PRAXIS II Speech Language Pathology Exam (5331)

The PRAXIS II Speech Language Pathology Exam (5331) is designed for individuals with a master’s degree, who would like to become speech pathologists. This is the national examination for speech and language pathology and, is one of numerous requirements for the Certificate of Clinical Competence, that is issued by the American Speech Language Hearing Association. You will be given two and a half hours to complete this 132 multiple-choice question exam. The test can be broken down into three sections:

Foundations and Professional Practice – 44 questions
Screening, Assessment, Evaluation, and Diagnosis – 44 questions
Planning, Implementation, and Evaluation of Treatment – 44 questions

Foundations and Professional Practice:
This section of the exam will test your knowledge of topics like epidemiology and characteristics of common communication and swallowing disorders, typical development and performance across a lifespan, wellness and prevention, documentation, and ethics.

Screening, Assessment, Evaluation, and Diagnosis:
This section of the exam will cover topics like communication disorders, feeding and swallowing disorders, developing case histories, speech sound production, fluency, and receptive and expressive language.

Planning, Implementation, and Evaluation of Treatment:
This section of the exam will cover topics like evaluating factors that can affect treatment, initiating and prioritizing treatment and developing goals, determining appropriate treatment details, generating a prognosis, and general treatment principles and procedures.


PRAXIS II Speech Language Pathology Practice Questions

1. In what year was the Health Insurance Portability and Accountability Act enacted?

A. 1996
B. 1972
C. 1987
D. 1994
E. 1985

2. What information is included in the Privacy Rule of HIPAA?

A. Health status
B. Type of health care provided
C. Data concerning payment
D. Medical history
E. All of the above

3. What happens to speech development if a child has a hearing problem?

A. Speech delay
B. Communication problems
C. Difficulty learning to function independently
D. Problems learning to read
E. All of the above

4. A sensorineural hearing impairment occurs in the:

A. outer ear
B. middle ear
C. inner ear
D. outer and middle ear
E. middle and inner ear

5. What percentage of people with hearing issues live in lower or middle income countries?

A. 75%
B. 80%
C. 85%
D. 90%
E. 95%


Answer Key For Speech Language Pathology

1. Answer: A

The United States Congress enacted the Health Insurance Portability and Accountability Act, commonly referred to as HIPAA, in 1996. This law amended the Employee Retirement Income and Security Act and the Public Health Service Act. HIPAA’s purpose is to protect the American consumer from fraud and abuse in the health care system.

Title I is concerned with health insurance companies and their policies and practices. Its main focus is preventing companies from denying coverage for arbitrary reasons and/or a pre-existing condition. It states that as long as proof of “credible coverage” from a prior policy is provided, coverage cannot be denied because of the particular medical condition. Title II addresses the standards used by health care providers to collect, store, and disseminate medical information about a patient. There are five rules covering administrative simplification: The Privacy Rule, the Transactions and Code Sets Rule, the Security Rule, the Unique Identifiers Rule, and the Enforcement Rule.

2. Answer: E

The Privacy Rule provision of HIPAA (Health Insurance Portability and Accountability Act) explains the rules all health care providers must follow in regard to the collection, storage, and dissemination of protected health information (PHI). PHI includes knowledge about health status, what type of health care is being provided, and information about payment for services that would identify a particular patient. In effect, it protects the patient’s medical history and payment history.

Protected health information may be disclosed in order to consider treatment options and explain charges for payment purposes, but the law clearly states only the minimum information should be provided. The patient must be notified about the disclosure in a “reasonable” amount of time, and records must be kept explaining what information was disclosed, to whom it was given, and for what purpose. If a patient requests a copy of his medical history, including any disclosures, it must be provided in a timely fashion.

3. Answer: E

The ability to speak develops in the first few years. If a child has a hearing problem, speech will be delayed or disabled. He will have trouble communicating and difficulty learning the skills necessary to function independently. (If a child is profoundly hearing impaired [deaf], sign language and Braille are available to enable communication.) The earlier a hearing problem is recognized, diagnosed, and treated, the better the chance to avoid life-long problems with speech and hearing issues.

Hearing impairment causes difficulty with learning to read, and, in turn, difficulty with learning the mechanics of writing (penmanship) and the ability to compose written expression (express thoughts, ideas, and emotions in written words). A person who hears and knows how to speak won’t lose his ability to read if he develops a hearing problem later in life. However, if a person never hears well enough to learn to speak, he will rarely be able to read proficiently.

4. Answer: C

The American Heritage College Dictionary defines deafness as “partially or completely lacking in the sense of hearing.” It can affect one or both ears but always means a complete loss of the ability to perceive sound.

The dictionary defines hearing impairment as “having a diminished or defective sense of hearing.” The degree can be mild, moderate, severe, or profound. There are three types:

  • CONDUCTIVE HEARING IMPAIRMENT occurs in the outer or middle ear and reduces the person’s ability to hear sound efficiently. It is often possible to treat this type medically and/or surgically.
  • SENSORINEURAL hearing impairment occurs in the inner ear (cochlea) and sometimes impacts the hearing nerve that goes from the inner ear to the brain. It is usually permanent but may be helped with a hearing aid. This type of loss not only affects the ability to hear sounds clearly but the ability to understand speech as well.
  • MIXED HEARING LOSS is a combination of both conductive and sensorineural hearing impairment.

5. Answer: B

According to the World Health Organization (WHO), 278 million people have moderate to profound hearing loss in both ears. The number is rising because of an expanding world population and longer life expectancy. Eighty percent of the people with hearing issues live in low- and middle-income countries. WHO estimates the annual production of hearing aids meets less than ten percent of the need and that fewer than one in forty people in developing countries who need a hearing aid actually have one.

The impact on children with a hearing impairment can be enormous. It can delay speech, language, and cognitive development, influence educational opportunities, and interfere with social integration and acceptance. Hearing impairment in adults affects the ability to find employment, perform required tasks, and keep jobs. For both young and old, hearing issues can lead to social isolation. When poverty is factored into the equation, there are added burdens, such as the inability to afford preventative health care (prenatal visits, childhood immunizations, etc.), and hearing aids and the lack of access to special education and training programs.