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The Speech Exam

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The three major types of disordered speach are dysarthria, dysphonia and dysphasia. By performing a detailed examination it is possible to distinguish between these speech disorders and attempt to identify the underlying pathology causing them.

The Patient

Spontaneous Speech

Repetition

Repetition of Simple Sounds

Papapa, tatata, kakaka, bababa, aye-eye
Phrase Repetitition

Emerald, perimeter, British constitution
Bulbar Fatiguability

Ask patient to count to 20 / read a paragraph; listen for development of hypernasal speech

Naming

Object Naming

Point to objects or pictures and ask for names

Comprehension

On this page: The Patient Spontaneous Speech Repetition Naming Comprehension

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http://www.rch.org.au/clinicalguide/guideline_index/Mental_State_Examination/

Kipps CM, Hodges JR. Cognitive assessment for clinicians.

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