CSD 417: Made up questions

1.The Oral Mechanism Exam evaluation of the face includes all of the following EXCEPT: a. Symmetry b. Abnormal movements c. Excessive Drooling d. Mouth breathing 2. Which cranial nerve(s) are damaged in Flaccid dysarthria: a. Trigeminal (V) b. Facial (VII) and Vagus (X) c. Hypoglossal (XII) d. All the above 3. This neurological speech disorder affects the following areas: left posterior frontal lobe, parietal lobe, Insula, and the basal ganglia. a. Aphasia b. Apraxia of Speech c. Cognitive-Communication Skills d. Dysarthria 4. Which of the following do speech Language Pathologists NOT collaborate with: a. Occupational therapists b. Registered Nurses c. Gastroenterologist d. Physical therapists 5. This patient is having excessive difficulties with swallowing, dribbling, and drooling. This patient is most likely to have: a. Upper Motor Neuron Lesion b. Lower Motor Neuron Lesion c. Cerebellar Lesion d. Extrapyramidal Lesion

C D B C A

1. Which area of lesion is most associated with Acquired Apraxia of Speech? a. Left Posterior Frontal Lobe b. Parietal Lobe c. Insula d. All of the Above 2. What is the mechanism through which the brain reorganizes itself to reacquire or compensate for lost or impaired ability? a. Neurology b. Neuroplasticity c. Cognition d. Neural elasticity 3. Which of the following is NOT an example of a language formulation task? a. Conversation b. Story Retell c. Picture Description d. Sustain "Ah" for as long as possible 4. Which Dysarthria is caused by a lesion of the Basal Ganglia? a. Hyperkinetic b. Hypokinetic c. Unilateral Upper Motor Neuron d. Mixed 5. Which section of the Frenchay Dysarthria Assessment analyzes coughing, swallowing, and drooling? a. Laryngeal Function b. Intelligibility c. Reflexes d. Respiratory Function

D B D B C

Question 1: Which of the following is the site of lesion for hypokinetic dysarthria? a. Cerebellum b. Peripheral Nervous System c. Bilateral Upper Motor Neurons in CNS d. Basal Ganglia Question 2: Which of the following reflexes are evaluated during an oral mechanism exam? a. The gag reflex b. The snout reflex c. The jaw-jerk reflex d. The sucking reflex e. All of the above Question 3: During the respiration portion of the Frenchay Dysarthria Assessment, which area is evaluated? a. Respiration at rest b. Respiration during speech production c. Both a and b d. None of the above Question 4: When managing dysarthria, which approach can be used? a. Medical intervention b. Assistive devices/prosthetics/AAC c. Behavioral management All of the above Question 5: Which area of lesion is most associated with Acquired Apraxia of Speech? a. Broca's Area b. Occipital lobe c. Insula d. Cerebellum

Question 1 Answer: d. Basal Ganglia Question 2 Answer: e. All of the above Question 3 Answer: c. Both a and b Question 4 Answer: d. All of the above Question 5 Answer: c. Insula

1) Which type of Dysarthria may be a result of a lesion on the cerebellum? A) Flaccid Dysarthria B) Spastic Dysarthria C) Ataxic Dysarthria D) Hypokinetic Dysarthria 2) Which aspect should the clinician NOT consider during an Oral Motor Exam (OME)? A) Jaw B) Hard palate C) Larynx D) Soft Palate E) B and D F) The clinician should consider all of the above when performing an OME 3) Which is the ONLY published diagnostic test for Dysarthria? A) Sentence Intelligibility Test B) Frenchay Dysarthria Assessment C) Communication Effectiveness Survey D) Assessment of Intelligibility of Dysarthric Speech (AIDS) 4) In which area of the brain might the presence of a lesion be most associated with Apraxia of Speech? A) Parietal Lobe B) Basal Ganglia C) Occipital Lobe D) Insula E) A, B, and D F) All of the above 5) Which of the following is NOT a role of a SLP when managing a client with Dysarthria? A) prescribe medications to aid in lack of muscle control B) establish a need for postprocedural behavioral management C) identify the specific benefits to be derived D) clearly communicate this information with all the stakeholders

1) Ataxic Dysarthria 2) The clinician should consider all of the above when performing an OME 3) Frenchay Dysarthria Assessment 4) A, B, and D (Occipital Lobe lesions are not associated with Apraxia of Speech 5) Prescribe medications to aid in lack of muscle control

1) Which type of dysarthria, in most cases, appears without a known cause or site of lesion? a. mixed dysarthria b. hyperkinetic dysarthria c. ataxia dysarthria d. spastic dysarthria 2) The OME includes all of the following except; a. the pharynx b. the soft palate c. the esophogus d. the larynx 3. When managing dysarthria, it is MOST important to note that the brain structure and function can be altered as a function of a. behavioral training b. genetic level modifications c. intracellular changes d. biochemical level modifications 4. All of the following are included in the six subtests when assessing for acquired motor speech disorders besides; a. imitation of words of increasing length b. latency and utterance time for naming pictures monosyllabic words c. assessment of limb and nonverbal oral apraxia d. articulatory adequacy during three consecutive repetitions of polysyllablic words 5. Which is the most efficacious approach of treatment when working with clients with acquired apraxia of speech? a. PROMPT b. melodic intonation therapy c. Rosenbek's 8-step integral stimulation approach d. sound production treatment

1) a. mixed dysarthria 2) c. esophogus 3) a. behavioral training 4) b. latency and utterance time for naming pictured monosyllablic words 5) d. sound production treatment

1)Where is the site of lesion for Flaccid Dysarthira? a. Peripheral Nervous System or Lower Motor Neuron b. Central Nervous System or Upper Motor Neuron c. Cerebellum d. Broca's Area 2) When assessing personal history of a patient, which information is needed? a. employment information b. age c. Spouse, or children d. all of the above 3) What is not a site of lesion for Apraxia of speech? a. basal ganglia b. left posterior frontal lobe c. insula d. parietal lobe e. occipital lobe 4)True or False. The Frenchay Dysarthria Assessment is the only published disgnostic test for dysarthria. 5)The OME is assessing the following EXCEPT.. a. strength b. tone c. symmetry d. fluency

1)A 2)D 3)E 4)True 5)D

1. Which of the following is the site of lesion of Ataxic Dysarthria? a. Peripheral Nervous System b. Cerebellum c. Basal Ganglia d. Subcortical Structures 2. Which of the following treatments have been shown to be beneficial for Hypokinetic Dysarthria? a. Rigid rate control b. Intensive therapy c. Lee Silverman Voice Treatment d. All of the above 3. Which of the following is not part of a detailed history exam? a. Personal history b. Onset of symptoms c. Goals and expectations d. Oral Mechanism Exam 4. Which of the following is not a section of the FDA? a. Motor control b. Reflexes c. Lip function d. Intelligibility 5. Which lesion has more problems with swallowing and dribbling than any other group? a. Extrapyramidal lesions b. Upper motor neuron lesion c. Lower motor neuron lesions d. Cerebellar lesions

1. (B) Cerebellum 2. (D) All of the above 3. (D) Oral Mechanism Exam 4. (A) Motor control 5. (B) Upper motor neuron lesion

1. In regards to treating Apraxia of Speech, which approach is considered a continuum? A. Integral Stimulation Approach B. Sound Production Treatment C. Wambaugh approach D. Prompting 2. What is the prosthesis device that helps reduce nasality in the case of VPI? A. Retainer B. Obturator C. Surface Electromyography D. All of the above 3. What is the term that describes when muscle cells degenerate due to lack of use/innervation? A. Muscle Decay B. Initiation C. Muscular Reflex D. Atrophy 4. What is NOT one of the three aspects that contribute to pneumonia (that we discussed in class)? A. Aspiration B. Water Intake C. Immune System D. Dental Hygiene 5. What would be an example of the term acute on chronic? A. History of Parkinson's with a new stroke B. History of Parkinson's with a new diagnosis of hypokinetic dysarthria C. Diagnosis of Fluent Aphasia D. Presence of disfluencies in a normal developing third grader

1. A 2. B 3. D 4. B 5. A

. 1. Which of the following best describes synkinesis? a. the recruitment of different muscles to compensate for muscles functioning incorrectly; a characteristic of flaccid dysarthria b. the recruitment of different muscles to compensate for muscles functioning incorrectly; a characteristic of spastic dysarthria c. the uniform movement of facial muscles; a characteristic of someone recovered from dysarthria d. the alternating movement of oral muscles; a characteristic of apraxia of speech 2. What increases neural adaptation? a. nothing, neural adaptation cannot be increased b. a long period of rest after a neural trauma c. repeated muscle use d. taking measures to prevent the recruitment of unused motor neurons 3. First Steps is an example of which level of care? a. Outpatient clinic b. Home Health c. Skilled Nursing Facility d. Intensive Outpatient Rehabilitation 4. Which of the following decreases the severity of a disease? a. mitigating factors b. exacerbating factors c. staying the same d. worsening of condition 5. What is the greatest difficulty, as reflected on the Frenchay Dysarthria Assessment, for those with cerebellar lesions? a. swallowing b. laryngeal tasks c. coordination of the tongue d. intelligibility

1. A 2. C (B: is unhelpful and decreases the option of neural adaptation, D: it is necessary to recruit previously unused motor neurons) 3. B 4. A (B: these factors increase severity) 5. C (difficulty with AMRs)

1. What is the only published diagnostic test for dysarthria? a. The French Dysarthria Assessment (FDA) b. AAC c. Dyscalculia Assessment d. Dysarthria Examination Battery 2. How many sections does The French Dysarthria Assessment (FDA) have? a. 6 sections b. 5 sections c. 8 sections d. 7 sections 3. T/F: Oral Mechanism Exam (OME) is the NOT the same as a Oral Facial Examination. a. True b. False 4. The Oral Mechanism Exam (OME) is comprised of mostly ___________ oral motor tast? a. Speech b. Nonspeech c. Only A d. Both A & B 5. _________ __ _______: Impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness a. Aphasia b. Dysarthria c. Apraxia of Speech d. Flaccid Dysarthria

1. A - The French Dysarthria Assessment (FDA) 2. D - 7 sections 3. False 4. B- nonspeech 5. C - Apraxia of Speech

1. What is the least common Dysarthria? a. Ataxia Dysarthria b. Hypokinetic Dysarthria c. Spastic Dysarthria d. Flaccid Dysarthria 2. Right hemispheres Motor Speech Disorders relate to? a. To the linguistic attributes of speech b.The input from the Perisylvian Area c. Portions of the frontal lobe d. To the emotional/affective attributes of speech 3. Which charteristics are accessed during an Oral Facial Exam? a. Strength b. Uniformity c. Prosody d. Accuracy 4. Which published diagnostic test would a clinician use to access dysarthria? a. Assessment of Intelligibility of Dysarthria Speech b. Dysarthria Examination Battery c. Dyscalculia Assessment d. The Frenchay Dysarthria Assessment 5. Dysarthria does not fall under what charteristics? a. A disturbance of the central or peripheral nervous system b. Neurologic speech disorders resulting from abnormalities c. Language disorder involving impairments that cross all language modalities d. Weakness; spasticity; incoordination; and involuntary movements

1. A. Ataxia Dysarthria 2. D.To the emotional/affective attributes of speech 3. C. Prosody 4. D. The Frenchay Dysarthria Assessment 5. C.Language disorder involving impairments that cross all language modalities

1. Dysarthria is NOT: a. The collective name for a group of neurologic disorder resulting from abnormalities int eh strength, speed, range, steadiness, one, or accuracy of movements, required for control of the respiratory, phonatory, resonatory, articulatory, and prosodic aspects of speech production b. Due to a disturbance of the central or peripheral nervous system abnormalities c. Reflective weakness; spasticity; incoordination; involuntary movements; or excessive, reduced, or variable muscle tone d. An Impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness 2. Which of the following Cranial nerves is not damaged in process of flaccid dysarthria? a.Vagus (X) b. Hypoglossal (XII) c. Trigeminal (V) d. Glossopharyngeal (IX) 3. During the evaluation for the tongue what of the following do you evulate for the OME? a. Protrusion b. Retraction c. Appearance d. All of the above 4. Which of the following physical characteristics are part of hyperkinetic dysarthria? a. Multiple motor tics b. Palatal tremor c. Facial grimacing during speech d. All of the above 5. All of the following are true about Dysarthria except: a. It is the only published diagnostic test for dysarthria b. It is comprised of 5 sections c. Administration time is around 30 minutes d. It relies predominantly on non-speech tasks, but does include intelligibility section

1. An Impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness 2. Glossopharyngeal (IX) 3. All of the above 4. All of the above 5. It is comprised of 5 sections

1. _______ is an: Impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness. a) Ataxia of Speech b) Apraxia of Speech c) Speech Sound Disorder d) Aphasia 2. SLP's can work in the setting/s of....... a) Schools b) Nursing Homes c) Hospitals d) All of the above 3. Which cranial nerve is NOT affected with the disorder of Flaccid Dysarthria a) Vagus b) Facial c) Hypoglossal d) Trochlear 4. Regarding Hypokinetic Dysarthria, where does the site of lesion occur? a) Wernickes Area b) Brocas Area c) Basal Ganglia d) Cerebellum 5. T/F Damage to the MSP can cause cause both speech and non speech deficits.

1. Apraxia of speech 2. All of the above 3. Trochlear 4. Basal Ganglia 5. True

1. Where is the site of lesion for ataxic dysarthria? a.Basal Ganglia b.Cerebellum c. Broca's Area d. Wernicke's Area 2. How many published diagnostic tests for dysarthria are there? a.1 b.2 c.3 d. 4 3. Which of the following is important information to conduct a thorough assessment? a.Age b.Medical History c.Employment Status d.Onset e. All of the above 4. Which of the following is a neurogenic speech disorder that influences motor planning and programming of speech? a. Apraxia of speech b.Dysarthria c. Aphasia d. Ataxic Dysarthria 5. Which of the following is an example of hypokinetic dysarthria?a.Aphasia b.Apraxia c.Hypokinetic dysarthria d. Hyperkinetic dysarthria

1. B 2. A 3. E 4. A 5. C

1. Dysarthria is a type of Apraxia of Speech a. True b. False 2. Lightly touching or tapping the lips with a tongue blade is an example of a. Snout reflex b. Sucking reflex c. Gag reflex d. None of the above 3. Using the Frenchay Dysarthria Assessment, what is considered abnormal when evaluating the tongue? a. The tongue is shrunkened b. The tongue can protrude to the lip c. The patient can move tongue toward their nose then their chin in sequence 5 times d. The tongue alternates between velar and alveolar productions 4. ___ ____ ____ lesions have more problems with swallowing and dribbling and drooling than the other groups. 5. Which of the following areas of lesion are most associated with Apraxia of Speech? a. Left posterior frontal lobe b. Pariateal lobe c. Insula d. Basal ganglia e. All of the above

1. B 2. B 3. A 4. Upper Motor Neuron 5. E

1. What type of SLP work environment typically has abundant resources for SLPs to use? a. Inpatient Rehabilitation b. Acute Care c. Skilled Nursing Facility d. Home Health 2. Slow rate, pitch breaks, strained or harsh voiced quality, and slow or regular Alternating Motion Rates (AMRs) are all perceptual speech characteristics of what motor speech disorder? a. Flaccid Dysarthria b. Acquired Apraxia of Speech c. Spastic Dysarthria d. Ataxia Dysarthria 3. Sensory input of the gag reflex is mediated by which two cranial nerves? a. The trigeminal(V) and the vagus(X) b. The glossopharyngeal(IX) and the vagus(X) c. The glossopharyngeal(IX) and the hypoglossal(XII) d. The accessory(XI) and the trigeminal(V) 4. Which of the following is not one of the 7 sections of the Frenchay Dysarthria Assessment? a. Respiratory function b. Laryngeal function c. Intelligibility d. Rate of Speech 5. Surface Electro-miography (sEMG), as seen in the video shown in the Managing Dysarthria lecture, measures? a. Muscle activity through the electrical activity between two poles b. The heat signature of the muscle movements c. Electrical activity of the brain's key language centers d. Speech rate through voice pattern movements

1. B 2. C 3. B 4. D 5. A

1. Which work setting of SLPs often have the most resources? a. Impatient Rehabilitation b. Acute Care c. Skilled Nursing Facility d. Home Health 2. What is the only published diagnostic test for dysarthria? a. OME (Oral Mechanism Exam) b. An Electromyography c. Apraxia Battery for Aduls Second Edition (ABA-2) d. Frenchay Dysarthria Assessment 3. Which is not a common place for a lesion to occur for Apraxia of Speech? a. Left Posterior Frontal Lobe b. Occipital Lobe c. Basal Ganglia d. Pariatal Lobe 4. Which is not a technique of Rate and/or Rhythm Approach for Apraxia of Speech? a. AAC b. Metronome c. Pacing Boards d. Hand/Finger Tapping 5. When assessing a client's personal history, what questions should be included? a. Age b. Education c. Employment Status d. All the above

1. B 2. D 3. B 4. A 5. D

1. Which is NOT a reflex evaluated in Oral Mechanism Exam? A. Snout Reflex B. Gag Reflex C. Knee-Jerk Reflex D. Jaw-Jerk Reflex 2. Which type of dysarthria can be caused by a stroke, degenerative diseases, demyelinating diseases, trauma, tumor, or toxic metabolic conditions? A. Ataxic Dysarthria B. Flaccid Dysarthria C. Hyperkinetic Dysarthria D. Hypokinetic Dysarthria 3. Which test is the only published diagnostic test for dysarthria? A. Oral Mechanism Exam B. The Frenchay Dysarthria Assessment C. CELF-5 D. Goldman-Fristoe 4. Ataxic dysarthria has greatest difficulty with which of the following? A. ability to control pitch and volume B. coordination of the tongue for alternating movement C. respiration D. control of palate 5. Lesions to the motor speech processor can cause both speech and non speech deficits. A. True B. False

1. C 2. A 3. B 4. B 5. A

1. What is: an impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness? a. Dysarthria b. Aphasia c. Apraxia of Speech d.Flaccid Dysarthria 2. During the person history part of assessment, which option is not needed? a. Marital/Relationship History b. Age c. Marital Status d. Work Environment 3. According to the lecture, during an oral mechanism exam, what is the average/typical finger width of the jaw? a. 4 fingers b. 3 fingers c. 1 finger d. 5 fingers 4. There are __ cranial nerves. a. 10 b. 11 c. 12 d. 13 5. Which area of lesion is not most associated with Acquired Apraxia of Speech? a. Right inferior temporal lobe b. Left posterior frontal lobe c. Parietal lobe d. Insula e. Basal Ganglia

1. C 2. A 3. B 4. C 5. A

1. Which of the following is not something an Oral Motor Examination examines? A. The lips B. Soft palette C. The ears D. The pharynx 2. What section of the Frenchay Dysarthria Assessment would find deficits in vocal quality and phonation? A. Laryngeal B. Palate C. Intellegibility D. Respiration 3. If a patient with dysarthria is receiving therapy that includes laryngeal strengthening and sEMG? A. Hyperkinetic Dysarthria B. Hypokinetic Dysarthria C. Flaccid Dysarthria D. Spastic Dysarthria 4. True or false: Groping is more commonly seen in apraxia of speech than in dysarthria? 5. What is not true when it comes to treating apraxia of speech? A. Drilling the patient is very important. B. Feedback should be immediate C. More often than not, speech stimuli should be utilized than non speech stimuli D. Patients should learn how to percieve their own errors

1. C 2. A 3: C 4: True 5: B

1. A lesion in the Basal Ganglia will result in what type of Dysarthria? a. Ataxic Dysarthria b. Flaccid Dysarthria c. Hypokinetic Dysarthria d. Spastic Dysarthria 2. What are the roles of the SLP when managing Dysarthria? a. assess speech and establish the need for intervention b. identify the specific benefits to be derived c. establish need for postprocedural behavioral management d. all of the above 3. When working with clients, it is important to motivate and encourage them, while also managing expectations. What is appropriate to tell a client to expect to get back to in means of communication abilities after a brain injury? a. Tell them they can get back to the level they were before the injury b. Explain there is a threshold of functionality and what it means to be independent c. tell them there is no hope for them to get better or return to independence d. Tell them it depends how lucky they are and where the damage is 4. There are 7 sections of the Frenchay Dysarthria Assessment, what is part number 6 that you should assess? a. tongue b. lips c. intelligibility d. respiration 5. If a client presents with severely below averages in the FDA, and many problems with swallowing and drooling, where do you think the lesion would be? a. Upper Motor Neuron b. Lower Motor Neuron c. Mixed

1. C. Hypokinestic Dysarthria. 2. D. All of the above 3. B Explain there is a threshold of functionality and what it means to be independent 4. A- tongue 5. A- upper motor neuron

1. What cranial nerve goes to the muscles in the jaw? It goes into your teeth, lips, masseter, etc. A. Trochlear Nerve B. Facial Nerve C. Trigeminal Nerve D. Vagus Nerve 2. These patients sound intoxicated. They tend to isolate themselves, loose their jobs, and sometimes even loose some friends and family. A. Ataxic Dysarthria B. Wernicke's Aphasia C. Apraxia of Speech D. Ataxia of Speech 3. What is the most valuable information you will have as a speech pathologist that is important to make a good evaluation? A. Medical Reports B. Background History C. Reason for Referal D. Case History 4. When your speech is choppy and strained what does it mean you have? A. Poor Breath Control B. Vocal Cord Strain/Problems C. Poor Motor Movement D. Improper Tongue Movement 5. What happens when you learn a new motor skill? A. Increases blood flow to the areas that are involved B. Neurons become excited and travel to the involved areas C. Increases the plasticity of your brain D. All of the above

1. C. Trigeminal Nerve 2. A. Ataxic Dysarthria 3. D. Case History 4. B. Vocal Cord Strain/Problems 5. D. All of the above

1. What is the most common cause(s) for hyperkinetic dysarthria? (Motor Speech Disorders powerpoint) a. toxic/metabolic disorders b. degenerative diseases c. dopamine deficiency d. A&B 2. Evidence suggests that the MSP selects, sequences, activities, and controls _______ movement sequences (MSD Apraxia of Speech powerpoint) a. preprogrammed b. rapid c. specialized d. voluntary 3. Which of the following is not one of the seven sections within the FDA? (FDA powerpoint) a. reflexes b. lip function c. intelligibility d. fluency 4. What does treatment focus on for Unilateral UMN dysarthria? (Managing dysarthria powerpoint) a. improving rate, prosody, articulation b. nonspeech/speech tasks for respiratory support c. strengthening exercises d. lots of bed rest 5. The OME evaluates the snout reflex. Which populations typically present this reflex? (OME assessment powerpoint) a. shared reflex in typical/atypical populations b. babies up to 12 months of age c. adults with frontal lobe diseases d. B&C

1. D 2. A 3. D 4. A 5. D

1.Long Term Acute Care (LTAC) is best described as which of the following: A. the number of resources depends on where the facility is located and have high levels of collaboration with other health care professionals B. tend to see less face to face but is perhaps the most functional setting for treatment C. have higher productivity standards that result in less time devoted to the evaluation and more time devoted to therapy D. spends a great amount of time working on trach and vent weaning while having higher levels of collaboration with other health care professionals 2. Which cranial nerve is NOT affected by Flaccid Dysarthria? A. Trigeminal V B. Glossopharyngeal IX C. Facial VII D. Vagus X 3. Which is NOT a distinguishing physical characteristic of hyperkinetic dysarthria? A. hyperactive gag reflex B. multiple motor tics C. involuntary head, jaw, face, tongue, velar, laryngeal, and respiratory movements D. facial grimacing during speech 4. In the Oral Mech. Exam, protrusion, excursion, range of motion, speed of motion, and strength are evaluations of which of the following? A. lips B. jaw C. tongue D. jaw-jerk reflex 5.What is The Frenchay Dysarthria Assessment? A. The only published diagnostic test for dysarthria consisting of 7 sections that relies on a 5 point scale. Profiles ratings for groups to allow classification of dysarthria while relying predominantly on non-speech tasks. B. The complete assessment of language skills related to dysarthria in all modalities consisting of 8 subsets. Provides for differential diagnosis and information on the site of the lesion. The LQ score can range from 0-100. C. The tool for quantifying single-word intelligibility, sentence intelligibility, and speaking rate of adult and adolescent speakers with dysarthria. This assessment contains the use of judges and is not often used because it is said to be "too time-consuming and too much work." D. none of the above

1. D 2. B 3. A 4. C 5. A

1. Which of the following is not a role of an SLP during medical intervention? A. assess speech and establish need for intervention and likelihood patient will benefit B.clearly communicate this information with all the stake holders C. identify and state what intervention will NOT accomplish for speech D. diagnosis patients with conditions that could explain what is going on such as a TBI or Stroke 2. Spastic Dysarthria is associated with which of the following characteristics? A.Hypotonia B.Fast rate C. Hyperactive gag reflex D. Increased range of motion 3. The site of lesion for ________________ occurs at the subcortical structures involving basal ganglia. A.Hyperkinetic Dysarthria B.Flaccid Dysarthria C.Hypokinetic Dysarthria D. Spastic Dysarthria 4. Cerebellar lesions result in A. Aphasia B. Ataxia C. Apraxia D. Hypokinesia 5. Which of the following is a treatment for Unilateral Upper Motor Neuron Dysarthria? A. Improving rate B.Mirror work C. Improving prosody D. All of the above

1. D 2. C 3. A 4. B 5. D

1. If the lesion site for ataxic dysarthria is the cerebellum, what would be a common cause? A) Tumor B) Vascular Disease C) Stroke D) A and C 2. In an Oral Mechanism Exam, when testing the jaw-jerk reflex it can be elicited by: A) stroking the posterior tongue or the faucial pillars B) lightly touching or tapping the lips with a tongue blade C) tapping the lower jaw just below the lips D) touching the upper lip with a tongue blade 3. When using Frenchay's Dysarthria Assessment, how does the clinician observe the laryngeal function for pitch? A) The patient is asked to count to 20 as quickly as possible on one breath. B) The patient is asked to sing a scale of at least 6 notes. C) The patient is asked to stick their tongue out completely and retract it five times. D) The patient is asked to say "ah" for as long as possible. 4. When treating flaccid dysarthria, clinicians will target the weakness by increasing strength of the respiratory, phonatory, resonators, and _______ components of speech. A) Pitch B) Motor C) Articulatory D) Voice 5. In motor learning, what is the most important tool a clinician can use during therapy? A) Modeling B) Prompting C) AAC D) Drill

1. D 2. C 3. B 4. C 5. D

1. Which of the following are important to ask at the start of an OME? a. Onset b. Personal History c. Expectations of Recovery d. All of the above 2. Where is the site of the lesion for Ataxic Dysarthria? a. Basal Ganglia b. Bilateral Upper Motor Neurons c. Cerebellum d. Lower Motor Neuron 3. After a patient is in acute care after a stroke with dysarthria, it is important to let the patient rest in bed as long as they can to heal. True/False 4. Which of the following is a characteristic of an Upper Motor Neuron Lesion? a. Can control pitch and volume, but do not use it effectively in conversational speech b. Respiration, tongue, and lips are fine at rest c. Good speech rate and high intelligibility d. More difficulties with swallowing and dribbling 5. Which of the following settings that an SLP works in has the most limited resources? a. Skilled Nursing Facility b. LTAC c. Acute Care d. Outpatient

1. D 2. C 3. False 4. D 5. A

1. The following types of diseases may result in Spastic Dysarthria A. Degenerative Disease B. Alzheimer's Disease C. Demylenating Disease D. A and B 2. T/F Medical History can only be obtained from detailed chart review 3. Which motor speech disorder has more problems with swallowing and drooling than the following disorders? A. Upper Motor Neuron Leision B. Extrapyramidial Leision C. Cerebellar Leision D. Lower Motor Neuron Leision 4. Neuroplasticity is A. The observed stretch that the brain is able to withstand during traumatic events B. The ability of the brain to reorganize itself when compensating for the loss of an ability C. The outer layer of the brain D. The acquired memory that neurons have as a person ages 5. Which of the following is least likely to help Acquired Apraxia of Speech? A. Palatal Lifts B. DAF C. Pacing Boards D. AAC

1. D 2. False 3. A 4. B 5. B

1. Which of the following is a possible setting where SLP's can practice? A. acute care B. Skilled Nursing Facility C. Home Health D. All are possible places where SLP's can practice 2. When discussing mix dysarthia; which would be a good example? A. ALS B. ASD C. Parkinsons Disease D. None of the above 3. Which characteristic is NOT apart of the OME? A. Evaluating the face B. Evaluating the ears C. Evaluating the jaw and teeth D. Evaluating the lips 4. What is the best definition for Acquired Apraxia of Speech? A. a phonetic-motoric disorder of speech production caused by inefficiencies in the translation of well-formed phonologic frame B.loss of ability to understand or express speech, caused by brain damage. C. is an interruption in the flow of speaking characterized by atypical rate, rhythm, and disfluencies D. refers to intonation, stress pattern, loudness variations, pausing, and rhythm. 5. When discussing different settings for SLP's which one has the least resources available? A. LTAC B. Outpatient C. Intensive Outpatient D. Home Health & Skilled Nursing

1. D 2.A 3.B 4.A 5. D

1. Which is NOT a component of a detailed history? A. Onset B.Impact C.Professional status D.Legal information E. All of these are components of a detailed history report. 2. Which example correctly portrays acute on chronic? A. A 21 year old male who gets into a car accident that results in a TBI B. A 68 year old woman who was diagnosed with ALS falls in her home resulting in a TBI C. A 7 year old boy with Autism gets the flu 3. This simplified speech task is also known as the maximum phonation time. A. Sound prolongation B. Phonatory prolongation C. Vowel Prolongation D. None of the above 4. Which one of these is an example of mitigating factors? A. Fatigue B. Rest C. Medication D. Both B and C E. All of the above 5. According to the Academy of Neurologic Communication Disorders and Sciences (ANCDS), the primary diagnostic characteristics of Acquired Motor Speech Disorders include: A. Groping B. Sound distortions C. Faster rates of speech D. Lack of knowledge of erros E. A, C, and D are all correct

1. D Legal Information 2. B A 68 year old woman who was diagnosed with ALS falls in her home resulting in a TBI 3. C Vowel Prolongation 4. D Both B and C 5. B Sound distoration

1. The Auditory Perceptual Assessment includes which tasks? a. vowel production b. AMR/SMR c. citation tasks d. language formation tasks e. all of the above 2. Which of the following could not be considered a component of the citation tasks? a. counting 1-10 b. days of the week c. words of increasing length d. sustaining "ah" for as long as possible 3. When evaluating diadochokinesis, you look for all of the following except: a. speed b. accuracy c. norms /p/ and /t/ 10-12/second and /k/ 12-14/second d. regularity of movement 4. True or False. The term for producing two seperate tones at the same time through variations in the vocal folds is diaplophonia. 5. True or False. Facial myokymia, which is a possible characterisitic of flaccid dysarthria is defined as twitching of strips of muscles to give a rippling appearance.

1. E 2. D 3. C 4. True 5. True

1. A distinguishing physical characteristic of spastic dysarthria a. Lability of Affect b. Hypertonia c. Pathologic Oral Reflexes d. Hyperactive Gag Reflex e. All the Above 2. What type of dysarthria does Tourettes Syndrome cause? a. Hypokinetic b. Flaccid c. Hyperkinetic d. Ataxic 3. What area(s) of lesion is most associated with Apraxia of Speech? a. Insula b. Pariateal Lobe c. Basal Ganglia d. Left Posterior Frontal Lobe e. Both A and C f. Both C and D g. All the Above 4. True/False: Palatal lifts and voice amplifiers are highly appropriate to manage Apraxia of Speech. 5. True/False: Dysarthria is a language disorder involving impairments that cross all language modalities; difficulty processing and accessing symbolic systems.

1. E - All the Above 2. C - Hyperkinetic 3. G - All the Above 4. False 5. False

1. Cranial nerve responsible for articulation and prosody in flaccid dysarthria a. Facial VII b. Trigeminal V c. Vagus X d. Hypoglossal XII 2. Dysarthria that results from a stroke, degenerative diseases, demyelination diseases, trauma, tumor, or toxic metabolic conditions. a. Mixed dysarthria b. Ataxic dysarthria c. Flaccid dysarthria d. Spastic dysarthria 3. ALS is a good example of? a. Acquired apraxia of speech b. Mixed dysarthria c. Aphasia d. Spastic dysarthria 4. The areas of lesion of the.... Consists of the left posterior frontal lobe, parietal lobe, insula, and basal ganglia a. Acquired apraxia of speech b. Spastic dysarthria c. Left hemisphere motor speech disorders d. Mixed dysarthria 5. Input is largely from the perisylvian area a. Left hemisphere motor speech disorders b. Right hemisphere motor speech disorders c. Acquired apraxia of speech d. Ataxic dysarthria

1. Facial VII 2. Ataxic Dysarthria 3. Mixed Dysarthria 4. Acquired Apraxia of speech 5. Left hemisphere motor speech disorders

1. Where do 53% of SLPs work? a. Acute care centers b. Home health c. School setting d. Outpatient clinic 2. What motor speech disorder reflects weakness; spasticity; incoordination; involuntary movements; or excessive, reduced, or variable muscle tone? a. Dysarthria b. Apraxia of Speech c. Ataxia of Speech d. Aphasia 3. Damage to cranial nerves V Trigeminal, VII Facial, X Vagus and XII Hypoglossal that lead to weakness can cause: a. Spastic Dysarthria b. Flaccid Dysarthria c. Ataxic Dysarthria d. Hypokinetic Dysarthria 4. One of the most parts of any thorough assessment is: a. History b. Oral Mechanism Exam c. Auditory Perceptual Assessment d. Evaluation of the face 5. What acquired neurogenic speech disorder influences motor planning and programming of speech? a. Dysarthria b. Ataxia of Speech c. Aphasia d. Apraxia of Speech

1. School Setting 2. Dysarthria 3. Flaccid Dysarthria 4. History 5. Apraxia of Speech

1. Which one of these is one of the areas of lesion most associated with Apraxia of Speech? a. Insula b. Occipital Lobe c. Broca's Area d. Temporal Lobe 2. Which one of these is TRUE? a. The brain is not a static organ b. The nervous system can always make a full recovery after an injury c. Neuroplasticity is the mechanism through which the brain reorganizes itself to compensate for lost or impaired ability d. Neural adaptation does not occur with muscle use 3. Which of these is TRUE about the Frenchay Dysarthria Assessment? a. There are 11 sections b. Administration time is 2 hours c. There is no intelligibility section d. Ranges from normal to inability to no function 4. Which one of these is NOT evaluated during an Oral Mechanism Exam? a. Face b. Hearing capabilities c. Jaw and teeth d. Hard and soft palates 5. What is dysarthria? a. The collective name for a group of neurologic speech disorders resulting from abnormalities in the strength, speed, range, steadiness, tone, or accuracy of movements b. Language disorder involving impairments that cross all language modalities; difficulty processing and accessing symbolic systems c. Impairment in motor planning so speech sounds and speech sound sequences in absence of muscular weakness d. A disorder affecting the ability to understand speech

1. a 2. c 3. d 4. b 5. a

1. In hypokinetic dysarthria, where is the site of lesion? a. Cerebellum b. Basal ganglia c. Upper motor neurons d. Lower motor neurons 2. Which of the following is not a part of a detailed history? a. Onset of symptoms b. Goals/expectations of recovery c.Knowledge/acceptance of disorder d. Hobbies in free time 3. On the Frenchay Dysarthria Assessment, how many sections are there? a. 4 b. 7 c. 10 d. 11 4. If a patient has ataxia and the lesion is in the cerebellum, what is the greatest difficulty they will experience? a. Tongue coordination b. Low intelligibility c. Respiration d. Palatal movement 5. T/F: Apraxia of Speech is a neurogenic speech disorder that is caused by weakness and paralysis of the speech muscles. a. True b. False

1. b (basal ganglia) 2. d (hobbies in free time) 3. b (7) 4. a (tongue coordination) 5. b (false - the cause of AOS is usually unknown and weakness of muscles causes dysarthria

1. What is considered the most "functional" setting for treatment? a. LTAC b. Skilled Nursing Facility c. Home Health d. University Settings 2. During the OME evaluation of the hard and soft palate you look at all of the following EXCEPT a. Color b. Arch height and width c. Symmetry at rest d. Length 3. Which of the following are distinguishing physical characteristics of Unilateral Upper Motor Neuron Dysarthria a. unilateral lower face weakness b. unilateral lingual weakness without atrophy/fasciculations c. nonverbal oral apraxia d. all of the above 4. When assessing intelligibility at the word level you have the patient a. Read 12 single word cards, selected at random. The first two were practice and the rating is based on the final 10 cards. b. Read a passage and then answer 5 questions. c. Spontaneously have the client think of 20 words basing the rating off only on 15. d. Have the client name 12 words from a picture and then rate 10 of the 12 words. 5. T/F : Apraxia Battery for Adults Second Edition (ABA-2) is THE only commercially published measure for the assessment of AOS in adults.

1. c. home health 2. d. Length 3. d. all of the above 4. a. Read 12 single word cards, selected at random. The first two were practice and the rating is based on the final 10 cards. 5. True

1. Which area of the lesion is most associated with apraxia of speech? a. Left posterior frontal lobe b. parietal lobe c. insula d. basal ganglia e. all of the above 2. What does ANCDS stand for? a. Acadamey of Neurologic Communication Disorders and Sciences b. Adult Neurogenic Communication Disorders c. Any Neurologic Communication Development and Sciences d. Autism Neurologic Communication Disorders and Sciences 3. Which of the following is part of the six subsets of Acquired Motor Speech Disorders? a. Imitation of words of increasing length b. assessment of hears and hearing c. cognitive processing basic assessment d. nonverbal communication skills 4. What is a key differentiation between dysarthria and Apraxia of Speech? a. motor speech complications b. difficulty walking in a straight line c. increasing accuracy with the decreased rate or complexity d. distorted sound substitutions and additions 5. Which area of the brain is most responsible for speech and language motor planning? a. Occipital lobe b. Temporal lobe c. Wernicke's area d. Broca's area

1. e. 2. a. 3. a. 4. d. 5. d.

1.) Which of the following is not a primary diagnostic characteristic of an acquired motor speech disorder? a. prosodic abnormalities b. distorted sound substitutions c. increased speed in speech production d. awareness of errors 2.) Apraxia of speech is a speech disorder that influences the ability to come up with an idea and execute it through speech. True or false? 3.) The Frenchay Dysarthria Assessment (FDA) is comprised of 7 sections and is a test for Apraxia of Speech. True or false? 4.) The Oral Mechanism Exam (OME) evaluates all but... a. jaw b. soft palate c. gag reflex d. nasal passageway 5.) The site of lesion for flaccid dysarthria is within the UMN. True or false?

1.) C 2.) true 3.) false 4.) D 5.) false

1.) What is the site of lesion for flaccid dysarthria a. PNS or LMN b. cerebullum c. basal ganglia d. UMN 2.) What dysarthria has slurred/drunk sounding speech a. flaccid b. ataxic c. hyperkinetic d.mixed 3.) T/F drill is not essential for improving apraxia of speech 4. ) Which articulatory kinematic approach uses tactile cues to facilitate speech production a. Rosenbock's 6 steps integral stimulation approach b. sound production treatment c. prompt d. rate/rhythm approach 5.) T/F the Oral Motor Exam only assesses the tongue

1.) PNS/LMN 2.) ataxic 3.) false 4.) PROMPT 5.) false

1. Where is the Site of Lesion for Spastic Dysarthria? a. Bilateral Upper Motor Neurons within the CNS b.Peripheral Nervous System c.Cerebellum d.Basal Ganglia 2.Which of the following is NOT a section for the Frenchay Dysarthria Assessment? a.Lip function b.Palate function c.Tongue function d. Pharyngeal function 3. Which of the following is NOT a characteristic of Mixed Upper Motor Neuron and Lower Motor Neuron Lesions? a. The highest mean score is for palatal movement in swallowing. b. The lowest mean scores are for all the laryngeal and tongue tasks. c. These clients have more problems swallowing, dribbling, and drooling than the other groups. d. The means are significantly lower than those found in any other groups. 4. Checking if the color is normal or abnormal and if the tonsils are absent, normal, or enlarged are aspects of which part of the Oral Motor Exam? a. Evaluation of tongue b. Evaluation of pharynx c.Evaluation of larynx d. Evaluation of velum 5. What is the left posterior frontal lobe responsible for? a. Non verbal abilities b. Vision c. Hearing d. Controlling language related movement

1.A 2. D 3. C 4. B 5. D

1. True or False: Drill is considered to be a priniciple of motor learning. True 2. Which of the following are characteristics of the Academy of Neuroologic Communication Disorders and Sciences (ANCDS) a. sound distortions b. normal prosody c. slow rate of speech typified by lengthend sound segments and intersegment duration d. A & C 3. Which of the following are auditory-perceptual assessment task? a. AMR b. SMR c. Citation task d. ASMR e. Consonant prolongation f. A, B, C 4. Which of the following are the role of an SLP for medical intervention of managing dysarthia? a. identify the scheme benefits to be derived b. clearly communicate information with all stake holders c. do not identify and state what intervention will not accomplish for speech d. A & B e. All the above 5. What reflexes are considered to be apart of the oral motor examination? a. Jaw-jerk reflex b. Sucking reflex c. Gag reflex d. Snotty Reflex e. A, B, C

1.True 2.D 3.F 4.D 5.E

1: The LTAC acronym stands for _______. a. Long-term associated care b. Long-term acute care c. Long-term available care d. Long-term assisted care 2: The distinguishing perceptual and physical speech characteristics of _____ dysarthria include: slow rate, strained or harsh voice quality, pitch breaks, slow & regular AMRs, pathologic oral reflexes, lability of affect, hypertonia, and hyperactive gag reflex. a.Spastic b. Ataxic c. Hypokinetic d. Hyperkinetic 3: Which of the following would be considered as the least important component that is utilized for speech, articulation, and phonation? a.Lungs b. Tongue c. Teeth d. Vocal folds 4: Puckering the lips would be considered which type of task? a. Motor cortex b. Speech c. Biomechanical extremity d. Oral cavity 5: Which would be of the least importance in a speech evaluation? a. Medical history b. Speech and language skills/abilities c. Swallowing skills d. Presence of gag reflex

1: B. Long-term acute care 2: A. Spastic 3: C. Teeth 4: A. Motor cortex 5: D. Presence of gag reflex

1. Which type of dysarthria affects lower motor neurons a.Flaccid b. Spastic c.Mixed d.A and C e. All of the above 2. The site of lesion for __________ dysarthria is the cerebellum a.Ataxic b.Hypokinetic c.Flaccid d. Spastic e.Unilateral upper motor neuron 3. Neuroplasticity refers to: a.The effects of brain damage on cognitive function b. The effects of early deprivation on brain development c. The capacity of the brain to change as a result of new experiences d. The generation of new neurons in the brain 4. The ____________ portion of The Frenchay Dysarthria Assessment evaluates the patients conversational level a. Lip function b. Intelligibility c.Palate function d.Respiratory function 5. Which of the following is NOT a site of lesion most associated with apraxia a.Parietal lobe b.Insula c. Basal ganglia d. Medulla oblongata e. Left posterior frontal lobe

A A C B D

1. Which nerve is often associated with Bell's Palsy? a. Trigeminal (V) b. Facial (VII) c. Vagus (X) d. Hypoglossal (XII) 2. Where is the left hemisphere MSP input from? a. Parieto-Occipital sulcus b. Longitudinal fissure c. Perisylvian fissure d. Central sulcus 3. Which of the follow is/are way(s) to approach managing dysarthria? a. Medical intervention b. Assistive devices/prosthetics/AAC c. Behavioral management d. All of the above 4. True or false? Melodic intonation therapy is NOT a way to treat Apraxia of Speech? a. True b. False 5. Which of the following are components of an Auditory-Perceptual Assessment? a. Vowel prolongation b. Alternating motion rate c. Subjective motion rate d. A & B e. All of the above

B C D False D

1. In Wambaugh's Articulatory Kinematic approach, how many steps are there? a. 1-8 b. 2-4 c. 3-7 d. 2-8 2. Distinguishing physical characteristics of Hyperkinetic Dysarthria do not include a.Facial grimacing while speaking b. Motor tics c. Jaw tremor d. Face drooping 3. The Frenchay Dysarthria Assessment is the only published diagnostic test for dysarthria. a. True b. False 4. When assessing acquired motor speech disorders the clinician should chose tasks that... a.Increase length or complexity b. Are easiest for the patient c. Describe pictures so they can work on their visual comprehension d. Are short and repetitive phrases 5. You should ALWAYS promise to get your patient back to normal. a.True b. False

B D A A B

1. What type of Dysarthria is most common in Parkinson's patients and is the result of damage to the Basal Ganglia? a. Flaccid Dysarthria b. Hypokinetic Dysarthria c. Spastic Dysarthria d. Ataxic Dysarthria 2. Which of the following is not assessed in an Oral Mechanism Exam? a. Symmetry b. Range of Motion c. Language formation d. Reflexes 3. What assessment correlates with neurologic localization to classify dysarthria by predominantly using non speech tasks? a.The Frenchay Dysarthria Assessment b.Assessment of Intelligibility of Dysarthric Speech c. Auditory Perceptual Assessment d. Oral Mechanism Assessment 4. A patient is struggling with intonation of speech, has difficulty coordinating movement of his tongue and his respiration, lips and tongue are normal at rest. This patient most likely has a _____. a. Extrapyramidal Lesion b. Cerebellar Lesion c. Upper Motor Neuron Lesion d. Lower Motor Neuron Lesion 5. What is Apraxia of Speech? a. Language disorder that causes difficulty processing symbolic systems b. A group of neurologic speech disorders from abnormalities in strength, speed, steadiness, and tone of speech. c. A neurogenic speech disorder that influences motor planning and programming of speech. d. A developmental disorder that results in difficulty in social interaction and communication.

b. Hypokinetic Dysarthria c. Language formation a. The Frenchay Dysarthria Assessment b. Cerebellar Lesion c. A neurogenic speech disorder that influences motor planning and programming of speech