Acquired Neurogenic Language Disorders
Dysphagia
Motor Speech Disorders
Augmentative and Alternative Communication
Case Study Questions
100

Another name for a neoplasm is a(n):

A) stroke.

B) cerebrovascular accident.

C) tumor.

D) aneurysm.

Tumor

100

How many main stages are involved in the process of swallowing?

A) Three

B) Four

C) Five

D) Six

B) Four

100

Childhood apraxia of speech is characterized by:

A) inconsistent speech errors
B) consistent speech errors
C) consonant but not vowel errors
D) vowel errors only

inconsistent speech errors

100

__________ symbols are those that can be easily guessed in the absence of cues such as written words or verbal hints.

A) Unaided
B) Aided
C) Transparent
D) Opaque

Transparent

100

A man with aphasia demonstrates nonfluent speech but intact comprehension. When asked to describe his morning routine, he says, “Uh… wake… coffee… uh… work… bus… uh, late… no, no… on time.” This pattern of speech is best described as:

1. Circumlocution

2. Agrammatism

3. Dysarthria

4. Apraxia of speech

2. Agrammatism 

200

An individual has specific difficulty in retrieving words and labels for pictures and objects in comparison to more intact reading, writing, comprehension, and oral expression abilities. He demonstrates:

  1. Wernicke's aphasia.

  2. Broca's aphasia.

  3. conduction aphasia.

  4. anomic aphasia.

anomic aphasia.

200

The medical procedure for evaluating swallowing is:

A) modified barium swallow.

B) sonogram.

C) still x-ray.

D) CAT scan.

A) modified barium swallow.



200

Which dysarthria is characterized by inaccurate and dysrhythmic movements?
A) Spastic dysarthria
B) Hypokinetic dysarthria
C) Hyperkinetic dysarthria
D) Ataxic dysarthria

Ataxic dysarthria

200

An effective use of compensatory strategies to avoid communication breakdowns demonstrates aspects of:
A) linguistic competence.
B) operational competence.
C) social competence.
D) strategic competence.

strategic competence.

200

A woman with aphasia is asked to name an object and responds with “pliger” instead of “pencil.” This type of error is best classified as:

1. Neologism

2. Verbal paraphasia

3. Literal paraphasia

4. Dysarthria

Neologism

300

Damage to the pathway between Broca's and Wernicke's areas inhibits the information exchange and is known as which type of aphasia?

  1. Broca's

  2. Wernicke's

  3. Conduction

  4. Global


Conduction 

300

 Food is formed into a bolus during the ________phase of swallowing.

  1. pharyngeal

  2. laryngeal

  3. oral

  4. esophageal

Oral

300

What is a characteristic associated with severe forms of cerebral palsy?

A) Adequate self-help skills
B) No significant speech problems
C) Poor prognosis for developing self-help skills
D) Ambulates without appliances

Poor prognosis for developing self-help skills

300

Research indicates that the iconicity of graphic symbols:

A) enhances the learning and retention of graphic symbols.
B) has no influence on learning and retention of graphic symbols.
C) impedes the learning and retention of graphic symbols.
D) None of these is correct.

enhances the learning and retention of graphic symbols.

300

Mr. J is a 72-year-old man who had a stroke 8 months ago, resulting in Wernicke’s aphasia. His treatment plan includes multiple approaches. In individual sessions, the SLP works with him on identifying and correcting errors in his speech, improving comprehension through structured exercises, and practicing turn-taking in conversation. The SLP also introduced a personalized communication notebook with key words, pictures, and written cues to help support his communication in daily life. In addition, Mr. J and his wife attend an aphasia support group where they practice communication strategies with others who have aphasia. Which therapy component involves a compensatory approach?

1. The structured exercises focused on comprehension and speech accuracy, as they aim to restore lost language skills.

2. The communication notebook, since it provides an alternative means of communication when spoken language is difficult.

3. The turn-taking exercises, as they focus on improving conversational flow and discourse-level language use.

4. The support group, because it creates a structured environment for practicing language skills in a social setting.


2. The communication notebook, since it provides an alternative means of communication when spoken language is difficult.

400

 An individual with brain damage has difficulty understanding jokes that his friends tell him he used to laugh at. The most likely place of damage is:

A) right hemisphere of the brain.

B) left hemisphere of the brain.

C) the arcuate fasciculus.

D) the corpus callosum.


A. Right hemisphere of the brain

400

In which stage of swallowing does the larynx move down and back, allowing the person to resume respiration?

A) Pharyngeal stage

B) Oral stage

C) Esophageal stage

D) Anticipatory stage

C) Esophageal stage

400

A man is stopped by a patrolman because he is suspected of driving while intoxicated. The man has had nothing to drink but demonstrates poor coordination, problems with balance, and slurred speech. He most likely demonstrates a(n) ____________ dysarthria.

A) spastic
B) ataxic
C) hypokinetic
D) hyperkinetic

ataxic

400

(Choose correct answers) The goals of AAC are:
A) provide temporary means of communication.
B) provide long-term means of communication.
C) facilitate development of motor skills.
D) facilitate development of expressive and receptive language.


A) provide temporary means of communication.
B) provide long-term means of communication.
C) facilitate development of motor skills.
D) facilitate development of expressive and receptive language.

400

Which of the following therapy activities best represents Constraint-Induced Language Therapy (CILT)?

1. A man with aphasia is encouraged to describe pictures using only spoken words, even when he struggles to find the correct terms.

2. A woman with aphasia practices using a speech-generating device to communicate with her family.

3. A man with aphasia is taught to supplement his speech with gestures and writing to improve communication.

4. A woman with aphasia learns to use a personalized communication book to help express her thoughts.

1. A man with aphasia is encouraged to describe pictures using only spoken words, even when he struggles to find the correct terms.

500

• A. Broca’s Aphasia

• B. Wernicke’s Aphasia

• C. Conduction Aphasia

• D. Global Aphasia

1. Fluent but meaningless speech with poor comprehension.

2. Severe impairment in all aspects of language.

3. Nonfluent, effortful speech with relatively preserved comprehension.

4. Fluent speech and good comprehension but impaired repetition.


1. Fluent but meaningless speech with poor comprehension .B

2. Severe impairment in all aspects of language D

3. Nonfluent, effortful speech with relatively preserved comprehension A

4. Fluent speech and good comprehension but impaired repetition.C

500

What is the purpose of the clinical bedside swallowing evaluation (CSE)?

A) To provide detailed information for immediate dietary recommendations and restrictions

B) To determine the patient's favorite food

C) To administer cognitive tests

D) To check for visual acuity

A) To provide detailed information for immediate dietary recommendations and restrictions

500

True or False? Acquired apraxia of speech (AOS) is primarily caused by damage to the right frontal lobe of the brain.

A) True, Acquired AOS is primarily caused by right frontal lobe damage in the motor planning area.
B) True, Acquired AOS is primarily caused by damage in the prefrontal right frontal lobe.
C) False, Acquired AOS is primarily caused by damage in the left frontal lobe.
D) False, Acquired AOS is not cause by damage to the brain.

False, Acquired AOS is primarily caused by damage in the left frontal lobe.

500

Which of the following individuals would be a candidate for an augmentative communication system?
A) An adult man with paraplegia.
B) A 7 year-old elementary school child with consistent errors in producing /r/ and /l/.
C) An adult woman with a history of right hemisphere brain damage.
D) An adult man who was recently diagnosed with amyotrophic lateral sclerosis.


D) An adult man who was recently diagnosed with amyotrophic lateral sclerosis.

M
e
n
u