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Speech Exam
Speech Exam
The Patient
Spontaneous Speech
Repetition
Repetition of Simple Sounds
Overview
- Repetition of simple sounds is useful for identifying weakness of the muscles involved in articulation
How to Assess
Ask the patient to repeat back single syllable sounds:- Pa pa paLip muscles
- Ta ta taTongue muscles
- Ka ka kaPalatal muscles
- Ba ba baVocal cords
- Aye-eyeSlow repetition suggests a cerebellar lesion
Last updated on November 5th, 2019
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Ely EW, Truman B, Shintani A, Thomason JWW, Wheeler AP, Gordon S, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003 Jun. 11;289(22):2983-2991.
http://www.rch.org.au/clinicalguide/guideline_index/Mental_State_Examination/Kipps CM, Hodges JR. Cognitive assessment for clinicians.
Nasreddine Z, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montral Cognitive Assessment, MoCA: A Brief Screening Tool for Mild Cognitive Impairment. Journal of the American Geriatrics Society. 2005 Apr; 53(4): 695-699.Rubin DC, Hoyle RH, Leary MR. Differential Predictability of Four Dimensions of Affect Intensity. Cogn Emot. 2012; 26(1): 25-41.Sessler CN, Gosnell MS, Grap MJ, et al. The Richmond Agitation-Sedation Scale: Validity and Reliability in Adult Intensive Care Unit Patients. American Journal of Respiratory and Critical Care Medicine. 2002;166:1338-1344.Silverberg NB, Ryan LM, Carillo MC, Sperling R, Peterson RC et al. Assessment of Cognition in Early Dementia. The Journal of the Alzheimer's Association. 2001 May; 7(3): e60-e76.Zun L, Howes DS. The Mental Status Examination: Applications in the Emergency Department. American Journal of Emergency Medicine. 1988 Mar; 6(2): 165-172.