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  1. 17. What area of language development was significantly different between the screened and no screened groups, as described by Yoshinaga-Itano?
  2. 83. When researchers evaluate better outcomes of communication skills in comparison to age of implantation, there is substantial report in more recent studies for and better outcomes associated with implants
  3. *103. How often should a student's hearing aid be monitored by school personnel?
  4. 36. A 3-4 year old child is responsive to a wide variety of sounds at approximately what level?
  5. 27. Children in the Fulcher et al. study who failed to attend therapy sessions or did not wear their sensory aid on a consistent basis were excluded fro the data analysis. What affect does this exclusion have when determining the effects of audiotory-verbal therapy (AVT) on language outcomes?
  6. 61. The OHCL study is an epidemiological study conducted from three universities that hopes to inform practices that lead to differences in outcomes for children who are deaf
  7. *101. For hearing and hearing impaired listeners, what happens to mean word recognition scores as RT increases?
  8. 88. If I were trying to ascertain a child's functioning in his preschool classroom and wanted to et teachers' input, I would consider giving the
  9. *71. Learning by overhearing others (incidental learning) is a behavior that falls under which Phase of the Cole and Flexor model?
  10. 32. For a younger baby, according to Easterbrooks and Estes, the main brain task that is important is:
  11. 22. Which of the following makes it difficult to get families to follow up, after their child fails the newborn hearing screen?
  12. 40. JCIH guidelines has the intended goal of 1) identification of hearing loss and 2) initiation of services by what ages?
  13. 28. What is an example of a non malleable factor?
  14. *21. What are the 1-3-6 benchmarks, as described by JCIH an AAP?
  15. 31. Josie, age 23 months, is beginning to combine words. She primarily uses phrases such as "big cookie" and "silly doggie" in her interactions at home. What type of semantic syntactic word classes has Josie mastered?
  16. *99. As social demands increase for students in elementary school, they have increased experience learning to shift their manner of conversations dependent not eh communication partner. If we refer to the 1979 Bloom and Lahey model of language, which area is this most related to?
  17. 7. Approximately what percentage of SLPs did not have access to an educational audiologist?
  18. 113. According to Schow and Nerbonne, a deaf 17 year old with profound HL may have the vocabulary level of
  19. *59. By what age does a typically deleting child with normal hearing learn to discriminate the sounds of their native language
  20. 87. Many parents elect to use sign as a "stop-gap" measure before implantation. Robbins suggests that this is a good recommendation except in the following condition:
  21. 127. Rory, Abby and Simon all third graders with cochlear implants, are working in group therapy together. They are learning social conventions for phone usage in a role playing situation. They are most likely working on
  22. 38. One problem with newborn hearing screening not identifying children with true hearing losses may be
  23. 25. Write out these acronyms
  24. 68. If an SLP or audiologist is using adaptive strategies with a child, he/she might engage in which of the following behaviors:
  25. 105. Without systematically monitoring equipment used for children with hearing loss including FMs, hearing aids, ALDs, the failure rate found by researchers is expected to be approximately what level?
  26. 80. A child is presented with an array of three objects varying in manner in initial position and asked to point to one of the objects in an auditory only condition (show me bat/cat/rat). According to Chute and Nevins, this would be called what kind of task?
  27. 117. Children with auditory neuropathy often
  28. 130. What was the primary outcome measure (dependent variable) in the study?
  29. 121. "Go get your coat" was misunderstood by Johnny, age 4 who has a bilateral severe SNHL. His mother then continued: "Johnny. We're leaving and we both need a coat. go get your coat" this is an example of:
  30. 12. What is a benefit to using tele-intervention?
  31. 85. Johnnie is working on his speech production skills. He practiced saying "key", then moved to "keep", then was successful on the phrases "i keep it". His clinician then had him make up a sentence with the word "keep". He respond with: "Keep. I have keep". As his SLP, a good next step on the ladder of speech training skills would be:
  32. 5. Which type of equipment were the SLPs least confident with troubleshooting?
  33. 56. A landmark study on language acquisition on preschoolers with hearing loss revealed which of the following as a surprise finding?
  34. *107. What % of students receives instruction in a bi-bo approach?
  35. 16. As of 2003, why was there little prospective research on outcomes of infants and toddlers with hearing loss?
  36. 79. Which of the following is not correct relative to usage of CIs for children?
  37. 3. According to the Individuals with Disabilities Education Improvement Act (IDEA), how often should hearing aid checks be performed?
  38. 111. PL 99:457 Education of Handicapped Act mandated service to include
  39. 82. Children who can respond to phrases such as "see you later" or "what are you doing?" are engaging in:
  40. 55. Preschool children with hearing gloss often struggle with mapping language into everyday routines. This can be due to
  41. 116. According to your text, by 2005, nearly 50% of students with hearing loss in K-post high school settings are educated primarily in what setting?
  42. *94. ASHA in defining CAPD, suggested that three key auditory areas be assessed. Name the three areas.
  43. 86. Being able to interpret as well as signal subtle emotional cues with your voice is sometimes difficult for children with hearing loss. This can lead to:
  44. 2. In the survey, what was the most frequent response for how often SLPs performed hearing aid listening checks with students?
  45. *60. Gregg, age 11, has a profound hearing loss and voicing problems when he talks. Name one perceptual problem might hear in Gregg's speech attempts is he has sufficient goal fold adduction
  46. 52. Which of the following is TRUE regarding children with hearing impairment's early vocalizations?
  47. 24. What was the most common reason for delays in the EDHI process?
  48. 44. Hallmark behaviors of pre inflected stage include:
  49. 58. Same as 57
  50. *57. List two factors that have significantly changed the speech and language outcomes for children with hearing loss
  51. 1. According to the authors, what is one reason for limited collaboration between SLPs and audiologists?
  52. 97. Josie, who has a severe to profound bilateral hearing loss, has been aided since age 3. She has language learning problems secondary to her hearing loss. When reading Romeo and Juliet and writing an essay for her class assignment from Juliet's point of view, Josie is struggling. If we think of the language requirements for this specific task, which of the following is probably the main area might Josie realistically be challenged by?
  53. *53. Libby, age 6, communicates via TC. Her mom wants you to assess Libby's receptive sign vocabulary. You divide to use which formal measure?
  54. 39. Newborn hearing screening identifies hearing loss in about how many out of every 1000 newborns?
  55. 90. You are working with a newly implanted 14 year old 9th grade student. He has been deaf since birth. When you are selecting therapy materials to work on speech production tasks, you decide that the best materials would be:
  56. 125. "I didn't understand what time you said. Would you mind repeating that appointment time?" This is an example of what kind of communication behavior?
  57. 9. What was the primary advantage of using Skype to provide tele practice services for the Sound Beginnings program in Utah?
  58. 8. What is one feasible option for improving collaboration between SLPs and audiologists, according to the authors?
  59. 129. The goal of the article was to determine if there was a long term benefit to newborn hearing screening for high school aged children with hearing loss. How were the authors able to determine if newborn hearing screening was beneficial?
  60. *63. What is the recommended interval for assessing hearing in children aged birth to three years?
  61. *100. Daniel, age 8, is a new second grader at Wendell Elementary and has bilateral severe SNHL. HIs teacher needs instruction on how to use his FM system and consistently use preferential seating to maximize his functioning. Relative to the components of the CORE model, which aspect will you as the SLP or audiologist be focusing on?
  62. 93. Some hearing loss issues for school aged children are more complicated to manage. One example is children with milder losses (such as high frequency) and those with chronic conductive losses. Problems with speech, language, academic and other social/educational functioning have been reported in what percentage of the mild bilateral or unilateral hearing loss children?
  63. *98. Typical noise levels in an open classroom average how many dB?
  64. 89. ENL families with CI children are challenging for CI teams in general. This is due to
  65. 18. In the section on cognition and language, the authors describe a seminal study by Yoshinaga-Itano et al. What was the primary finding of that study?
  66. *10. List three issues that may arise during the practice session?
  67. *30. Identify one limitation of the Fulcher et. al. study, as stated by the authors.
  68. *69. What does the news commentator model reported by Moeller and Condon provides objective descriptions of children's behavior during observed parent interactions. What does this strategy help parents learn?
  69. 37. Federal law requires an IFSP for infants and toddlers with disabilities. If you were working with a baby with hearing loss, which of the following information might be provided on the IFSP?
  70. 102. Which of the following are common intervention areas for SLPs working with children with HL in the school setting?
  71. *72. Johnny is a new CI user. His audiologist has encouraged his family to play hide and seek with him and call his name from different locations in the house. This will work on WHICH auditory skill a la Ember listening hierarchy?
  72. 6. What was a limitation for the survey study?
  73. 23. Which of the following is NOT a finding from Holte et al?
  74. 14. Why is the coaching process an integral component of the ihear program?
  75. *104. ASL is to natural language as SEE is to
  76. 131. How did the authors measure the primary outcome measure (what type of test score did they use)?
  77. 43. Jason, age 16 months, has been using his hearing aids since he was 8.5 months old. Which of the following listening tasks is he most likely engaged in?
  78. 26. Looking at the maternal education level data reported in Table 2, what generalization can you make about this particular sample of children with hearing loss?
  79. 132. Using figure 2 as a guide, what are the major finding form this study?
  80. 11. In the Utah Sound Beginnings model for tele practice, one of the goals is that the service provider serves as the ___ for the family during the intervention session.
  81. 112. Joey, age 8 has a profound bilateral SNHL and communicates via TC with some speech approximations. He is transferring to your neighborhood school where he will be the only child who signs in his school of 350 children. What problem(s) might you assume Joey might have?
  82. 33. Jamal is a 15 month old with newly diagnosed sever to profound bilateral SNHL. You just say him for an audiological appointment. During the evaluation you heard him verbally reducing: "ee", "uh oh", and "baba" for mama. You might expect him in a few months to produce which of the following first?
  83. 128. Lily, age 8, has a severe hearing loss. She has a lot of difficulty interpreting the reactions when people do not understand her speech. Lulu might benefit from training at which step of the Elfenbein model?
  84. 13. What are the limitations to using tele-intervention?
  85. *65. The reason that early intervention services occur most frequently in the home or in a natural context is related to interpretation of what federal law?
  86. 15. Stredler-Brown reports that one of the challenges in implementing tele practice is that it is difficult to continue providing the services are the initial gran funding runs out. What does she suggest as a way to sustain tele practice services?
  87. 54. Jacob, age 3, has am mild sloping to moderately severe bilaterally SN hearing loss. We might anticipate he would have trouble proceeding which of the following words?
  1. a True or False
  2. b a. Most of the SLPs didn't work with children with hearing loss
    b. The authors only sent surveys to a limited number of states in the US
    c. Most of the SLPs didn't have access to audiologists, so they couldn't answer the survey questions
    d. The low response rate may have resulted in an unrepresentative sample of school based SLPs
  3. c a. Parents have to take an active role in therapy
    b. There are fewer cancellations
    c. Sessions can be recorded, so additional family members can participate
    d. All of the above
    e. B and C only
  4. d ...
  5. e a. elaborating
    b. rephrasing
    c. simplifying
    d. using a key word
  6. f Hypo or hyper nasality
  7. g a. negative reactions from others when things are misunderstood
    b. difficulty with social nuances such as interpreting sarcasm
    c. caregivers/SLPs to work on scripting responses in social situations
    d. both a and b
    e. a, b and c
  8. h a. Detection
    b. Discrimination
    c. Identification
    d. Comprehension
  9. i a. reading
    b. syntax
    c. vocabulary
    d. pragmatics
  10. j UNHS
  11. k 6 months
  12. l a. One quarter
    b. One third
    c. One half
    d. Two thirds
  13. m a. difficulty communicating with peers
    b. problems using his new interpreter at his new school
    c. peers not knowing how to use an interpreter
    d. all of the above
    e. only a and b
  14. n What is working well
  15. o a. rarely is academica functioning impaired with unilateral or mild hearing loss
    b. 20%
    c. 30-40%
    d. approximately 50%
  16. p a) many more single words since he is more than one year old
    b) different vowels and consonant strings
    c) conversational babble/jargon
    d) I would expect to hear these all at about the same time
  17. q A. none of the independent variables predicted age at entry into early intervention
    b. Higher SES is associated with younger ages at confirmation and HA fitting
    c. Severity of hearing loss affects timeliness of serve delivers (confirmation of hearing loss hearing aid fitting, entry into early intervention)
    d. 100% of research participants failed the newborn hearing screen
  18. r a. the family wants to learn sign
    b. the child is enrolled in a strong program with an auditory emphasis
    c. the child is notably frustrated
    d. the child may not get an implant until 1.5-2 years of age
  19. s a. Conversational strategies
    b. Taking perspective
    c. World knowledge
    d. All of the above
  20. t Early identification, increased client diversity, CIs
  21. u a. FM systems
    b. Cochlear implants
    c. Hearing aids
    d. Induction loops
  22. v Mean word recognition decreases
  23. w Part C IDEA
  24. x a. standard score
    b. percentile rank
    c. age equivalent score
    d. z score
  25. y a. birth, 6 months
    b. 3 months, 6 months
    c. 6 months 9 months
    d. birth, 3 months
  26. z a. Newborn hearing screening may result in false positives
    b. Newborn hearing screening may result in false negatives
    c. Both false positives and false negatives result in children 'slipping through the cracks'
    d. Poor training on the part of the screener
  27. aa a. Degree of hearing loss
    b. Aided audibility
    c. Age of implantation
    d. Amount of daily CI use
  28. ab a. Vocabulary
    b. Syntax
    c. Speech production
    d. None of the above
    e. All of the above
  29. ac a. children with early confirmation of hearing loss, on average, catch up to their same age peers with normal hearing
    b. children with early confirmation of hearing loss show stable growth int he outcome meuse, while children with late confirmation show a decline over time
    c. children with early and late confirmation of hearing loss are both delayed relative to peers with normal hearing, but show the same pattern of growth of time
    d. there are no significant differences in scores between eat and late groups at either testing intervals
  30. ad a. by age one
    b. by age two
    c. by age three
    d. there is no significant difference between ages 1, 2 or 3
  31. ae Use
  32. af 3 months
  33. ag a. Because IDEA mandates that all children on an IFSP or an IEP receive family centered intervention
    b. The coaching process encourages parents to be more involved in intervention, which has a positive impact on the child's language development
    c. Using a coaching model is the most cost effective means of providing intervention
    d. The coaching model encourages SLPs to take the role of the expert, which parents are generally more comfortable with
  34. ah a. Expanding world knowledge and semantic mapping of vocabulary
    b. developing problem solving and verbal reasoning skills
    c. Improving study skills such as note-taking
    d. all of the above
    e. only a and b
  35. ai a. Train SLPs to fit FM systems, hearing aids, and cochlear implants
    b. Set aside dedicated time every week for SLPs and audiologists to communicate via Skype
    c. Encourage more audiologists to join ASHA
    d. Joint participation on students' IEP teams
  36. aj a. For the first time, children with HL
    b. Shift in labeling to "disability"
    c. birth to 5 including AR services for children and their families
    d. all of the above
  37. ak Environmental
  38. al a. 75%
    b. 50%
    c. 35%
    d. 20%
  39. am a. self contained classroom
    b. resource room
    c. specialized facility (school for the deaf)
    d. regular classroom
  40. an a. usage of 2-3 words without tense and number
    b. utilization of a pointing gesture
    c. increase usage of prominent intonational patterns by family members, teachers, and caregivers
    d. both a and b
    e. all of the above
  41. ao a. Rarely
    b. Monthly
    c. Weekly
    d. Daily
  42. ap Daily
  43. aq 1%
  44. ar a. 1 month - all children screened for hearing loss
    b. 3 months - al children who fail NHS have hearing loss confirmed through diagnostic testing
    c. 6 months - children with confirmed hearing loss enter early intervention
  45. as a. limited schema about the event or routine
    b. less access to language of parents, siblings, and caregivers
    c. fewer incidental learning opportunities
    d. all of the above
  46. at a. listening routines
    b. analytic auditory training tasks
    c. open-set comprehension tasks
    d. closed-set identification
  47. au a. Rarely
    b. Monthly
    c. Weekly
    d. Daily
  48. av a) Action + recipient
    b) Action + object
    c) Attribute + entity
    d) Agent + action
  49. aw a. Detection
    b. Discrimination
    c. Identification
    d. all of the above
  50. ax a. Reimbursement by insurance
    b. Possible HIPAA violations
    c. Technological issues
    d. Behavioral issues by the child
    e. C and D only
  51. ay a. it is difficult to hear in background noise
    b. all implanted children, regardless of age of implantation, continue to struggle in task transitions from more structured to more spontaneous listening situations
    c. detection tasks are harder for HA users than for CI users
    d. there is more potential for overheating in incidental learning situations for CI users relative to HA users
  52. az a. all of the children in the study were born during a time when newborn hearing screening was available to all infants in the UK
    b. only high risk infants were screened for hearing loss at he time these children int he study were born
    c. about half of the children in the study were born during periods of newborn hearing screening in the UK, and half were not, so the two groups could be compared
    d. the UK doesn't have universal newborn hearing screening
  53. ba 70 dB
  54. bb Temporal recognition
    Binaural separation and integration
    Monaural with background noise
  55. bc a. difficulty understand the medial system
    b. difficulty understanding the education system fro their child
    c. lack of qualified personnel with awareness of cultural differences/language difference
    d. both a and b
    e. A, B and C
  56. bd High maternal education level
    EI group had access to better technology
  57. be a. Cost
    b. Security of the internet connection
    c. Relatively stable audio and visual signals
    d. A and B only
    e. A and C only
  58. bf Inconsistent bandwidth, poor AV signal, visual glare or darkness, signal interference with other technologies
  59. bg a. Expert
    b. Coach
    c. Teacher
    d. Therapist
  60. bh a. for younger children so that this student would gain coincidence and work quickly through the numerous articulation steps that he did not reach as a younger child with limited access
    b. whatever would be most motivating for him: a 9th grader would have strong feelings about what he would wan to work on and be most motivated by what he would see as important
    c. a science worksheet hat tis due in a week: you select words that have his target speech sounds and he practice those while he completes his homework assignment
    d. talking to each of his teachers and seeing what words they feel that he needs to know for that subject area
  61. bi a. modeled
    b. passsive
    c. agressive
    d. assertive
  62. bj a. 1
    b. 3
    c. 5
    d. 10
  63. bk a. Otitis media with effusion
    b. Multiple rescreenings
    c. Delays in getting appointments
    d. Distance to audiologist who could perform a diagnostic ABR
  64. bl a. below 3rd grade
    b. 3rd to 5th grade
    c. 5th to 7th grade
    d. above 7th grade
  65. bm a. Step 1
    b. Step 2
    c. Step 3
    d. Step 4
  66. bn a. Pattern perception
    b. segmental identification
    c. discrimination
    d. comprehension
  67. bo a. Early identified children with additional disabilities had language outcomes that were similar to late identified children with no disabilities
    b. Late identified children with no additional disabilities outperformed early identified children with additional disabilities
    c. Early identified children with additional disabilities showed significant;y poorer non verbal IQ scores relative to their verbal IQ scores
    d. Late identified children with no additional disabilities showed no difference in verbal and non verbal IQ
  68. bp a. bad
    b. mommy
    c. cookie
    d. oh oh
  69. bq a. It was an advantaged sample of children
    b. It was a disadvantaged sample of children
    c. It represents the typical socioeconomic status of children in first world countries
    d. Maternal education level does not matter when considering outcomes of children with hearing loss
  70. br Detection/localization
  71. bs a. looking for changes in heavers and adjusting to meet the child's needs
    b. giving additional meaningful opportunities to develop language in a natural context
    c. Providing opportunities to embed rich language and auditory experiences into routines
    d. all of the above
  72. bt a. they see their infant responding to sounds and think there isn't a problem with hearing
    b. Parents often aren't notified of newborn hearing screen results by the birth hospital
    c. There is a lack of valid and reliable test measures before a child is 6 months of age and capable of providing behavioral responses in the test booth
    d. All of the above
    c. None of the above
  73. bu a. late identification with low cognition showed the poorest performance on language measures
    b. late identification with normal cognition scored higher than late identification with low cognition
    c. late identification with normal cognition scored essentially equal to early identification with low cognition
    d. early identification with normal cognition scored highest
  74. bv a. they produce a greater proportion of visible sounds
    b. their canonical babbling is delayed in frequency and diversity
    c. they show significant difference interior development of place of articulation of consonants
    d. all of the above
  75. bw a. 50 dB HL
    b. 20 dB HL
    c. 10 dB HL
    d. 0 dB HL
  76. bx a. the audiology clinical doctorate (AuD) has minimized opportunities for collaboration between the professions
    b. There is a limited number of educational audiologists in the US
    c. Audiologists and SLPs have a difficult time agreeing on best practices for children with hearing loss
    d. ASHA's scope of practice discourages SLPs and audiologists from cross-training in the respective fields
  77. by a. It biases the results in favor of AVT
    b. It biases the results to make AVT look less effective
    c. Excluding "non-participatory" children should have no effects on the outcomes
  78. bz a. Assessments conducted with the child
    b. Related services this child might qualify for
    c. Transition planning
    d. All of the above
  79. ca a. Hearing loss is a very low incident impairment, so its hard to find enough research participants
    b. Children in this age range won't cooperate for testing
    c. Until around the 1990s, the average age of identification of hearing loss was approximately 2 years of age
    d. It was commonly assume that children with hearing loss did not have significant delays relative to their same age peers with normal hearing
  80. cb a. demonstrate little benefit form hearing aids
    b. may be a good candidate for a CI
    c. are variable in their developmental levels and auditory abilities
    d. both a and b
    e. A, B and C
  81. cc Carolina
  82. cd Phase IV
  83. ce a. identifying causes of communication breakdown
    b. social constraints of message formulation
    c. evaluation of the sender's responsibility in sending a message
    d. Implementation of repair strategies
  84. cf a. Engage multiple local, state and federal agencies to participate in continued funding
    b. Look at private funding sources as a means for paying for the services
    c. Have parents par for services out of pocket
    d. Train more professionals to provide services
  85. cg a. ERM
    b. IEP
    c. Preschool SIFTER
    d. all of the above
  86. ch sign system
  87. ci a. Have him try a new sentence with "keep"
    b. have him try a different word at the spontaneous sentence level that starts with "k"
    c. have him try to imitate a sentence that the clinician creates "keep up the good work"
    d. drop to the word level as it is clearly too hard for him