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fun fun words

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
apraxia   muscle strength normal, can't coordinate movements of tongue, lip, jaw  
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limb apraxia   can't move limbs when asked  
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apraxia of speech   can't start and do movement patterns when needed to make speech  
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apraxia of speech   no paralysis, weakness, discordination  
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apraxia causes?   lesions in Broca's area  
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apraxia causes?   stroke  
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apraxia causes?   injury to front and parietal regions  
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cause of apraxia?   seizure  
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speech problem with apraxia   put articulators in right places  
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speech problem with apraxia   more errors with consonants  
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speech problem with apraxia   words most said are pronounced the best  
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functional words   useful for everyday social interactions with medical staff, caregivers, and family  
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treatment of apraxia   raises speech production and intelligibility  
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treatment of apraxia   careful assessment  
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treatment of apraxia   focuses on getting functional communication  
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dysarthia   set of speech disorders due to paralysis, weakness or incoordination of speech muscles  
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cause of dysarthia   parkinson's  
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cause of dysarthia   cva  
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cause of dysarthia   tbi  
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respiratory problem of dysarthia   affect loudness, phrases and variations  
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respiratory problem of dysarthia   forced inspiration and expiration  
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respiratory problem of dysarthia   irregular breathing rate  
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respiratory problem of dysarthia   shallow, rapid, effortful breathing  
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respiratory problem of dysarthia   run out of air when talking  
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phonatory problem of dysarthia   monopitch, weak voice  
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phonatory problem of dysarthia   high pitch and low pitch for pitch breaks  
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phonatory problem of dysarthia   short variations in loudness  
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phonatory problem of dysarthia   breathy, harsh, hoarse voice  
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resonance problem for dysarthia   hypernasality, hyponasality  
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articulation problem for dysarthia   sounds made weakly  
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articulation problem for dysarthia   left out, hanged, imprecise  
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articulation problem for dysarthia   both consonants and vowels  
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prosodic problem for dysarthia   inappropriate rate  
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prosodic problem for dysarthia   pausing  
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prosodic problem for dysarthia   inappropriate stress on syllables  
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prosodic problem for dysarthia   no intonation  
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ataxic dysarthia   damage to cerebellum by stroke or tumor  
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ataxia   disturbed balance and sequenced movement due to damage to cerebellar system  
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flaccid dysarthia   cranial nerves that gives muscles in speech  
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spastic dysarthia   lesions in pyramidal and extrapyramidal system  
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hyperkinetic dysarthria   damage to basal ganglia  
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hypokinetic dysarthria   damage to basal ganglia  
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unilateral upper motor neuron dysarthria   damage limited to motor neurons in one hemisphere  
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mixed dysarthria   more than one form  
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specific treatment goals   to raise intervention  
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dysarthria treatment   through assessment of neuromuscular  
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dysarthria treatment   depends on many factors but mainly nature and severity  
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respiratory problems   enough loudness, longer sentences and continuous speech  
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phonatory problems   more voice production, more speech, more utterances  
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resonance problems   lower hypernasality  
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articulation problems   more breath support, phonation  
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prosody   both voice and fluency  
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prosody   variations in rate, pitch, loudness, stress, intonation, and rhythm of speech  
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prosody problems   change pitch, loudness, rate, stress  
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prosody problems   may have to model or imitate  
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right hemisphere syndrome   attention and orientation  
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right hemisphere syndrome   visual perception  
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right hemisphere syndrome   spatial awareness  
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right hemisphere syndrome   emotional experiences and expressions  
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right hemisphere syndrome   certain parts of communication  
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certain aspects of communication   talk comprehension and production  
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certain aspects of communication   understand implied meaning  
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certain aspects of communication   understand emotional tone  
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certain aspects of communication   understand prosody  
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certain aspects of communication   understand context  
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certain aspects of communication   pragmatic skills  
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what causes right hemisphere syndrome?   stroke, tumor, head trauma, Alzheimer's  
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spatial disorientation   common, last awhile  
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spatial disorientation   can't find a way home and a map is pointless  
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geographic disorientation   think in different city or hospital than actually are  
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reduplicative paramnesia   existence more places and people that are exactly the same  
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prosopagnosia   facial recognition deficits  
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prosopagnosia   don't recognize familiar faces only when hear voice  
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affective deficits   don't express emotion well and understand  
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affective deficits   tone of voice and facial expression  
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reasoning and planning deficits   plan, organize, problem solving  
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communicative deficits   humor at wrong times, ramble  
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communicative deficits   by attention deficits, disorientation and left neglect  
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communicative deficits   don't put apart important info  
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communicative deficits   don't get abstract meanings such as idioms  
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communicative deficits   don't stay on topic or take turns  
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treatment of right hemisphere syndrome   systematic observation, do given activities, standardized test and skills  
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treatment of right hemisphere syndrome   impaired skills of attention and left neglect  
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treatment of right hemisphere syndrome   design procedures to raise attention  
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dementia normally occurs in?   older people  
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dementia   intellectual deterioration and bad behavior changes  
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intellectual and behavioral problems with dementia   Alzhemier's  
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intellectual and behavioral problems with dementia   slow onset  
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intellectual and behavioral problems with dementia   subtle memory problems  
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communication problems with dementia   evolve and deteriorate over time  
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communication problems with dementia   mild naming problems get worse  
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communication problems with dementia   understanding to describing  
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communication problems with dementia   don't stay on topic and clarification  
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treatment and rehab of people with dementia   multidisciplinary  
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treatment and rehab of people with dementia   comprehensive assessment with autsopy  
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rehab of people with dementia   clinical management  
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rehab with dementia   work with maintenance  
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rehab with dementia   memory book  
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rehab with dementia   written schedule  
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communication problem with TBI   dysarthria  
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communication problem with TBI   question language  
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communication problem with TBI   anomia  
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communication problem with TBI   perseverative verbal response  
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communication problem with TBI   hard language comprehension  
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communication problem with TBI   pragmatic problems  
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communication problem with TBI   rambling  
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treatment of TBI   orientation, memory, narrative skills, turn taking, topic maintenance, topic initiation, no irrelevant responses, speech intelligibility  
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treatment targets for TBI   must be functional  
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treatment targets for TBI   start with effective communication then articulation, grammar, etc  
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cause of dysphagia   stroke  
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cause of dysphagia   neurological and degenerative disorder  
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cause of dysphagia   tumor  
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cause of dysphagia   surgery  
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cause of dysphagia   chemo  
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cause of dysphagia   brain injury  
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cause of dysphagia   HIV/AIDS  
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assessment of dysphagia   bedside swallow exam  
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assessment of dysphagia   videoflouroscopy/modified Barium swallow study  
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indirect treatment of dysphagia   tongue exercises, no food or liquid used  
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direct treatment of dysphagia   food and liquid used to promote safe swallowing  
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medical management   tube feeding and surgery  
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voice can?   hide messages or give messages different than that by words  
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voice can?   unique  
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voice can?   how pleasant/unpleasant speaker sounds  
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organic voice disorders   structural deviation or change in phonatory part  
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organic voice disorders   physical disease  
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functional voice disorders   not with tissue changes in vocal folds and related structures  
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organic disorders   thought to be made by problem in neurophysiological part of speech  
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functional disorders   idiopathic  
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functional disorders   no demonstrable organic or neurologic cause  
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functional disorders   faulty learning, environment, habits, emotions, unknown  
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thinner, shorter pitch   higher frequency and higher pitch  
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longer, thicker fold   lower frequency and lower pitch  
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the greater the frequency of vocal fold is what pitch?   higher  
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pitch   variations in frequency in which folds vibrate  
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fundamental frequency   average rate at which folds tend to vibrate  
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fundamental frequency   habitual for each individual  
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harshness   irregular vibration of folds  
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harsh voice   unpleasant, rough, gravelly  
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harsh voice   higher tension in folds  
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hoarse voice   both harsh and breathy  
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resonance   gives additional characteristics change of sound by structures where sound passes  
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loudness   found by intensity of sound signal  
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loudness   depends on extent to which vibrating object moves air particles  
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the higher the sound the higher the what?   amplitude  
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breathiness   may be due to vocal nodules  
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breathiness   folds not completely close  
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breathy voice   produced with less than optimum amount  
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interview and history   birth, physical, social, behavioral change, education and communication  
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interview and history   meet parents  
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interview and history   find out how they see problem  
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disorders of loudness   loudness varies on people and times rarely seek help  
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disorders of loudness   with other voice disorders  
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disorders of loudness   believe psychological problems  
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disorders of loudness   keep air pressure as speaking  
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what is the typical pitch disorder?   either too high or too low pitch  
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typical pitch disorder   considers speaker's age and gender  
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high pitch in the female   rare  
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high pitch in the female   does not change as dramatically as the male  
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high pitch in the female   noticeable  
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pitch disorders due to hormonal changes   more frequent in females  
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pitch disorders due to hormonal changes   pitch changes  
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quality   complexity of sound waves  
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what are three main problems with quality?   breathiness, harshness, and hoarseness  
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breathiness   air leak and the resulting noise  
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breathiness   vocal folds slightly open in phonation  
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breathiness   sounds like a whisper  
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breathiness   may be habitual  
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breathiness   cause is neurological, nodule swelling, cancer growth  
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harsh voice   unpleasant, rough, strident, grating sound  
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harsh voice   more muscular tension  
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harsh voice   vocal folds are too tight  
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harsh voice   caused by neurological disease or structural alteration  
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harsh voice   go to voice therapy  
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hoarse   both harsh and breathy  
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hoarse   show serious laryngeal pathology cold  
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hoarse   irregular vocal fold vibrations  
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hoarse   caused by laryngitis, neurological diseases or abnormal fold growth  
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how do you cure hoarse voice?   go to voice therapy  
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resonance   low resonance is bad  
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resonance   when structures of throat, mouth and nose change sound larynx makes  
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disorders of oral resonance   shape and size of the cavity  
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disorders of oral resonance   by place of tongue during phonation and jaw movement  
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disorders of oral resonance   tongue is in the front to make immature voice  
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cul-de-sac resonance   oral cavity partially closed at back and open in front  
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cul-de-sac resonance   distorted voice and resonance  
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cul-de-sac resonance   no organic deviations  
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disorders of nasal resonance   velopharyngeal mechanism  
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disorders of nasal resonance   oral and nasal cavities  
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disorders of nasal resonance   soft palate and throat  
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disorders of nasal resonance   vowel sounds  
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velopharyngeal inadequacy   hypernasality  
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velopharyngeal inadequacy   muscle of soft palate reduced  
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velopharyngeal inadequacy   do not get closure  
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adenoidectomy/ tonsillectomy   hypernasality  
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adenoidectomy/ tonsillectomy   initially do not have enough muscle mass  
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paralysis of velum   hyper nasality organic cause  
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paralysis of velum   complete or partial, does not help in closure  
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paralysis of velum   cerebral palsy or stroke  
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deafness   hypernasality  
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deafness   have good velopharyngeal mechanism but do not use it well for speech  
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deafness   cannot monitor nasality  
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functional hypernasality   not a defect  
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functional hypernasality   hallmark of voice  
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if functional hyper nasality gets too excessive?   get therapy  
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functional hypernasality in cleft palate?   surgically treated  
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biofeedback is a good treatment for?   hypernasality  
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what is biofeedback?   electronic instruments show amount of oral and nasal resonance as a person talks  
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what does vocal fold paralysis cause?   aphonia  
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vocal fold paralysis   does not sound normal  
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vocal fold paralysis is a concern for?   breathing and swallowing  
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carcinoma   laryngeal cancer  
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carcinoma affects what gender the most?   men  
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a malignant tumor   affects one or both folds  
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a sign of carcinoma is?   hoarseness, hard to swallow, throat pain  
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to solve carcinoma?   surgery, chemo therapy or irradiation  
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when you get a laryngectomy   the valve and structures are removed  
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who gets a laryngectomy?   patient without normal part of sound making  
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with a laryngectomy how does a patient breathe?   through a trachea  
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after someone gets a laryngectomy?   speech treatment and see a pathologist for retraining without help of vocal folds  
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vocally abusive behavior problems can cause?   physical damage  
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vocal folds are   sensitive  
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what are some vocally abusive behaviors?   more shouting, screaming, cheering, coughing or clearing throat  
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vocally abusive behaviors deal with?   inappropriate loudness or pitch  
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what are vocal nodules?   small nodes form on folds and come from surrounding cells  
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what color are vocal nodules?   white or gray  
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vocal nodules are formed from   hoarseness  
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vocal nodules are seen in?   children who scream and yell  
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how do you get rid of vocal nodules?   voice therapy to remove and rest  
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what are polyps?   masses that grow and bulge out of surrounding tissue  
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polyps are   unilateral  
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polyps are more found   adults more than children  
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how do you remove polyps?   remove by surgery  
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what are contact ulcers?   sores from one or both sides of back of folds  
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who is affected by contact ulcers?   adult males mostly  
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contact ulcers need   medical attention  
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vocal fold thickening is caused by?   vocally abusive behaviors  
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vocal fold thickening   excessive effort, coughing, throat-clearing, prolonged abuse  
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laryngitis   inflammation of membranes of larynx  
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laryngitis   swelling of membrane  
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traumatic laryngitis   vocally abusive behaviors  
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traumatic laryngitis   continuous yelling. crying more laughing  
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how do you solve voice therapy?   vocal therapy with rest  
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spasmodic dysphonia   neurological, behavioral, unknown  
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spasmodic dysphonia is seen more in?   adults over the age of forty  
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if you have spasmodic dysphonia to treat it you will   voice therapy  
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medical evaluation   by an ENT  
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medical evaluation determines what?   if there is a laryngeal disease  
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medical evaluations use a   endoscope  
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what is the first step of a voice evaluation   patient history  
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second step   interview  
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third step   oral-periphel exam  
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fourth step   hearing screening  
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fifth   speech and language sample  
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sixth   measure and test behaviors  
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seventh   recommendation  
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eighth   report  
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why is loudness hard to measure and judge?   there is no standard  
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why is loudness hard to measure and judge?   clients speak loud but soft there  
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why is loudness hard to measure and judge   varies on situation  
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clefts   openings that go through one or more structures normally closed  
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clefts   not grow  
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what is the new name for mental retardation?   intellectual disability  
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how are swallowing disorders assessed?   team specialists and SLPs  
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how are swallowing disorders assessed?   use video fluoroscopy of x-ray pictures  
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what does a person respond to when in a coma?   unconscious, unresponsive to most stimuli  
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cause of TBI?   automobile accident  
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cause of TBI   pedestrian accident  
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cause of TBI   motorcycle  
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cause of TBI   child abuse  
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cause of TBI   accidental fall  
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compensatory articulation   child or adult's try to make speech sounds in weird ways because of psychologic deficiencies  
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compensatory articulation   distorted or faulty  
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compensatory articulation   sounds to back  
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vocal fold thickening happens because of?   vocally abusive behaviors  
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vocal fold thickening   excessive effort in coughing, throat-clearing, prolonged abuse  
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cleft lip   opening in upper lip  
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quadriplegia   all four limbs involved  
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what are the three types of common classification for cerebral palsy?   spastic, athetoid, ataxic  
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spasticity   more tone or rigidity of muscles in rigid, abrupt, jerky, slow labored movement  
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spasticity is in   sixty percent of children with cerebral palsy  
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pyramidal motor pathways cause spacity by?   injury  
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pyramidal motor pathways   cortical centers of motor control  
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pyramidal motor pathways   brain stem and spinal cord  
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athetosis   series of movements that are slow, involuntary, writhing and wormlike  
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athetosis   feel inward and fingers overextended  
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extra pyramidal pathway   fibers go indirect route to final destination  
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injury to the extra pyramidal pathway?   athetosis  
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pyramidal pathway   bundle of nerve fibers start in motor cortex and travel right to brain stem and spinal cord  
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what is ataxia?   disturbed balance and movement for abnormal walk  
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ataxia   clumsy, awkward, uncoordinated, misdirected  
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what is ataxia caused by?   injury to the cerebellum  
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how is the speech of children with cerebral palsy?   does not flow naturally and easily, not fluent  
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speech of children with cerebral palsy?   short phrases and many interruptions  
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cerebral palsy intelluctual disabilities   from brain injury  
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intelectual disabilities are seen in what percentage of children with cerebral palsy?   fifty percent  
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intelectual disabilities varies among   children  
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hearing impairment with cerebral palsy   common  
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what is strabismus?   a visual impairment  
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in strabismus?   the eyes can't focus together  
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what does als stand for?   amyotrophic lateral sclerosis  
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als is?   degenerative, motor neurons lower muscle function  
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als affects what?   speech intelligibility  
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what is a behavioral disorder associated with cerebral palsy?   distracted when learning  
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behavioral disorder associated with cerebral palsy?   inappropriate emotional responses and temper tantrums  
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behavioral disorder associated with cerebral palsy?   withdraw in society  
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epilepsy   seizure disorder found in patients with brain injury  
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rehab for patients with cerebral palsy?   go to a hospital with a rehab department, specialist team  
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rehab for patients with cerebral palsy?   medical and non medical specialists  
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speech and language treatment is at what rate?   slower  
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speech and language treatment focuses on?   correct pronunciation of speech words  
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speech and language treatment focus   simple words and phrases  
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context bound is for?   autistic learning  
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context bound   restricted sense and context  
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for context bound you do not do what?   generalize  
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echolalia   parrot-like repetition of something, attempts at communication  
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pronoun reversal   refer to themselves as you, he or she  
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rett syndrome is?   genetically based neurologic disorder  
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rett syndrome is mainly found in what gender?   females  
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when is rett syndrome normal?   during six to eighteen months  
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in rett syndrome?   can not control in hand movements and has walk disturbances  
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childhood disintegrative disorder   first two years has normal development then it decreases  
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when is childhood disintegrative disorder diagnosed?   three to four years of age  
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childhood disintegrative disorder affects?   social, verbal, self-help, motor skills  
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childhood disintegrative disorder?   preoccupied with certain things  
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syndrome   constellation of symptoms that say a clinical condition  
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how may apert syndrome be caused?   by genetic mutation  
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apert syndrome?   when embryonic stage different bones fuse prematurely  
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hypernasality   excessive nasal resonance on oral speech sounds  
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hyponasality   too little nasal resonance on nasal speech sounds  
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fragile x syndrome   genetic with intellectuals and communication problems  
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fragile x syndrome is most commonly seen in?   males  
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prader-will syndrome   intellectual disability  
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prader-will syndrome   speech and language delay  
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cri-du-chat syndrome   deals with babies who cry in high-pitch  
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cri-du-chat syndrome   lose weight and slow growth  
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tourette's syndrome   genetic syndrome by tics  
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tics   compulsive movements  
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tourette's syndrome is not   neurological  
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williams syndrome   small boned body etc  
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in williams syndrome intellectual disabilities are   common  
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williams syndrome people insist on?   having conversation with strangers  
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intellectual disabilities   when child or adult experiences limitations in intellectual functioning, low social behaviors and low living skills  
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when is an intellectual disability diagnosed?   when the iq is below 70  
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mild   50-70  
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moderate   35-50  
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severe   35 and lower  
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factor associated with intellectual disability   genetic syndrome  
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factor associated with intellectual disability   prenatal, perinatal and postnatal  
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communication disorder with someone who has an intellectual disability   no abnormal language  
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mild intellectual disability communication skills are   few errors and moderate disabilities  
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syntactic difficulty in id   slower in putting words into phrases and sentences  
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syntactic difficulty   limited language  
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syntactic difficulty   don't start conversations  
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minimally verbal or nonverbal   children with severe oral communication deficits  
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prosthodontist   specialist who can design and fit many kinds of devices that help improve function of oral structures  
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aphasia   language problem  
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aphasia is caused by   stroke and others hurt left cerebral hemisphere  
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what are three motor speech disorders?   apraxia, childhood apraxia of speech and dysarthia  
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what are the neurologically based disorders?   aphasia, apraxia, childhood apraxia, dysarthia, right hemisphere syndrome, dementia, traumatic brain injury  
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autopsy   method clinical scientists use to find what parts of brain control what functions  
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neurosurgery   method with clinical scientists to study brain-language relationship  
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neurosurgery   is highly reliable with direct data  
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what is a brain imagining device used for?   relationship of language and the brain  
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brain imaging devices diagnose what?   tumors and alzheimer's  
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ct scan   early technique  
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ct scan   x-ray scanner goes around head to make pictures of brain  
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ct scan finds what?   tumors and recent hemorrhages  
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ct scans diagnose what?   strokes and aphasia  
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two distinct sets of disorders:   neurophysiological and swallowing  
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fmri   changes in blood oxygen levels and blood flow  
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fmri   x-ray no radioactive material  
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rcbf   trace blood flow to parts that are more active than other areas  
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pet   metabolic rate of different brain areas  
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sites of particular language functions?   not the same for all individuals  
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only main are that is the same is?   back with speech production  
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aphasia   language disorder affects all parts of social communication and participation  
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aphasia is caused by   recent brain injury such as a stroke or tumor  
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vascular diseases   hardening of cerebral artery  
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embolus   blood clot, fatty material, air bubble stops blood flow  
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embolus may start?   stroke  
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thrombosis   stationary blood clot  
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stroke causes   high blood pressure, high cholesterol, vascular disorders  
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aneurysm   sack-like bulge which ruptures the cerebral hemmorhage  
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aneurysm is because   lack of blood flow and oxygen supply  
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brain tumors   primary intracranial tumors  
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what could a brain injury be due to?   car accidents or motorcycle accidents  
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verbal paraphasia   put words with meanings similar to right word  
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phonemic paraphasia   some substituted words and sounds right based on similarity  
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neologism   make new words which are meaningless  
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agrammatism   leave out certain grammatical elements  
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verbal stereotypes   say same words and phrases over and over again  
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verbal stereotypes may be   obscene  
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comprehension problems   not understand speech of others  
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visual agnosia   not say something by seeing it, must touch it  
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auditory verbal agnosia   patient not see meaning of word unless the word is shown  
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nonfluent aphasia   broca's, transcortical motor, global  
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fluent aphasia   Wernicke's, conduction, anomic  
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what do clinician's measure and test of aphasia?   general language, functional communication, auditory understanding, oral expressive, reading and writing, gestures and nonverbal, conversational  
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steps to assess aphasia   client history, interview client and family, orofacial exam, hearing screening, speech and language sample, measure and test  
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functional assessment   how patient communicates in everyday situations  
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treatment of aphasia   individualized, functionality  
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main targets for treating apraxia   higher speech production, higher intelligibility, functional communication  
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individualized treatment of aphasia   certain target behaviors  
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treatment of aphasia   focus on functional treatment  
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baselines   measures of what client can and can't do without treatment  
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baselines   help see if patent improving after treatment  
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behavioral treatment of aphasia   specific stimuli, needed responses and consequences  
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when working with family members about aphasia   counsel the family  
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working with family about aphasia   help client regain skills, engage in conversation  
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working with family about aphasia   crucial  
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dementia   general word describing progressive diseases in nervous system  
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cleft palate incidence   one in 750 births  
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cleft palate incidence is highest in?   Chinese Americans  
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cleft palate is seen the most in what gender?   females  
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when is cleft palate generally diagnosed?   at birth  
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Alzheimer's   most common form of progressive dementia  
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Alzheimer's concerns   loss of remote memory and recent events  
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otorhinolaryngolgist   physician trained in medical and surgical management of disease of the ears, nose and in throat  
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types of vocal abuse   talkative children, most shouting, screaming, cheering and bad loudness of pitch  
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laryngeal trauma is seen in ?   children most  
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laryngeal trauma when   automobile accidents, bullet wounds and swallow toys  
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non penetrating brain injury   indirect brain damage, skull may not be amazed no penetration  
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penetrating brain injury   skull fractured or perforated, meninges torn and brain tissue damaged  
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traumatic brain injury   injury to brain kept by physical trauma or external force  
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spontaneous recovery   language performance gets better without SLP help  
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spontaneous recovery   recovery fast over the first weeks  
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anomia   don't name things objects and people  
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anomia is a   basic problem  
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anomia children   knew what to see but could not find the word  
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paraphasia   word substitution problem  
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paraphasia   words substituted wrong  
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jargon is mainly   fluent  
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jargon   irrelevant and meaningless  
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jargon   intonation normal  
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jargon   meaning is irrelevant or odd to asked question  
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agraphia deals with?   writing problems  
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alexia deals with?   reading problems  
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agnosias   hard time understanding sensory information  
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aphasia   language loss  
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aphasia   degree varies among people  
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oral apraxia   do not move muscles of throat, palate, tongue, cheeks for non speech ways  
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what are the three groups of children in which CAS is seen?   neurological problems, higher neurobehavioral disorders, not found neurologic/ neurobehavioral issues  
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childhood apraxia of speech   developmental apraxia of speech  
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childhood apraxia of speech   disturbance in precision and consistency of speech movements  
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left neglect and attention deficits   right side use only  
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dysphagia   swallowing food and liquid disorder  
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four pauses of swallowing   oral preparatory, oral, pharyngeal, esophageal  
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oral preparatory phase   first stage  
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oral preparatory phase   food in mouth  
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oral preparatory phase   teeth and tongue make blouses to swallow food mixed with saliva  
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oral phase   second stage  
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oral phase   tongue action  
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oral phase   move food to back of mouth  
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esophageal phase   fourth and last stage  
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esophageal phase   food to stomach  
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pharyngeal phase   third stage  
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pharyngeal phase   bolus goes through facial pillars go through pharynx  
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aphonia   complete loss of voice  
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aphonia is   rare but extreme  
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aphone is   whisper to communicate  
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functional aphonia   behaviorally psychological disorder  
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functional aphonia   dure to environmental causes  
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functional aphonia base   not organic  
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how to treat functional aphonia?   counseling or psychotherapy  
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organic aphonia   impaired, injured, absent structures  
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organic aphonia   may be temporary physical injury recover once treated  
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dysphonia   all other types of voice disorders  
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dysphonia   may hurt one or more things  
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dysphonia may affect what?   pitch, loudness  
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what is dysphonia caused by?   vocally abusive actions  
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papilloma   growth on laryngeal structures  
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papilloma   caused by virus  
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papilloma   found in children  
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how is papilloma treated?   surgically but may come back  
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jobs at risk for vocal nodules?   constant and intense use of voice  
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jobs at risk for vocal nodules?   teachers, preachers, and singers  
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habitual pitch   typical pitch  
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optimal pitch   most comfortable, best and compatible pitch  
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craniofacial anomalies   group of genetic and congenital conditions affect growth and function of face mouth and head  
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cleft palate   opening going through the soft palate and bony roof of mouth  
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feeding b    
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