Sample Quiz

A 50 year old male with flaccid dysarthria presents with reduced loudness, breathy voice, and vocal fold paralysis. His speech intelligibility is significantly affected d/t inability to produce adequate subglottal air pressure. Which intervention is most appropriate for his VF paralysis?

A pt dx with Mysathenia Gravis reports progressive muscle weakness and increased fatigue, particulary after repeated movements such as climbing the stairs or lifting objects. Neurological assessment suggests an impairment at the neuromuscular junction, characterized by reduced efficiency in synaptic transmission and decreased muscle contractions. Which neurotransmitter is primarily affected in this affected in this condition, contributing to impaired signal transmission between nerve and muscle?

An 8 yo with Williams syndrome is brought in by her parents, who report that she has a friendly and outgoing personality but often experiences anxiety and difficulty adapting to new routines. Which characteristics behavior should the SLP be most aware of when planning therapy?

A 60 yo male presents with hoarseness and difficulty modulating his pitch during speech. The SLP suspects that the issue is related to a specific muscle involved in pitch control. Given this, which muscle is likely affected, and which branch of the vagus nerve is responsible?

A 45 yo woman presents with a rough horse voice and reports difficulty mainting consistent pitch throughout the day. As a teacher, she notes that her voice tires easily by the afternoon, especially with notable pitch changes. The SLP performs a sustained vowel task and measures her jitter as 2.5%. What does this result most likely indicate regarding her pitch instability?

During a speech evaluation, an adult patient produces the vowel /a/. Acoustic analysis shows an F1 of 800 Hz and F2 of 1200 Hz. What can the SLP infer from this data?

A child with specific language impairment is assessed for morphological deficits. During a language sample, the child consistently omits plural markers (i.e., "dog" for "dogs") and present progressive markers (e.g., "run" for "running"). Based on current research, what is the most likely explanation for these morphological difficulties in children with SLI?

A 5 yo child is brought to a SLP d/t concerns about their speech clarity. The parents report that the child frequently replaces "r' and "l" sounds with "w" and "y" sounds. For example, the child says "wabbit" instead of "rabbit" and "yike" instead of "like". This has been a consistent problem over the past year, and the child is starting to become frustrated when others do not understand them. Based on this information, what phonological process is the child demonstrating?

A 6 yo child is assessed for speech production. During the eval, the SLP notices the child has difficulty with syllable production, particularly with consonant clusters at the beginning of syllables. For example, the child consistently says "poon" instead of spoon and tuck instead of tuck. What component of the syllable structure is affected in this case?

A pt with hyperkinetic dysarthria caused by Huntington's disease displays irregular, purposeless movements of their limbs and face, along with strained VQ and inappropriate silence between words. Which involuntary mvmt disorder is most likely associated with this pt's condition?

Huntington's disease primarily affects the cerebellum, leading to symptoms of ataxia and coordination difficulties.

A 35 yo immigrant has lived in the US for 10 years and has adopted many American cultural norms, including language, food, and daily routines. However, they continue to celebrate traditional holidays from their country of origin and speak their native language with family members. What process is best represented by this individuals experience?

A 65 yo male with Parkinson's disease presents with mild cognitive decline and reports difficulty remembering to use his louder voice throughout the day. Which intervention would be better suited to his needs, given his cognitive challenges?

A pt complains of dizziness and balance issues, which began after a head injury. The SLP suspects damage to the vestibular system. Which structure in the inner ear is responsible for maintaining balance and equilibrium?

A researcher wants to evaluate the effectiveness of a new language intervention. Using a multiple baseline across subjects design. the researcher provides treatment to one participant while continuing to observe the untreated pts. What is the key feature of this design?

A pt presents with limited speech output, difficulty initiating speech, and good repetition skills. The patient has relatively intact comprehension. Imaging shows damage to the anterior superior frontal lobe. What type of aphasia does this presentation best match?

Transcortical motor aphasia is considered non-fluent.

A school-based SLP is creating an IEP for a student with autism. Which law expanded the categories of disabilities to include autism and TBI?

A 55 yo pt with reduced laryngeal elevation and poor upper esophageal sphincter (UES) opening is experiencing dysphagia. Which manuever is most effective in improving UES opening by prolonging laryngeal elevation?

What is the primary cause of vocal fold nodules?

Which disorder involves soft, fluid-filled masses on the vocal folds, often caused by trauma?

Which disorder often requires surgery due to being a mucus-filled growth on the vocal folds?

Which disorder involves inflammatory lesions often related to reflux or intubation?

Which conditions involves sores on the vocal folds, typically caused by reflux or glottal attacks?

Which disorder involves swelling of the vocal folds due to vocal abuse or smoking?

What causes blood filled lesions on the vocal folds, often following intubation or reflux?

Which condition involves enlarged veins on the vocal folds caused by phonotrauma?

Which condition is characterized by white, precancerous patches on the vocal folds?

Which congenital condition causes soft laryngeal cartilages and nosiy breathing in infants?

At what age should gliding typically resolve?

A 35 yo professional singer presents with complaints of vocal fatigue and difficulty achieving full vocal range. During a laryngeal examination, it is noted that the vocal folds are not coming together completely during phonation. Based on this finding, which muscle is primarily responsible for medial compression of the vocal folds, helping to achieve a better closure during phonation.

A singer presents with vocal fatigue and decreased endurance during long rehearsals. The SLP wants to determine whether the issue stems from poor breath support or inefficient use of airflow. Which aerodynamic measure would provide insight into the pt's ability to sustain phonation on a single breath?

A 42 yo teacher with a history of vocal strain presents with a strained, pressed vocal quality and reports tightness when speaking for long periods of time. An ENT confirmed no structural abnormalities. The SLP determines the excessive muscle tension is contributing to a voice disorder. Which voice therapy technique would be the most appropriate?

A 60 yo male presents with breathy phonation and decreased vocal intensity. Laryngoscopy reveals significant atrophy of the thyroarytenoid muscle. Based on the cover-body theory of phonation, how does this finding impact vocal function?