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  1. 1A Maryland clinician applies measurement, evaluation, counseling, and instruction to modify disorders of speech, voice, swallowing, language, and hearing. Which regulated activity is the clinician performing?

    1. A. Hearing aid dispensing
    2. B. Speech-language pathology
    3. C. Audiology assistance
    4. D. Music therapy

    Answer: B

    Explanation: Health Occupations Article §2-101(r) states that “Practice speech-language pathology” includes applying those principles and procedures to the listed communication and swallowing disorders. The described services therefore constitute speech-language pathology.

    Reference: Laws - Statute Text — §2-101(r)

  2. 2After obtaining training for a new service, what must a Maryland speech-language pathologist be prepared to do if the Board asks?

    1. A. Document any training obtained
    2. B. Maintain adequate records of professional services
    3. C. Cooperate fully in a Code of Ethics investigation
    4. D. Withdraw when an impairment may adversely affect service quality

    Answer: A

    Explanation: COMAR 10.41.02.02B(2) requires a licensee to “Be prepared to document, at the request of the Board, any training obtained.” The other choices are separate professional duties triggered by different circumstances.

    Reference: .02 Ethical Responsibilities. | Library of Maryland Regulations — COMAR 10.41.02.02B(2)

  3. 3Which graduate credential is required for a Maryland limited license applicant in speech-language pathology under COMAR 10.41.03.03A?

    1. A. An associate degree in speech-language pathology assisting
    2. B. A bachelor's degree in communication sciences and disorders
    3. C. A master's degree in speech-language pathology
    4. D. A clinical doctorate in speech-language pathology

    Answer: C

    Explanation: COMAR 10.41.03.03A(2)(a) requires the applicant to “Hold a master's degree in speech-language pathology” from an accredited institution with the relevant graduate program.

    Reference: .03 Licensure Requirements. | Library of Maryland Regulations — COMAR 10.41.03.03A(2)(a)

  4. 4How may the Maryland Board decide whether to delegate a contested case to the Office of Administrative Hearings?

    1. A. By delegating every contested case
    2. B. On a case-by-case basis
    3. C. Only for every initial-denial case
    4. D. Only for every sanction case

    Answer: B

    Explanation: COMAR 10.41.04.06B(2) states: “The Board may delegate its authority to hear contested cases to the Office of Administrative Hearings on a case-by-case basis.” Delegation is individualized, not categorical.

    Reference: .06 Sanctions, Hearings, and Final Order. | Library of Maryland Regulations — COMAR 10.41.04.06B(2)

  5. 5A speech-language pathologist located outside Maryland provides telehealth to a patient physically located in Maryland. What credential must the practitioner hold?

    1. A. A license in the practitioner's home state only
    2. B. Maryland licensure or a compact privilege
    3. C. National certification only
    4. D. A Maryland assistant license

    Answer: B

    Explanation: COMAR 10.41.06.03 requires a telehealth practitioner to “be licensed in Maryland or hold a compact privilege” when serving a patient located in Maryland.

    Reference: .03 Licensure. | Library of Maryland Regulations — COMAR 10.41.06.03

  6. 6Which activity falls outside a Maryland speech-language pathology assistant's scope because it substitutes for the supervisor's direct service?

    1. A. Providing an independent alternative clinical service
    2. B. Preparing treatment materials
    3. C. Scheduling activities
    4. D. Checking and maintaining equipment

    Answer: A

    Explanation: COMAR 10.41.11.06A states: “A speech-language pathology assistant may provide only services which assist the direct services provided by a supervising speech-language pathologist, and not services which are alternatives to direct services.” The remaining activities are permitted supporting duties under §C.

    Reference: .06 Speech-Language Pathology Assistant Scope of Practice. | Library of Maryland Regulations — COMAR 10.41.11.06A

  7. 7Which supervision model applies to a Maryland speech-language pathology student providing clinical services?

    1. A. Direct on-site supervision at all times
    2. B. A combination of direct and indirect assistant supervision
    3. C. General supervision with continuous phone availability
    4. D. Monthly in-person client contact

    Answer: A

    Explanation: COMAR 10.41.12.03A states: “The supervisor shall provide direct on-site supervision of the student at all times.” The other models are real supervision arrangements for licensed assistants, not students.

    Reference: .03 Supervision. | Library of Maryland Regulations — COMAR 10.41.12.03A

  8. 8Unless context requires otherwise, which credential is included within the Maryland statutory meaning of a license issued by this Board?

    1. A. A compact privilege
    2. B. A limited license
    3. C. A university practicum approval
    4. D. A national certification

    Answer: B

    Explanation: Health Occupations Article §2-101(j)(2) says the statutory term license “includes, unless the context requires otherwise, a limited license.” A limited license is therefore included.

    Reference: Laws - Statute Text — §2-101(j)(2)

  9. 9What is the maximum monetary penalty the Maryland Board may impose for a violation of COMAR 10.41.02.02?

    1. A. $1,000
    2. B. $2,500
    3. C. $5,000
    4. D. $10,000

    Answer: C

    Explanation: COMAR 10.41.02.02G states: “The Board may also impose a penalty not exceeding $5,000.” The maximum under this ethics regulation is $5,000.

    Reference: .02 Ethical Responsibilities. | Library of Maryland Regulations — COMAR 10.41.02.02G

  10. 10A speech-language pathology applicant waits 25 months after completing academic and practicum requirements before starting the clinical fellowship, with no approved exception. Which start deadline has the applicant exceeded?

    1. A. No later than month 9
    2. B. No later than month 18
    3. C. No later than the second anniversary
    4. D. No later than the fifth anniversary

    Answer: C

    Explanation: COMAR 10.41.03.03C(2)(a) requires an applicant to “Begin the clinical fellowship within 2 years” after completing the academic and practicum requirements. Waiting 25 months exceeds the second-anniversary deadline.

    Reference: .03 Licensure Requirements. | Library of Maryland Regulations — COMAR 10.41.03.03C(2)(a)

Topics in this practice bank

These topics describe the available practice for Law and Regulations Examination. Review the examination outline and its sources for scope and allocation details.

  • Health Occupations Article, Title 2 — Maryland Audiology, Hearing Aid Dispensing, Speech–Language Pathology, and Music Therapy Act
  • COMAR 10.41.02 — Code of Ethics
  • COMAR 10.41.03 — Licensure and Continuing Education
  • COMAR 10.41.04 — Rules of Procedure for Board Hearings
  • COMAR 10.41.05 — Music Therapy
  • COMAR 10.41.06 — Telehealth Communication
  • COMAR 10.41.07 — Cerumen Management
  • COMAR 10.41.08 — Hearing Aid Dispensing
  • COMAR 10.41.09 — Civil Penalties
  • COMAR 10.41.10 — Compelling Purpose Disclosure
  • COMAR 10.41.11 — Speech-Language Pathology Assistants and Audiology Assistants
  • COMAR 10.41.12 — Supervision of Students
  • COMAR 10.41.13 — Sanctioning Guidelines

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