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ETS Praxis Speech-Language Pathology (5331) Practice Test 2026 – The Comprehensive All-in-One Study Guide for Exam Success! course image
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  • Which of the following methods will best measure a patient's progress on language goals and objectives?
  • What is the most appropriate response the SLP can give Brennan's wife regarding her concerns about his cognitive decline?
  • What is the most appropriate first step in treating a 28-year-old teacher with frequent voice loss due to significant vocal demands?
  • What is a characteristic of child-directed speech?
  • In a videofluoroscopic swallow study, what finding is considered typical for geriatric patients?
  • What should be the most appropriate revision to a treatment plan for a child showing progress in therapy but not in the classroom?
  • What condition is most likely to cause difficulty in vocal fold closing?
  • Which strategy is most effective for improving a sixth-grade student's reading comprehension difficulty?
  • What type of assessment is characterized by test-teach-retest procedures?
  • Which types are identified as velopharyngeal dysfunction?
  • What is the primary characteristic of conduction aphasia as observed in patients?
  • What must an SLPS do to legally provide telepractice services across state lines?
  • What is a common communication issue in children with velopharyngeal dysfunction?
  • A 9-year-old child one year post tonsillectomy shows moderate hypernasality. What is the next appropriate step for the SLP?
  • Following vocal fold injection augmentation, what is typically recommended?
  • What is one benefit of injection augmentation in treating vocal fold paralysis?
  • Which risk factor is associated with the highest independent predictive value for pneumonia in elderly individuals with dysphagia?
  • What characteristic is seen in a patient with idiopathic unilateral vocal fold paralysis?
  • What is the main goal of injection augmentation in vocal fold treatment?
  • What does a score in the 65th percentile indicate for a student's expressive language ability?
  • What is the best action for a speech-language pathologist when a patient has not received a medical evaluation by a laryngologist?
  • What outcome does the chin-down posture NOT improve when swallowing?
  • What strategy can enhance swallowing mechanics in patients with dysphagia?
  • Based on certain screening behaviors, which diagnostic category should be considered for a child exhibiting minimal eye contact and echolalia?
  • Regarding a dysphagia screening test, which statement is true about its sensitivity?
  • Which activity exemplifies a metalinguistic strategy for assisting students with language difficulties?
  • What is the most appropriate assessment procedure for a patient post-extubation?
  • What is a common characteristic of cleft palate in infants?
  • Which technique can increase intrabolus pressure during a swallow?
  • What analysis should an SLP apply to gather the most useful information from a 3-year-old's play-based language sample?
  • Which condition is indicated by a short lingual frenulum and heart-shaped tongue tip?
  • Before a child can produce narratives, which skill must they first possess?
  • What should the SLP do before initiating an oral-feeding trial with an infant diagnosed with a unilateral cleft lip?
  • After experiencing a traumatic brain injury, what should be the initial focus in Joe's treatment plan?
  • What intervention is effective in improving the upper esophageal sphincter opening in patients with dysphagia?
  • Which measure is primarily included in an endoscopic examination for a child with hoarseness?
  • What is the most appropriate recommendation for a 3-year-old diagnosed with stuttering?
  • Which of the following is a normal language development milestone for a 14-month-old child?
  • Which muscle is responsible for the elevation of the pharynx during speech?
  • Which treatment strategy is most effective for spastic dysarthria?
  • Which statement best reflects the role of stimulability in generating a prognosis for remediation of gliding in a child?
  • What is the most likely etiology of Sophia's suspected language disorder?
  • What is likely true regarding the etiology of a developmental speech delay in a 5-year-old with intellectual disability?
  • Which strategy best supports the development of intervention goals for a patient using an AAC device?
  • During interprofessional practice in a health care setting, what is the primary focus of an SLP?
  • What is the most direct way to address a patient’s fear of coworkers reacting to disfluent speech?
  • When evaluating a new treatment for children with specific language impairment, what should be the control group?
  • Which exercise is utilized to enhance swallowing mechanics?
  • What cognitive domain primarily impacted Brennan in his assessment for chronic traumatic encephalopathy?
  • Which reflex is primarily responsible for expelling material from the airway?
  • Which finding during an oral mechanism examination is most predictive of aspiration?
  • What is the most appropriate next step for an SLP to assess a child's speech errors?
  • What aspect of communication is key in the long-term management of chronic traumatic encephalopathy?
  • What best describes an SLP's research comparing a new therapy to a standard approach?
  • When is endoscopic examination of swallowing particularly useful?
  • Which of the following represents a benefit of high vocal intensity phonation in voice therapy?
  • What phonemes are included in Ling's Six-Sound Test?
  • In a VFSS for a dysphagia patient, which maneuver can improve swallowing and reduce aspiration risks?
  • A kindergarten student is noted to have an interdental sound production for /s/ and /z/. What is the most appropriate recommendation?
  • What is one common risk associated with depending on others for feeding in elderly patients with dysphagia?
  • What is a characteristic symptom of the progressive dysphonia experienced by the 42-year-old male teacher?
  • When assessing a patient with a history of traumatic brain injury, which approach is most suitable for evaluating cognitive communication?
  • A 4-year-old child has a moderate phonological impairment. What is the most appropriate service plan recommendation?
  • What technique involves repeating the child's utterance to provide a model of more complex speech?
  • What goal should an SLPSLP prioritize for a nonverbal 4-year-old diagnosed with autism?
  • In matching toddler utterances to semantic relations, "Doggie eat" best matches which relation?
  • What substance is typically injected into the thyroarytenoid muscle to treat adductor spasmodic dysphonia?
  • Why should thickened liquids be used with caution for adults with dysphagia?
  • A three-year-old speaks normally at school but displays loud or fast speech at home. What does this indicate?
  • Which cranial nerve is responsible for closing the vocal folds for airway protection during swallowing?
  • Which phonological error pattern should an SLP target first during intervention planning?
  • What is the best practice for supporting a student with language needs in the classroom environment?
  • Which approach should an SLP take when working with a child who struggles with auditory comprehension?
  • Which layer is included in the vocal fold transition?
  • Which characteristic is most likely to impact a stroke patient's engagement in cognitive treatment?
  • What should be the expected outcome after pharyngeal flap surgery for a patient with velopharyngeal dysfunction?
  • Which characteristic distinguishes autism spectrum disorder from social communication disorder according to DSM-5 criteria?
  • Which assessment is critical for understanding vocal fold function during a voice evaluation?
  • What characteristic often indicates a need for targeted treatment in child language development?
  • How can SLPs best support communication for a child with a language delay?
  • What does recent research indicate about the prevalence of swallowing problems among adults each year?
  • Which method will most effectively increase the fundamental frequency of the voice?
  • Which genetic disorder is due to an extra copy of chromosome 21?
  • How should an SLP document a child's performance during a therapy session?
  • In a language evaluation for a patient with fluent speech, which symptom would be indicative of conduction aphasia?
  • In response to parents' concerns about their child who stutters, what is the most appropriate advocacy step for the SLP?
  • Voice therapy helps patients with vocal fold paralysis by focusing on what aspect?
  • What factor best explains the prevalence of benign vocal fold lesions in women?
  • Which muscle is primarily responsible for opposing lip retraction (spreading)?
  • Which condition is most likely an etiology of cortical dementia?
  • Which aspect of voice is primarily affected by a superior laryngeal nerve injury?
  • What is crucial when assessing the social communication skills of a school-age child?
  • Following a thyroidectomy, which post-treatment follow-up evaluation is most appropriate for a patient with swallowing issues?
  • What is a primary characteristic of ankyloglossia?
  • What assessment is best for evaluating vocal fold vibratory dynamics during phonation?
  • What treatment is most appropriate for promoting expressive and receptive language performance in conversation for an individual with aphasia?
  • What factor is associated with the adverse effects reported in speech sounds of children in language assessments?
  • Which intervention is suitable for a patient with presbylaryngis who has vocal loudness issues?
  • What is a false negative in the context of screening tests?
  • What is the sequential approach to address vocal fold paralysis as recommended in voice therapy?
  • How is specificity of a screening test defined?
  • Which therapy technique aims to help patients develop control over their speech disfluencies?
  • Which disorder is most accurately diagnosed when a patient presents with impaired single-word retrieval but has preserved single-word comprehension?
  • What is the commonly accepted cause of cleft lip in infants?
  • Which example best illustrates a syntactic feature of Spanish-influenced English?
  • What approach to stuttering treatment may involve observing family interactions?
  • What is the expected outcome of voice treatment in a patient with vocal fold paralysis?
  • In the context of dysphagia assessment, what does a high specificity indicate?
  • In providing dysphagia therapy after a traumatic brain injury, what resource is most beneficial for evidence-based intervention?
  • What type of practice is emphasized as important for exercise therapy?
  • What structural factor has the most adverse effect on articulation?
  • For a 12-year-old patient who responds well to verbal reinforcement, what should the SLP adjust when increasing task difficulty?
  • Which therapeutic technique is most appropriate for treating hyperfunctional voice disorders?
  • In the long-term management of chronic traumatic encephalopathy, what intervention is most beneficial for the patient?
  • What procedure is best for diagnosing velopharyngeal dysfunction in a patient with flaccid dysarthria?
  • In which position are vocal folds often found in cases of paralysis?
  • Which aspect of auditory comprehension is crucial for understanding complex verbal instructions?
  • When should an SLP refer a child for further assessment of speech sound disorders?
  • For a patient with idiopathic unilateral vocal fold paralysis and a large glottal gap, what is the most appropriate initial treatment?
  • In a patient with a lateral medullary stroke, which swallow impairment is likely observed in a videofluoroscopic swallowing study?
  • What language stimulation technique is a mother using when she expands her child's utterance?
  • What characteristic is typical of spondee words?
  • What is a significant risk factor for developmental reading disorders?
  • What is the best action for an SLP when a child stutters more severely in the presence of a sibling?
  • For a 24-month-old child in an early intervention program, what is the best method to determine communication goals?
  • What condition can result from the supraglottic swallow maneuver?
  • If a patient has preserved motor speech abilities but naming difficulties, which condition is likely?
  • For a child with specific language impairment, which assessment tool would be most beneficial?
  • What is a key recommendation for a child with profound bilateral hearing loss after cochlear implantation?
  • What type of language impairment commonly affects social communication skills?
  • During a videofluoroscopic evaluation, what might it indicate if pyriform sinuses refill quickly after swallowing?
  • What is most likely to occur in an infant with an unrepaired cleft palate?
  • Which disorder is most effectively treated with the minimal contrast approach?
  • What does the orbicularis oris muscle primarily control?
  • What vocal change is most consistent with a superior laryngeal nerve injury?
  • What is one method for a speech-language pathologist to ensure effective treatment of a patient with a history of significant vocal demands?
  • What is the best initial assessment tool for evaluating a child's speech sound errors?
  • What statement reflects the truth about the proposed AAC assessment process for a patient with severe nonfluent aphasia?
  • Which approach helps assess the impact of a treatment plan on an adolescent's academic learning?
  • Which approach is the most appropriate initial therapy focus for a patient with stuttering?
  • What type of cognitive deficits did Brennan exhibit during his initial assessment for chronic traumatic encephalopathy?
  • What is the role of the orbicularis oris muscle?
  • Which characteristic typically differentiates a speech disorder from a language disorder in children?
  • What strategy can an SLP use to provide Tier 2 language support for a student in the classroom?
  • Which intervention strategy is most likely to effectively help a patient with a limited duration of upper esophageal sphincter opening?
  • Which communication strategy is often employed for children with dysarthria?
  • What factor should be emphasized for effective treatment planning in patients with communication difficulties?
  • What key item should be included on a therapy service documentation form by an SLP?
  • Which statement about statistical significance is true?
  • In a study requiring interjudge reliability, what should researchers do?
  • What technique is best for a clinician to use to improve a patient's ability to produce spontaneous speech?
  • What is the purpose of using surface electromyography in speech therapy?
  • What characteristic is a sign of velopharyngeal inadequacy?
  • Which assessment provides objective data to complement a perceptual assessment of voice quality?
  • Which of the following scenarios indicates a need for a clinical swallow evaluation?
  • What type of therapeutic approach is best for enhancing confidence in stuttering individuals?
  • Which language development milestone should a typically developing 9-month-old child begin to demonstrate?
  • Which strategy can help reduce aspiration risk in dysphagia patients?
  • Which communication disorder is characterized by significant deficits in auditory language comprehension?
  • Which of the following is an important aspect of phoneme manipulation in speech therapy?
  • Which three statements are true regarding the treatment of swallowing disorders?
  • Which recommendation for intervention for a child post-cochlear implant emphasizes family involvement?
  • An SLP needs to measure articulatory errors over time. What is the best method for this?
  • A patient with fluent speech and phonemic errors is likely to present with which type of aphasia?
  • What research design provides the strongest evidence for an intervention in children with autism spectrum disorder?
  • What effect does severe anosognosia have on a patient's treatment outcomes?
  • What pairs of words should an SLP use in the multiple oppositions method for phonological errors?
  • What is a key principle in speech sound treatment for children?
  • In evaluation of a patient with a vocal fold issue, what is a key feature to assess?
  • If an infant is safe for oral breastfeeding, what is an important intervention for the mother before discharge?
  • What should an SLPS L P do after a 3-year-old child fails a hearing screening but understands instructions clearly?
  • If an insurance company denies coverage for a communication device, how can an SLP best advocate for the patient?
  • Which statement is correct regarding eligibility under Section 504 of the Rehabilitation Act?
  • What is the initial assessment focus for a child showing signs of sound omissions and hypernasality?
  • Which strategy is most effective in treating articulation errors related to velopharyngeal dysfunction after surgery?
  • What does evidence show about the chin-down posture (CDP) during swallowing?
  • In assessing speech for a child with suspected velopharyngeal dysfunction, which stimulus would be most helpful?
  • What is the focus of interprofessional practice in the context of speech-language pathology?
  • Which variables are considered risk factors for late language emergence?
  • What might an SLP expect from a patient who utilizes strategies to manage anticipated disfluencies in conversation?
  • When assessing a bilingual child, it is vital to evaluate both languages primarily to achieve what goal?
  • Which of the following symptoms may indicate poor swallow function in a stroke patient?
  • Which factor is most contributing to the rise in oropharyngeal cancers in the United States?
  • What treatment best aligns with a patient's goal of using more words to convey ideas using complete sentences?
  • What is a key element when evaluating an elderly patient for a communication disorder?
  • Which nerve provides efferent innervation to the stylopharyngeus muscle?
  • What intervention technique is used when a clinician vocalizes a child's actions during play?
  • Elisions and transpositions in phonemes are referred to as which type of modification?
  • What should an SLP do upon realizing her license expired while seeing patients?
  • Why is voice therapy considered after injection augmentation in vocal fold paralysis?
  • Why is it important to include connected speech samples in speech sound evaluations?
  • What is the most appropriate next step for the speech-language pathologist (SLP) when a child exhibits poor receptive language and limited expressive language during an evaluation?
  • A 75-year-old man presents with speech characterized by prolonged silent intervals. What is the most reasonable diagnosis?
  • What is the most appropriate action for a speech-language pathologist when a child with developmental apraxia of speech is not progressing in therapy?
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