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Parkinson's disease items on the Praxis 5331 test whether you understand hypokinetic dysarthria and can prescribe LSVT LOUD correctly. Expect scenarios about a newly diagnosed patient, an ideal LSVT candidate, and swallow-safety concerns in later stages.
Try answering before revealing the rationale — mark misses to retry later.
Q1.A patient with early Parkinson's is referred for hypokinetic dysarthria. Which treatment protocol has the strongest evidence?
Correct: B. LSVT LOUD (16 sessions in 4 weeks) has the strongest evidence for hypokinetic dysarthria. Lower-intensity or passive approaches lack the dose evidence to produce the same outcomes.
Q2.A common LSVT LOUD sensorimotor challenge is:
Correct: A. Sensorimotor recalibration is central. PD patients often perceive normal-loudness voice as 'shouting,' so LSVT explicitly retrains perception alongside production.
Q3.A late-stage PD patient reports coughing during meals. The most appropriate next step is:
Correct: B. Cough during meals signals potential airway protection compromise. Instrumental assessment (MBSS/FEES) is the standard next step to determine safe diet and strategies, especially given the risk of silent aspiration in PD.
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Does LSVT LOUD generalize beyond loudness?
Yes — evidence shows gains in intelligibility, prosody, and often facial expression, generalized from the loudness target.
Is LSVT BIG the same as LSVT LOUD?
LSVT BIG is a physical-therapy adaptation for limb movement. LSVT LOUD is the SLP voice protocol.
Can LSVT be repeated?
Yes — patients often benefit from tune-up cycles, especially as PD progresses.