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Motor speech items pair neuroanatomy with speech characteristics: given a lesion or presentation, identify the dysarthria subtype or distinguish apraxia. Expect 8-12 items across pediatric and adult scenarios.
Try answering before revealing the rationale — mark misses to retry later.
Q1.A patient with Parkinson's presents with reduced loudness, monopitch, and rapid rushes of speech. The dysarthria type is:
Correct: C. Reduced loudness, monopitch, and rapid rate are hallmark features of hypokinetic dysarthria, classically associated with Parkinson's disease and basal ganglia involvement.
Q2.A 4-year-old shows inconsistent errors on repeated productions of 'buttercup,' groping, and prosodic disturbance. The MOST likely diagnosis is:
Correct: B. Inconsistent errors on repeated productions, groping, and prosodic disturbance are the three consensus features of CAS per ASHA's 2007 technical report.
Q3.Which treatment is MOST appropriate for a 5-year-old with CAS?
Correct: C. DTTC is a motor-based treatment designed specifically for CAS with strong emerging evidence. Traditional articulation and oral-motor approaches are not appropriate.
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How do I tell dysarthria from apraxia?
Dysarthria = weakness; errors are consistent. Apraxia = motor programming; errors are inconsistent with groping. Prosody is disrupted in both but for different reasons.
Is CAS the same as childhood dysarthria?
No — CAS is a motor planning disorder; childhood dysarthria involves neuromuscular weakness. Treatment differs.
What's the difference between LSVT LOUD and SPT?
LSVT LOUD targets loudness for hypokinetic dysarthria; SPT targets accurate speech production for AOS.