CD 450 – Final Quizzes – Flashcards
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FAF changes the pitch of your voice about one-half an octave
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True
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MAF a measuring auditory feedback in which the user can't hear his voice or anything else
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False
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There are 7 devices that were talked about during the Artificial Fluency Device presentation
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False (4)
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The Choral Effect is when you talk and hear at different times
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False
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The Pocket Fluency Device is a combination of DAF, MAF, LAF and Vocal Tension Feedback
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True
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Artificial Fluency Devices cure fluency
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False
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The Speech Easy consists of only 1 model
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False
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The Fluency Master speeds up the users voice to his/her ear
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True
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The DAF delays your voice to your headphones for a small fraction of a second
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True
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The LAF provides sound of vocal fold vibration to your ears
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True
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Cluttering affect all areas of language including articulation, pragmatics, and syntax
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True
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Symptoms for Cluttering:
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a. Rapid Speech Rate b. Irregular Rate c. Irregular Pausing d. Distorted or Omitted phonemes or syllables e. All of the above (ANSWER)
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What are some ways to assess cluttering?
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a. Oral Reading b. ASHA c. Narratives d. PLS e. A and C (ANSWER)
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Some of the co-existing diagnosis with cluttering are
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a. stuttering b. adhd c. apraxia d. central auditory processing disorder e. All of the above (ANSWER)
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Cluttering is a disorder of both speech and language processing which manifests itself as rapid, dysrhythmic, sporadic, unorganized, and frequently inarticulate speech
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True
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Some personality traits of people that have cluttering are
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a. have lots of energy b. think ahead c. tend to hurry d. sleep a lot e. a, b, and c (ANSWER)
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People who clutter tend to
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a. stuttering disfluencies include: repetitions, prolognations, and blocks b. know what they want to say c. no articulation difficulties d. no cognitive or language impairments e. None of the above (ANSWER)
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Cluttering and Stuttering are the same
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False
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Some treatment Hierarchy of Goals include
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a. slow rate (pausing, slowing down, pacing) b. increases self awareness (self-monitoring) c. reduce disfluencies d. improve clarity of speech e.All of the above (ANSWER)
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Cluttering Disfluencies include
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a. interjections b. phrase repetitions c. revisions d. none of the above e. all of the above
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The most common type of late onset stuttering is
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a. malingered stuttering b. psychogenic stuttering c. stuttering that is drug-induced d. cluttering e. neurogenic stuttering (ANSWER)
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Neurogenic Stuttering
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a. always results from left hemisphere damage b. is not related to a specific lesion site (ANSWER) c. always results from right hemisphere damage d. always occurs in association with aphasia e. never occurs in association with aphasia
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Symptoms of Neurogenic Stuttering may vary widely between different individuals
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True
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Secondary Behaviors such as facial tension is rarely observed in Neurogenic Stutterig
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True
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Psychogenic Stuttering can be present with coexisting but unrelated neurologic disease
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True
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You can treat psychogenic stuttering just like developmental stuttering
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True
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What characteristics are present in Neurogenic Stuttering?
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a. repetitions, prolongations, and blocks occurring in medial position of words b. repetitions, prolongations, and blocks occurring in initial position of words c. repetitions, prolongations, and blocks occurring in final position of words d. all of the above (ANSWER)
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What is one of the accompanying communication problems accompanying Neurogenic Stuttering
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a. Aphasia b. Anomia c. Dysarthria d. All of the above (ANSWER)
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Memory and Cognitive deficits will NOT hinder a person from receiving therapy
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False
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In some cases, neurosurgery has the possibility of healing a dysfluency.
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True
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What does ADHD stand for?
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Attention Deficit/Hyperactivity Disorder
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As of 2013, which edition of the DSM is being used to diagnose ADHD
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5th
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ADHD is characterized by developmentally inappropriate levels of
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Inattention, Impulsivity, Hyperactivity
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As of 2011, what percentage of children have been diagnosed with ADHD?
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11%
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When diagnosing ADHD, which statements are true
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a. Symptoms must be present before 10 years of age b. individuals younger than 17 must display a minimum of 4 symptoms in at least one presentation of ADHD C. the symptoms must be present for at least 6 months D. individuals younger than 17 must display (at least) 6 of 9 inattentive and/or hyperactive impulsive symptoms e. there are 4 different presentations of ADHD f. presenting with the symptoms is the only criteria needed to be diagnosed with ADHD G. diagnosing a patient with ADHD is highly subjective task *capitalizations are right*
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Patterns of disfluencies in children who have ADHD are consistent with those of children who stutter and do not have ADHD
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True
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How likely is the occurrence of ADHD in the population of children who stutter in comparison to the population of children who do not stutter?
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a. more likely in the population of children who stutter (ANSWER) b. less likely in the population of children who stutter c. occurrence is the same in both populations
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Name 1 strategy of treating a CWS who also presents with ADHD
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- keep instructions clear and concise. - increase the childs self monitoring skills and awareness
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It has been proven that stimulants used to treat ADHD increase the CWS's disfluencies by about 60%
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False
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According to the DSM 5, ADHD is a
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neurodevelopmental disorder
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Van Riper found that the few early studies that used placebos and were double-blind had negative results.
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False
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Criteria for a good study present measures of the drug's effects on all of the following except:
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a. severity of stuttering b. how the study's stutterers improved their speech (ANSWER) c. frequency d. how the study's stutterers perceived their speech e. all of the above
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Neurogenic stuttering and developmental stuttering are the most common types of stuttering.
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False
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Psychogenic stuttering:
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a. is observed after a prolonged period of stress b. is observed after a prolonged use of olanzapine c. is observed after a stroke d. has a late onset e A and D only (ANSWER)
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Which of the following medications was not used to help treat stuttering?
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a. Olanzapine b. Mirtazapine (ANSWER) c. Gabapentin d. Methylphenidate e. All of the above
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The case study on MPH reported a remarkable relief of the stuttering in high stress situations after the intake of 20 mg of MPH.
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True
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Gabapentin was used for:
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a. psychogenic stuttering b. cluttering c. neurogenic stuttering (ANSWER) d. developmental stuttering e. None of the above
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After six weeks of using 5 mg of olanzapine per day, the patient's stuttering did not show improvement in both fluency and in anticipatory anxiety.
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False
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Tranquilizers and sedatives seemed to increase the severity of stuttering and make subjects feel worse about their speech.
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False
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Medication for stuttering has not proven any more effective than traditional treatment.
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True
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In adolescents and adults, speech therapy is continued and a trial of medications is warranted.
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True
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The results of PET studies suggest that hyperactivity and the role of the eerebellum are abnormally active during dysfluent speech production in PWS.
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False
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Dopamine agonists worsen stuttering.
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True
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According to this presentation's studies, stuttering is a disorder of the Central Auditory Pathway.
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False
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According to Van Riper, a valid drug study should involve:
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a. two groups of stutterers b. double-blinding c. measures of drugs' expiration dates d. choices A and B (ANSWER)
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Which of the following drugs are approved by the FDA for treatment in stuttering?
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a. Haloperidol b. Risperidone c. Olanzapine d. None of the above (ANSWER)
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Which of the following are the long term effects of using Haloperidol?
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a. sexual dysfunction b. excess movement of limbs c. risks of tartive dyskinesia d. all of the above (ANSWER)
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Which of the following is NOT a side effect of using Risperidone?
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a. prolactin-related side effects b. increases tic-like motor behaviors (ANSWER) c. sexual dysfunction d. galactorrhea
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According to Maguire et al (2004), Olanzapine was well-tolerated with some degree of _____________ without prolactin-related side effects. This drug may be effecctive and tolerated in ________ and __________ populations and even in acquired neurogenic stuttering.
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weight-gain child adolescent
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According to Maquire et al's study done in 2010, Pagoclone was well-tolerated with having ___________ as being the reported common side effect. These patients also reported a greater sense of control over stuttering and verbal fluidity without effect in naturalness of speech. This may be sue to the drug's specific effect on _______. A neurotransmitter in the brain that my be disrupted in PWS. Pagaclone helps restore more normal function in speech areas of the brain.
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headaches GABA
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What are the stuttering patterns for bilinguals?
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a. Stuttering occurs in one language but not the other. b. Stuttering occurs in both languages with similar speech behavior patterns in each one. c. Stuttering occurs in both languages but varies from one language to another. d. All of the above. (ANSWER)
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A bilingual person who stutters has a lower chance of recovering from stuttering than children who are monolingual.
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True
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A bilingual person who stutters does not have the secondary behaviors that a monolingual person who stutters usually has.
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False
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Treatment for a monolingual person who stutters can't be used for a bilingual person who stutters.
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False
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An SLP should eliminate one language to treat stuttering.
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False
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Which strategy helps a PWS change the way they think about themselves in speaking situations?
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a. self disclosure b. support c. desentization d. cognitive restructuring (ANSWER)
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Which is NOT true about the Lidcombe Program?
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a. The parents are involved in conducting it. b. It is a monolingual treatment. (ANSWER) c. It is an early intervention based program d. None of the above
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What areas must the clinician assess?
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a. Client's environment b. Client's communication skills c. Client's techniques (ANSWER) d. Client's attitude
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Which is NOT an example of the therapeutic activities used for generalization?
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a. Staying home (ANSWER) b. Making phone calls c. Take outings to the stores d. Bring peers into treatment setting.
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A bilingual person who stutters has a lower chance of recovering from stuttering.
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True
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The Hollins Institute is a 12 month therapy program focused on improving fluency.
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False
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After undergoing treatment at HCRI, post-therapy treatment is not needed.
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False
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HCRI claims that 93% of participants achieve Fluency.
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True
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Only Speech-Pathologists facilitate the program.
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False
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The Hollins Fluency System is:
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a. an APP that allows you to connect with other PWS. b. a computer system that measures voice signals and feeds information back to the screeen. (ANSWER) c. a tool to assist PWS combat their emotions about their stuttering. d. None of the above.
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What is the goal of the Hollins Fluency System?
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a. To decrease levels of fear. b. To accept stuttering. c. To build muscle activation patterns. (ANSWER) d. To improve on initial repetitions.
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Post-therapy tools include all of the following except:
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a. iPhone App access b. HCRI reunions c. Fluency practice groups d. Free laptop (ANSWER)
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Self-management and _________________ are key features of successful progress.
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a. Self-evaluation (ANSWER) b. Good interpersonal skills c. Friendly demeanor d. None of the above.
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HCRI treatment cures people of their stuttering.
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False
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HCRI lacks sufficient evidence.
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True
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Psychogenic stuttering is acquired in childhood.
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False
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Fluency-inducing conditions, such as choral reading, typically improve fluency in psychogenic stutterers.
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False
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In psychogenic stuttering, secondary behaviors:
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a. may be very unusual, effortful b. may occur independently of a stuttering event c. are absent d. A and B (ANSWER)
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In psychogenic stuttering, neurological damage:
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a. is always present b. is never present c. might co-occur but is not the cause of stuttering (ANSWER) d. A and C
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A client with psychogenic stuttering will typically improve dramatically during a trial therapy session.
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True
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Psychogenic stuttering is a very common disorder.
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False
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In psychogenic stuttering, core behaviors:
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a. are very different from those in developmental stuttering b. include initial syllable repetitions, prolongations and blocks (ANSWER) c. include only repetitions and prolongations d. none of the above
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______________ are less prevalent in psychogenic stutterers (6% of disfluencies) than developmental stutterers (23% of disfluencies).
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a. Blocks (ANSWER) b. Repetitions c. Prolongations d. Secondary behaviors
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Clinicians should push clients with psychogenic stuttering to continue therapy even if no progress is being made.
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False
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Increased stuttering severity correlates with increased white matter in the right hemisphere.
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True
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Tourettes syndrome is a:
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a. Speech disorder b. Neurological disorder (ANSWER) c. A type of head injury d. All of the above
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Tourettes syndrome is characterized by repetitive sterotyped involvuntary movements and vocalizations called tics.
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True
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People with Tourettes experience symptoms lasting a:
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a. short amount of time b. a lifetime (ANSWER) c. only in their teens d. only in adulthood
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Tourettes Syndrome cannot be inherited.
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False
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What type of tics are sudden brief repetitive movements that involve a limited number of muscle groups?
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a. complex tics b. simple tics (ANSWER) c. voluntary tics d. all of the above
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Both stuttering and TS have a strong genetic component and are influenced by communication situations and emotional stress.
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True
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The direct cause of Tourette Syndrome is unknown.
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True
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Individuals with TS often also experience:
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a. inattention b. problems with reading, writing, and arithmetic c. depression d. all of the above (ANSWER)
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Neuroplectic drugs completely eliminate symptoms.
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False
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The condition in many individuals with Tourette Syndrome improves in the late teens and early 20s. As a result, some may become symptom freee or no longer need medication for _______________.
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a. tic suppression (ANSWER) b. stuttering c. blocks d. all of the above
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We can teach children ages 2 1/2 to 6 to speak more fluently by teaching them to change the timing and tension through speech production through modeling and play based activities.
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True
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Sometimes parents mistake normal nonfluency for stuttering.
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True
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A visit from the speech/language pathologist in your child's classroom will not be very effective.
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False
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Professor Lew is the most awesome stuttering teacher ever.
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True
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Effective ways to deal with teasing is by using role playing.
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True
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What information can one find under the "Informaiton for People who Stutter" link?
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a. For Everyone b. For Parents c. For Teachers d. For Pediatricians e. All of the above (ANSWER)
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Are there any scholarships available specifically for people who stutter?
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a. Yes, but only in California b. No, only deigned for those with disabilities (ANSWER) c. Outside the U.S. only d. Yes, but are limited
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Which one is not a suggestion for discrimination?
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a. Go to employer's human resource office b. Find the Human Rights Commission c. Tell your supervisor (ANSWER) d. Go to the EEOC website for their lists of fields offices
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The free telephone relay service for those having difficulties communicating over the telephone are available when?
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a. in the morning b. in the afternoon c. in the evening d 24/7 (ANSWER)
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Who is the Stuttering Homepage for?
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a. Everyone b. Just for People who Stutter c. Teachers d. Medical Researchers
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The fifth phase of therapy is Stabilization.
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False
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Our major goal in desensitization therapy is to toughen our client.
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True
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During identification, the stutterer is to seek out stuttering experiences and to analyze the behavior and identify the forces which created it.
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True
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Van Riper wanted Jeff to hold onto his old stuttering behaviors.
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False
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We want to delegate responsibility for the therapy to the clinician.
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False
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When our client stutters, we provide a running commentary of our own objective evaluations of the client's behavior.
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True
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In the One year Follow-up, Jeff was wiling to make a full commitment.
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False
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A person has to become his own therapist and learn how to manipulate himself under stress.
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True
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The client should not review everything that he learned.
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False
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We need to use the good speech as a competitor for old stuttering.
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True
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The camperdown program is a speech platform for reconstruction speech for those with mild to moderate stuttering
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False
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The camperdown program is ONLY for adults and may not be adapted in any way to benefit the child
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False
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Which of the following is a form of treatment for the camperdown program?
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a. clinical visits over a certain amount of time or avery intense week b. group or one with the clinician c. webcam or telephone d. all of the above (ANSWER)
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The self manage protocol is NOT a huge emphasis for the program
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false
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There are 3 steps for the fluency cycle
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True
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A client is able to transition from stage 2 to stage 3 when
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the client is able to control their stuttering in a conversation while using an individualized fluency goal
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If the client is not sustaining the treatment then they will be kicked out of the program
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false
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In order to maintain their treatment girls, the client will have to control and practice their gains
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true
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The fluency cycle consists of
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a. planning b. prolonged stuttering c. experimentation d. a and c (answer) e. all of the above
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The camperdown program consists of 4 stages
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True
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when is motivation challenged?
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a. confronting of ones stuttering b. the beginning of modification to ones speech c. failure to proceed once minimal gains are made, maintenance d. All of the above (ANSWER)
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According to Charles Van Riper, " " makes us vulnerable to the hurt of failure
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Hope
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The cost of therapy may not seem worth it to mild and covert stutterers who are able to "get by" in their daily lives
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true
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Self-Determination Theory states that there are 2 forms of motivation: Autonomous and Intrinsic
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False
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The basic psychological needs that ones needs for adherence to therapy and deeper learning are
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a. autonomy b. competence c. relatedness d. all of the above (ANSWER)
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Self-Efficacy is the belief that one has the ability to perform a specific task
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True
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Which type of experience can increase ones self-efficacy?
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a. mastery b. vicarious c. magical d. A and B (ANSWER)
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What podcast does Dustin keep talking about throughout the semester?
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StutterTalk
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Accepting ones stuttering means throwing in the towel and never working on ones speech or communicative skills
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False
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Allow the client to be the expert and clinicians simply facilitate it
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True
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The essence of SFBT is to see a person as being more than their problems
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True
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In SFBT, the client best to decide when therapy ends
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True
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If the client needs to vent, then we must ignore it and keep him on track with questioning
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False
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The word "if" should be used in the structure of your questions
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False
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Scaling methods can be used as an outcome measure
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True
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The clinician doesn't add any new information during questioning, just rephrases the clients own words
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True
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Future focused questioning is used to determine the clients main goal of therapy
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True
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In SFBT, clinicians help clients explore the links between their
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Thoughts, feelings, reactions and behavioral responses
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What is motivation?
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a force or drive directing ones behavior towards a goal
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SFBT is a more clinician directed therapy
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false