CDT Treatment Protocols & Procedures 2 â Questions and Answers
Question 1: In Orton-Gillingham-based instruction, what is the correct sequence for introducing a new phonogram?
- VisualâAuditoryâKinestheticâBlending
- Auditory discriminationâVisual recognitionâKinesthetic writingâBlending into words (Correct answer)
- BlendingâSegmentingâReadingâSpelling
- SpellingâReadingâAuditoryâVisual
Correct answer: Auditory discriminationâVisual recognitionâKinesthetic writingâBlending into words
OG introduces new phonograms by first developing auditory discrimination, then visual recognition, then kinesthetic writing, and finally blending into words.
Question 2: When a student with dyslexia struggles with reading fluency despite accurate decoding, the therapist should prioritize:
- Increasing silent reading time
- Repeated oral reading of decodable texts with corrective feedback (Correct answer)
- Introducing more complex vocabulary
- Reducing the reading load until confidence builds
Correct answer: Repeated oral reading of decodable texts with corrective feedback
Repeated oral reading of decodable texts with immediate corrective feedback is an evidence-based approach for building fluency in students who already decode accurately.
Question 3: Which technique is MOST appropriate for teaching a student to identify syllable types in multisyllabic words?
- Asking the student to guess based on context clues
- Using colored markers or tiles to segment and label each syllable type (Correct answer)
- Having the student read the word aloud multiple times until it feels familiar
- Teaching the student the word as a whole-word sight word
Correct answer: Using colored markers or tiles to segment and label each syllable type
Using colored markers or tiles to visually and kinesthetically segment and label syllable types is a structured, multisensory approach aligned with OG methodology.
Question 4: A CDT is planning a session for a student who reverses 'b' and 'd'. Which intervention strategy is most effective?
- Having the student trace both letters simultaneously to notice differences
- Anchoring 'b' and 'd' using a consistent verbal story and a kinesthetic cue for each letter separately (Correct answer)
- Avoiding these letters until the student is more confident
- Using color coding only, without any verbal or tactile component
Correct answer: Anchoring 'b' and 'd' using a consistent verbal story and a kinesthetic cue for each letter separately
Anchoring each letter separately with a distinct verbal story and kinesthetic cue prevents confusion and builds independent letter-sound associations.
Question 5: In a structured literacy lesson, the 'review' phase should include:
- Only phonogram cards reviewed silently by the student
- Drill of previously taught phonograms and concepts using all modalities (Correct answer)
- Introduction of one new concept to refresh memory
- Reading a passage from a grade-level textbook
Correct answer: Drill of previously taught phonograms and concepts using all modalities
The review phase uses multisensory drill of previously mastered phonograms and concepts to reinforce automaticity before introducing new material.
Question 6: Which of the following best describes 'controlled text' (decodable readers) in dyslexia treatment?
- Books selected by the student's personal interest
- Texts where at least 90% of words can be decoded using patterns already taught (Correct answer)
- Grade-level books read with teacher support
- Audiobooks paired with print for repeated listening
Correct answer: Texts where at least 90% of words can be decoded using patterns already taught
Decodable readers are controlled texts where the vast majority of words use previously taught phonics patterns, allowing students to practice decoding independently.
Question 7: When should a dyslexia therapist introduce cursive handwriting to a student who confuses print letters?
- Only after the student has mastered all 26 print letters
- Early in treatment, as cursive eliminates many common letter reversals and supports kinesthetic learning (Correct answer)
- Neverâcursive is not recommended in structured literacy programs
- Only at the request of the classroom teacher
Correct answer: Early in treatment, as cursive eliminates many common letter reversals and supports kinesthetic learning
Cursive handwriting is often introduced early because its connected letterforms eliminate many reversal confusions (b/d, p/q) and reinforce kinesthetic letter memory.
In Orton-Gillingham-based instruction, what is the correct sequence for introducing a new phonogram?