All Practice Exams

100+ Free Albania State Exam — Speech Therapist Practice Questions

Prepare for the Albania State Licensing Examination for the Regulated Profession of Speech Therapist (Provimi i Shtetit për Profesionin e Rregulluar të Logopedit) exam with instant access — no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately
100+ Questions
100% Free

Loading practice questions...

2026 Statistics

Key Facts: Albania State Exam — Speech Therapist Exam

Law No. 10171 (Ligji nr. 10171)

Governing Legislation

Parliament of the Republic of Albania

QSHA (Qendra e Shërbimeve Arsimore)

Exam Body

Ministry of Education and Sports

UISH (Urdhri i Infermierit të Shqipërisë)

Professional Order

National Healthcare Professional Order

Not published (60 min)

Official Exam Length

QSHA Rregullore, Urdher nr. 365, date 28.12.2020

50% of points (grade 5)

Passing Threshold

QSHA - Informacion Lidhur me Provimin e Shtetit ne Profesionet e Rregulluara

100 Clinical Questions

Practice Bank Size

OpenExamPrep

Albanian (Shqip)

Official Exam Language

QSHA Official Guidelines

The Albania State Exam for Speech Therapists (Provimi i Shtetit për Logopedinë) is the mandatory national licensing exam, delivered by computer at QSHA in Tirana in one 60-minute round and passed with at least 50% of the paper's points, for a profession regulated by the Order of Nurses (UISH). Before applying, graduates must complete supervised professional practice and pass UISH's practical skills assessment (Provimi i Vlerësimit të Aftësimit Praktik, VAP). This 100-question practice bank provides English-language preparation across articulation, fluency, developmental language, neurogenic disorders, voice/swallowing, and clinical ethics; it is a study adaptation, not an official translation of the exam or a simulation of its format.

Sample Albania State Exam — Speech Therapist Practice Questions

Try these sample questions to test your Albania State Exam — Speech Therapist exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 5-year-old boy is brought for a speech evaluation. He can correctly produce the /s/ sound in isolation and imitation when guided by the clinician, but consistently omits /s/ in all word-initial positions during spontaneous conversation, saying 'un' for 'sun' and 'it' for 'sit'. What is the most accurate diagnostic classification of this error pattern?
A.A phonological (phonemic) disorder characterized by an initial consonant deletion rule
B.A phonetic articulation disorder due to peripheral motor placement deficits
C.A verbal dyspraxia characterized by neuromuscular weakness of the tongue
D.A developmental dysarthria secondary to upper motor neuron spasticity
Explanation: Because the child demonstrates the motor capacity to execute the /s/ sound in isolation and imitation, his motor speech production mechanics (phonetic level) are intact. His consistent omission of the sound in conversational speech reflects a rule-governed linguistic or phonemic deficit (phonological disorder), specifically initial consonant deletion. Note: This question bank is an English-language clinical study adaptation for the Albanian State Exam for Speech Therapists (Provimi i Shtetit Logopedi).
2During an oral speech examination, a 6-year-old girl produces sibilant fricatives (/s/, /z/) by placing the tip of her tongue between her upper and lower incisors, creating a dull, frontal friction sound. Which specific subtype of dyslalia is demonstrated?
A.Lateral sigmatism
B.Interdental sigmatism
C.Strident lambdacism
D.Addental rotacism
Explanation: Interdental sigmatism (sigmatizëm interdental) occurs when the tongue tip protrudes between the maxillary and mandibular incisors during the articulation of sibilants (/s/, /z/, /ts/), creating a frontal lisp. Proper therapy focuses on retracting the tongue behind the alveolar ridge.
3A 7-year-old boy is referred for speech therapy because he is unable to produce the alveolar trill /r/, substituting it with the voiced palatal glide /j/ (saying 'jami' instead of 'rami'). In clinical logopedics, what term designates this specific distortion or substitution of rhotic sounds?
A.Sigmatism (Sigmatizëm)
B.Lambdacism (Lambdacizëm)
C.Rotacism (Rotacizëm)
D.Gammacism (Gamacizëm)
Explanation: Rotacism (rotacizëm) is the clinical term used in speech-language pathology and European logopedics to describe the omission, substitution (e.g., gliding /r/ -> /j/ or /w/), or distorted production (e.g., uvular trill) of rhotic phonemes (/r/).
4A 3.5-year-old child consistently replaces velar plosive consonants /k/ and /g/ with alveolar plosives /t/ and /d/, saying 'tat' for 'cat' and 'doe' for 'go'. Which developmental phonological process is this child exhibiting?
A.Backing
B.Deaffrication
C.Gliding
D.Velar fronting
Explanation: Velar fronting is a developmental phonological process where velar consonants (/k/, /g/, /ŋ/) produced at the back of the oral cavity are replaced by anterior alveolar consonants (/t/, /d/, /n/). This process typically suppresses developmentally between 3.5 and 4.0 years of age.
5A 4-year-old child replaces continuous fricative and affricate speech sounds with stop plosives, saying 'pan' for 'fan', 'toap' for 'soap', and 'dit' for 'zip'. What phonological process does this pattern represent?
A.Stopping
B.Affrication
C.Denasalization
D.Metathesis
Explanation: Stopping is the substitution of a stop plosive (/p/, /b/, /t/, /d/, /k/, /g/) for a fricative (/f/, /v/, /s/, /z/, /ʃ/) or affricate (/tʃ/, /dʒ/). It represents a substitution error of manner of articulation common in early speech development.
6In the traditional articulation therapy approach formulated by Charles Van Riper, what is the correct hierarchical sequence of production training for a targeted speech sound?
A.Conversation -> Sentences -> Phrases -> Words -> Nonsense syllables -> Isolation
B.Isolation -> Syllables -> Words -> Phrases -> Sentences -> Spontaneous conversation
C.Words -> Isolation -> Phrases -> Syllables -> Conversation -> Sentences
D.Phrases -> Words -> Isolation -> Sentences -> Syllables -> Conversation
Explanation: Van Riper's traditional motor articulation hierarchy progresses systematically from the simplest phonetic level to the most complex: isolation -> nonsense syllables -> single words (initial, final, medial) -> carrier phrases -> structured sentences -> spontaneous conversation. Sensory-perceptual ear training typically precedes motor production.
7A 4.5-year-old child demonstrates speech patterns where consonant blends are simplified to a single consonant: 'spoon' becomes 'poon', 'train' becomes 'tane', and 'blue' becomes 'bue'. In normal speech development, by what age should the phonological process of consonant cluster reduction without /s/ be fully suppressed?
A.By 2.0 years of age
B.By 2.5 years of age
C.By 3.5 to 4.0 years of age
D.By 7.5 to 8.0 years of age
Explanation: Consonant cluster reduction is typical in early speech development but is expected to be suppressed in typical development between 3.5 and 4.0 years of age (though complex /s/ clusters may occasionally refine up to age 4.5-5.0). Persistence at 4.5 years indicates a need for structured phonological intervention.
8A speech-language therapist is designing a treatment plan for a child who collapses the phonemic contrast between /t/ and /k/, resulting in homonymy (e.g., 'tea' and 'key' are both pronounced as 'tea'). The clinician uses word pairs that differ by only a single distinctive feature to highlight semantic differences. What therapeutic intervention is being applied?
A.Oral Motor Placement Therapy (OMT)
B.Core Vocabulary Approach
C.Melodic Intonation Therapy
D.Minimal Pairs (Minimal Opposition) Therapy
Explanation: Minimal Pairs (Minimal Opposition) therapy uses word pairs that differ by only one phoneme and minimal distinctive features (e.g., place of articulation in tea vs. key) to teach the child that modifying the sound changes the meaning of the word, thereby eliminating homonymy.
9During an anatomical examination of the speech mechanism, a logopedist observes that a 6-year-old child has a thickened, abnormally short lingual frenulum that restricts tongue tip elevation to the alveolar ridge and creates a heart-shaped indentation upon protrusion. What is the clinical term for this anatomical condition?
A.Ankyloglossia (Tongue-tie / Frenulum linguae breve)
B.Macroglossia
C.Micrognathia
D.Bifid uvula
Explanation: Ankyloglossia (frenulum linguae breve or tongue-tie) is a congenital anomaly characterized by an abnormally short, thick, or tight lingual frenulum that limits the range of motion of the tongue, frequently hindering lingual elevation for alveolar sounds (/t/, /d/, /l/, /r/).
10A logopedist identifies that an 8-year-old child consistently omits the lateral liquid /l/ in consonant clusters (producing 'bule' instead of 'blue') and substitutes /l/ with the labiovelar glide /w/ in syllable-initial position ('wemon' for 'lemon'). Which specific diagnostic category does this clinical profile represent?
A.Rhinolalia clausa
B.Lambdacism (Lambdacizëm)
C.Sigmatismus lateralis
D.Palatolalia
Explanation: Lambdacism (lambdacizëm) encompasses all forms of articulation errors involving the liquid lateral consonant /l/, including its omission, distortion, or substitution (paralambdacism, e.g., /l/ -> /w/ or /j/).

About the Albania State Exam — Speech Therapist Exam

The Albania State Licensing Examination for Speech Therapists (Provimi i Shtetit për Profesionin e Rregulluar të Logopedit) is the mandatory national qualification exam governed by Law No. 10171 'On Regulated Professions in the Republic of Albania'. All graduates holding a recognized university degree in Speech Therapy / Logopedics (Bachelor or Professional Master) who have completed their mandatory supervised clinical practice (Praktika Profesionale) under the auspices of UISH must pass this electronic examination to receive their official license to practice (Licenca për Ushtrimin e Profesionit). The examination tests clinical competencies across speech sound articulation, fluency, pediatric language disorders, adult neurogenic communication, voice/swallowing disorders, and Albanian healthcare ethics. Please note that while the official state exam in Tirana is administered in Albanian (Shqip), this question bank is an English-language clinical study adaptation designed to master international speech-language pathology principles and state exam competencies.

Assessment

One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.

Time Limit

60 minutes

Passing Score

At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.

Exam Fee

10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable. (Educational Services Center (QSHA) in coordination with the Order of Nurses of Albania (UISH))

Albania State Exam — Speech Therapist Exam Content Outline

Not published

Articulation & Phonological Disorders

Covers organic and functional articulation impairments (dyslalia), phonetic vs phonemic error distinctions, specific sound distortions (sigmatism, rotacism, lambdacism), developmental phonological processes (fronting, stopping, cluster reduction, gliding), and evidence-based therapeutic models including the Van Riper traditional approach, Minimal Pairs, Cycles Phonological Pattern Approach, and Complexity principles.

Not published

Fluency Disorders & Stuttering

Encompasses the pathophysiology and symptomatology of developmental stuttering (bégëzimi), cluttering (bredhja gjuhësore), secondary motor mannerisms, physiological breathing patterns, Fluency Shaping (easy voice onset, continuous phonation), Stuttering Modification (Van Riper's cancellations, pull-outs, preparatory sets), the Lidcombe Program for preschoolers, and neurogenic stuttering differential diagnosis.

Not published

Developmental Language Disorders & Communication in ASD

Focuses on Developmental Language Disorder (DLD) diagnostic criteria (CATALISE consortium), receptive and expressive language milestones, Brown's stages of grammatical development (MLU), vocabulary deficits, social communication and pragmatics in Autism Spectrum Disorder (ASD), joint attention, echolalia, and Augmentative & Alternative Communication systems (AAC, Picture Exchange Communication System - PECS).

Not published

Acquired Neurogenic Speech & Language Disorders

Details vascular stroke syndromes and cerebral localization, classic aphasia profiles (Broca's, Wernicke's, Global, Conduction, Transcortical Motor and Sensory), motor speech planning deficits in Apraxia of Speech (AOS), motor execution dysarthrias (Spastic, Flaccid, Ataxic, Hypokinetic, Hyperkinetic), right hemisphere cognitive-communication disorders, and neuro-rehabilitation approaches (Melodic Intonation Therapy, LSVT LOUD, Semantic Feature Analysis).

Not published

Voice, Resonance & Swallowing Disorders

Focuses on vocal fold pathologies (nodules, polyps, granulomas, unilateral vocal fold paralysis, spasmodic dysphonia), vocal hygiene, velopharyngeal insufficiency (VPI) in cleft lip and palate (çarjet labio-maksillo-palatine), deglutition phases (oral, pharyngeal, esophageal), clinical bedside swallowing assessment, modified barium swallow studies (MBSS), FEES, and compensatory aspiration maneuvers.

Not published

Clinical Assessment, Early Intervention & Professional Ethics

Addresses standardized clinical test administration, dynamic assessment (Test-Teach-Retest), audiological screening and otitis media impact, early intervention paradigms (0–3 years), Albanian healthcare legislation (Ligji nr. 10171), UISH professional regulations, informed consent, medical record confidentiality, and interprofessional teamwork with pediatricians, ENT specialists, and neurologists.

How to Pass the Albania State Exam — Speech Therapist Exam

What You Need to Know

  • Passing score: At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
  • Assessment: One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
  • Time limit: 60 minutes
  • Exam fee: 10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable.

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Albania State Exam — Speech Therapist Study Tips from Top Performers

1Create comparative clinical charts distinguishing phonetic articulation disorders (e.g. lateral sigmatism) from linguistic phonological processes (e.g. velar fronting, stopping).
2Memorize the classic neuroanatomical stroke syndromes to quickly identify Broca's, Wernicke's, Global, Conduction, and Transcortical aphasias based on fluency, comprehension, and repetition.
3Master the key treatment paradigms: Van Riper traditional vs Cycles vs Minimal Pairs for speech sound disorders; Fluency Shaping vs Stuttering Modification (cancellations, pull-outs) for fluency.
4Understand the physiological phases of swallowing and key bedside aspiration signs (gurgly voice, coughing during swallow) and appropriate postural compensations (chin-tuck, head turn).
5Review the key provisions of Albanian Law No. 10171 and UISH deontology regarding patient confidentiality, informed consent, and professional scope of practice.
6Practise under a strict 60-minute clock. Because QSHA does not publish the item count and items carry different point values, train for steady pacing and for finishing within the hour rather than for a fixed number of questions.

Frequently Asked Questions

What is the Albania State Exam for Speech Therapists (Provimi i Shtetit për Logopedinë)?

The State Exam (Provimi i Shtetit) is the mandatory national licensing examination in Albania that certifies that a graduate in Speech Therapy (Logopedi) possesses the core theoretical and clinical competencies required to practice independently as a regulated healthcare professional under Albanian Law No. 10171.

Which regulatory bodies oversee the Speech Therapy State Exam in Albania?

The exam is organized and administered by the Educational Services Center (QSHA - Qendra e Shërbimeve Arsimore) under the Ministry of Education and Sports, in close institutional collaboration with the Order of Nurses of Albania (Urdhri i Infermierit të Shqipërisë - UISH) and the Ministry of Health and Social Protection.

What is the format and duration of the official QSHA examination?

The exam is delivered on a secure computer terminal at QSHA in Tirana and lasts 60 minutes. QSHA does not publish a fixed item count: the regulation approved by Order No. 365, dated 28.12.2020 requires the official question fund to hold at least 1,500 alternative-response items per profession or profile, requires every item to offer at least four alternatives with only one correct answer, and leaves the structure of each paper to the State Exam Commission. The system selects the items automatically, they are identical for every candidate in that session, they carry different point values, and marking is automatic with the result shown on screen.

What is the passing score for the Albania Speech Therapy State Exam?

The exam is passed with at least 50% of the total points of the paper, that is at least 50 of 100 points. The published grading scale runs from 4 (under 50 points) through 5 (50-54), 6 (55-64), 7 (65-74), 8 (75-84), 9 (85-94) to 10 (95-100), so grade 5 is the minimum pass. The result appears on screen immediately and a written appeal may be sent to QSHA within 10 days of the result.

In what language is the official examination conducted?

The official state examination at QSHA is conducted entirely in Albanian (Shqip). This online question bank is an English-language clinical study adaptation designed to help candidates master the underlying evidence-based speech-language pathology principles, clinical assessment protocols, and regulatory fundamentals.

What prerequisites are required before sitting for the State Exam?

Candidates must hold an accredited Bachelor's or Professional Master's degree in Logopedi (Speech Therapy) and successfully complete the mandatory supervised clinical internship (Praktika Profesionale) registered with UISH, receiving formal confirmation from their clinical mentor and regional UISH council.

What is the examination fee structure and retake policy?

Under Ministry regulations, the registration tariff for the first attempt is 10,000 ALL. For subsequent retakes, the fee escalates progressively: 12,500 ALL for the 2nd attempt, 15,000 ALL for the 3rd attempt, 17,500 ALL for the 4th attempt, and 20,000 ALL for the 5th attempt or higher. Candidates who do not achieve 50% may re-register during the next official QSHA exam season.

What clinical domains carry the highest weight on the exam?

Developmental Language Disorders & ASD (25%), Articulation & Phonological Disorders (20%), and Acquired Neurogenic Speech/Language Disorders (20%) together account for 65% of the examination content, with Fluency Disorders (15%), Voice/Swallowing (10%), and Ethics/Assessment (10%) comprising the remainder.

What official license is awarded after passing the State Exam?

Upon successfully passing the state exam, QSHA transmits the certified results list to UISH, which issues the official Practice License (Licenca për Ushtrimin e Profesionit të Logopedit) and registers the candidate in the National Register of Healthcare Professionals.