Mixed Deck — All SLP Topics Flashcards

An SLP notices that a bilingual parent consistently uses a mix of Spanish and English when speaking to their toddler. The SLP should:

Answer: Reassure the parent that code-switching is a normal feature of bilingual communication

Code-switching among bilingual individuals is a sophisticated linguistic skill, not a sign of confusion or language delay, and parents should not be discouraged from using their natural communication style.

Which standardized test modification is ethically acceptable when assessing a bilingual child?

Answer: Administering the test in both languages and noting performance patterns with qualitative analysis

Administering tests in both languages with careful qualitative documentation is an acceptable modification that provides richer diagnostic information while acknowledging test limitations.

A bilingual child demonstrates language difficulties in both their home language and English. This finding:

Answer: Is consistent with DLD, which affects all languages a child speaks

DLD affects all languages a bilingual child speaks; difficulties present across both languages support a disorder rather than typical second-language acquisition.

What is the most effective way to measure success in swallowing & dysphagia management within SLP professional practice?

Answer: Use a combination of quantitative metrics, qualitative assessments, and stakeholder feedback aligned with defined objectives

Effective measurement combines multiple data sources — quantitative metrics, qualitative assessments, and stakeholder feedback — all aligned with clearly defined objectives for a comprehensive evaluation.

Which factor is essential in choosing an assessment tool?

Answer: Cultural and linguistic appropriateness

It is crucial to select assessment tools that are culturally and linguistically appropriate for the individual being evaluated to ensure fair and accurate results. Using tools that are biased or do not account for a client's background can lead to misdiagnosis or inaccurate identification of communication strengths and weaknesses.

Which augmentative and alternative communication (AAC) strategy is MOST appropriate for a beginning communicator who relies on unconventional means such as reaching and vocalizing?

Answer: PECS (Picture Exchange Communication System) Phase I training

PECS Phase I trains the person to physically exchange a picture for a desired item, teaching intentional communication without requiring prerequisite pointing skills.

The IDEA mandate relevant to ELL students with suspected disabilities requires that assessment be conducted:

Answer: In the child's native language or other appropriate communication mode

IDEA requires that evaluations use the child's native language or other appropriate communication mode unless it is clearly not feasible to do so.

Which of the following is a therapeutic intervention for expressive language disorder?

Answer: Narrative retelling and sentence expansion

Expressive language disorder involves difficulties in producing spoken or written language. Narrative retelling helps clients organize thoughts, sequence events, and use more complex sentence structures, while sentence expansion directly targets increasing the length and grammatical complexity of utterances. Both interventions are designed to improve a client's ability to formulate and articulate their ideas effectively.

A patient with myasthenia gravis is most likely to demonstrate which characteristic dysphagia pattern?

Answer: Progressive deterioration of swallowing function across a meal due to fatigable neuromuscular transmission

Myasthenia gravis causes fatigable weakness at the neuromuscular junction, so swallowing typically deteriorates across a meal as the muscles fatigue with repeated use.

Which of the following best describes the 'super-supraglottic swallow' technique and its PRIMARY purpose?

Answer: Breath hold with bearing-down effort before and during swallow to tilt the arytenoids anteriorly and close the laryngeal vestibule before the swallow

The super-supraglottic swallow adds a bearing-down (Valsalva) effort to the supraglottic technique, which tilts the arytenoids anteriorly to close the laryngeal inlet before the swallow begins, providing maximal airway protection.

In Acceptance and Commitment Therapy (ACT) applied to stuttering, the primary goal is to:

Answer: Increase psychological flexibility and reduce avoidance rather than eliminate disfluencies

ACT for stuttering targets psychological flexibility, acceptance of stuttering as part of one's experience, and commitment to meaningful life pursuits regardless of disfluency.

A child with APD demonstrates poor auditory figure-ground skills. Which classroom accommodation is MOST directly helpful?

Answer: Preferential seating near the teacher with minimal background noise

Preferential seating minimizes the signal-to-noise challenge by placing the child closer to the primary speaker and away from noise sources.

How should SLP professionals handle confidential information related to fluency disorders & stuttering?

Answer: Follow established protocols for data protection, access control, and disclosure in accordance with applicable regulations

Confidential information must be handled according to established protocols, regulatory requirements, and professional ethics standards, including proper access control and disclosure procedures.

Which condition is characterized by abnormal loudness growth and difficulty tolerating ordinary environmental sounds?

Answer: Recruitment

Recruitment is the abnormally rapid growth of loudness perception, causing even moderate sounds to seem uncomfortably loud, common with cochlear hair cell damage.

During an oral-peripheral examination, limited tongue lateralization and reduced velopharyngeal closure are most relevant to assessment of:

Answer: Motor speech production and resonance

Tongue lateralization affects lingual consonant production, while velopharyngeal closure impacts resonance and nasal airflow during speech.

The Test of Narrative Language (TNL) assesses a child's ability to:

Answer: Comprehend and produce oral narratives

The TNL evaluates narrative comprehension and production across multiple story formats, making it a functional language measure.

Which disorder is characterized by difficulty expressing thoughts through speech?

Answer: Expressive language disorder

Expressive language disorder is characterized by difficulties in producing spoken language, including challenges with vocabulary, forming sentences, and conveying thoughts or ideas verbally. This differs from receptive language disorder, which involves understanding language, or articulation/fluency disorders, which relate to the physical production or flow of speech.

An SLP discovers a colleague is practicing while impaired by alcohol during work hours. The ethical obligation is to:

Answer: Report the concern to appropriate supervisory or regulatory authorities

ASHA's Code of Ethics requires members to report colleagues whose professional conduct may harm clients or bring discredit to the profession.

What does a Type B tympanogram indicate?

Answer: Fluid in the middle ear or middle ear effusion

A Type B (flat) tympanogram indicates no peak compliance change with pressure variation, consistent with middle ear fluid or a perforated tympanic membrane.

Under ASHA's Code of Ethics, SLPs must maintain which type of records to ensure accountability and continuity of care?

Answer: Accurate, complete, and timely clinical documentation

ASHA requires SLPs to maintain accurate and complete records that support quality care and professional accountability.