| 1. Cranial Nerve V, the
Trigeminal nerve, the largest cranial nerve, has 3 branches and enervates
(a) tongue movement - intrinsic and extrinsic muscles of tongue (b) feel sensation of anterior 2/3 of tongue, face, mouth, jaw; motor muscles of the jaw (c) pharyngeal base of tongue; taste and touch for posterior 1/3 of tongue (d) the soft palate and some velar muscles Lisa Absher |
2. Which is NOT true of
the Vagus Nerve (Cranial nerve 10)?
A. It makes up the Vagal Complex with cranial nerves 9 and 11. B. Damage to all its branches will produce weakness of the soft palate, pharynx, and larynx. C. It enervates the cricothyroid, an intrinsic muscle of the larynx. D. This Vagus nerve has three major branches. Suzanne Barry |
| 3. The hypoglossal nerve, the 11th
cranial nerve, enervates all of the following muscles except:
a) thyroarytenoid muscle b) cricothyroid c) palatoglossus d) sternothyroid Wendy Almond |
4. This system is essential to the
planning, initiation and control of
voluntary movement, including speech. a. Sensory System b. Motor System c. Visceral System d. Vascular System Marla Akins |
| 5. Which is NOT true of the UMN system?
a) contained entirely within the CNS b) predominately a direct activation pathway c) includes the corticospinal and corticobulbar tracts d) includes the basal ganglia and cerebellar control circuits Karen Daly (hint: it's on page 43!) |
6. This cranial nerve enervates all
intrinsic muscles of the tongue and all but one extrinsic muscle, and is
responsible for taste and tactile information:
A. Accessory (11th) B. Superior laryngeal branch of Vagus (10th) C. Hypoglossal (12th) D. Trigeminal (5) Lisa Ammar-Khodja |
| 7. Voice onset time is measured by:
(a) perceptual analysis of speech, (b) acoustic analysis of speech, (c) kinematic analysis of speech, or (d) physiologic analysis of speech. Cathy Bass |
8. Flaccid dysarthria is caused by
damage to this location and typically
results in these speech characteristics. A. Bilateral upper motor neuron; spasticity, increased tone B. Motor unit of the final common pathway; weakness, hypotonia C. Basal ganglia control circuit; rigidity, reduced range of movement D. Unilateral upper motor neuron; weakness, incoordination of tongue and lower face movements Melinda Bumgardner |
| 8. According to the textbook what
are the primary characteristics of flaccid paralysis?
a) atrophy and fasciculations b) atrophy, fasciculations, and fibrillations c) rapid weakening and recovery with rest d) weakness, hypotonia, and diminished reflexes e) none of the above Tammy Camp |
9. What is the most common motor neuron
disease that affects the bulbar, limb, and respiratory muscles?
a) Progressive Bulbar Palsy b) Amyotrophic Lateral Sclerosis (ALS) c) Guillain-Barre Syndrome d) Polymyositis e) none of the above Tammy Camp |
| 10. Lesions in the basal ganglia control
circuit can result in the following:
a) Hyperkinetic dysarthria b) Hypokinetic dysarthria c) Both of the above Jennifer Cochran |
11. The components of the basal ganglia,
the striatum and globus pallidus, are important for all but which of the
following:
a) maintaining normal posture b) mediating consciousness c) regulating muscle tone d) automatic activities, ie. chewing or walking e) movements associated with goal directed activities such as the arm swing during walking Jennifer Cochran |
| 12. Which of the following is usually
associated with deficits at all of the speech valves and for all components
of the speech system, frequently produces pseudobulbar affect, and often
results in pathological oral reflexes?
a) flaccid dysarthria b) ataxic dysarthria c) spastic dysarthria d) hypotonic dysarthria Crystal Brevard |
13. Lesions affecting this nerve may
cause either unilateral or bilateral paralysis of the vocal folds:
a) superior laryngeal nerve b) recurrent laryngeal nerve c) pharyngeal laryngeal nerve d) trigeminal nerve Betsy Fogleman |
| 14. Bilateral tongue weakness may
cause all of the following except:
A) differences in resonance B) hyperkinetic movement disorders C) difficulty producing sounds requiring elevation of tongue D) restricted or exaggerated jaw movements Kristin Cook |
15. Vascular disorders are more frequently
associated with_______________ dysarthria than with most other dysarthria
types.
(a) Flaccid (b) Spastic (c) Ataxic (d) Hypokinetic (e) Hyperkinetic ******Hint****** Ans. on pg. 130. Kelly G. Powell |
| 16. A single brainstem stoke (can/can
not) produce a spastic dysarthria, whereas a single cerebral hemisphere
stroke (can/ cannot).
(a) can; can (b) cannot; cannot (c) can; cannot (d) cannot; can Kelly Powell |
17. Unilateral damage to the superior
branch of the Xth cranial nerve, the vagus, will produce which of the following:
a) breathy hoarse voice b) reduced pitch range c) mildly imprecise lingual consonants Ginger Bledsoe |
| 18.Which type of motor speech disorder
is most often associated with chronic alcoholism and traumatic brain injury
(esp. in boxers)?
a) Hyperkinetic b) Flaccid c) Spastic d) Ataxic Lori Hartley |
19. This type of dysarthria is the
result of damage to the cerebellar control circuit.
a) spastic dysarthria b) flaccid dysarthria c) ataxic dysarthria d) hypokinetic dysarthria Donna Duncan |
| 20. What is another term for "direct
activation pathway"?
a. extrapyramidal tract b. pyramidal tract c. final pathway Vanessa Carpino |
21. Which type of dysarthria has a
good prognosis (compared to others), is often mild, and is often of short
duration?
a. hyperkinetic b. ataxic c. unilateral upper motor neuron d. bradykinetic Amy Heavner |
| 22. Which type of dysarthria carries
the "classic" symptom of strained-strangled voice?
a) hypokinetic b) spastic c) flaccid d) ataxic Sarah Hortenstine |
23. During oral mechanism exams which
motor speech disorder exhibited nasal regurgitation to be distinguishing
when present:
a. flaccid b. spastic c. ataxic d. hypokinetic e. hyperkinetic f. UUMN g. apraxia of speech hint: look on page 352 Melanie McCurry |
| 24. According to the book, characteristics
of UUMN dysarthria include all of the following except:
a) Lower facial weakness and hemiparesis b) Slow recovery in most cases c) Contralateral lingual weakness d) Common cause is stroke hint: p.232 Lloyd Ann Corbett |
25. Hyperkinetic dysarthria is perceptually
distinguishable from other isolated dysarthria types by:
a) lower facial weakness and hemiparesis b) visible abnormal orofacial, head, and respiratory movements c) rapid rate of speech d) articulatory inaccuracy and prosodic excess Lynne S. Kelley |
| 26. Apraxia of Speech is present in
approximately more than _________ of patients who have communication disorders
associated with left hemisphere pathology.
A. 30% B. 10% C. 50% D. 65% Sandra Murtha |
27. For Apraxia of speech which is
not true for rate and prosody?
A) silent pauses preceding initiation of speech. B) sound and syllable repetitions C) perception of foreign accent D) restricted or altered pitch, durational, and loudness contours within utterances. Kristin Schuppert |
| 28. Which of the following is the
most common cause of Apraxia of Speech?
a) Degenerative disease b) Left hemisphere tumor c) Traumatic brain injury d) Vascular lesions e) Subjecting oneself to too much Kenny "Gee" Neil Waters |
29. All of these are common characteristics
of apraxia of speech except:
a) pathologic oral reflexes b) Broca's aphasia c) right lower face weakness d) right hemiparesis There is a table on page 268 of book that will help with this one! Wendy Almond |
| 30. During the assessment process,
where would you look to find information about such things as cranial nerve
functioning, orientation, and imaging?
a) previous history report b) a previous speech/language assessment report c) occupational therapy report d) the admittance report e) social worker Kerri Roberts |
31. Apraxia of speech is associated
with:
a) right hemisphere damage b) left hemisphere damage c) weakness Nancy Hamilton |
| 32. Surgical trauma may cause any
type of dysarthria with the possible exception of which one?
A. Spastic B. Flaccid C. Hypokinetic D. Mixed Marla Akins |
33. What type of dysarthria is found
the most in patients with TBI?
a) flaccid b) hyperkinetic c) hypokinetic d) spastic Julianne Watson |
| 34. In apraxia of speech, which of
the below is not true:
a. there is evidence of misdirected formant trajectories in connected speech, in which formants would rise then fall. b. there is evidence of diminished formant trajectories, in which the frequency change in a formant transition was less than normal. c. there are perseverative trajectories, in which formant transitions resembled those in previous syllables. p.275 Lani Reasoner |
35. Apraxia of speech is associated
with:
a) right hemisphere damage b) left hemisphere damage c) weakness Nancy Hamilton |
| 36. List the four parameter
of respiratory assessment and identify each as a perceptual, kinematic,
acoustic, or physiological measurement.
A. vital capacity (kinematic), flow (kinematic), s/z ratio (kinematic) words per exhalation (perceptual) B. Pressure (perceptual), volume (perceptual), flow (perceptual), shape (perceptual) C. rest respiration (perceptual), vital capacity (physiological), s/z ratio (physiological), shape (perceptual) d. pressure (physiologic), rest respiration (perceptual), audible breathing (perceptual), words per exhalation (perceptual) Jena Poindexter |
37. Which is NOT true of the UMN system?
a) Contained entirely within the CNS b) Predominantly a direct activation pathway c) Includes the corticospinal and corticobulbar tracts d) Includes the basal ganglia and cerebellar control circuits (answer is on page 43) Karen Daly |
| 38. Communication-oriented approaches
to treatment are strongly dependent upon all of the following except:
A) degree of disability and handicap B) type of dysarthria C) environment in which communication takes place D) severity of deficits that accompany the motor speech disorder Kristin Cook |
39. As a treatment approach, "conservation
of strength" is recommended for:
a) flaccid only b) flaccid, spastic, and hypokinetic c) hyperkinetic and UUMN d) ataxic check page 406 Karen Daly |
| 40. Assessing speech by looking at
the different subsystems can provide valuable information about function;
however, it is important to remember
that the subsystems are: A. Interdependent B. Intradependent C. Unrelated D. None of the above Melinda Bumgardner |
41. Non-speech tasks assess speech
articulators by:
a) helping to identify the impairment b) allowing the removal of the language system influence c) a and b d) non-speech tasks do not assess speech articulators Jennifer Cochran |
| 42. An oral mechanism exam is designed
to test which of the following levels:
a) disability b) handicap c) impairment d) how big of a bubble you can blow Crystal Brevard |
43. All of the following are physiologic
voice assessment measures except which one?
a) electroglottograph b) s:z ratio c) stroboscopy d) electromyography Tammy Camp |
| 44. Do Heather and Jena's uvulas deviate:
a. to the left b. to the right c. mentally d. into the nostrils Amy Heavner |
46. What is the most powerful single,
behaviorally modifiable variable for improving intelligibility?
a) articulation b) rate c) prosody d) resonance Betsy Fogleman |
| 47. All of the following are auditory
perceptual tasks for assessing the respiratory system EXCEPT:
a) vary vowel loudness while sustaining a vowel b) phrase length c) change stress during syllable strings d) timing Lanette Sugg |
48. Hypothetical situation:You gave
a motor speech screening to the pt. Matthew Moore. He exhibited: 1) difficulty
with repetition, 2) increased difficulty with volitionality & complexity,
3) groping of the articulators, & variable errors. These errors are
key features of:
a) flaccid dysarthria b) apraxia of speech c) spastic dysarthria d) ataxic dysarthria Kelly G. Powell |
| 49. AOS is different from dysarthria
in the following way:
A) AOS is associated with right hemisphere pathology; dysarthria with left B) AOS is associated with left hemisphere pathology; dysarthria with right C) AOS is usually not present without abnormal oral mechanism findings. D) AOS is usually never associated with aphasia but dysarthria almost always is Lisa Heiney |
50. Chapter 6: The nose-finger-nose
test is used to detect (pick one)
A dysynergia B dysmetria C dysdiadochokinesis D kinetic tremor Cindy Herold |
| 51.Chapter 17: Behavior management
of articulation would include the following: (Circle all that apply).
A strength training B relaxation C increasing respiratory fx D stretching E biofeedback F exaggeration of consonants G rate Cindy Herold |
52. Acoustic measurements include
the following:
a. loudness b. pitch c. electroglottograph d. fundamental frequency Nancy Hamilton |
| 53. What is most successful in managing
velopharyngeal incompetence in dysarthric patients?
a. pharyngeal flap surgery b. botulinum toxin injection c. palatal lift prostheses d. Teflon injection Donna Duncan |
54. The length of treatment for an
acute care or rehab patient depends on:
a) motivation of the patient b) stamina of the patient c) state of the patient d) all of the above Sarah Hortenstine |
| 55. Patients generally stay at acute
care rehabilitation settings for approximately _____________________ weeks.
A) 25-30 B) 2-4 C) 10-15 D) 36-40 Cindy Herold |
56. Practice Principles include
A. Motivation: provide rationale, provide encouragement B. Elicitation: instruction (avoid verbal or overly verbal-- limit to the goal) C. Modeling-- active rather than static (pictures) D. All of the above. Lani Reasoner |
| 57. The goal of management of motor
speech disorders is to
a) improve intelligibility, efficiency, and naturalness b) develop augmentative or alternative means of communication c) improve communication d) make lots and lots of money e) a, b, & c Lisa Absher |
58. Respiratory support need not be
the focus of dysarthria treatment if:
A. the patient has adequate loudness B. the patient has the capacity for flexible breath patterning C. the patient can generate steady subglottal air pressure of 5 to 10 cm of water per 5 seconds. D. All of the above Lori Hartley |
| 59. A patient exhibits mild unilateral
UMN dysarthria, good comprehension skills, trial and error groping and
articulatory inconsistencies. He probably has:
A. Flaccid dysarthria B. Apraxia of speech C. Aphasia D. Mixed dysarthria pgs 277-278 Lisa Heiney |
60. When administering the Dysarthria
Profile, what level and method is the task of resting breathing considered?
a) disability/perceptual b) handicap/kinematic c) impairment/perceptual d) impairment/physiologic Vanessa Carpino |
| 61. When comparing apraxia and aphasia,
Apraxia has distinctive speech and language characteristics. Choose all
of the characteristics of apraxia that would help make the distinction
from aphasia.
a) Prosody abnormal b) errors influenced by articulatory complexity c) nonspeech language modalities impaired d) Articulatory hesitancy & groping Refer to chart on page 358 Ginger Bledsoe |
62. Which is not one of the general
orientations and primary goals of managing AOS?
1. maximize the effectiveness 2. efficiency 3. improve physiologic support 4. naturalness and communication hint: look on page 417 Melanie McCurry |
| 63. When treating the subsystems,
if you are treating intelligibility which below is not one you would treat
under this heading?
1. intelligibility within specific contexts 2. self-monitoring 3. strengthening 4. clarification strategies Melanie McCurry |
64. What two COMPENSATORY STRATEGIES
are helpful to teach patients when they do not wish to participate in intensive
therapy, when all else fails, etc?
a. breathing techniques and production of bubbles b. relaxation techniques and pitch adjustments c. slow down and overarticulate Amy M. Heavner |
| 65. Which of the following is characteristic
of variable practice?
A Provides a wide variety of initial conditions and outcomes from which schemas can develop B constant practice may facilitate fast acquisition C variable practice facilitates learning D all of the above Jena Poindexter |
66.All of the following relate to
the PROMPT treatment technique except:
a) prompts for restructuring oral muscular phonetic targets b) was developed for children with developmental apraxia of speech, but it has been used on adults. c) is characterized by the use of tactile cues to provide touch pressure d) incorporates language therapy e) uses kinesthetic and proprioceptive cues to facilitate speech production Kerri Roberts |
| 67. It is (a) required, (b)courteous,
(c) not necessary, to get a physician's order before doing an evaluation
on a patient in a hospital.
Lanette Sugg |
68. If you are an SLP working in a
hospital (contract therapist) do you need a physician's referral to be
reimbursed for your services?
a)sometimes b)always c)never d)depends on the physician Julianne Watson |
| 69. What are some common protocols
used in apraxia of Speech?
a. Melodic Intonation Therapy (MIT) b. Multiple Input Phoneme Therapy (MIPT) c. Voluntary Control of Involuntary Utterances (VCIU) d. all of the above e. none of the above Vanessa Carpino |
70. There are several steps need to
be considered when developing a lesson plan. Which is not one of them.
A. How much time you have B. The order of the activity C. How quickly the client fatigues D. How much time till your next workout Kristin Schuppert |
| 71. Which etiology is the MOST common
cause of AOS?
a. tumors b. vascular lesions c. degenerative neurologic disease d. multiple sclerosis See Duffy pages 261-262 Terri Simmons |
72. Considerations for discharging
patients to acute care rehabilitation may include:
a. prognosis b. age c. therapy needs of the patient d. all of the above Terri Simmons |
| 73. Which is NOT true of Apraxia of
Speech?
a) also called Broca's Aphasia b) muscles are capable of normal activity c) related primarily to R hemisphere damage d) person has awareness of errors Suzanne Barry |
74. Implicit memories are:
a) learning "how" b) when we are aware of our learning c) dependent on repetition d) both a & c Suzanne Barry |
| 75. What target level and observation
is noted by the Frenchay?
a)disability and perceptual b)impairment/disability/handicap and perceptual c)impairment and perceptual d)impairment/disability and perceptual L.A. Corbett |
76. What maneuver helps Parkinson's
patients with pitch change?
a)Robertson's Maneuver b)Masako Maneuver c)Heimlich Maneuver d)Mendelssohn L.A. Corbett |
| 77. Which of the following apraxia
treatment methods uses singing and spoken song? (ch. 18)
A. PROMPT B. VCIU C. MIT D. the 8-step continuum for treating AOS Monica Parker |
78. Which one of the following is
not a general approach in the assessment of motor speech disorders? (from
notes)
a. assessment can be on-going b. assess one speech subsystem at a time because they are independent of each other c. can assess at a perceptual, acoustic, kinematic, or physiologic level d. may assess at impairment, disability, or handicap levels Monica Parker |
| 79. When observing the velopharynx
during an oral mechanism examination, important observations include all
of the following EXCEPT:
a. presence/absence b. symmetry of movement c. direct view of pharyngeal wall activity d. evidence of nasal airflow on mirror during vowel prolongation Lynne Kelley |
80. Treatment of apraxia of speech
should include:
a) progressive complexity b) consistent and variable practice c) oral motor exercises d) a & b Lori Hartley |
| 81. This technique is used with patients
who have severe nonfluent aphasia. It may involve hand tapping rhythms
and singing words and phrases
a) PROMPT b) Melodic Intonation Therapy c) Multiple Input Phoneme Therapy d) Cuing strategies. Neil Waters |