Patient Assessment & Clinical Evaluation Flashcards
7 cards from real CDT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
An evaluator is comparing a student's listening comprehension to their reading comprehension. A significant gap where listening comprehension is much higher indicates:
Answer: A decoding deficit that limits access to text meaning
When listening comprehension far exceeds reading comprehension, it suggests the student understands language but cannot access text due to decoding difficulties.
Which of the following is an example of an informal assessment tool used in a dyslexia evaluation?
Answer: Informal Reading Inventory (IRI)
Informal Reading Inventories are criterion-referenced, non-standardized tools used to determine independent, instructional, and frustration reading levels.
A student with dyslexia also shows significant difficulty with mental arithmetic and number fact retrieval. The evaluator should consider assessing for:
Answer: Dyscalculia as a co-occurring condition
Dyscalculia frequently co-occurs with dyslexia and should be assessed when a student shows significant number processing or arithmetic fact difficulties alongside reading deficits.
When using the Response to Intervention (RTI) model to identify dyslexia, a student who fails to respond adequately to Tier 2 intervention should:
Answer: Move to Tier 3 intensive intervention and comprehensive evaluation
Failure to respond to Tier 2 intervention triggers referral to Tier 3 intensive support and initiates a comprehensive psychoeducational evaluation.
A CDT reviewing a prior evaluation report notes the student's Working Memory Index (WMI) is significantly lower than their Verbal Comprehension Index (VCI). This discrepancy is clinically relevant because:
Answer: Working memory weakness can interfere with holding phonemes in mind during decoding
Working memory is critical for phonological loop functioning; weaknesses here can impede the ability to hold and manipulate sounds during decoding tasks.
Which observation during an oral reading sample would most strongly suggest a student is using a logographic (whole-word guessing) strategy?
Answer: Reading 'house' as 'horse' based on first and last letters
Substituting a visually similar word (same initial/final letters) indicates the student is pattern-matching on word shape rather than applying phonics.
A CDT is asked to determine whether a previously diagnosed student still qualifies for dyslexia-based accommodations after intervention. The most appropriate approach is to:
Answer: Administer updated standardized reading assessments to document current performance levels
Updated standardized assessments provide current, objective data needed to document ongoing areas of need and justify continued accommodations.