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List all subsystems that are noted as affected in this patient. Include at least one symptom for each subsystem that you note is affected.

Section 6: Case Study 2 The next 5 questions refer to the following information (case also provided under Section 6 in paper exam).  — A 66-year-old man was referred for a speech evaluation by a neurologist to “see if there were any hints in his speech as to the type of problem he has”. When the patient comes to your office, you note that he has somewhat decreased facial expression, and doesn’t blink very often. During your intake conversation, you note that he has:  Equivocally fast speech rate Slightly quiet, hoarse voice  Occasional repeated phonemes at the beginning of words Slightly decreased intelligibility, especially near the ends of sentences.  You then conduct an oral mechanism exam. You note:  Symmetrical face with defined nasolabial folds Mild tremulousness of tongue, lips, and jaw during sustained postures Good strength when resisting tongue and cheek pressure Slightly decreased palatal elevation during repeated “ah”  You then ask the patient to complete the DDK tasks. You note:  Accelerated rate during AMRs Normal rate during SMRs Decreased articulatory distinction between consonant and vowel intervals  You then ask the patient to say ah as long as they possibly can. You observe:  12 seconds sustained voicing, but quiet  Mild vocal flutter You asked the patient to take a deep breath and try to produce ah as loud as they can. He produces a noticeably louder ah, but still can’t sustain it for very long. 

Why is it important to vary sentence structure in writing?

Which of the following is NOT a major editing error?

Describe this speaker’s ARTICULATION and RATE during: the AMR tasks; the SMR task, and during the word repetition.

Write two goals for this person, using the format discussed in class (SMART + Cueing). Justify your choice of therapeutic target and goal

What would be your therapeutic approach for this patient (restore/compensate/adjust)? Justify your response, making reference to their symptoms, their speech and neurological diagnosis, and likely prognosis.

Irregular articulatory breakdowns  Description:

Describe, using perceptual characteristics, the ARTICULATION and RATE of this patient’s DDK tasks (1:00 – 1:30). 

Section 2: Matching (confirmatory signs) You will fill out the answers for this section in Section 2 of the paper component of the exam.  Indicate which MSD(s) is/are associated with each confirmatory sign (can be more than one MSD).  2 points per confirmatory sign. Note: the checkbox below is just so you can indicate to Canvas that you are done with this question.