SLP Screening, Evaluation, and Diagnosis 3 — Questions and Answers
Question 1: The Autism Diagnostic Observation Schedule (ADOS-2) is best described as:
- A semi-structured, standardized observational assessment for autism spectrum disorder (Correct answer)
- A parent-report screening questionnaire for autism
- A norm-referenced language battery for nonverbal children
- A fluency severity rating scale
Correct answer: A semi-structured, standardized observational assessment for autism spectrum disorder
The ADOS-2 is a semi-structured, standardized observation of communication, social interaction, and play used to diagnose autism spectrum disorder.
Question 2: Which approach to voice evaluation uses the CAPE-V (Consensus Auditory-Perceptual Evaluation of Voice)?
- Perceptual rating of voice quality dimensions such as roughness, breathiness, and strain (Correct answer)
- Aerodynamic measurement of subglottal pressure
- Acoustic analysis of fundamental frequency variability
- Laryngoscopic visualization of vocal fold structure
Correct answer: Perceptual rating of voice quality dimensions such as roughness, breathiness, and strain
The CAPE-V is a standardized perceptual tool that rates voice quality on dimensions including overall severity, roughness, breathiness, strain, pitch, and loudness.
Question 3: During a swallowing evaluation, the SLP observes the patient coughing immediately after the oral phase. This finding is MOST consistent with:
- Aspiration during or after the swallow (Correct answer)
- Reduced labial seal
- Impaired lingual retraction
- Esophageal dysmotility
Correct answer: Aspiration during or after the swallow
Coughing after swallowing suggests material entered the airway during or after the swallow, indicative of aspiration.
Question 4: A bilingual child is assessed only in English and scores below the 10th percentile. What is the MOST important next step before diagnosing a language disorder?
- Assess the child in both languages and gather caregiver report on home language use (Correct answer)
- Refer immediately for special education placement
- Administer a nonverbal intelligence test
- Begin treatment and monitor progress
Correct answer: Assess the child in both languages and gather caregiver report on home language use
Evaluating a bilingual child in only one language risks misidentifying a language difference as a disorder; both languages and parent report are essential for accurate diagnosis.
Question 5: The Stuttering Severity Instrument (SSI-4) evaluates stuttering severity based on which three components?
- Frequency, duration, and physical concomitants (Correct answer)
- Frequency, naturalness, and attitudes
- Duration, avoidance, and anxiety
- Naturalness, physical tension, and speaking rate
Correct answer: Frequency, duration, and physical concomitants
The SSI-4 rates stuttering severity by scoring frequency of stuttered moments, average duration of the three longest blocks, and physical concomitants (secondary behaviors).
Question 6: In the context of augmentative and alternative communication (AAC) assessment, a feature matching approach means:
- Matching AAC system characteristics to the individual's capabilities and needs (Correct answer)
- Selecting the most advanced device available on the market
- Matching the user's vocabulary level to pre-programmed word sets
- Choosing a device based on funding availability
Correct answer: Matching AAC system characteristics to the individual's capabilities and needs
Feature matching systematically compares an individual's motor, cognitive, linguistic, and sensory abilities to the features of available AAC systems to find the best fit.
Question 7: Which cranial nerve is PRIMARILY responsible for the motor innervation of the tongue, making it critical to assess during an oral mechanism examination?
- Cranial nerve XII (hypoglossal) (Correct answer)
- Cranial nerve VII (facial)
- Cranial nerve X (vagus)
- Cranial nerve V (trigeminal)
Correct answer: Cranial nerve XII (hypoglossal)
Cranial nerve XII (hypoglossal) provides motor innervation to the intrinsic and most extrinsic muscles of the tongue.
SLP Screening, Evaluation, and Diagnosis 3
The Autism Diagnostic Observation Schedule (ADOS-2) is best described as: