that speech emerges from the interaction of multiple developing subsystems rather than from a single maturational process.
Question 4: A school-age child produces /k/ correctly in isolation but not in conversational speech. The SLP should prioritize which treatment context?
- Return to isolation-level practice
- Structured conversational practice and generalization activities (Correct answer)
- Auditory bombardment only
- Parent training as the sole intervention
Correct answer: Structured conversational practice and generalization activities
When a sound is mastered in isolation, treatment should move to conversational and naturalistic contexts to promote generalization.
Question 5: Which acoustic measure best distinguishes voiced from voiceless stop consonants?
- Formant frequency
- Voice Onset Time (VOT) (Correct answer)
- Fundamental frequency
- Spectral moment
Correct answer: Voice Onset Time (VOT)
Voice Onset Time (VOT) is the interval between the release of a stop burst and the onset of vocal fold vibration, reliably distinguishing voiced from voiceless stops.
Question 6: A 4-year-old omits final consonants in most words. This pattern is expected to resolve by approximately what age?
- 2 years
- 3 years (Correct answer)
- 4 years
- 6 years
Correct answer: 3 years
Final consonant deletion is typically suppressed by age 3, so persistent use at age 4 warrants clinical attention.
Question 7: The Cycles Approach (Hodson & Paden) targets error patterns:
- One at a time until mastery before moving on
- Cyclically across multiple patterns regardless of mastery criterion (Correct answer)
- Only in minimal pair contrasts
- Exclusively through auditory bombardment without production practice
Correct answer: Cyclically across multiple patterns regardless of mastery criterion
The Cycles Approach rotates through target patterns in cycles, revisiting each pattern across sessions rather than requiring mastery before moving to the next.
A child consistently produces /s/ with the tongue tip protruding between the teeth.
This error pattern is best described as: