Kuwait MOH Speech-Language Therapist flashcards
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- PCC severity bands
- Percent consonants correct: 85-100% mild, 65-84% mild-moderate, 50-64% moderate-severe, below 50% severe. Used to quantify speech sound disorder severity from a connected speech sample.
- Maximal oppositions approach
- A phonological treatment that contrasts sounds differing by multiple features (e.g., /m/ vs /ʃ/) to promote broader system-wide change rather than single-sound learning.
- Developmental language disorder
- A persistent language impairment not explained by hearing loss, intellectual disability, or other biomedical condition; it affects comprehension and/or production and requires long-term support.
- Late talker criteria
- Fewer than 50 words at 24 months or no two-word combinations at 30 months. Risk factors such as poor comprehension and family history justify immediate referral.
- MLU stages
- Mean length of utterance in morphemes tracks grammatical development: 1.0-2.0 (14-26 months), 2.0-2.5 (27-30), 2.5-3.0 (31-34), 3.0-3.75 (35-40), 3.75-4.5 (41-46), 4.5+ (47+).
- Conduction aphasia
- Fluent aphasia with relatively preserved comprehension but markedly impaired repetition, caused by damage to the arcuate fasciculus connecting Broca's and Wernicke's areas.
- Hypokinetic dysarthria
- Dysarthria associated with Parkinson disease, characterized by monopitch, monoloudness, reduced loudness, rapid rate, and imprecise articulation; LSVT LOUD is a common treatment.
- Apraxia of speech
- A motor planning disorder with distorted substitutions, groping, syllable segmentation, and islands of fluent automatic speech; errors increase with complexity and are inconsistent.
- GRBAS scale
- A perceptual voice rating scale scoring Grade, Roughness, Breathiness, Asthenia, and Strain, each on a 0-3 severity scale; used for dysphonia assessment.
- Lidcombe Program
- A behavioral, parent-delivered treatment for preschool stuttering that uses praise for fluent speech and gentle correction of stuttering, delivered in weekly clinic sessions.
- Spasmodic dysphonia
- A focal dystonia of the larynx; adductor type causes strained voice breaks on vowels, abductor type causes breathy breaks on voiceless consonants; treated with botulinum toxin.
- Penetration-Aspiration Scale
- An 8-point scale rating depth of airway invasion and clearance during swallowing; scores 6-8 indicate aspiration without effective clearing.
- IDDSI framework
- An international standardized system classifying liquids (levels 0-4) and foods (levels 3-7) by thickness and texture to guide safe dysphagia diets.
- VFSS gold standard
- Videofluoroscopic swallow study uses fluoroscopy with barium to visualize all swallow phases, identify aspiration, and test compensatory strategies in real time.
- Type B tympanogram
- A flat tympanogram indicating little or no middle ear mobility, consistent with effusion, perforation, or impacted cerumen; requires otologic referral.
- 1-3-6 newborn hearing rule
- Screening by 1 month, diagnostic evaluation by 3 months, and intervention by 6 months for infants with hearing loss to optimize language outcomes.
- Air-bone gap
- A difference greater than 10 dB between air-conduction and bone-conduction thresholds, indicating a conductive component to hearing loss.
- Aided language stimulation
- A partner modeling strategy in which the communication partner uses the AAC system while speaking, providing input in the user's symbol system to build expressive use.
- Core vocabulary
- High-frequency words used across many contexts (e.g., go, more, want) that form the majority of communication; balanced with context-specific fringe vocabulary in AAC systems.
- SETT framework
- An AAC assessment model examining Student, Environment, Tasks, and Tools to guide feature matching and device selection rather than choosing a device first.
- Standard score cutoff
- Standard scores have a mean of 100 and SD of 15; scores at or below 77 (1.5 SD below mean) commonly indicate a language disorder, with confidence intervals considered.
- Dynamic assessment
- A test-teach-retest approach measuring learning potential and modifiability; useful for distinguishing language difference from disorder in culturally and linguistically diverse children.
- Evidence-based practice
- Sackett's model integrating best available research evidence, clinician expertise, and client values and preferences; all three components are required for clinical decisions.
- SMART goals
- Goals that are specific, measurable, achievable, relevant, and time-bound, with documented baseline and criterion data to allow progress monitoring.
- Informed consent
- Client or guardian agreement to assessment or treatment after receiving information about purpose, procedures, risks, benefits, and alternatives; required before services begin.
- Kuwait MOH licensure
- Practice as a speech-language therapist in Kuwait requires a Ministry of Health license; foreign-trained applicants typically need credential verification and may need equivalency review.
- Scope of practice
- The range of services an SLP is trained and licensed to provide, including speech, language, voice, fluency, swallowing, and related disorders; practice outside it requires referral.
- Posterior cricoarytenoid
- The only intrinsic laryngeal muscle that abducts the vocal folds; its paralysis causes airway compromise and a breathy voice.
- Corticobulbar tract
- Upper motor neuron pathway from cortex to cranial nerve nuclei; lesions produce spastic dysarthria with strained-strangled voice and slow, effortful articulation.
- Velopharyngeal port
- The opening between the nasal and oral cavities closed by the soft palate and pharyngeal walls during oral sounds; failure causes hypernasality and nasal emission.
- Broca's area
- Posterior inferior frontal gyrus of the dominant hemisphere; damage produces nonfluent, agrammatic speech with relatively preserved comprehension and impaired repetition.
- Silent aspiration
- Entry of material below the vocal folds without a cough or outward sign; common in neurologically impaired patients and detectable only by instrumental assessment.