csd 315 review – Flashcards
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a speech sound analysis that compares what the child is producing to the adult form of the phoneme is called
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relational analysis
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speech screenings that do not have a set pass/fail criteria and are typically developed by the clinician are called
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informal speech screening
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contextual testing allows clinicians to examine how ____ affects phoneme production
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coarticulaiton
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a child who produces /t/ for /s, (th's), (sh's)/ may be producing a phonological:
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patterns
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when assessing the phonological systems of young infants and toddlers, clinicians should:
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conduct independent phonological analyses
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a comprehensive phonological evaluation assesses areas beyond phonology such as language, hearing, oral mechanism, and what other two areas?
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Voice and fluency
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an audiological screening can be completed in two ways:
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pure tone screening and impedance screening
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by the age of 24 months, children should have approximately _____ words and be able to ______
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50, combine two words into phrases
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the most accurate way to capture a child's phoneme productions during testing is
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narrow transcription
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during an oral mechanism exam, it is important to assess the ____ and ______ of all articulators
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Structure and function
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a child's ability to be understood in conversational speech is referred to as
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intelligibility
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_____ refers to the degree or significance of a phonological impairment
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severity
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a child produces the word "ski" like "key", this is an example of
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cluster reduction
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a child produces the word "swing" like "sawing", this is an example of
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epenthesis
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which of the following is the best example of a child who would be eligible for speech therapy services (based only on phonological analysis)
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a 9-year-old with a persistent /r/ error
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if a child is able to correctly produce a sound in certain contexts but not in others, this indicates that the sound is
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inconsistent
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if an 8-year-old child is misarticulating the /s,r/ phonemes, clinicians should choose to
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target both
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a dialectical difference is
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a phonological difference and not usually appropriate for therapy
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computer assisted phonological analysis can be described as
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time-saving, but not a replacement for clinical judgement
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T/F: most children receive language screening at the start of formal school (kindergarten). (state specific standards my affect this answer)
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true
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T/F: a phonological context that improves the production of a phoneme is called facilitative
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true
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T/F: if a parent reports that a child is able to hear normally, a hearing screening is not necessary
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false
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T/F: speech perception testing should be done on all individuals with a speech sound disorder
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false
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T/F: narrow transcription should be used for all phonological assessments
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false
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T/F: conversational speech samples alone are sufficient to determine whether or not a child needs speech therapy services
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false
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T/F: teachers and peers have been shown to show different expectations/feelings towards individuals with speech sound disorders
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true
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T/F: contextual testing allows clinicians to examine any phonological or morphological environments in which the child might have to produce the target phoneme
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true
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T/F: connected speech sample is a crucial part of the phonological assessment
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true
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T/F: if a child says "da" for "dog", that is an example of final consonant deletion
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true
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T/F: a child between the ages of 2.5 and 3 years who is unintelligible is typically recommended for services
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true
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T/F: computer-assisted phonological analysis programs are time-consuming and not helpful
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false
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T/F: children over 9 year old with speech sound errors are said to have persistent errors
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true
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T/F: working on earlier developing speech sounds will result in system wide phonological range
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false
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T/F: individuals with a dialectal variation should never be considered for phonological therapy, unless the individual elects to pursue accent modification
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true
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T/F: if a child has multiple sounds in error, clinicians should examine the speech sample for patterns
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true
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T/F: phonemes that are frequently occurring within the language will not affect intelligibility
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false
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A common organizational sequence for therapy is (in the correct order):
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Antecedent event, response, consequent event
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Working on one-two phonemes at a time until mastery is achieved is an example of which goal attack strategy:
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vertical
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According to our textbook, for children with multiple phoneme errors, the preferred goal attack strategy is:
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Cyclical
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A list of words that contain a child's target speech sound but are never directly targeted in therapy is called a:
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generalization probe
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When a child generalizes speech sound production skills from the syllable level to the word level, that is called:
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Across-linguistic unit generalization
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When a child generalizes the correct production of the /s/ sound with an auditory model to correct production of the /s/ sound with a picture cue, that is called:
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Stimulus generalization
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System-wide change is said to occur best when clinicians target the following kinds of sounds:
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non- Stimulable and later developing
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Across-situational generalization should be facilitated as soon as:
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The client can produce the sound at the word level
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Meaningfulness of materials, the degree to which information has been learned, distribution of therapy, and _____________ are four important factors that will affect the rate of retention.
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motivation
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Johnny used to exhibit the phonological pattern of stopping for all fricatives and affricates. Johnny's SLP has been working on /s/ in treatment. Johnny now produces /s/ for all fricatives. This is an example of:
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fricitivazation***
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A child's ability to manipulate phonemes is an example of:
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Deep levels of phonological awareness
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The ability to segment a multi-syllablic word into is respective syllables is an example of:
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syllable-awareness
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Awareness of rhyme tends to develop around the time that children can:
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use oral language productively
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The words "cape" and "cane" are examples that can be used to test what phonological awareness skill?
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alliteration
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The alphabetic principle refers to the systematic relationships that exist between:
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Graphemes and phonemes
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Phonological awareness assessments can be used to establish phonological awareness skills, determine contributing factors to reading difficulties, and:
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Monitor progress of phonological awareness intervention
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Norm-referenced phonological awareness assessments may not take into account a child's speech sound disorder, therefore it's helpful to assess phonological awareness using:
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Receptive and expressive measures****
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Criterion referenced assessments, compared to norm-referenced assessments, are more:
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informal
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Dynamic assessments allow for multiple levels of:
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prompting
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Intervention for phonological awareness for children with SSD should encompass three main areas in order to achieve reading success:
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Speech sound production, phonological awareness, letter knowledge
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T/F: The horizontal approach is a goal attack strategy in which multiple phonemes are targeted within each treatment session.
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true
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T/F: When a child is receiving treatment for a speech sound disorder, any change observed must be the result of the that treatment only.
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false
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T/F: Generalization probes should include all words targeted in treatment.
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false
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T/F: Across word position generalization happens when a child can produce the /f/ sound in the initial position and then, without direct treatment, can produce the /f/ sound in the final position.
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true
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T/F: Generalization is proof that important changes are happening in treatment.
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true
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T/F: All parents are always good generalization partners.
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false
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T/F: Teaching a feature in one sound may result in generalization of that feature to another sound.
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true
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T/F: All children who are dismissed from speech sound intervention have achieved mastery and retention of the skills.
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false
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T/F: Children with multiple speech sound errors will have different treatment goals and generalization expectations compared to children with single speech sound errors.
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true
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T/F: There are clearly delineated dismissal criteria for SLPs to use with all clients who have speech sound errors.
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false
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T/F: An alliteration activity that requires children to pay attention to the initial phoneme in the word, produce the initial phoneme in the word correctly, and identify the letter that corresponds to the phoneme is a good example of phonological awareness treatment for children with SSD.
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true
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T/F: Children with speech sound disorders and comorbid language impairments are at higher risk for literacy difficulties than children with isolated speech sound disorders.
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true
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T/F: Collaboration between SLP and classroom teachers usually causes confusion regarding the best way to foster children's phonological awareness abilities.
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false
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T/F: Working on phonological awareness is helpful for reading skills. If an SLP works on speech sound production alone, this will improve phonological awareness skills.
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false
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T/F: Speech language pathologists can collaborate with teachers and reading specialists to formulate small group phonological awareness activities.
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true
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T/F: Preschool aged children should be taught phonological awareness to a mastery level.
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false
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T/F: Phonological awareness should be targeted in preschool only.
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false
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T/F: Phonological awareness intervention is always best delivered in small group settings.
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false
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Early 8
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m b j n w d p h My Boy John Notices Women Dang Police Hater
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Middle 8
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t (ng) k g f v (ch) (d3) The ING King Goes For Very CHicken Jerky
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Late 8
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sh th th s z l r 3 SH TH TH Short Zoo Lion Roars bEIGE
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why is understanding normal speech sound acquisition important?
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to define what is normal and what is an impairment, for comparison
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motherese/ child directed speech
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A term used in the study of CHILD LANGUAGE ACQUISITION for the way mothers talk to their young children. Its features include simplified grammar, exaggerated speech melody, diminutive forms of words such as doggie, and a highly repetitive style.
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Name three common standardized single-word phonological/articulation assessments.
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GFTA-2
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If a clinician is unsure of his/her transcription abilities, what are two options he/she has for collecting a thorough speech sample?
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audio or video record the speech sample for later review by the same or a different clinician (interjudge reliability) and if available, use aerodynamic or acoustical measures to supplement the transcription (though likely unavailable to the majority of SLPs).
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List the pros and cons of spontaneous conversational speech samples compared to single-word speech samples (often used in spontaneous speech). Which should a clinician choose?
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Conversational speech sample pros: They provide information regarding the child's production of phonemes in a variety of contexts, using the child's natural prosody and vocabulary. Connected speech samples allow for contextual testing - determining if certain contexts allow for elicitation of certain phonemes (e.g., /s/ is only produced interdentally when in the medial position of words, or when in words that also contain the phoneme /c/ etc.). Conversational speech sample cons: Children may be hesitant to engage in conversation, may not represent all the phonemes the clinician wishes to target, the child may be unintelligible, or have learned to avoid the phonemes with which he/ she has difficulty. Single word speech sample pros: Single-word samples allow clinicians to examine a child's phoneme production quickly, clearly, and concisely in the initial, medial, and final position of words. Single-word samples are especially helpful in assessing children who are unintelligible, because the clinician has a reference to what the child is attempting to say. Single word speech sample cons: Single word samples do not always allow for examination of a phoneme production in all contexts (e.g., CV vs. CCV vs. CVCV, etc). Additionally, most assessments use nouns that can easily be pictured as target words, which does not allow for a full range of parts-of-speech to be assessed. Clinicians should use BOTH!
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List three pros and three cons of standardized articulation tests.
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PROs: Valid and reliable, straightforward, developed by norms, test the right thing CONs: often age based, most target consonants, doesn't take intellectual abilities into affect
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Know the different types of error pattern analysis
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May be based on phonological patterns, or on PMV (place, manner, voicing error patterns), or both. Also note that sometimes focus on whole word and/and or syllable pattern analysis
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List three reasons that error analysis is important in phonetic/phonologic testing
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Error pattern identification provides a description of overall phonological system a means by which clinicians can *identify phonological patterns *Pattern identification most important for kids with multiple errors *Facilitate treatment efficiency
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Case history: why it is important to obtain one, and list at least three critical pieces of information necessary to gather during a case history.
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They provide the clinician with important background information that frequently influences assessment decisions. They identify possible etiological factors, the family's/client's perception of the problem, the academic, work, home, and social environment of the client, and medical, developmental and social information about the client
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Name the three ways that intelligibility can be measured.
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open-set word identification, closed-set word identification, and rating scale procedures
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How is percentage of consonants correct (PCC) calculated?
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(#of correctly produced consonants/total#of consonants)x100
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Describe the phonological pattern "coalescence" and give an example.
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When two phonemes are substituted with a di erent phoneme that still has similar features, foon for spoon
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Name the two reasons phonological patterns are useful.
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Comparing the number and type of patterns a child is producing to what they should be producing at their age is useful diagnostically Treatment targets may be more easily selected when a pattern of errors is established
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List the two ways in which "developmentally appropriateness" can be determined.
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1) comparing the child's productions to normative data for individual sounds. Clinicians can use the extant literature to review and determine the typical age at which a given percentage (this varies across studies) of children acquired a specific phoneme. 2) comparing the child's productions to normative data for a specific measure. Clinicians can use the norms provided within an assessment, such as the Goldman Fristoe, to determine if the amount of errors corresponds with the amount of errors that children of that age typically have.
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Describe the different ways that clinical change can happen, outside of direct effects of treatment. You should discuss the extraneous factors that can be controlled (and how they can be controlled) and those that cannot.
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page 250-252
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You are an SLP working with a first grade student named Molly. Molly cannot produce the /r/ or /s, z/ sounds. Molly's mom is very motivated to "fix" Molly's speech and so she has asked what kinds of activities she can do at home. You note that Molly's mom has a slight /r/ distortion in her speech and also has a hard time discriminating Molly's "good" /r/ productions. What kinds of carryover activities might you ask Molly's mom to do?
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Answers will vary but you guys should pull from information on page 262-263; in particular, you may suggest that Molly's mom work on less direct intervention techniques such as modeling good speech and language and reading to Molly. Also, you might look to Molly's teacher or day care provider for extra modeling and support.
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What are three things parents can do at home to foster phonological awareness in preschool children?
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reading, talking, introducing new words
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Besides phonological awareness skills, what other skills have shown to have a strong relationship with later reading success (name two)?
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Letter identification and letter sound correspondence
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Give an example of shallow level of phonological awareness and an example of deep phonological awareness.
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Shallow: rhyme awareness Deep: when words share common phonemes
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Compare and contrast norm-referenced, criterion-referenced, and dynamic assessments as they apply to examining phonological awareness in children with SSD. What are the benefits of each, and what are the cautions for each? Which would you choose for a 5-year-old child with a moderate speech sound disorder who was struggling with phonological awareness at the level of rhyming?
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368-372
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In order to appropriately assess speech perception abilities, clinicians should examine: The specific phonemes in error, the context in which they are produced, motoric abilities, and ___________.
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Receptive vocabulary
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Ankyloglossia refers to:
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a short frenum
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The most common speech sound error seen in individuals with tongue thrust is:
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Sibilant distortions
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A combination of which two approaches is suggested for treatment of tongue thrust:
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Articulation treatment and oral myofunctional therapy
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Intelligence plays an important role in articulation skills in what population:
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Individuals with severe cognitive impairments
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Phonological deficits often co-occur with deficits in what area of language:
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Morphosyntax
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Children with speech sounds disorders are likely to have academic difficulties in what specific areas:
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Reading, spelling, phonological awareness
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The number of speech sound errors in children has been shown to decrease from first through fourth grade due to:
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Maturation
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In twin studies, which type of twins have more highly correlated articulation skills:
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Monozygotic
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Personality may contribute to speech sound disorders. Specifically, parents of children with SSD have reported their child to be:
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overly sensitive
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A dental appliance that is often used to replace part of the hard palate is called an:
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Obturator
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An enlarged tongue is called:
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Macroglossia
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A genetic disorder caused by an extra 21st chromosome is called:
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Down Syndrome
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Hearing loss can affect speech sound production as well as:
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Suprasegmentals
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__________ is an impairment in motor programming, specific to speech sound production.
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apraxia
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The most common type of speech sound disorder has:
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no known origin
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The connection between speech sound disorders and stuttering may be:
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motoric
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T/F: Research does not support a connection between otitis media and speech sound disorders.
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false
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T/F: Children with missing teeth will always have a lisp.
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false
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T/F: Frenum clipping is usually recommended for in individuals with severe ankyloglossia.
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true
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T/F: Removal of part or all of the hard palate would have a detrimental effect to speech production.
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true
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T/F: Oral tactile sensitivity is typically most sensitive at the midline of anatomical structures.
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true
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T/F: Tongue thrust will always affect dentition.
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false
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T/F:Tongue thrust only has to do with swallowing.
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false
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T/F: Significantly more males have a speech sound disorder compared to females.
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true
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T/F: Research has shown that children who use a pacifier may be 3 times more likely to develop a speech sound disorder compared to children who do not use a pacifier.
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true
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T/F: Personality may be linked to speech sound production.
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true
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T/F: Cleft lip always results in a speech sound disorder.
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false
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T/F: The tongue is an adaptable muscle that can compensate even when part of it is surgically removed.
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true
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T/F: Newborn hearing screenings are universal in the United States.
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false
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T/F: Dysarthria is a neuromotor disorder that only affects the articulatory system.
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false
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T/F: Speech sound disorders typically occur in isolation of other disorders.
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false
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T/F: Children with speech sound disorder are more likely to have a co-occurring expressive, as opposed to receptive, language disorder.
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true
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final consonant deletion
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omitting the final consonant
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reduplication
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the same sounds are repeated
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cluster reduction
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omitting one member of the cluster, sometimes resulting in a completely new sound
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unstressed syllable deletion
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deleting the non-stressed syllable, initial non-stressed syllables are more likely to be deleted than non-initial
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stopping
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fricative produced as a stop
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pre vocalic voicing
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consonant (usually initial stop) is voiced before a vowel
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final consonant devoicing
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the word final consonant is devoiced
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Liquid gliding
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liquids are produced as glides
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fronting
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velar stops are produced as alveolar stops, mostly initial position
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depalatalization
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sh to s
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harmony
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all consonants in a word share a property
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Deaffrication
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ch to t, d3 to d
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age when all speech sounds are mastered and adult-like
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8-9 years
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age when all vowels in monosyllabic words are produced:
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3-4 years
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age when intelligible to strangers 80% of the time
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3 years
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stage one
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crying and fussing
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stage two
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consonant-like vocal tract closure, raspberries and clicks
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stage three
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imitate prosodic contours, marginal babbling, squeals
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stage four
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reduplicated syllables, non-reduplicated syllables
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stage five
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complex sounds