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Etiologies and confirmatory signs For each of the following confirmatory sign – neurological disorder pairs, state: Whether you would expect to see that confirmatory sign accompanying that disorder (2 points), and Why/why not. You must justify your response by talking about what neural structure(s) the disorder can affect, and how the symptom would be generated by damage to that/those structure(s). (8 points)  

Describe differences in perceptual characteristics relating to PHONATION, ARTICULATION, and RESPIRATION that you observe between the third repetition of the grandfather passage (2:09 – 3:03) and the fourth repetition of the grandfather passage (5:57 – 6:50). Refer to specific sounds or words for your observations. 

What information do you gain from the oral mechanism/physical exam (1:31 – 2:40)? Give at least two pieces of information that would help you towards a diagnosis. 

Case study 1 The following four questions will refer to this case information.  — An 83-year-old woman was admitted to the hospital after her spouse noticed a sudden onset of “garbled” speech. Neurologic examination in the ER noted left-hand weakness, dysphagia, and hyperactive reflexes. The neurologist noted speech difficulty, including decreased intelligibility, and requested SLP consult.  You speak with the patient when she first arrives at your office. She says it feels “difficult” to speak and that she feels tight. She also tells you that about a year ago, she suddenly developed some difficulty speaking clearly and with swallowing, as well as clumsiness in her right hand, but all of those issues went away in about a week. During this conversation, you note a hoarse, strained voice throughout, as well as decreased modulation of both pitch and loudness. You also note widespread articulatory imprecision.  During oral mechanism examination, you note the following:  Reduced range of movement in both smile and pucker, especially when trying to move between the postures quickly Reduced range of movement in tongue lateralization, especially when trying to move from side to side quickly During DDK tasks, you note the following:  Slow but regular rate Imprecise articulation for all three places of articulation (pa, ta, ka)  Hypernasality

Speech symptoms and neural circuits For each of the following speech symptoms, discuss whether they could be caused by damage to the excitatory BG circuit, the inhibitory BG circuit, and/or the cerebellum. Justify your answers, referring to what each control circuit does. 

Calculate the drug dose. Round to the nearest tenth.  Cerenia 10mg/mL     Dosage of 2mg/mk Dog Wt: 30 lbs

Match the medical term to its definition. 

What speech diagnosis would you give this person, and why? Give specifics about the type of dysarthria and neurological structures involved, and justify your answers. 

Case study option 1 Watch the following video, then do a case study writeup where you answer the following questions:  1. Describe this person’s speech in precise clinical terms, and referencing specific examples. Use sufficient detail that another clinician could recognize their speech from another recording. Pay particular attention to their PROSODY, ARTICULATION, and PHONATION during speech tasks. Make reference to specific words/phrases or tasks in your description. (10 points) 2. Provide your diagnostic hypothesis (choose from control circuit dysarthrias only). Be specific–in particular, remember that we discussed how there are many kinds of hyperkinetic dysarthrias. (5 points)  3. Justify your hypothesis above. Make sure to follow our class rules for case studies! Consider the whole person; explain all symptoms; keep it simple. (10 points) 4. Based on your speech diagnosis and any other information you can gather from the video, do you think this patient is a good candidate for behavioral speech therapy? Why or why not? (10 points)  BONUS QUESTION (up to 2 points):

How many tablets will you dispense is a dog needs 2T q8h X 7 days?