Uploaded on Jan 7, 2026
The DOH-Speech Exam Guide is designed for speech-language pathologists and aspiring professionals preparing for the Department of Health (DOH) Speech Therapy certification or licensing exam. It covers speech and language development, articulation, fluency, voice disorders, assessment techniques, intervention strategies, and professional ethics. This guide provides structured, exam-focused content to help candidates gain the knowledge, skills, and confidence needed to succeed in the DOH-Speech certification process.
DOH-Speech Exam Guide: Speech Therapy Certification & Licensing Preparation
International
DOH-SPEECH
ExamName: Department of Health (DOH) – Speech-Language Pathology Licensing
Examination
Exam Version: 6.0
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Question 1. (Single Select)
Which of the following is Not an example of an idiosyncratic phonological process?
A: Apicalization.
B: Backing of fricatives.
C: Devoicing stops.
D: Atypical cluster reduction.
E: Final consonant deletion.
Answer: E
Explanation:
Final consonant deletion is a typical phonological deviation. The other answers are not typical. They are
idiosyncratic phonological process.
Question 2. (Single Select)
The number of genes linked to hearing loss has been estimated at:
A: One hundred fifty genes.
B: Three hundred genes.
C: Two hundred fifty genes.
D: Four hundred genes.
E: Six hundred genes.
Answer: D
Explanation:
As genetics research continues to provide valuable information on disease, disorders and disabilities in
communication disorders, it will be increasingly important that speech language pathologists and
audiologists understand the principles of genetics, genetic testing, and genetic counseling. With enhanced
information regarding genetic principles and testing, important strides can be made in the area of clinical
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management of hearing loss.
Question 3. (Single Select)
How did theorist, Piaget view cognitive development?
A: He believed it lead to the decline of language.
B: He believed it lead to the growth of language.
C: He believed it had nothing to do with language.
D: He believed cognitive development is a negative thing.
E: He believed cognitive development only occurred in a low percentage of the population.
Answer: B
Explanation:
Piaget viewed cognitive development as a platform for the growth of language. Piaget believed that
language development is due to not one, but two things. He believes a child develops language based off
of social development and cognitive development.
Question 4. (Single Select)
The palatoglossus, one of the extrinsic muscles of the tongue, functions in swallowing and in speech
production. Which of the following best describes the role of the palatoglossus in speech production?
A: Assists in the production of back vowels
B: Assists in the production of front vowels
C: Assists in the production of bilabial consonants
D: Assists in the production of rounded vowels
E: Assists in the production of palatal stops
Answer: A
Explanation:
Various electromyographic studies from the late 1960s on have demonstrated that the palatoglossus is
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involved in the production of back vowels and velar consonants in some speakers of English. This is
because the muscle is used to raise the back of the tongue. In addition, speakers of languages such as
Swedish and Hindi, bring into play the palatoglossus’s funtion of lowering the soft palate when producing
nasalized vowels. The best answer therefore is A.
Question 5. (Single Select)
If a child cannot master English speech and phonology after years of study, what is possible?
A: Dialect.
B: Accent modification.
C: Linguistic interference.
D: Dyspraxia.
E: Speech disorder.
Answer: E
Explanation:
Linguistic interference or accents are common when someone acquires a new language. An accent does
show some mastery of English phonemes. If a child cannot use English phonemes and remains
unintelligible after years, there may be an indication of a speech disorder.
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