Quiz On Dysarthria And Dyspraxia For Dss Exam

35 Questions | By Em2oleary | Updated: Mar 21, 2022 | Attempts: 181

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Quiz On Dysarthria And Dyspraxia For Dss Exam - Quiz

Dysarthria is a condition wherein the muscles used for speech are weakened and difficult to control. Dyspraxia is a chronic neurological condition that affects the planning of movements and co-ordination. What can you tell us about them?

Questions and Answers

1.

Which dysarthria is characterised by atrophy and fasciculations?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hyperkinetic
- D.
  
  Hypokinetic
- E.
  
  Spastic
2.

Which dysarthria is characterised by emotional lability?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hyperkinetic
- D.
  
  Hypokinetic
- E.
  
  Spastic
3.

Which dysarthria is characterised by factors including nystagmus, hypotonia, intention tremor and dysmetria?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hyperkinetic
- D.
  
  Spastic
- E.
  
  Unilateral Upper Motor Neuron
4.

Which dysarthria is characterised by festination?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hypokinetic
- D.
  
  Hyperkinetic
- E.
  
  Spastic
5.

Which dysarthria is characterised by chorea, dystonia, and tics?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hyperkinetic
- D.
  
  Hypokinetic
- E.
  
  Unilateral UMN
6.

Which dysarthria is characterised by unliateral palatal weakness?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hypokinetic
- D.
  
  Spastic
- E.
  
  Unilateral UMN
7.

A patient is presenting with irregular artic breakdowns, harsh voice, explosive loudness patterns and scanning speech. Which dysarthria holds the most likely diagnosis?
- A.
  
  Ataxic
- B.
  
  Flaccid
- C.
  
  Hyperkinetic
- D.
  
  Spastic
- E.
  
  Unilateral UMN
8.

Which of the following is not a symptom of flaccid dysarthria?
- A.
  
  Atrophy and fasciculations
- B.
  
  Audible nasal emissions and nasal regurgitation
- C.
  
  Variable prosodic rate
- D.
  
  Breathiness and diplophonia
- E.
  
  Slowed AMR's
9.

Which of the following is not a symptom of spastic dysarthria?
- A.
  
  Emotional lability
- B.
  
  Hyperactive gag reflex
- C.
  
  Low pitch, with strained strangled voice quality
- D.
  
  Festination
- E.
  
  Excess and equal stress
10.

Which statement regarding ataxic dysarthria is incorrect?
- A.
  
  Damage to the cerebellum and cerbellar system, and is usually bilateral
- B.
  
  Rhythm is disturbed, but not articulation
- C.
  
  Tone changes occur
- D.
  
  Can be caused by Multiple Sclerosis, multiple systems atrophy and Shy-Drager syndrome
- E.
  
  Includes major prosodic changes, including scanning, stumbling, prolonged phonemes, and a generally distrubed rhythm.
11.

Which statement regarding hypokinetic dysarthria is incorrect?
- A.
  
  Characterised by reduced movements, festination, rigidity and Parkinsonism symptoms.
- B.
  
  Occurs from damage to subcortical regions, particularly the basal ganglia
- C.
  
  Prosody characterised by reduced stress, loudness, with inappropriate silences
- D.
  
  Characterised by "blurred" speech, excess loudness variations, and reduced force
- E.
  
  Articulation characterised by palilalia, reduced jaw stability and festination
12.

Which statement regarding hyperkinetic dysarthria is incorrect?
- A.
  
  Includes oro-facial tardive dyskinesia, chorea and dystonia
- B.
  
  Results from damage to the cerebellar unit or pyramidal pathway
- C.
  
  Respiration characterised by sudden, forced involuntary inspiration or expiration
- D.
  
  Has irregular artic breakdowns, a variable rate, distorted vowels, slow irregular AMR's
- E.
  
  Phonation characteristics include pitch & loudness breaks, abnormal noises and a harsh vocal quality.
13.

Which statement regarding unilateral upper motor neuron dysarthria is incorrect?
- A.
  
  Results from damage to upper motor neuron pathways
- B.
  
  Possible unilateral tongue or lower face weakness with atrophy and fasciculations
- C.
  
  Imprecise AMR's and irregular artic breakdowns
- D.
  
  Includes mild dysphagia and drooling
- E.
  
  Damage occurs through vascular events, TBI's and tumours
14.

Why do you assess dysarthria and dyspraxia? (5 reasons)
15.

List what domains you assess when assessing dysarthria and dyspraxia.
16.

Which of the following statements regarding paediatric assessment is incorrect?
- A.
  
  The Robbins-Klee Protocol is for assessing respiratory support
- B.
  
  VMPAC stands for Verbal Motor Production Assessment for Children
- C.
  
  The Great Ormond Street Speech Assessment (GOS.SP.ASS) is for assessing childhood apraxia of speech
- D.
  
  The Goldmann Fristoe test of articulation can be used for assessment of dysarthria and dyspraxia
- E.
  
  The OME/OPE plus a speech sample can be used
17.

Which of the following statements is correct regarding assessment of adult dysarthria and dyspraxia?
- A.
  
  Assessment tools include: OME, assessing oral mechanism at rest, Frenchay, Apraxia battery for adults
- B.
  
  Assessment does not assess intelligibility or comprehesibility.
- C.
  
  A case history is necessary
- D.
  
  Salient features and confirmatory signs need to be identified
- E.
  
  A speech sample may be taken
18.

The nature of paediatric breakdowns include: (more than 1 correct answer):
- A.
  
  Artic: place, manner, range of movement
- B.
  
  Timing of speech sound production and co-ordination
- C.
  
  Sequencing and accuracy disorders
- D.
  
  Prosody disorders
- E.
  
  Resonatory disorders
19.

What are the parameters for speech production as listed by Joffee
- A.
  
  Range
- B.
  
  Strength
- C.
  
  Co-ordination
- D.
  
  Speed
- E.
  
  Muscle tension
20.

Childhood apraxia of speech (CAoS) is not characterised by
- A.
  
  Inconsistent errors
- B.
  
  Facial groping
- C.
  
  Festination
- D.
  
  Unusual stress patterns
- E.
  
  Reduced word shapes
21.

True or false: Dysarthria is a motor speech disorder with difficulty at the level of execution.
- A.
  
  True
- B.
  
  False
22.

True or false: Dyspraxia is a motor speech disorder with difficulty at the level of planning or programming.
- A.
  
  True
- B.
  
  False
23.

True or false: Joffee's note are shit
- A.
  
  True
- B.
  
  True
- C.
  
  True
- D.
  
  True
- E.
  
  True
24.

What is the correct order for the 4 stages of intervention?
- A.
  
  Establish, generalise, maintain, stabilise
- B.
  
  Generalise, Stabilise, establish, maintain
- C.
  
  Establish, stabilise, generalise, maintain
- D.
  
  Maintain, generalise, stabilise, establish
- E.
  
  Stabilise, generalise, maintain, establish
25.

Which of the following statement's is not true of intervention for multiple sound errors
- A.
  
  Requires a more holistic approach than 'one sound at a time'
- B.
  
  Targeting sound classes produces better results than 'one sound at a time'
- C.
  
  Meaningful contrast therapy is useful
- D.
  
  The child is doomed and there is nothing you can conceivably do to help the child