Deck 30: Neurogenic Disorders of Speech and Language

Question 1

Patients with Broca aphasia

A)have impaired auditory comprehension but fluent speech.
B)cannot speak but can read and write.
C)cannot speak,read,or write.
D)have retained auditory comprehension but produce one- and two-word phrases.

Answer 1

D

Question 2

Patients with Wernicke's aphasia

A)have impaired auditory comprehension but fluent speech.
B)cannot speak but can read and write.
C)cannot speak,read,or write.
D)have impaired auditory comprehension but slow fluent speech.

Answer 2

A

Question 3

Patients with verbal apraxia differ from some patients with nonfluent (Broca's)aphasia because they

A)present with articulatory difficulty.
B)demonstrate imprecise and awkward articulation.
C)do not show impaired strength or coordination of the motor-speech system.
D)have relative preservation of auditory comprehension.

Answer 3

C

Question 4

Communication has meaning not only from the information sent but from its context. Context includes

A)the purpose of the activity.
B)the location of the exchange.
C)the level of formality required by the situation.
D)all of the above.

Question 5

Patients with nonfluent aphasia

A)have speech output that is hesitant,awkward,interrupted,and requires effort.
B)express themselves in mostly nouns and verbs.
C)usually present with functional limitations and disability.
D)A and B.

Question 6

For patients with neurogenic communication disorders,the physical therapy setting can become a supportive context for social interaction by

A)positioning patients for comfort.
B)reducing distractions such as noise and competing voices.
C)reducing room lighting to prevent glare.
D)all of the above.

Question 7

The physical therapist can play an important role in dysphagia management by focusing treatment on

A)positioning the patient for improved articulation.
B)providing treatment to reduce muscle spasticity.
C)preventing primitive reflex patterns from interfering with swallowing.
D)B and C.

Question 8

The physical therapist can influence physiological support for the speech of a patient with dysarthria by

A)facilitating proper posture to inhibit reflexes.
B)reducing overflow movements using stabilization techniques.
C)strengthening muscles of respiration.
D)all of the above.

Question 9

Patients with aphasia can be encouraged to

A)take extra time,if having trouble speaking.
B)keep trying to repeat an idea until successful,if having trouble speaking.
C)practice conversation with the PT while doing physical activities.
D)all of the above.

Question 10

Augmentative communication devices

A)include typewriters,telephones,and communication books.
B)have benefited a large proportion of the aphasia population.
C)cannot improve communication for those with motor-speech impairments.
D)are of little benefit for communication by those with cerebral palsy.

Question 11

The primary objective of dysarthria treatment is

A)to increase the strength of the motor-speech system.
B)to seek the most optimal situations for communication.
C)to improve the intelligibility of speech.
D)to increase the coordination of movements of the motor-speech system.

Question 12

Dysarthria is

A)in severe cases,also known as anarthria.
B)always a disturbance of timing,speech,movement,range,and control and coordination of the muscles of speech and respiration.
C)a form of aphasia.
D)B and C.

Question 13

Therapeutic intervention for speech dyspraxia uses exercises intended to increase (in order of difficulty)

A)utterances,sounds,words,phrases,nonoral imitation.
B)nonoral imitation,sounds,words,phrases,utterances.
C)words,sounds,phrases,utterances,nonoral imitation.
D)nonoral imitation,utterances,sounds,words,phrases.

Question 14

Auditory comprehension levels of patients with aphasia can be improved by

A)changing topics often and speaking slowly.
B)asking whole body axial commands ("stand up," "sit down").
C)asking questions such as "Tell me about your vacation."
D)giving verbal feedback while a patient is engaged in physical activity.

Question 15

Patients with fluent aphasia

A)have speech output that is hesitant,awkward,interrupted,and requires effort.
B)have difficulty retrieving nouns and verbs.
C)present with functional limitations and disability.
D)A and B.

Question 16

An aphasia examination should focus on

A)specific linguistic tasks.
B)functional communication.
C)reading and writing.
D)all of the above.

Question 17

Dysphagia following a stroke is

A)an interruption in eating function or maintenance of nutrition and hydration.
B)is present in the acute phase with slow recovery over the first 3 months.
C)is a result of rapid oral or pharyngeal transit times causing aspiration.
D)is a result of rapid closure of the larynx causing aspi ration.

Question 18

Distinctions between questions,statements,and expressions of emotional feelings

A)are solely phonological (sounds).
B)are solely lexical (vocabulary).
C)utilize prosody (stress and intonation).
D)none of the above.

Question 19

Speech-language pathologists

A)earn a bachelor's degree for entry into practice.
B)are represented by the American Speech-Language-Hearing Association.
C)can be awarded a Certificate of Clinical Competence by the Association.
D)are required by all states to be licensed to practice.