Coverage by content domain
Lessons and questions are organized around the exam’s content areas so your preparation reflects the structure of the assessment.
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Praxis test alignment
240's Praxis Speech-Language Pathology study guide is built around the official exam framework so you can study what is actually tested. This page shows exactly how the guide maps to the real exam — SMR by SMR and competency by competency.
Based on a competency-by-competency review of the official framework and the lessons, practice questions, flashcards, videos, and study materials included in this guide.
Transparent coverage
Our curriculum team begins with the official test framework, identifies the knowledge and skills candidates are expected to demonstrate, and maps instruction and practice to those expectations.
Lessons and questions are organized around the exam’s content areas so your preparation reflects the structure of the assessment.
Every competency is marked covered, partially covered, or a gap, so you can see where the guide is strongest and where to add your own review.
Alignment records provide a maintainable source of truth when exam frameworks, names, or objectives are updated.
Certification test standards are broad, but the exam questions are very specific. Our team of curriculum experts uses the 240 Study Guide Creation Process to ensure the most aligned, specific content for your Praxis Speech-Language Pathology (5331) test — so you are not wasting time on broad subject review that may not show up on exam day.
Transparent coverage is a strength. We show where the guide is strong, where depth is partial, and where a gap has been identified so you can make an informed study decision.
3Domains
49Competencies reviewed
97%Test-aligned
46Covered
3Partially covered
0Gaps
This study guide is based on the current official exam framework. We review and update alignment whenever the official framework changes so candidates are always studying current, accurate material.
SMR I.A · Foundations111 questions · 9 materials · 38 cards · 0 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Typical development and performance across the lifespan | SLP.Human Development | Covered | 14 | 1 | 0 | 0 | Covered by 1 topic (14 questions, 1 materials, 0 cards, 0 videos). |
| 2. Factors that influence communication, feeding, and swallowing | SLP.Epidemiology Basics | Covered | 14 | 1 | 3 | 0 | Covered by 1 topic (14 questions, 1 materials, 3 cards, 0 videos). |
| 3. Epidemiology and characteristics of common communication and swallowing disorders | SLP.Epidemiology Basics | Covered | 14 | 1 | 3 | 0 | Covered by 1 topic (14 questions, 1 materials, 3 cards, 0 videos). |
| 1. Wellness and prevention | SLP.Prevention | Covered | 11 | 1 | 4 | 0 | Covered by 1 topic (11 questions, 1 materials, 4 cards, 0 videos). |
| 2. Culturally and linguistically appropriate service delivery | SLP.Cultural Competence | Covered | 14 | 1 | 11 | 0 | Covered by 1 topic (14 questions, 1 materials, 11 cards, 0 videos). |
| 3. Counseling, collaboration, and teaming | SLP.Professional Practice | Covered | 11 | 1 | 6 | 0 | Covered by 1 topic (11 questions, 1 materials, 6 cards, 0 videos). |
| 4. Documentation | SLP.Documentation | Covered | 11 | 1 | 4 | 0 | Covered by 1 topic (11 questions, 1 materials, 4 cards, 0 videos). |
| 5. Ethics | SLP.Ethical Practice | Covered | 10 | 1 | 3 | 0 | Covered by 1 topic (10 questions, 1 materials, 3 cards, 0 videos). |
| 6. Legislation and client advocacy | SLP.Legal Practice | Covered | 10 | 1 | 8 | 0 | Covered by 1 topic (10 questions, 1 materials, 8 cards, 0 videos). |
| 7. Research methodology and evidence-based practice | SLP.Evidence-Based Practice | Covered | 16 | 1 | 3 | 0 | Covered by 1 topic (16 questions, 1 materials, 3 cards, 0 videos). |
SMR II.A · Screening60 questions · 5 materials · 43 cards · 0 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Communication disorders | SLP.Screening Communication Disorders; SLP.Speech Sound Disorders; SLP.Speech Sound Production | Covered | 37 | 3 | 31 | 0 | Covered by 3 topics (37 questions, 3 materials, 31 cards, 0 videos). |
| 2. Feeding and swallowing disorders | SLP.Screening Feeding and Swallowing; SLP.Aspiration and Airway Safety | Covered | 23 | 2 | 12 | 0 | Covered by 2 topics (23 questions, 2 materials, 12 cards, 0 videos). |
SMR II.B · Approaches to Assessment and Evaluation58 questions · 7 materials · 55 cards · 0 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Developing case histories | SLP.Case History | Covered | 9 | 1 | 1 | 0 | Covered by 1 topic (9 questions, 1 materials, 1 cards, 0 videos). |
| 2. Selecting appropriate assessment instruments, procedures, and materials | SLP.Selecting Instruments | Covered | 7 | 1 | 13 | 0 | Covered by 1 topic (7 questions, 1 materials, 13 cards, 0 videos). |
| 3. Assessing factors that influence communication and swallowing disorders | SLP.Factors | Covered | 7 | 1 | 7 | 0 | Covered by 1 topic (7 questions, 1 materials, 7 cards, 0 videos). |
| 4. Assessment of anatomy and physiology | SLP.Anatomy and Physiology; SLP.Cleft Palate; SLP.Neurology Basics; SLP.Swallowing Physiology | Covered | 35 | 4 | 34 | 0 | Covered by 4 topics (35 questions, 4 materials, 34 cards, 0 videos). |
SMR II.C · Assessment Procedures and Assessment73 questions · 11 materials · 85 cards · 0 videosPartially covered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Speech sound production | SLP.Speech Assessment; SLP.Instrumentation | Covered | 13 | 2 | 10 | 0 | Covered by 2 topics (13 questions, 2 materials, 10 cards, 0 videos). |
| 2. Fluency | SLP.Speech Assessment | Partially covered | 7 | 1 | 3 | 0 | Partial coverage by 1 topic (7 questions, 1 materials, 3 cards, 0 videos); limited supporting content. |
| 3. Voice, resonance, and motor speech | SLP.Voice Assessment | Covered | 7 | 1 | 7 | 0 | Covered by 1 topic (7 questions, 1 materials, 7 cards, 0 videos). |
| 4. Receptive and expressive language | SLP.Language Assessment | Covered | 8 | 1 | 9 | 0 | Covered by 1 topic (8 questions, 1 materials, 9 cards, 0 videos). |
| 5. Social aspects of communication, including pragmatics | SLP.Pragmatics | Partially covered | 5 | 1 | 3 | 0 | Partial coverage by 1 topic (5 questions, 1 materials, 3 cards, 0 videos); limited supporting content. |
| 6. Cognitive aspects of communication | SLP.Cognitive Communication | Covered | 7 | 1 | 17 | 0 | Covered by 1 topic (7 questions, 1 materials, 17 cards, 0 videos). |
| 7. Augmentative and alternative communication | SLP.AAC | Covered | 7 | 1 | 6 | 0 | Covered by 1 topic (7 questions, 1 materials, 6 cards, 0 videos). |
| 8. Hearing | SLP.Hearing Foundations; SLP.Middle Ear Disorders; SLP.Audiology | Covered | 20 | 3 | 20 | 0 | Covered by 3 topics (20 questions, 3 materials, 20 cards, 0 videos). |
| 9. Feeding and swallowing | SLP.Dysphagia | Covered | 6 | 1 | 13 | 0 | Covered by 1 topic (6 questions, 1 materials, 13 cards, 0 videos). |
SMR II.D · Etiology54 questions · 7 materials · 58 cards · 0 videosPartially covered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Genetic | SLP.Etiology Genetic | Covered | 8 | 1 | 9 | 0 | Covered by 1 topic (8 questions, 1 materials, 9 cards, 0 videos). |
| 2. Developmental | SLP.Etiology Developmental | Covered | 8 | 1 | 1 | 0 | Covered by 1 topic (8 questions, 1 materials, 1 cards, 0 videos). |
| 3. Disease processes | SLP.Etiology Disease | Covered | 7 | 1 | 9 | 0 | Covered by 1 topic (7 questions, 1 materials, 9 cards, 0 videos). |
| 4. Auditory problems | SLP.Etiology Auditory | Covered | 8 | 1 | 13 | 0 | Covered by 1 topic (8 questions, 1 materials, 13 cards, 0 videos). |
| 5. Neurological | SLP.Etiology Neurological | Covered | 8 | 1 | 13 | 0 | Covered by 1 topic (8 questions, 1 materials, 13 cards, 0 videos). |
| 6. Structural and functional | SLP.Etiology Structural and functional | Covered | 8 | 1 | 12 | 0 | Covered by 1 topic (8 questions, 1 materials, 12 cards, 0 videos). |
| 7. Psychogenic | SLP.Etiology Psychogenic | Partially covered | 7 | 1 | 1 | 0 | Partial coverage by 1 topic (7 questions, 1 materials, 1 cards, 0 videos); limited supporting content. |
SMR III.A · Treatment Planning63 questions · 5 materials · 14 cards · 0 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Evaluating factors that can affect treatment | SLP.Treatment Factors | Covered | 14 | 1 | 1 | 0 | Covered by 1 topic (14 questions, 1 materials, 1 cards, 0 videos). |
| 2. Initiating and prioritizing treatment and developing goals | SLP.Treatment Planning; SLP.Eligibility | Covered | 27 | 2 | 6 | 0 | Covered by 2 topics (27 questions, 2 materials, 6 cards, 0 videos). |
| 3. Determining appropriate treatment details | SLP.Treatment Factors | Covered | 14 | 1 | 1 | 0 | Covered by 1 topic (14 questions, 1 materials, 1 cards, 0 videos). |
| 4. Generating a prognosis | SLP.Communicating Results | Covered | 13 | 1 | 4 | 0 | Covered by 1 topic (13 questions, 1 materials, 4 cards, 0 videos). |
| 5. Communicating recommendations | SLP.Communicating Results | Covered | 13 | 1 | 4 | 0 | Covered by 1 topic (13 questions, 1 materials, 4 cards, 0 videos). |
| 6. General treatment principles and procedures | SLP.Treatment Planning | Covered | 14 | 1 | 2 | 0 | Covered by 1 topic (14 questions, 1 materials, 2 cards, 0 videos). |
| 1. Establishing methods for monitoring treatment progress and outcomes to evaluate assessment and/or treatment plans | SLP.Progress Monitoring | Covered | 9 | 1 | 3 | 0 | Covered by 1 topic (9 questions, 1 materials, 3 cards, 0 videos). |
| 2. Follow-up on post-treatment referrals and recommendations | SLP.Progress Monitoring | Covered | 9 | 1 | 3 | 0 | Covered by 1 topic (9 questions, 1 materials, 3 cards, 0 videos). |
SMR III.B · Treatment77 questions · 7 materials · 64 cards · 0 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| 1. Speech sound production | SLP.Speech Intervention | Covered | 14 | 1 | 7 | 0 | Covered by 1 topic (14 questions, 1 materials, 7 cards, 0 videos). |
| 2. Fluency | SLP.Fluency Intervention | Covered | 10 | 1 | 10 | 0 | Covered by 1 topic (10 questions, 1 materials, 10 cards, 0 videos). |
| 3. Voice, resonance, and motor speech | SLP.Voice Disorders | Covered | 11 | 1 | 9 | 0 | Covered by 1 topic (11 questions, 1 materials, 9 cards, 0 videos). |
| 4. Receptive and expressive language | SLP.Language Intervention | Covered | 14 | 1 | 6 | 0 | Covered by 1 topic (14 questions, 1 materials, 6 cards, 0 videos). |
| 5. Social aspects of communication, including pragmatics | SLP.Language Intervention | Covered | 14 | 1 | 6 | 0 | Covered by 1 topic (14 questions, 1 materials, 6 cards, 0 videos). |
| 6. Communication impairments related to cognition | SLP.Language Intervention | Covered | 14 | 1 | 6 | 0 | Covered by 1 topic (14 questions, 1 materials, 6 cards, 0 videos). |
| 7. Treatment involving augmentative and alternative communication | SLP.AAC Intervention | Covered | 9 | 1 | 11 | 0 | Covered by 1 topic (9 questions, 1 materials, 11 cards, 0 videos). |
| 8. Hearing and aural rehabilitation | SLP.Hearing Technology | Covered | 9 | 1 | 7 | 0 | Covered by 1 topic (9 questions, 1 materials, 7 cards, 0 videos). |
| 9. Swallowing and feeding | SLP.Dysphagia Treatment | Covered | 10 | 1 | 14 | 0 | Covered by 1 topic (10 questions, 1 materials, 14 cards, 0 videos). |
Every 240 study guide starts with the official exam framework. From there, we organize lessons, practice, and study tools around the categories the exam uses to measure candidate knowledge.
We begin with the standards, domains, competencies, objectives, or content categories published by the testing authority.
We map every major area the exam is designed to cover so the guide reflects the real structure of the test.
We create study materials to support the official blueprint, not broad filler content.
We review practice content against the framework and real exam patterns so preparation stays targeted.
When official frameworks change, we review guides and update alignment as needed.
Reviewed by subject-matter experts and maintained to reflect current standards.
Not all study guides are built the same way. Here is what separates a test-aligned guide from a generic one — and why it matters when you are preparing for the Praxis Speech-Language Pathology.
The questions teacher candidates ask us most often about the Praxis Speech-Language Pathology study guide.
240 is a strong option because the guide is built around the official exam framework and shows detailed alignment by SMR and competency.
This guide is 97% aligned based on a competency-by-competency review of the official framework and the study resources included in the guide.
This page shows coverage transparently across covered, partially covered, and identified gaps so candidates can see exactly how the guide maps to the exam.
Partially covered means the guide addresses the core parts of a competency, but some depth or subtopics may still be limited.
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