Clinical Procedures Final Exam

Front 1

What are the characteristics of Wernicke's aphasia?

Back 1

hyperfluent speech, auditory comprehension deficits, paraphasia (semantic and clang associations), neologisms, unaware of their errors, and jargon

Front 2

What are the characteristics of Broca's aphasia?

Back 2

deficits in all areas, severely impaired fluency (abnormal prosody, telegraphic speech, short phrase length), auditory comprehension deficits are mild to moderate, repetition deficit is mild to severe, and naming deficit is mild to severe

Front 3

Which prognosis is better: Wernicke's aphasia or Broca's aphasia? Why?

Back 3

Broca's, because the client is actually aware of their errors so it is easier to fix

Front 4

What are the characteristics of Dysarthria?

Back 4

speech distortions, consistent errors, little groping for sounds, all speech affected, and little difference in speech types

Front 5

What are the characteristics of Apraxia?

Back 5

speech substitutions, inconsistent errors, groping for sound targets, island of fluency, and fluent automatic speech

Front 6

What are the similarities between Apraxia and Dysarthria?

Back 6

they are both artic disorders and are results of brain injuries

Front 7

How can respiration be affected by Dysarthria?

Back 7

insufficient use of the breath stream for speech

Front 8

How can phonation be affected by Dysarthria?

Back 8

hyperadduction, hypoadduction, and incoordination

Front 9

How can resonance be affected by Dysarthria?

Back 9

hypernasality

Front 10

How can articulation be affected by Dysarthria?

Back 10

indistinct and labored, slow and imprecise, irregular articulatory breakdowns

Front 11

Describe Melodic Intonation Therapy

Back 11

It is a restorative/linguistic technique that utilizes "intoning" to facilitate verbal expression in clients who demonstrate severely restricted verbal output and relatively good speech comprehension

Front 12

Step 1 of Rosenbek's 8 step task continuum

Back 12

clinician presents integral stimulation such as watch me or listen to me; clinician and client then produce target utterance in unison

Front 13

Step 2 of Rosenbek's 8 step task continuum

Back 13

Clinician presents integral stimulation; and then clinician offers visual cue only (mouths each utterance without sound) while client simultaneously produces the target utterance aloud

Front 14

Step 3 of Rosenbek's 8 step task continuum

Back 14

Clinician present integral stimulation; client imitates target utterance independently

Front 15

Step 4 of Rosenbek's 8 step task continuum

Back 15

4. Repeat step 3 but require the client to produce target utterance several times in a row without any intervening clinician model

Front 16

Step 5 of Rosenbek's 8 step task continuum

Back 16

Clinician presents written stimuli, which client reads aloud

Front 17

Step 6 of Rosenbek's 8 step task continuum

Back 17

Clinician presents and then removes written stimuli; client attempts target utterance

Front 18

Step 7 of Rosenbek's 8 step task continuum

Back 18

Clinician presents a question design to elicit target utterance and client responds

Front 19

Step 8 of Rosenbek's 8 step task continuum

Back 19

Clinician engages client in role-play situations to elicit target utterance

Front 20

What are the 3 major approaches to stuttering treatment?

Back 20

Fluency shaping, stuttering modification, and integrated

Front 21

describe the fluency shaping approach

Back 21

changes all speech: slow rate, easy onset, light articulatory contacts

Front 22

Describe the stuttering modification approach

Back 22

changes only stuttered speech: cancellations, pull-outs, and preparatory sets

Front 23

Describe the self-analysis technique of stuttering modification

Back 23

catch yourself stuttering and analyze what you're doing in that specific moment that's causing the disfluency.

Front 24

Describe the relaxation technique of stuttering modification

Back 24

simply reducing the client's anxiety and muscle tension

Front 25

Describe the desensitization technique of stuttering modification

Back 25

reduce negative emotions associated with stuttering

Front 26

Describe the yawn-sigh procedure. With which voice disorder would it be effective?

Back 26

client yawns in a natural manner and phonates a gentle sigh on exhalation. Softening glottal attack

Front 27

Describe the push-pull procedure. With which voice disorder would it be effective?

Back 27

client engages in forceful muscular activity that elicits reflexive glottal closure. Spasmodic dysphonia

Front 28

Describe esophageal speech

Back 28

consists of using air passing through a narrow constriction in the esophagus as an alternative source of sound for speech

Front 29

Describe the consonant-injection technique for obtaining esophageal air supply for the esophageal speech method

Back 29

uses the intraoral air pressure that normally builds during production of high pressure consonants to inflate the esophagus

Front 30

Describe the inhalation technique for obtaining esophageal air supply for the esophageal speech method

Back 30

air is supplied to the esophagus through relaxation of the PE segment during pulmonary inhalation. The expansion and contraction of chest muscles are used to direct air into the esophagus