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Mead's Final Exam
n/a
67
Other
Graduate
11/30/2008

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Cards

Term

True or False. Language assessment and treatment of children with clefts is the same as with other children
Definition

 

 

True

Term

 

 

True or False. Approximately 80% of the cleft population are affected by phonatory disorders
Definition

 

 

 

True

Term

Which of these is NOT classified in the Veau Cleft and Plate Classification?

 

  • Cleft of the hard and soft palate to the incisive foramen
  • Cleft of the soft palate only
  • Submucosal cleft
  • Complete unilateral cleft of the hard and soft palate and of the lip and alveolar ridge on one side
Definition

 

 

 

Submucosal Cleft

Term
What is the quality of voice that is determined by the balance of sound vibration in the oral, nasal, and pharyngeal cavities during speech?
  1.  
    1. Hypernasality
    2. Resonance
    3. Velopharyngeal incompetence
    4. Nasal emission    
Definition

 

 

Resonance

Term

 

 

Compare and contrast cleft lip and cleft palate.
Definition

 

 Cleft lip is the separation of the two sides of the upper lip, including the bones of the upper jaw and /or upper gums.  These did not fuse together during fetal development.  Meanwhile, cleft palate is an opening in the palate in which the two sides did not fuse during fetal development.
Term
What is the difference between a communication disorder and a communication difference?
Definition
A comm.. diff. is when there are only difficulties in SAE and not in their native language and a  comm.. disorder is diagnosed when client shows difficulties in speech and lang across all their spoken languages which is when therapy is needed.
Term

Cheng and Langdon suggested that when working with an interpreter it is a three step process, which step involves discussing sensitive issues and reviewing the purpose of the meeting?

  a. Interaction  b. Interlanguage  c. Briefing  d. Fossilization
Definition

 

 

Briefing

Term
True or false: If there is no normative data published about a child's native language we should refer the client to a clinican who is from the child's culture
Definition
false – we should seek help from other professionals, interpreters, teachers, or family members.
Term

What are the three preassessment steps clinicians should take before assessing a client who is culturally or linguistically diverse?

Definition

a. Understand the client's culture

b. Learn about normal communication development associated with the culture

c. Find out the client's personal history

Term

 

When doing an assessment with a culturally diverse client what is the desired alternative to standardized testing?

Definition

 

 

 

Authentic Assessment
Term

What does AAC stand for? 


a. Augmentative and Acoustic Communication 
b. Augmentative and Alternative Communication 
c. Acoustic and Altering Communication 
d. none of the above
 

Definition

 

 

 

Augmentative and Alternative Communication

Term

True or False. AAC can be categorized as an aided or unaided communication system.

Definition

 

 

True

Term

True or False. AAC is only used when there is permanent loss of expressive language. 

Definition

 

 

 

False

Term

The assessment of clients for AAC includes four broad areas:_________________, ___________________,  ________________, and__________________

Definition

 A) Determining the client's communicative needs 
 B) Assessing the client's sensory and motor abilities 
 C) Assessing the client's language and cognitive abilities 
 D) Predicting the most suitable AAC system
  

Term
True or False- Apraxia of speech is a motor disorder that impairs voluntary motor movements due to muscle weakness or paralysis.
Definition
False (Apraxia of speech is a motor disorder that impairs voluntary motor movements in the absence of muscle weakness or paralysis.)
Term

2. When diagnosing apraxia of speech, it is important to look for:

 a. Receptive-Expressive Gap (receptive skills are higher)b. Inconsistency of responsesc. Loss of vegetative function

d. Both A & B

Definition

 

 

Both A & B

Term
_____________ apraxia does not have a known etiology. However, __________ apraxia does have a known cause. 
Definition

 

 

Developmental/Acquired

Term
True or False. Apraxia is immediately apparent when a patient comes in for an evaluation. 
Definition

 

 

False (Apraxia is not immediately apparent when a patient comes in for an evaluation.)

Term

Name two differences between apraxia and dysarthria

Definition

1. A patient with dysarthia has muscle weakness, while a patient with apraxia has is no muscle weakness.

  2. A patient with dysarthia usually shows consistent errors, while a patient with apraxia has more errors that are inconsistent.

Term

Compare and contrast Autism and Asperger's syndrome
Definition

Similarities: They both exhibit impairments in social interaction, and have repetitive patterns of behavior, interests, and activities

 Differences: Autistic individuals have an impairment in communication, whereas individuals with Aspergers have normal communication/language.
Term
True or False: An Authentic Assessment Approach is the best approach for evaluating speech and language of clients with ASD.
Definition

 

 

True

Term

Which of the following is not true of children with ASD?

 a. They typically exhibit lack of eye contactb. They typically learn concrete words more quickly than abstract wordsc. They always have articulation disordersd. They sometimes exhibit exaggerated articulation
Definition

 

 

They always have articulation disorders

Term

True or False. Autism Spectrum Disorders are usually detected by the age of 3 years, and in some cases as early as 18 months.

Definition

 

 

True

Term

 

True or False. Individuals with ASD often repeat or echo words, a process known as echolalia.

Definition

 

 

True

Term
True or False. Hypernasality is an excessive amount of nasal resonance during the production of vowels and vocalic elements.
Definition

 

 

True

Term

 

True or False. Hyponasality is when there is not enough sound resonating in the nasal cavity during speech.
Definition

 

 

True

Term

What is resonance?

Definition

 

The quality of the voice that results from the sound vibration in the pharynx, nasal cavity, and oral cavity.
Term

Name three symptoms of resonance disorders?

Definition

 

 

Hypernasality

Hyponasality

Nasal Emission
Term

What is the Templin Darley examination used for?
Definition

It is used to obtain a detailed description and evaluation of a client’s articulation.

Term

What are some causes of dysphagia?

 a. Vocal fold paralysisb. Conditions of the upper aerodigestive tractc. Cleft palate and/or lipd. All of the above
Definition

 

 

All of the above

Term

What is dysphagia?

a.    A disorder in which one has difficulty in speaking.b.   A disorder in which one has difficulty processing language.

c.    A  disorder in which one has difficulty swallowing

d.   A disorder in which one has difficulty recalling language.
Definition

 

 

A disorder in which one has difficulty swallowing
Term

True or False. Liquids are the most difficult food consistency to manipulate

 

Definition

 

 

True

Term
Which is not part of the bedside evaluation? a.    Trial swallowsb.   Case historyc.    Oral-mech examd.   Imaging procedures
Definition

 

 

Imaging Procedure

Term

 

 

List two widely used approaches for viewing swallowing functions?

Definition
Modified Barium Swallow (MBS) and Fiber-Endoscopic Examination of Swallowing (FEES)
Term

Compare and contrast electronic speech and esophageal speech.
Definition
Electronic speech uses a mechanical vibrator to produce an external sound source from a Handheld or Intraoral and esophageal speech uses air from nose and mouth is inhaled into the esophagus and then expelled. When vibration of the pharyngoesophageal segment* is obtained, the client tries to articulate normally
Term

 

True or False. Two bands of muscles in the pharynx are called vocal cords.

Definition

 

 

False

Term

Where is the larynx located?

     a. below the trachea behind the esophagus    b.  above the trachea and in front of the  esophagus.    c. above the trachea and behind the esophagus    d. below the trachea and in front of the esophagus
Definition

 

 

above the trachea and in front of the esophagus.
Term

 

Mention the current three alaryngel speech possibilities and state which one helps the laryngectomee the most.

Definition

Electromechanical devices, Esopharyngeal speech, and Thracheoesophageal speech. There is no preferred alaryngeal speech possibility. Whichever speech modality is used, it should be one that is completely functional and one that is a best match between the person, the device, and/or the technique.

 

Term

 

Which alaryngeal speech possibility is appropriate for most laryngectomees and why.

Definition

 

Electromechanical devices are favored as the best option after surgery because they do not interfere with post-surgical healing. They are appropriate for almost all laryngectomees and the overall quality of speech is generally intelligible. Also, they are relatively inexpensive to purchase and maintain.

Term

 

 

True or False - A adequate test was normed on a large homogeneous sample. 

Definition

 

 

False

Term

The foundation of any test is: 

A.  The Test Manual  

B. The Confidence Interval

C. Validity

D. Reliability    

Definition

 

 

Validity

Term

 

 

All Assessment tests must include all three types of validity

Definition

 

 

False

Term

If a test is administered several times to the same group they should have similar scores to be considered 

A. Valid 

B. Reliable

C. Standard 

D. User Friendly   

Definition

 

Reliable

Term

 

 

List at least 2 reasons we use norm referenced tests

Definition

 

EligibilityDismissalCompare to the norm etc

 

Term

 

 True or False. The mode is the most frequently used measure of central tendency on formal tests.
Definition

 

 

False

Term

 

 

Describe the types of scores that are reported on standardized tests.

Definition

Percentile rank – reflects the percentage of subjects or scores that fall at or below a particular raw score.

 Raw Score – the total number of correct responses that a client gives on the test items. On some tests the raw score is not the total number correct but some other number such as the total number incorrect. Standard Score –used to compare results to the norm. These scores estimate whether a score is above average, average, or below average.  Standard scores are calculated by transforming the raw score into sets of scores that are equally distributed along the normal curve.
Term

Which of the following is NOT represented along the normal curve?

 

a. Percentile Rank

b. T-score

c. Age-Equivalent Score
Definition

 

 

Age-Equivalent Score

Term
 True or False. For all tests we can assume that there will always be a difference between the observed score and the true score.
Definition

 

 

True

Term

 

 True/False. Researchers use sensitivity and specificity to characterize ability of an instrument to “fail” people with disorders and “pass” people without disorders
Definition

 

 

True

Term
True or False. IDEA requires a standardized test to be used in assessment
Definition

 

True

Term

Name three reasons why tests distort what they are designed to examine
Definition

 

 

SettingOrder of questionsAdministration of the test

 

Term

 

 

Define Statistical Regression
Definition

 

 

The tendency of extreme scores on a measure to regress toward the mean when the measure is re-administered to the same group of people
Term

 

 

Should you use a standardized test to define treatment objectives

Definition

No because it only assesses 2-3 instances of an area. For ex: (plural -s)
Term

 

 

Name three items you find listed in manual details
Definition

 

 

Rationale behind the testPsychometric development of the testQualification of the test administrator

 

Term

Which one of the following is the most evident sign of the intermediate stutterer?

 

a.  Tense prolongations

b.  Monosyllabic whole-word repetitions

c.  Tense part-word repetitions

d.  Blocks

Definition

 

 

d.  Blocks

Term

True/False.

 

Four major characteristics of the intermediate stutterer are Fear, Avoidance, Struggle, and Shame.

Definition

 

 

TRUE

Term
The ___________ attitude helps reduce negative emotions.This attitude helps the child confront his fears; understand that stuttering is not his fault, and that just because he stutters doesn’t mean he is not smart.
Definition

 

 

approach

Term
List two major characteristics that distinguish a beginning stutterer with an intermediate stutterer:
Definition

1) an intermediate stutterer is starting to fear stuttering, whereas beginning stutterers are usually only frustrated, surprised, or annoyed by it;

 

2) the intermediate stutterer reacts to his fear of stuttering by appearing to avoid it, something beginning stutterers don’t do with any regularity.

Term

True/False.

 

A realistic fluency goal for many intermediate stutterers is:acceptable stuttering; that is, fluency mixed with mild or very mild stuttering.

Definition

 

 

TRUE

Term

Explain a “stuttering friendly” environment.

Definition

 

It is an environment in that increases the child’s comfort using the techniques learned in treatment.

Term

True/False.

 

According to Carl Dell, an intermediate stutterer should be dismissed from therapy once they are completely fluent and are able to transfer their fluency to their natural environment.

Definition

 

FALSE- Dismissal occurs when the stutterer is confident that they can control their remaining stuttering and before they are completely fluent

Term

 

List 2 ways a classroom teacher can help an intermediate stutterer in the classroom setting:

Definition

Oral Participation- The teacher and child can get together and discuss ways in which the child can participate in the most comfortable manner. For example, the child might like to get called upon first to prevent the build up of anxiety.

 

Teasing- The teacher is responsible for dealing with teasing in the classroom. They should eliminate the teasing and educate the students.

Term

Carl Dell’s direct treatment of an intermediate stutterer begins by teaching the child three ways of saying words. What are the three ways?

Definition
  1. Regular (fluent)
  2. Hard stuttering (typical stutter)
  3. Easy stuttering (Effortless prolongations or repetitions)
Term

Bruce Ryan’s treatment of an intermediate stutterer using delayed auditory feedback follows three phases. Which one is NOT one of the phases?

a. Exploration

b. Maintenance

c. Establishment

d. Transfer

 

 

 

 

 

Definition

 

 

a. Exploration

Term

True/False.

 

During the home hierarchy of Ryan’s transfer phase, the child begins with either parent carrying out the transfer procedures, whether or not they attended the previous therapy sessions.

Definition

 

FALSE- The home hierarchy starts with the parent that practiced the transfer procedure in the therapy room with the SLP.

Term

June Campbell and Hugo Gregory teach the intermediate stutterer to use a fluency-enhancing skill they describe as an, “easy, relaxed approach with smooth movements” (ERA-SM) which involve a slower rate of speech and smooth transitions from sound to sound and word to word. These changes occur in:

 

a. Beginning of words, phrases, and  entire sentences

b. Beginning of words

c. Beginning of words and phrases

d. None of the Above

Definition

 

 

c. Beginning of words and phrases

 

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