OpenExamsFREE PRACTICE — ANY EXAM

Nebraska Speech-Language Pathology — Requirements & Free Practice

US-NE · License preparation

307 free questions · Answer explanations · No signup required

Choose what to practice

Start with an exam below. Your examination requirements depend on your application pathway. View licensing requirements

Loading selected examination banks…

Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Audiology and Speech-Language Pathology Interstate Compact Privilege to Practice — Speech-Language Pathology

Statutory compact authorization for speech-language pathology practice in Nebraska, subject to operational onboarding and compact eligibility.

Licensing authority: Nebraska Department of Health and Human Services, Board of Audiology and Speech-Language Pathology

Initial statutory compact privilege to practice
Speech-Language Pathology (5331)
Adverse Actions
No encumbrance on a state license and no adverse action on a license or compact privilege during the preceding two years; report nonmember-state adverse action to the Commission within 30 days.
Application
Notify the Commission of the requested Nebraska privilege and pay applicable fees.
Character
No qualifying practice-related felony conviction or agreed disposition; a valid United States Social Security number or National Practitioner Identification number.
Education
An accredited speech-language pathology master's degree, or a qualifying foreign degree verified by an independent credentials-review agency.
Exam Alternatives
Chapter 8 also accepts a successor or a national examination the Commission recognizes as equivalent; that open alternative does not identify another registered examination. Passing scores are determined by member-state boards.
Home License
Hold one active, unencumbered home-state license and meet Compact Article 3(F) eligibility.
Operational Availability
The Nebraska statutory compact authorization is retained. The Commission's currently published issuance notice does not list Nebraska as issuing privileges and says additional member states must onboard licensees to CompactConnect and meet compact requirements before issuing privileges. This route is subject to Nebraska operational onboarding.
Practice Law
Comply with Nebraska law when the client is in Nebraska; compact practice remains subject to Nebraska regulatory jurisdiction.
Practicum
Complete the supervised clinical practicum required by the Commission.
Professional Experience
Complete supervised postgraduate professional experience of at least nine months, 36 weeks, or 1,260 hours under the Commission's Chapter 7.
Maintenance or renewal of compact privilege
Speech-Language Pathology (5331)
Adverse Actions
No encumbrance on a state license and no adverse action on a license or compact privilege during the preceding two years; report nonmember-state adverse action to the Commission within 30 days.
Application
Notify the Commission of the requested Nebraska privilege and pay applicable fees.
Character
No qualifying practice-related felony conviction or agreed disposition; a valid United States Social Security number or National Practitioner Identification number.
Education
An accredited speech-language pathology master's degree, or a qualifying foreign degree verified by an independent credentials-review agency.
Exam Alternatives
Chapter 8 also accepts a successor or a national examination the Commission recognizes as equivalent; that open alternative does not identify another registered examination. Passing scores are determined by member-state boards.
Expiration
Expires with the home-state license; comply with Article 4(A), including Article 3 eligibility, to maintain the remote-state privilege.
Home License
Hold one active, unencumbered home-state license and meet Compact Article 3(F) eligibility.
Operational Availability
The Nebraska statutory compact authorization is retained. The Commission's currently published issuance notice does not list Nebraska as issuing privileges and says additional member states must onboard licensees to CompactConnect and meet compact requirements before issuing privileges. This route is subject to Nebraska operational onboarding.
Practice Law
Comply with Nebraska law when the client is in Nebraska; compact practice remains subject to Nebraska regulatory jurisdiction.
Practicum
Complete the supervised clinical practicum required by the Commission.
Professional Experience
Complete supervised postgraduate professional experience of at least nine months, 36 weeks, or 1,260 hours under the Commission's Chapter 7.
Restoration of eligibility after home state license encumbrance
Speech-Language Pathology (5331)
Adverse Actions
No encumbrance on a state license and no adverse action on a license or compact privilege during the preceding two years; report nonmember-state adverse action to the Commission within 30 days.
Application
Notify the Commission of the requested Nebraska privilege and pay applicable fees.
Character
No qualifying practice-related felony conviction or agreed disposition; a valid United States Social Security number or National Practitioner Identification number.
Education
An accredited speech-language pathology master's degree, or a qualifying foreign degree verified by an independent credentials-review agency.
Exam Alternatives
Chapter 8 also accepts a successor or a national examination the Commission recognizes as equivalent; that open alternative does not identify another registered examination. Passing scores are determined by member-state boards.
Home License
Hold one active, unencumbered home-state license and meet Compact Article 3(F) eligibility.
Operational Availability
The Nebraska statutory compact authorization is retained. The Commission's currently published issuance notice does not list Nebraska as issuing privileges and says additional member states must onboard licensees to CompactConnect and meet compact requirements before issuing privileges. This route is subject to Nebraska operational onboarding.
Practice Law
Comply with Nebraska law when the client is in Nebraska; compact practice remains subject to Nebraska regulatory jurisdiction.
Practicum
Complete the supervised clinical practicum required by the Commission.
Professional Experience
Complete supervised postgraduate professional experience of at least nine months, 36 weeks, or 1,260 hours under the Commission's Chapter 7.
Requalification
Meet Article 4(A) again after restoration of the home-state license to good standing.
Restored License
The home-state license must no longer be encumbered and two years must have elapsed since the adverse action.

Speech-Language Pathologist License

Nebraska licensure to practice speech-language pathology.

Licensing authority: Nebraska Department of Health and Human Services, Board of Audiology and Speech-Language Pathology · Application information

Licensure by ASHA endorsement
Speech-Language Pathology (5331)
ASHAEquivalence
Official ASHA certification of clinical competence, or Board-approved equivalent certification, is deemed equivalent to education, experience, and examination requirements under 38-515(3) and 172 NAC 23-003.01(D).
Applicant Basis
Present official ASHA Certificate of Clinical Competence documentation, or Board-approved equivalent; ASHA applicants do not need to supply transcripts or clinical fellowship documentation.
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Criminal Background Check
Submit fingerprints for the criminal background check required for an audiology or speech-language pathology license; pay the actual background-check cost.
Degree
An approved master's degree, doctoral degree, or equivalent degree in speech-language pathology.
Examination Documentation Substitution
Certification substitutes for separate examination documentation. The requirement references the currently offered underlying licensure examination and does not instruct a certificated applicant to retake it.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Old Score And Not Practicing
If the examination was taken more than three years before application and the applicant is not practicing, document 30 hours of Content Area I continuing education completed within the preceding three years.
Professional Experience
At least 36 weeks of full-time supervised professional experience at 35 clock hours per week, or 72 weeks of half-time experience at 15 to 19 hours per week; satisfy the clinical fellowship core standards.
Score Documentation
Provide official passing Praxis documentation; Nebraska Board of Examiners (SLP/AUD 7646) is the application's score recipient.
Licensure by education and examination
Speech-Language Pathology (5331)
ASHAEquivalence
Official ASHA certification of clinical competence, or Board-approved equivalent certification, is deemed equivalent to education, experience, and examination requirements under 38-515(3) and 172 NAC 23-003.01(D).
Applicant Basis
Use the education pathway when not applying on ASHA certification; submit an official transcript, passing Praxis scores, and clinical fellowship documentation.
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Criminal Background Check
Submit fingerprints for the criminal background check required for an audiology or speech-language pathology license; pay the actual background-check cost.
Degree
An approved master's degree, doctoral degree, or equivalent degree in speech-language pathology.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Old Score And Not Practicing
If the examination was taken more than three years before application and the applicant is not practicing, document 30 hours of Content Area I continuing education completed within the preceding three years.
Professional Experience
At least 36 weeks of full-time supervised professional experience at 35 clock hours per week, or 72 weeks of half-time experience at 15 to 19 hours per week; satisfy the clinical fellowship core standards.
Score Documentation
Provide official passing Praxis documentation; Nebraska Board of Examiners (SLP/AUD 7646) is the application's score recipient.
Election of inactive status
No examination is required for this applicant pathway.
Notice
Request inactive status from the Department in writing.
Practice
An inactive credential holder must not practice; the inactive status can continue indefinitely.
Return To Practice
Apply for reinstatement before resuming practice.

Official no-examination sources

Effective from 2026-09-22.

Reactivation of an inactive credential
No examination is required for this applicant pathway.
Application
Submit a complete reinstatement application and supporting documents before resuming practice.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Competency
20 hours of acceptable continuing education in the preceding 24 months, or an approved waiver.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Prior Status
The Nebraska credential was placed on inactive status.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after expiration or lapse
No examination is required for this applicant pathway.
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Competency
20 hours of acceptable continuing education in the preceding 24 months, or an approved waiver.
Documentation
Submit the reinstatement application, required prior-credential, discipline, conviction and lawful-presence documentation, and the reinstatement fee.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Practice
Do not resume practice before reinstatement.
Prior Status
A previously issued Nebraska credential has expired or lapsed.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement following nondisciplinary voluntary surrender
No examination is required for this applicant pathway.
Application
Submit a complete reinstatement application explaining the reason for surrender and steps taken to address it.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Competency
20 hours of acceptable continuing education in the preceding 24 months, or an approved waiver.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Permanent Surrender
Permanent voluntary surrender is ineligible for reinstatement or a new credential in the same profession.
Prior Status
Voluntarily surrendered for an indefinite period, or for a definite period that has elapsed, unrelated to disciplinary action.

Official no-examination sources

Effective from 2026-09-22.

Licensure based on licensure in another jurisdiction
Speech-Language Pathology (5331)
ASHAEquivalence
Official ASHA certification of clinical competence, or Board-approved equivalent certification, is deemed equivalent to education, experience, and examination requirements under 38-515(3) and 172 NAC 23-003.01(D).
Applicant Basis
The application accepts applicants who are or have been licensed in another jurisdiction; submit Attachment A2 for each relevant licensing jurisdiction and the official degree documentation.
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Criminal Background Check
Submit fingerprints for the criminal background check required for an audiology or speech-language pathology license; pay the actual background-check cost.
Currently Practicing
The other licensing agency must complete the Certification of Applicant's License (Attachment A2).
Degree
An approved master's degree, doctoral degree, or equivalent degree in speech-language pathology.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Not Practicing
An applicant holding an active license in another jurisdiction but not practicing must meet 172 NAC 23-003.01(A), (B), and (C), or (D), and document 30 hours of Content Area I continuing education during the preceding three years.
Old Score And Not Practicing
If the examination was taken more than three years before application and the applicant is not practicing, document 30 hours of Content Area I continuing education completed within the preceding three years.
Professional Experience
At least 36 weeks of full-time supervised professional experience at 35 clock hours per week, or 72 weeks of half-time experience at 15 to 19 hours per week; satisfy the clinical fellowship core standards.
Score Documentation
Provide official passing Praxis documentation; Nebraska Board of Examiners (SLP/AUD 7646) is the application's score recipient.
Biennial renewal of active licensure
No examination is required for this applicant pathway.
Application
Submit the complete renewal application before expiration, required disclosures and fee unless waived.
Continuing Education
Complete at least 20 acceptable hours in the preceding 24 months; no more than 5 hours may be Content Area II. Current ASHA certification satisfies the continuing education requirement.
Expiration
December 1 of even-numbered years.
Optional Education Examinations
Home-study testing and nationally recognized specialty certification examinations may earn optional continuing-education credit; no specific examination is required for this renewal pathway.
Waivers
Continuing competency is waived when first credentialed within the preceding 24 months; active military service qualifies for the fee and continuing-competency waivers.

Official no-examination sources

Effective from 2026-09-22.

Nonresident Speech-Language Pathology Registration

Registration before limited supervised services by a nonresident who is not licensed under the Act or in a compact member state.

Licensing authority: Nebraska Department of Health and Human Services, Board of Audiology and Speech-Language Pathology

Registration before limited supervised nonresident practice
Speech-Language Pathology (5331)
Duration
Services must not exceed 30 days in any calendar year.
Nonresident
Be a nonresident who is not licensed under the Act or in a compact member state.
Qualifications
Meet the qualifications and requirements for an application for licensure under the Act, including the licensure examination or approved certification equivalence.
Registration Timing
Register with the Board before initiating professional services.
Supervision
Work under a Nebraska licensed speech-language pathologist or a member-state licensee practicing in Nebraska under a compact privilege.

Temporary Speech-Language Pathologist License

Temporary licensure while awaiting examination results, completing supervised professional experience, or qualifying as a military spouse.

Licensing authority: Nebraska Department of Health and Human Services, Board of Audiology and Speech-Language Pathology · Application information

Temporary licensure pending examination results
Speech-Language Pathology (5331)
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Examination Timing
Temporary authorization is available before the passing examination result; it ends when the next licensure examination results become available to the Department and cannot be renewed.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Remaining Qualifications
Meet all 38-515 licensure requirements except passage of the examination.
Residency
Establish residence in Nebraska or reside in a member state of the ASLP Interstate Compact.
Rule Cross Reference
172 NAC 23-003.02 cites 38-519. The controlling temporary-license statute is 38-518; its examination-results pathway is retained on the statute's terms.
Temporary licensure for a military spouse
No examination is required for this applicant pathway.
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Duration
Temporary authorization ends when the regular application is approved or rejected and lasts no more than one year.
Fees
Temporary and initial regular credential fees are waived, except actual fingerprinting and criminal-background-check costs.
Fingerprints
Submit fingerprints for the required criminal background check.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Military Relationship
Be the spouse of an active-duty United States Armed Forces member assigned to a Nebraska duty station; provide the military dependent ID and assignment orders.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Other Credential
Hold a valid speech-language pathology credential from another jurisdiction with similar standards and provide the credential and governing law.
Regular Application
This route grants temporary authorization while the applicable regular credential application is pending; the regular pathway is separately represented.

Official no-examination sources

Effective from 2026-09-22.

Temporary licensure to complete professional experience
Speech-Language Pathology (5331)
Application
Submit a complete application, identifying information, prior credential and disciplinary information, and required fees or fee-waiver documentation.
Application Statement
The current temporary application says the license is valid for the clinical fellowship only and expires upon completion; the separate statutory pending-examination route remains available under 38-518(2)(a).
Character
Good character; disclose convictions and submit the court records, explanation, and current probation information required by 172 NAC 10.
Expiration
Ends upon completion of professional experience or eighteen months, whichever occurs first; it cannot be renewed.
Lawful Presence
Submit the citizenship or lawful-presence documentation required by Neb. Rev. Stat. 38-129 and sections 4-108 through 4-111.
Military Education
Substantially similar military education, training, or service may be submitted for equivalency review.
Minimum Age
At least 19 years old, unless a statutory exception applies.
Remaining Qualifications
Meet all licensure requirements except completion of supervised professional experience, including approved graduate education and passage of Praxis.
Residency
Establish residence in Nebraska or reside in a member state of the ASLP Interstate Compact.
Transition
The application instructs applicants to apply for permanent licensure by education immediately upon completion of the clinical fellowship.

Speech-Language Pathology (5331)

Provider
Educational Testing Service (ETS); computer delivered at a test center or at home (online); ASHA announces a transition to PSI, a wholly owned ETS subsidiary, on January 11, 2027, with availability through ETS and Prometric through December 31, 2026
Format
Computer-delivered selected-response questions; the test may contain some questions that do not count toward the score; the score is based on the number of questions answered correctly
Exam questions
132 selected-response questions (approximately 44 in each of the three content categories)
Time limit
150 minutes
Passing score
States, institutions, and associations that require the test set their own passing scores; the passing score for purposes of ASHA certification is 162 on a 100-200 scale
Exam fee
$146.00
Examination outline
  • I. Foundations and Professional Practice (approximately 44 questions; approximately 33% of examination). Speech-language pathologists must have strong foundational knowledge about typical communication development, as well as common characteristics of communication and swallowing disorders and potential factors impacting communication. SLPs must also understand the professional practice requirements that support the provision of services. Knowledge about these requirements ensures that ethical, culturally competent services are provided within the framework of legislative and regulatory requirements and are founded in research.
    • A. Foundations — 1. Typical development and performance across the lifespan: a. developmental norms; b. speech sound and phonology; c. receptive and expressive language (–– syntax and morphology; –– semantics; –– pragmatics/social language); d. fluency; e. voice, resonance, and motor speech; f. feeding and swallowing; g. cognition; h. processing; i. motor and linguistic processes
    • A. Foundations — 2. Factors that influence communication, feeding, and swallowing: a. medical; b. cultural and ethnic; c. linguistic; d. psychological; e. anatomy/physiology; f. environmental; g. genetics; h. auditory
    • A. Foundations — 3. Epidemiology and characteristics of common communication and swallowing disorders: a. speech sound and phonology; b. syntax and morphology; c. semantics; d. pragmatics; e. fluency; f. voice, resonance, and motor speech; g. feeding and swallowing; h. cognition; i. processing
    • B. Professional Practice — 1. Wellness and prevention: a. prevention terminology, practices, and public education; b. risk factors for communication disorders
    • B. Professional Practice — 2. Culturally and linguistically appropriate service delivery: a. understanding, respecting, and responding to explicit and implicit cultural factors that influence communication; b. identifying the impact of assimilation and acculturation on communication patterns; c. communication differences between speakers of the same language
    • B. Professional Practice — 3. Counseling, collaboration, and teaming: a. interpersonal communication and counseling techniques; b. integration of other professionals into the assessment and treatment process; c. communication with patient/client/student, families, and other professionals
    • B. Professional Practice — 4. Documentation: a. legal and regulatory requirements; b. purposes of documentation; c. privacy requirements; d. official records
    • B. Professional Practice — 5. Ethics: a. standards of ethical practice (–– permissions, referrals, and record keeping; –– client/patient/student privacy; –– supervisory requirements; –– conflicts of interest; –– professional competence)
    • B. Professional Practice — 6. Legislation and client advocacy: a. federal laws and regulations impacting delivery of services; b. reporting requirements of governmental agencies; c. licensing requirements and standards
    • B. Professional Practice — 7. Research methodology and evidence-based practice: a. criterion for test selection; b. determining reliability of assessment procedures; c. models of research design; d. test construction principles; e. tenets of evidence-based practice
  • II. Screening, Assessment, Evaluation, and Diagnosis (approximately 44 questions; approximately 33% of examination). Speech-language pathologists use a variety of tools and strategies to gather information about clients with communication and swallowing disorders. They must synthesize and analyze the information to develop appropriate management plans. This section will focus on screening, assessment, evaluation, and diagnosis of communication and swallowing disorders. Topics include how SLPs use and interpret various screening and assessment tools to determine whether additional formal evaluation is indicated, as well as issues related to the selection of appropriate tools and approaches for screening, assessment, and evaluation. Identification of relevant factors from the case history, determining an appropriate assessment protocol, and interpretation of findings to determine a diagnosis and formulate recommendations are covered in this section of the exam, as well.
    • A. Screening — 1. Communication disorders: a. role of the SLP in screening for speech, language, and hearing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics requiring further evaluation; d. knowledge of populations at risk for communication disorders
    • A. Screening — 2. Feeding and swallowing disorders: a. role of the SLP in screening for feeding and swallowing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics which require further evaluation; d. knowledge of factors leading to increased risk of swallowing and feeding disorders in various populations
    • B. Approaches to Assessment and Evaluation — 1. Developing case histories: a. reviewing records for pertinent information; b. interviewing techniques to obtain pertinent information; c. integrating critical factors identified in the case history
    • B. Approaches to Assessment and Evaluation — 2. Selecting appropriate assessment instruments, procedures, and materials: a. identifying factors that influence test/procedure selection; b. identifying factors that require adaptation of traditional assessment procedures, instruments, and materials; c. selecting instrumental approaches that can be utilized to evaluate various communication and swallowing disorders (e.g., imaging, acoustic, aerodynamic, etc.)
    • B. Approaches to Assessment and Evaluation — 3. Assessing factors that influence communication and swallowing disorders: a. cultural and ethnic factors; b. linguistic factors; c. medical factors (e.g., stable versus progressive conditions, early versus late onset, etc.); d. developmental and cognitive factors; e. psychological factors; f. environmental factors
    • B. Approaches to Assessment and Evaluation — 4. Assessment of anatomy and physiology: a. assessment of pertinent anatomy, physiology, and neural substrates for: –– respiration; –– phonation; –– speech sound production; –– resonance; –– speech/language perception and processing; –– feeding and swallowing
    • C. Assessment Procedures and Assessment — 1. Speech sound production: a. standard and nonstandard assessment procedures; b. parameters of assessment of speech sound production; c. instrumental assessment of speech sound production; d. differential diagnosis of speech sound disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 2. Fluency: a. standard and nonstandard assessment procedures; b. parameters of assessment of fluency; c. instrumental assessment of fluency disorders; d. differential diagnosis of fluency disorders (e.g., stuttering versus cluttering); e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 3. Voice, resonance, and motor speech: a. standard and nonstandard assessment procedures; b. parameters of assessment of voice, resonance, and motor speech disorders; c. instrumental assessment of voice, resonance, and motor speech disorders; d. differential diagnosis of voice, resonance, and motor speech disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 4. Receptive and expressive language: a. standard and nonstandard assessment procedures; b. parameters of assessment of receptive and expressive language disorders; c. instrumental assessment of language disorders; d. differential diagnosis of language disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 5. Social aspects of communication, including pragmatics: a. standard and nonstandard assessment procedures; b. parameters of assessment of social aspects of communication, including pragmatics; c. differential diagnosis of social communication disorders and pragmatic disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 6. Cognitive aspects of communication: a. standard and nonstandard assessment procedures; b. parameters of assessment of cognitive communication disorders; c. differential diagnosis of cognitive communication disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 7. Augmentative and alternative communication: a. standard and nonstandard assessment procedures; b. low tech and high tech instrumental assessment procedures; c. parameters of assessment for augmentative and alternative communication; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 8. Hearing: a. assessment approaches; b. considerations related to age, developmental status, medical condition, etc.; c. interpretation of assessment (e.g., audiograms and tympanograms) and identification of indicators for referral
    • C. Assessment Procedures and Assessment — 9. Feeding and swallowing: a. instrumental and noninstrumental assessment procedures; b. considerations related to age, developmental status, medical/surgical history, etc.; c. differential diagnosis of feeding and swallowing disorders; d. interpretation of assessment data and indications for referral
    • D. Etiology — 1. Genetic: a. modes of inheritance; b. genetic conditions associated with communication disorders and feeding/swallowing disorders, including common syndromes; c. features of common syndromes and their impact on communication and feeding/swallowing (e.g., Trisomy 21, 22q11.2 deletion syndrome, Fragile X syndrome, etc.)
    • D. Etiology — 2. Developmental: a. developmental delay; b. congenital and acquired conditions associated with developmental communication and feeding/swallowing disorders
    • D. Etiology — 3. Disease processes: a. childhood (e.g., congenital vocal fold paralysis, cystic fibrosis); b. acquired (e.g., Bell’s palsy, iatrogenic); c. progressive (e.g., amyotrophic lateral sclerosis, myopathy)
    • D. Etiology — 4. Auditory problems: a. congenital and childhood hearing loss; b. acquired hearing loss
    • D. Etiology — 5. Neurological: a. congenital (e.g., cerebral palsy); b. acquired (e.g., TBI, neoplasms, stroke)
    • D. Etiology — 6. Structural and functional: a. congenital (e.g., craniofacial anomalies); b. acquired (e.g., head and neck surgery, trauma, and iatrogenic causes); c. functional causes (e.g., velopharyngeal mislearning, vocal misuse)
    • D. Etiology — 7. Psychogenic
  • III. Planning, Implementation, and Evaluation of Treatment (approximately 44 questions; approximately 33% of examination). Speech-language pathologists are responsible for designing and implementing evidence-based treatments to help clients maximize their functioning in communication and/or swallowing. Consequently, the test includes a range of items that pertain to treatment planning, implementation, and evaluation. This topic area includes issues related to the development and evaluation of treatment plans, as well as evidence-based principles and procedures associated with specific communication and swallowing disorders.
    • A. Treatment Planning — 1. Evaluating factors that can affect treatment: a. evaluating the evidence base associated with a particular treatment strategy or approach; b. evaluating the role of client factors such as age, disorder type, disorder severity, concomitant disorders, personal goals/aspirations, and sociocultural background when planning and implementing treatment goals; c. evaluating the role of external factors such as caregivers’ interactions with the client, school or workplace policies, public laws, medications and iatrogenic, and societal stereotypes when planning and implementing treatment goals
    • A. Treatment Planning — 2. Initiating and prioritizing treatment and developing goals: a. processes and procedures for developing comprehensive, appropriate treatment goals; b. processes and procedures associated with integrating assessment results, caregiver or client/patient/student preferences, and treatment outcomes research; c. factors that affect when to begin, modify, or terminate a treatment plan; d. factors that affect the order in which treatment goals are addressed
    • A. Treatment Planning — 3. Determining appropriate treatment details: a. factors related to treatment scheduling (e.g., number and duration of sessions, time and location of sessions); b. factors related to treatment delivery (e.g., individual versus group sessions, sequential or simultaneous targeting of goals); c. personnel requirements (e.g., extent to which caregivers, teachers, peers, etc., are involved with treatment); d. training requirements (e.g., extent to which caregivers, teachers, peers, etc., need to be trained prior to participating in treatment or implementing generalization activities)
    • A. Treatment Planning — 4. Generating a prognosis: a. considering/accounting for client/patient/student factors (e.g., age, motivation, nature of disorder) that can affect treatment outcome; b. considering/accounting for external factors (e.g., family support, availability of services) that can affect treatment outcome
    • A. Treatment Planning — 5. Communicating recommendations: a. procedures, requirements, and best practices for communicating treatment-related recommendations to clients/patients/students and (when appropriate) their family members; b. procedures, requirements, and best practices for communicating treatment-related recommendations to other professionals who are involved in the client/patient/student’s treatment plan; c. principles of interprofessional practice
    • A. Treatment Planning — 6. General treatment principles and procedures: a. general principles and procedures to consider when selecting a treatment (e.g., age, disorder, sociocultural background, severity of impairment, nature of disability)
    • B. Treatment Evaluation — 1. Establishing methods for monitoring treatment progress and outcomes to evaluate assessment and/or treatment plans: a. procedures associated with identifying appropriate measures of treatment progress and treatment outcomes; b. methods associated with measuring baseline performance; c. methods associated with measuring progress while treatment is ongoing; d. procedures associated with modifying progress measures, if necessary, while treatment is ongoing; e. methods associated with evaluating performance when treatment concludes (e.g., short- and long-term outcomes); f. methods associated with determining the social validity of treatment outcomes and the impact of treatment outcomes on a client/patient’s quality of life
    • B. Treatment Evaluation — 2. Follow-up on post-treatment referrals and recommendations
    • C. Treatment — 1. Speech sound production: a. principles and characteristics of interventions used in the treatment of disorders that affect speech sound production; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with speech sound production disorders or differences
    • C. Treatment — 2. Fluency: a. principles and characteristics of interventions used in the treatment of fluency disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with fluency disorders
    • C. Treatment — 3. Voice, resonance, and motor speech: a. voice (–– principles and characteristics of interventions used in the treatment of voice disorders; –– strategies and procedures for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with voice disorders); b. resonance (–– principles and characteristics of interventions used in the treatment of resonance disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with resonance disorders); c. motor speech (–– principles and characteristics of interventions used in the treatment of motor speech disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with motor speech disorder)
    • C. Treatment — 4. Receptive and expressive language: a. principles and characteristics of interventions used in the treatment of receptive and expressive disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disabilities associated with receptive and expressive language functioning
    • C. Treatment — 5. Social aspects of communication, including pragmatics: a. principles and characteristics of interventions used to treat social aspects of communication, including pragmatics; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with social aspects of communication
    • C. Treatment — 6. Communication impairments related to cognition: a. principles and characteristics of interventions used to treat communication impairments that are related to cognitive functioning; b. srategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with cognitively based communication impairments
    • C. Treatment — 7. Treatment involving augmentative and alternative communication: a. factors involved in determining candidacy for AAC approaches; b. factors involved in selecting an appropriate AAC approach; c. principles and characteristics of AAC options/strategies; strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability in those who use AAC
    • C. Treatment — 8. Hearing and aural rehabilitation: a. principles and characteristics of interventions used in the treatment of hearing loss; b. strategies for preventing, reducing, or eliminating speech-language and/or related (e.g., educational, occupational) disability associated with hearing impairment
    • C. Treatment — 9. Swallowing and feeding: a. rationale for selection of interventions used in the treatment of swallowing and feeding disorders based on evaluation data; b. other factors (outside of evaluation data) affecting the likelihood of success for a given treatment for feeding/swallowing disorders; c. strategies for preventing, reducing, or eliminating swallowing and feeding disorders; d. strategies for reducing the common health-related adverse consequences of swallowing and feeding disorders
Examination sources