SLP Fluency and Its Disorders 5

Question 1

Which altered auditory feedback (AAF) mechanism involves playing speech back to the speaker slightly delayed in time?

Accepted Answer

Delayed auditory feedback (DAF)

Answer

DAF plays the speaker's own voice back with a short time delay (typically 50–200 ms), which often induces more fluent speech in people who stutter.

Question 2

The demands and capacities model (Starkweather) proposes that stuttering emerges when:

Accepted Answer

Environmental and internal demands for fluency exceed the child's capacities

Answer

Starkweather's model holds that stuttering results from a mismatch between fluency demands (linguistic, motoric, emotional) and the child's current fluency capacities.

Question 3

Which statement about the genetics of stuttering is most accurate?

Accepted Answer

Variants in genes related to lysosomal enzyme pathways have been implicated

Answer

Research has identified variants in GNPTAB, GNPTG, and NAGPA genes (involved in lysosomal enzyme targeting) in familial and sporadic cases of stuttering.

Question 4

During a stuttering moment, the laryngoscopic finding most commonly observed is:

Accepted Answer

Tight adductor hypercontraction creating a pressed, closed glottis

Answer

Laryngoscopic studies show that during blocks, the vocal folds are often hyperadducted (pressed tightly together), impeding phonation initiation.

Question 5

A school-age child who stutters avoids reading aloud in class and refuses to answer the phone. These behaviors are best addressed through:

Accepted Answer

Desensitization hierarchies and voluntary stuttering to reduce avoidance

Answer

Avoidance behaviors are addressed through systematic desensitization and voluntary stuttering, which reduce fear and shame by confronting rather than escaping feared situations.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Fluency and Its Disorders 5