Fluency Disorders & Stuttering Flashcards
7 cards from real SLP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Fluency Disorders & Stuttering flashcards as text
Which pharmacological agent has shown the most evidence in reducing stuttering frequency in clinical trials?
Answer: Pagoclone
Pagoclone, a partial GABA-A agonist, has shown the most promising results in randomized controlled trials for reducing stuttering.
A client who stutters reports that his speech is fluent when whispering but disfluent during normal conversation. This phenomenon is best explained by:
Answer: Reduced auditory feedback monitoring during whispered speech
Whispering reduces the intensity of auditory feedback, which can temporarily disrupt the aberrant feedback loop believed to contribute to stuttering.
The Lidcombe Program for preschool children relies primarily on which therapeutic principle?
Answer: Operant conditioning with verbal contingencies
The Lidcombe Program uses operant conditioning in which parents deliver verbal contingencies (praise for stutter-free speech, acknowledgment of stuttering) in natural settings.
Neuroimaging studies in adults who stutter most consistently reveal:
Answer: Overactivation of right hemisphere motor areas and underactivation of left auditory cortex
Adults who stutter show overactivation of right hemisphere motor regions compensating for underactivation of the left auditory cortex and speech motor network.
Which assessment tool provides a standardized measure of stuttering severity that includes both frequency and duration components?
Answer: Stuttering Severity Instrument (SSI-4)
The SSI-4 quantifies stuttering severity using frequency of disfluencies, duration of longest stutters, and physical concomitants to yield a composite severity score.
Cluttering is differentiated from stuttering primarily by the presence of:
Answer: Rapid or irregular speech rate with reduced self-awareness
Cluttering is characterized by rapid or irregular speech rate, excessive disfluencies, and typically reduced awareness of the problem, distinguishing it from stuttering.
In the Demands and Capacities Model of stuttering, an SLP would reduce communicative DEMANDS by:
Answer: Using shorter, simpler sentences when speaking to the child
Reducing demands involves environmental modifications such as simplifying linguistic input, slowing parental speech rate, and reducing time pressure on the child.