Chapter 3 1
Chapter 3: Evaluation of Motor Speech Disorders
QUESTIONS
Multiple Choice
1. When diagnosing motor speech disorders, most clinicians rely on:
A. instrumentation
B. perceptual analysis
C. tuning forks
D. sophisticated devices
2. What are the five components of speech production?
A. respiration, phonation, resonance, articulation, and processing
B. respiration, phonation, resistance, articulation, and prosody
C. respiration, phonation, resonance, articulation, and prosody
D. regurgitation, phonation, resonance, articulation, and prosody
3. Dysarthria is:
A. a speech language deficit resulting from neuromotor damage to the PNS or CNS, with
damage affecting any of the five components of speech production and language
B. a psychological disorder masked by speech production deficits resulting from neuromotor
damage to the PNS or CNS, with damage affecting any of the five components of speech
production
C. a speech production deficit resulting from neuromotor damage to the PNS or CNS, with
damage affecting one component of speech production
D. a speech production deficit resulting from neuromotor damage to the PNS or CNS, with
damage affecting any of the five components of speech production
4. Apraxia of speech is:
A. a motor speech disturbance characterized by a deficit in the ability to smoothly sequence
motor commands needed to correctly position the articulators during the voluntary
production of phonemes
B. a language and motor speech disturbance characterized by word finding problems and a
deficit in the ability to smoothly sequence motor commands needed to correctly position
the articulators during the voluntary production of phonemes
C. a motor speech disturbance characterized by a deficit in the ability to smoothly sequence
motor commands needed to correctly position the articulators during involuntary
production of phonemes
D. a speech production deficit resulting from neuromotor damage to the PNS or CNS, with
damage affecting any of the five components of speech production
5. Damage to which motor component results in speaking in short phrases, reduced loudness,
and a breathy voice quality?
A. respiration
B. phonation
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C. resonance
D. articulation
6. Damage to which motor component results in breathy, harsh quality or strained-strangled
quality?
A. respiration
B. phonation
C. resonance
D. articulation
7. Damage to which motor component results in a hypernasal quality?
A. respiration
B. phonation
C. resonance
D. prosody
8. Damage to which motor component results in imprecise consonants, distorted vowels,
inappropriate silences, and irregular articulatory breakdowns?
A. respiration
B. phonation
C. articulation
D. prosody
9. When conducting a motor speech examination, the clinician:
A. only needs to evaluate the five components of speech production
B. needs to constantly assess the patient’s muscle strength, speed of movement, range of
motion, accuracy of movement, motor steadiness, and muscle tone as well as the five
components of speech production
C. will need to use the instrumentation method to achieve an accurate diagnosis
D. may want to know a little bit about the neuromuscular system
10. Regarding the speech motor evaluation, which of the following is TRUE?
A. Face and jaw muscles need to be observed during rest only.
B. The tongue needs to be observed during movement only.
C. The velum and pharynx need to be observed during rest and movement.
D. Laryngeal function can be observed directly.
11. Which of these tasks will be most difficult for a patient with apraxia of speech?
A. counting from 1-20
B. counting backward from 20 to 1
C. counting from 1 to 10
D. repeating CVC words with identical initial and final sounds
12. Apraxia is:
A. the result of muscle weakness
B. the result of reduced range of motion
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C. due to a cognitive inability to plan the target movement
D. disruption in the ability to voluntarily sequence complex movements accurately
13. The first portion of a motor speech evaluation is:
A. observing the larynx
B. using sophisticated equipment
C. observing the velum
D. obtaining background information and medical history
14. Small involuntary movements that may occur in a muscle when motor innervation has been
lost through damage to lower motor neurons are called:
A. nonrhythmic movements
B. fasciculations
C. jerkings
D. spasms
15. Regarding obtaining background information and medical history, which statement is
FALSE?
A. Information about onset may be gained.
B. An accurate prognosis is determined.
C. An acute condition may be suggested due to rate of onset.
D. Information about the site of lesion may be gathered.
Completion
16. Two basic methods of evaluating motor speech disorders are instrumentation and
___________.
17. In addition to assessing the five components of speech production, the clinician must also
constantly assess the patient’s muscle strength, speed of movement, range of motion,
accuracy or movement, motor steadiness, and ___________.
18. ___________ tasks move the articulators through a single series of rapid back-and-forth
movements, such as repeating “puh, puh, puh” or “tuh, tuh, tuh”.
19. Abductor muscle paralysis that prevents the vocal folds from being abducted completely is
called a(n) ___________.
20. ___________ is a disruption in the sequencing of oral movements that are nonverbal.
ANSWERS
