10 exam-style questions with answers and explanations, straight from our 1,060-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CCC-SLP exam has 132 questions and runs 2 hours 30 minutes.
These 10 free CCC-SLP questions are organized by exam domain, so you can see how each part of the Certificate of Clinical Competence in Speech-Language Pathology blueprint is tested. Reveal the answer and explanation under each question.
A 4-year-old consistently produces "gan" for "tan," "goe" for "toe," and "gie" for "tie." Which conclusion is BEST supported?
Correct answer: D - The child is using backing, a pattern considered atypical rather than delayed
Three weeks after thyroid surgery, a patient reports a breathy, weak voice and effortful speech. Videostroboscopy reveals immobility of the left vocal fold in a paramedian position. Injury to which structure is MOST likely?
Correct answer: C - Left recurrent laryngeal branch of the vagus nerve (CN X)
A systematic review provides strong support for a treatment approach, but the client's family objects to it because it conflicts with practices important to their culture. Which action BEST reflects evidence-based practice?
Correct answer: B - Discuss alternatives with the family and select an approach that is consistent with their values
A 6-year-old who speaks African American English produces "des" for "desk," "he goin' to the store," and "they was playing." A teacher refers the child for a speech-language evaluation. Which conclusion is BEST supported?
Correct answer: D - The productions reflect rule-governed dialectal features rather than a disorder
A patient produces fluent, grammatically well-formed speech with frequent phonemic paraphasias. Auditory comprehension is good, but repetition of phrases is markedly impaired and disproportionate to all other language abilities. Which classification is MOST consistent with this profile?
Correct answer: B - Conduction aphasia
A patient with a recent brainstem stroke completes a clinical swallow evaluation with no coughing, throat clearing, or change in vocal quality on any consistency. The medical record documents two episodes of pneumonia in the past month. Which action is MOST appropriate?
Correct answer: D - Recommend an instrumental swallowing evaluation to assess for silent aspiration
When calculating mean length of utterance (MLU) using Brown's rules, which word counts as ONE morpheme?
Correct answer: A - "feet" in "my feet are cold"
A patient presents with irregular articulatory breakdowns, excess and equal stress across syllables, and inconsistent speech rate. Listeners describe the speech as sounding intoxicated. Damage to which structure is MOST likely?
Correct answer: B - Cerebellum
The parents of a 3-year-old with severely limited verbal output decline a speech-generating device, stating they are concerned it will reduce their child's motivation to talk. Which response by the SLP is MOST accurate?
Correct answer: A - AAC use does not impede speech development and often supports it
A videofluoroscopic swallow study reveals reduced hyolaryngeal excursion, incomplete upper esophageal sphincter opening, and pyriform sinus residue. Which technique MOST directly targets this impairment?
Correct answer: C - Mendelsohn maneuver
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