SLP Speech Sound Production Disorders 5 — Questions and Answers
Question 1: Electropalatography (EPG) provides information about:
- Nasal airflow during speech
- Tongue-palate contact patterns during consonant production (Correct answer)
- Vocal tract resonance frequencies
- Subglottal air pressure levels
Correct answer: Tongue-palate contact patterns during consonant production
EPG uses a custom palate with electrodes to record the spatial and temporal patterns of tongue contact against the hard palate during speech.
Question 2: A bilingual child produces sound errors that match phonological patterns of their home language. The SLP should first:
- Diagnose a speech sound disorder and begin treatment immediately
- Compare the child's productions to both languages to determine if errors reflect typical bilingual transfer (Correct answer)
- Refer to audiology for hearing evaluation only
- Recommend the family switch to English-only input
Correct answer: Compare the child's productions to both languages to determine if errors reflect typical bilingual transfer
Errors that reflect phonological transfer from the home language are not disordered; the SLP must assess relative to norms for both languages before diagnosing a disorder.
Question 3: Flaccid dysarthria is most commonly associated with damage to which neurological component?
- Basal ganglia
- Lower motor neurons (cranial or spinal nerves) (Correct answer)
- Cerebellum
- Supplementary motor area
Correct answer: Lower motor neurons (cranial or spinal nerves)
Flaccid dysarthria results from damage to the lower motor neurons, including cranial nerves serving the speech mechanism, causing hypotonia and weakness.
Question 4: The Nuffield Dyspraxia Programme (NDP3) is characterized by its use of:
- Phonemic contrasts and minimal pairs
- Symbol-based visual supports to facilitate motor planning for CAS (Correct answer)
- Auditory bombardment without production practice
- Mass practice of isolated phonemes only
Correct answer: Symbol-based visual supports to facilitate motor planning for CAS
NDP3 uses a hierarchical set of picture symbols to support sequencing and motor planning in children with CAS.
Question 5: In the acquisition sequence of English consonants, which sound is typically acquired latest?
- /p/
- /m/
- /ʒ/ (as in 'measure') (Correct answer)
- /n/
Correct answer: /ʒ/ (as in 'measure')
The voiced palatal fricative /ʒ/ is one of the last consonants acquired in English, typically not mastered until age 6-8 or later.
Question 6: A child who produces /w/ for /r/ and /j/ for /l/ is demonstrating which phonological process, and at what age should it resolve?
- Stopping; resolves by age 3
- Gliding of liquids; resolves by age 5-6 (Correct answer)
- Vocalization; resolves by age 7
- Fronting; resolves by age 4
Correct answer: Gliding of liquids; resolves by age 5-6
Gliding of liquids (replacing /r/ and /l/ with glides /w/ or /j/) is typical but should resolve by approximately ages 5-6.
Question 7: The primary goal of auditory bombardment in the Cycles Approach is to:
- Elicit immediate correct production of target sounds
- Increase the child's perceptual awareness of target phonological patterns (Correct answer)
- Test stimulability of error sounds
- Provide feedback on articulatory placement
Correct answer: Increase the child's perceptual awareness of target phonological patterns
Auditory bombardment exposes the child to amplified target words to build phonological awareness and mental representations before production is targeted.
SLP Speech Sound Production Disorders 5
Electropalatography (EPG) provides information about: