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Chapter 5 1
Chapter 5: Spastic Dysarthria
QUESTIONS
Multiple Choice
1. What is one of the features that distinguish spastic dysarthria from flaccid dysarthria?
A. Flaccid dysarthria is characterized by imprecise articulation.
B. Spastic dysarthria is caused by bilateral damage to upper motor neurons.
C. Spastic dysarthria is characterized by limited range of motion.
D. Spastic dysarthria is characterized by imprecise articulation.
2. Spastic dysarthria is caused by bilateral damage to:
A. the pyramidal and extrapyramidal neural pathways
B. lower motor neurons
C. parts of the PNS
D. cranial nerves of speech production
3. What are possible causes of spastic dysarthria?
A. stroke, myasthenia gravis, ALS, muscular dystrophy
B. traumatic brain injury, ALS, dental surgery, multiple sclerosis
C. stroke, ALS, cardiac surgery, muscular dystrophy
D. stroke, ALS, traumatic head injury, multiple sclerosis
4. Of the five components of speech, which one is the least compromised with the presence of
spastic dysarthria?
A. respiration
B. resonance
C. resistance
D. phonation
5. The most common articulation disorder in patients with spastic dysarthria, according to
Darley et al is:
A. vowel distortions
B. imprecise consonants
C. stridors
D. lisping
6. Uncontrollable crying or laughing that can accompany damage to the upper motor neurons of
the brainstem, caused by damage to the areas of the brain that are important in inhibiting
emotions is known as:
A. bulbar affect
B. cognitive impairment
C. pseudobulbar affect
D. spasms
Chapter 5 3
13. An exercise in which the clinician gently grasps the patient’s tongue with a gauze pad and
carefully pulls it straight forward until resistance is felt is:
A. a relaxation exercise to treat phonation deficits
B. a drill for articulation treatment
C. a tongue stretching exercise to treat articulation deficits
D. phonetic placement
14. Of the following statements regarding spastic dysarthria, which one is FALSE?
A. In nearly all instances, damage will occur in both the pyramidal and extrapyramidal
systems.
B. Damage must affect both the left and right tract of the pyramidal and extrapyramidal
systems.
C. Drooling is not prominent in spastic dysarthria.
D. Strokes are the most common cause.
15. Monopitch, monoloudness, and reduced stress may respond to exercises that help the patient
regain the vocal-tract flexibility needed to appropriate vary pitch and loudness, such as:
A. speaking with a microphone
B. pharyngeal flaps
C. minimal contrast pairs
D. intonation profiles
Completion
16. Damage to the ___________ system causes weak and slow movements of the tongue, lips,
velum, and other speech structures.
17. Damage to the ___________ system can result in weakness, increased muscle tone
(spasticity), and abnormal muscle reflexes.
18. A single stroke can cause spastic dysarthria only when it occurs in the ___________.
19. Brain damage from lack of oxygen in the blood is called ___________.
20. The difference between the hypernasality noted in spastic dysarthria and flaccid dysarthria is
that hypernasality is spastic dysarthria does not generally include ___________.
ANSWERS
