Deck 11: Speech and Resonance Assessment

Question 1

Which of the following words contains the best consonant for testing nasal emission?

A)Shoe
B)Cheap
C)Pass
D)Judge
E)Bush

Answer 1

C

Question 2

What phoneme is best to use when testing for hypernasality?

A)/m/
B)/p/
C)/b/
D)/n/
E)/ɑ/

Answer 2

E

Question 3

Phoneme specific hypernasality will most likely occur in which of the following words?

A)Heat
B)Cat
C)Sit
D)Pay
E)Met

Answer 3

A

Question 4

To an inexperienced listener, a pharyngeal fricative can sound similar to which of the following?

A)Lateral lisp
B)Frontal lisp
C)Palatal-dorsal production
D)Bilabial fricative
E)Labiodental fricative

Question 5

Which of the following groups of sounds will never have nasal emission as a result of an oronasal fistula in the area of the incisive foramen?

A)Velars
B)Lingual-alveolars
C)Sibilants
D)Bilabials
E)Plosives

Question 6

Which series of numbers is best to use when testing for nasal emission?

A)50s
B)60s
C)70s
D)80s
E)90s

Question 7

Which of the following techniques does not use auditory detection of nasality?

A)Nose pinch
B)Stethoscope
C)Straw
D)Air paddle
E)Tube

Question 8

Which of the following is not an effective way for assessing hypernasality, nasal emission, and velopharyngeal function?

A)A straw
B)Listening tube
C)Manometer
D)Stethoscope
E)All of the above

Question 9

What is the appropriate recommendation for treatment of velopharyngeal mislearning?

A)Surgery and then speech therapy
B)Surgery only
C)Speech therapy for obligatory distortions
D)Speech therapy and then surgery
E)Speech therapy only

Question 10

In the first year of life, what are the primary speech pathology concerns for a child with a Pierre Robin sequence?

A)Receptive language
B)Velopharyngeal function
C)Feeding and prerequisites for verbal communication
D)Quality of communication
E)Quantity of communication

Question 11

Surgery is never indicated for which of the following?

A)Velopharyngeal insufficiency
B)Velopharyngeal incompetence
C)Velopharyngeal mislearning
D)A symptomatic fistula
E)An occult submucous cleft

Question 12

What is a recommended procedure to elicit speech in a child that is reticent?

A)Have the child repeat single words rather than sentences
B)Ask the child to name pictures
C)Ask open-ended questions
D)Ask either/or questions
E)Wait for the child to talk spontaneously

Question 13

When evaluating nasal emission, the speech sample should have many of which type of phonemes?

A)High vowels
B)Back vowels
C)Voiceless consonants
D)Voice consonants
E)Plosives

Question 14

Which of the following is recommended as the best no-tech procedure for evaluation of nasal air emission?

A)Mirror test
B)Straw test
C)Air paddle
D)See-Scape
E)Feeling the sides of the nose

Question 15

Which phoneme best to use when testing for nasal emission?

A)/p/
B)/s/
C)/g/
D)/l/
E)/z/

Question 16

If you use the nasal cul-de-sac test and you hear a difference on production of a vowel, this confirms the diagnosis of which of the following?

A)Hypernasality
B)Hyponasality
C)Cul-de-sac resonance
D)Nasal emission
E)Normal resonance

Question 17

Which of the following is an example of a low-pressure sentence for evaluation of hypernasality?

A)Many men are in the mine.
B)What do you like best, baseball or basketball?
C)Go get the wagon.
D)Why are you here?
E)He has a big horse.

Question 18

What is the appropriate recommendation for treatment of compensatory productions?

A)Surgery and then speech therapy
B)Surgery only
C)Speech therapy for obligatory distortions first
D)Speech therapy and then surgery
E)Speech therapy only

Question 19

Which series of numbers is best to use when testing for hyponasality?

A)50s
B)60s
C)70s
D)80s
E)90s

Question 20

Which of the following has a significant effect on utterance length?

A)Range of motion of the oral structures
B)Pharyngeal fricatives
C)Nasal emission
D)Weak consonants
E)Hypernasal resonance

Question 21

You examine a child who has a history of unilateral complete cleft lip and palate. He has a fistula just behind the alveolar ridge in the area of the incisive foramen. It appears to be about 7 mm in diameter, but you are not sure if it goes all the way through. You evaluate the child’s speech. Answer the following three questions related to this case:

-If the child demonstrates nasal emission on s/z only, what is the probable cause?

A)VPI only
B)A fistula only
C)VPI and the fistula
D)Misarticulation causing nasal emission

Question 22

You examine a child who has a history of unilateral complete cleft lip and palate. He has a fistula just behind the alveolar ridge in the area of the incisive foramen. It appears to be about 7 mm in diameter, but you are not sure if it goes all the way through. You evaluate the child’s speech. Answer the following three questions related to this case:

-If the child demonstrates nasal emission on /p/ and /t/, but not on /k/, what is the probable cause?

A)VPI only
B)The fistula only
C)VPI and the fistula
D)Misarticulation causing nasal emission

Question 23

What speech production can cause phoneme-specific nasal emission?

A)Glottal stop
B)Pharyngeal fricative
C)Palatal-dorsal production
D)Pharyngeal plosive
E)Velar fricative

Question 24

Which type of resonance is common with childhood apraxia of speech?

A)Hypernasality
B)Hyponasality
C)Cul-de-sac resonance
D)Mixed resonance
E)Forward focused resonance

Question 25

When voiced plosives sound closer to their nasal cognates m/b, n/d, and ŋ/g), what does this suggest?

A)Phoneme-specific nasality
B)A small velopharyngeal opening
C)Compensatory productions
D)Obligatory distortions
E)Hyponasality

Question 26

If the child has a nasal rustle on s/z, but not on any other sounds, what is the probable cause?

A)Compensatory productions
B)Obligatory productions
C)Lateral lisp
D)Frontal lisp
E)Phoneme-specific nasal emission

Question 27

Which of the following misarticulations can be co-articulated with the /b/ sound?

A)Pharyngeal plosive
B)Palatal-dorsal
C)Velar fricative
D)Glottal stop
E)Pharyngeal fricative