Quiz On Dysarthria And Dyspraxia For Dss Exam
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?
- 1.List what domains you assess when assessing dysarthria and dyspraxia.
- 2.Which dysarthria is characterised by atrophy and fasciculations?
- A.
Ataxic
- B.
Flaccid
- C.
Hyperkinetic
- D.
Hypokinetic
- E.
Spastic
- 3.Which dysarthria is characterised by emotional lability?
- A.
Ataxic
- B.
Flaccid
- C.
Hyperkinetic
- D.
Hypokinetic
- E.
Spastic
- 4.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
- 5.Which dysarthria is characterised by festination?
- A.
Ataxic
- B.
Flaccid
- C.
Hypokinetic
- D.
Hyperkinetic
- E.
Spastic
- 6.Which dysarthria is characterised by chorea, dystonia, and tics?
- A.
Ataxic
- B.
Flaccid
- C.
Hyperkinetic
- D.
Hypokinetic
- E.
Unilateral UMN
- 7.Which dysarthria is characterised by unliateral palatal weakness?
- A.
Ataxic
- B.
Flaccid
- C.
Hypokinetic
- D.
Spastic
- E.
Unilateral UMN
- 8.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
- 9.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
- 10.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
- 11.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.
- 12.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
- 13.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.
- 14.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
- 15.Why do you assess dysarthria and dyspraxia? (5 reasons)
- 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
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