Hearing Impairment
1. Which of the following assessments is most appropriate for evaluating the speech perception abilities of a child with hearing impairment?
A. Pure tone audiometry
B. Speech recognition threshold test
C. Otoacoustic emissions test
D. Tympanometry
2. A speech-language pathologist is working with a child who has a cochlear implant. Which of the following goals is most appropriate for initial therapy sessions?
A. Teaching the child to lip-read
B. Auditory training to recognize environmental sounds
C. Enhancing written language skills
D. Conducting voice therapy
3. Which of the following is NOT a common characteristic of children with hearing impairment?
A. Delayed speech and language development
B. Normal social interactions with peers
C. Difficulty following verbal instructions
D. Limited vocabulary
4. Which type of hearing loss is typically caused by damage to the inner ear or auditory nerve?
A. Conductive hearing loss
B. Sensorineural hearing loss
C. Mixed hearing loss
D. Central hearing loss
5. In aural rehabilitation for an adult with acquired hearing loss, which of the following strategies would be most beneficial?
A. Teaching sign language
B. Training in the use of assistive listening devices
C. Emphasis on oral speech production
D. Focus on written language skills
6. A 3-year-old child with hearing impairment is being evaluated. Which developmental milestone is likely to be most affected?
A. Gross motor skills
B. Fine motor skills
C. Speech and language development
D. Cognitive development
7. Which of the following is the primary goal of speech-language therapy for children with profound hearing loss who use cochlear implants?
A. Developing literacy skills
B. Enhancing auditory-verbal communication
C. Improving oral motor strength
D. Facilitating non-verbal communication methods
8. During an evaluation, a speech-language pathologist observes that a child with hearing impairment has difficulty distinguishing between minimal pairs (e.g., "bat" and "pat"). This difficulty is likely due to:
A. Auditory discrimination issues
B. Articulation disorders
C. Receptive language deficits
D. Cognitive impairments
9. Which of the following is a common intervention for infants identified with hearing loss through newborn hearing screening?
A. Sign language instruction
B. Immediate fitting of hearing aids
C. Cochlear implant surgery
D. Intensive speech therapy
10. Which auditory-based approach emphasizes the use of residual hearing and spoken language development without the use of sign language?
A. Total communication
B. Auditory-oral approach
C. Cued speech
D. Bilingual-bicultural approach
11. A 6-year-old child with moderate hearing loss struggles in a noisy classroom environment. Which strategy is most likely to help improve the child's ability to understand speech in this setting?
A. Increasing the volume of the teacher's voice
B. Using a frequency modulation (FM) system
C. Placing the child in the front row
D. Providing written instructions for all tasks
12. What is the primary purpose of auditory training in children with hearing impairment?
A. To improve articulation skills
B. To develop auditory perception and listening skills
C. To enhance social communication skills
D. To support written language development
13. In which situation would a speech-language pathologist likely recommend a cochlear implant evaluation?
A. A child with mild conductive hearing loss
B. An adult with age-related hearing loss
C. A child with profound sensorineural hearing loss unresponsive to hearing aids
D. An individual with central auditory processing disorder
14. Which of the following interventions is most effective in supporting the speech development of a preschool child with bilateral hearing loss?
A. Intensive speech drills
B. Parental involvement in language activities
C. Use of visual aids exclusively
D. Sole reliance on sign language
15. For a teenager with hearing impairment, which aspect of therapy is likely to be a primary focus?
A. Early language acquisition
B. Social communication and pragmatic skills
C. Basic auditory training
D. Phonological awareness
Articulation and Phonological Disorders
1. A 5-year-old child exhibits the phonological process of fronting. Which of the following words might the child pronounce incorrectly?
A. "Cat"
B. "Dog"
C. "Sun"
D. "Car"
2. Which of the following is a typical intervention approach for a child with a lateral lisp?
A. Auditory discrimination training
B. Phonological awareness training
C. Oral-motor exercises
D. Articulation therapy focusing on correct tongue placement
3. A speech-language pathologist is assessing a 7-year-old with articulation errors. Which assessment tool is most appropriate for identifying specific phoneme errors?
A. Language sample analysis
B. Goldman-Fristoe Test of Articulation
C. Peabody Picture Vocabulary Test
D. Clinical Evaluation of Language Fundamentals
4. In which situation would a speech-language pathologist most likely use minimal pairs therapy?
A. A child with ankyloglossia
B. A child with phonological process of stopping
C. A child with apraxia of speech
D. A child with stuttering
5. Which of the following characteristics is typical of a phonological disorder rather than an articulation disorder?
A. Inconsistent errors on speech sounds
B. Difficulty with specific sounds like /r/ or /s/
C. Omissions and substitutions affecting entire classes of sounds
D. Distortions of individual sounds
6. A 6-year-old consistently substitutes /w/ for /r/ and /l/. What phonological process is this child demonstrating?
A. Stopping
B. Gliding
C. Fronting
D. Devoicing
7. Which of the following would be an effective strategy for a speech-language pathologist to use with a child demonstrating cluster reduction?
A. Encouraging the child to read aloud
B. Using tactile cues to shape sounds
C. Breaking down words into smaller parts for practice
D. Focusing on increasing the child's vocabulary
8. Which of the following is a common goal for therapy with a child who has a phonological disorder?
A. Correcting individual sound distortions
B. Reducing the use of phonological processes
C. Increasing overall speech fluency
D. Enhancing non-verbal communication skills
9. A speech-language pathologist is working with a 4-year-old who consistently omits final consonants. Which of the following phonological processes is the child demonstrating?
A. Final consonant deletion
B. Cluster reduction
C. Velar fronting
D. Weak syllable deletion
10. When working with a child who exhibits backing (substituting back sounds for front sounds), which minimal pair would be most useful?
A. "Tea" and "key"
B. "Fat" and "pat"
C. "Sun" and "fun"
D. "Log" and "dog"
11. Which of the following is a common characteristic of speech in a child with apraxia of speech?
A. Consistent articulation errors
B. Predictable phonological processes
C. Inconsistent errors and difficulty with sequencing sounds
D. Rapid speech rate
12. A child with a phonological disorder is receiving therapy using the cycles approach. Which of the following best describes this method?
A. Intensive practice on one sound until mastery
B. Focusing on a few phonological processes for a set period before cycling through others
C. Using speech drills to improve articulation accuracy
D. Incorporating language and cognitive skills simultaneously
13. A 5-year-old child exhibits the process of stopping, substituting /t/ for /s/. Which word might the child mispronounce?
A. "Sun"
B. "Run"
C. "Pan"
D. "Fun"
14. During an articulation assessment, a speech-language pathologist notes that a child has difficulty producing the /r/ sound. Which intervention technique is likely to be most effective?
A. Using phonological contrast therapy
B. Teaching the child to distinguish between voiced and voiceless sounds
C. Providing auditory bombardment
D. Using tactile and visual cues for correct tongue positioning
15. Which type of feedback is most beneficial for a child practicing new articulation skills?
A. General praise for effort
B. Specific feedback on sound production accuracy
C. Delayed feedback to encourage self-monitoring
D. Written feedback on performance
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