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SHS 402 EXAM ACTUAL QUESTIONS AND ANSWERS 100% CORRECT

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SHS 402 EXAM ACTUAL QUESTIONS
AND ANSWERS 100% CORRECT
What is a diagnostic report and what goes in one? - Answer- Summarizes results of
diagnostic evaluation

· Background information (reason for referral)
· Case history report (Want to know why they think the client is not progressing as much
as they want?)
· Assessment results (all areas) Is the child being treated for other things? Ex. Anxiety,
etc.
· Summary and recommendations

What makes up a treatment report? - Answer- - Summary of the treatment you
provided.
- Not necessarily a discharge from services
- Formats are different depending on place of business
- ASU requires a summary of each goal, with charts of progress

How do we change communicative behavior? - Answer- Simple response --> more
complex response --> most complex response --> spontaneous conversation in all
settings

Why make dietary changes for swallowing? - Answer- To reduce aspiration risk and
improve efficiency of the swallow

What are biomaterial injections to VF for? - Answer- To protect airways by improving VF
function

What is the Stimulation - Facilitation treatment technique? - Answer- An intensive
auditory stimulation to elicit language
- A clients incorrect responses are met with increased stimulation rather than corrective
feedback
- task focus on semantic and syntactic components

What is functional compensatory treatment technique? - Answer- To maximize client's
re-engagement in life and base all therapy on the life concerns identified by clients and
their families
- to improve the clients ability to function in life AND modify environment as needed to
promote participation in daily activities

,What do we do for client's with articulation problems? - Answer- The primary focus is
motor practice (drill)

Aphasia - Answer- is a language disorder due to brain damage that results in
impairments in the comprehension and/or formulation of language and can affect both
the spoken and written modalities.

Hemiplegia - Answer- Paralyzed in one side

Hemiparesis - Answer- Weakness in one side

Hemianopsia - Answer- only see on one side

Speech Characteristics of Aphasia - Answer-

Anomia - Answer- word retrieval problems ex. Hammock - sleep on it - hangs in tree

Perseveration - Answer- inappropriate continuation of same response exp. Client say's
hammock and then repeats that for the next three pictures presented

Phonemic paraphasia - Answer- transposition or substitutions of sounds - hammock -
hockram (Rose)

Semantic paraphasia - Answer- substitution of one word for another (bed/hammock)

Neologism - Answer- invented word that has no meaning but adheres to phonological
rules of our language - it's a blek

Agrammatism - Answer- syntactic deficit - omission of function words and grammatical
inflections primarily consist of content words - man bed sleep man

Subpropositional speech - Answer- fluent grammatical - maybe echolalic

Wernicke's area - Answer- formulate what we are going to say

Broca's area - Answer- transmits our plan of speech

Motor Cortex - Answer- Speech is carried out

Broca's aphasia - Answer- Argummatism; effortful articulation of phrase-length
utterances; impaired prosody and intonation; concomitant apraxia of speech; good
comprehension; lesion in the posterior inferior frontal lobe, as well as central parietal
lobes, as well as central and inferior parietal lobes

Transcortical motor - Answer- little to no intonation of spontaneous speech; output is
similar to Broca's, but excellent imitation (even of long utterances); relatively intact

,comprehension; lesion in the medial-frontal cortex, involving the supplementary motor
area

Global - Answer- Severe deficits in all areas of language comprehension and
production; output may be limited to stereotypic utterances; lesion encompasses both
pre- and postrolandic speech zones

Wernicke's - Answer- fluent but often meaningless speech; good articulation, intonation,
and prosody; lesion in the posterior portion of the first temporal gyrus of the left
hemisphere

Conduction - Answer- Relatively fluent speech; Frequent phonemic paraphasia's,
marked difficulty with imitation; good language comprehension; lesion in the arcuate
fasciculus, deep fasciculus, deep supramarginal gyrus, or superior temporal gyrus

Anomic - Answer- significant word finding difficulties in the presence of otherwise fluent
and grammatical speech; good comprehension; lesion in the angular gyrus region

Neuroplasticity - Answer- the brains ability to restructure its neural networks in response
to internal and external stimuli

Responsive naming - Answer- a clinician provides a verbal descriptive phrase to elicit a
target label

Confronting naming - Answer- requires the client to name a visual stimulus without any
contextual support

Dysarthria - Answer- involves an impaired motor movement necessary for speech
production

Apraxia - Answer- a speech-motor impairment but involves a deficit in the planning and
sequencing of movements

Dysphagia - Answer- refers to difficulty at any stage of swallowing*** Dysphagia may
coexist with dysarthria and apraxia

Diadochokinesis - Answer- clients with wither of these disorders will demonstrate
inaccurate and/or labored performance on tasks that require rapid, repetitive movement
of the articulators.

Hyper adduction - Answer- refers to excessive laryngeal tension and overly forceful
closure of the vocal folds, which produces a harsh strangled voice quality

Hypo adduction - Answer- involves reduced laryngeal muscle tension and inaquedate
closure of the vocal folds, resulting in a breathy, hoarse voice quality with decreased
loudness and pitch control.

, Incoordination - Answer- can be defined as inconsistent fluctuations of vocal fold
vibration cycles that can result in aphonia( no voice), asynchronous onset of exhalation
and phonation, and inappropriate pitch and loudness breaks

Apraxia - Answer- is an inability to plan and execute volitional motor movements due to
central nervous system damage despite intact muscle strength and coordination.

Limb apraxia - Answer- voluntary movements of the extremities are affected such as
waving, or making a fist on command

Oral apraxia - Answer- involves difficulty of nonspeech movements of the oral
mechanism such as tongue protrusion and lip pursing on command

Apraxia of Speech (AOS) or verbal apraxia - Answer- is a neurologically based
phonological disorder characterized by difficulty in positioning speech muscles and
sequencing muscle movements for the voluntary production of speech.

Chin down - Answer- Tongue base disorder, pharyngeal phase delay, compromised
airway protection Chin elevated: Lingual pressure is not present, aspiration risk if
pharyngeal phase delays, oral tongue factors

Head turn - Answer- Unilateral damage to pharyngeal wan and or larynx. Turn head
toward damage side

Head tilt - Answer- Unilateral damage to oral cavity or pharyngeal wall, Tilt head toward
undamaged side.

Lying down - Answer- Bilateral damage or laryngeal elevation is reduced. Directs
residue into the esophagus

Supraglottic Swallow - Answer- Use with reduced airway protection and or aspiration.
Hold breath throughout the entire swallow and then cough after the swallow.

Super-supraglottic Swallow - Answer- Extra effort by pushing down on hard surface to
achieve extra airway protection by arytenoids closing false vocal folds.

Effortful Swallow - Answer- Squeeze muscles and swallow hard to increase tongue
base retraction to clear residue from valleculaeMendelson Maneuver: hold the larynx in
an elevated position before completing the swallow.

Masako maneuver - Answer- Hold tongue tip between the teeth and swallow. Helps
glossopharyngeal mus. To contract to help with reduced pharyngeal contraction.

Shaker exercises - Answer- Hyolaryngeal movement and upper esophageal opening
While lying down and shoulder to the floor, lift head and hold for 1 min.

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