title: Preventing multiple-choice tests from impeding educational advancement after acquired brain injury.
abstract: OBJECTIVE
  The purpose of this article is to present management strategies that can be used to breach barriers created for students with acquired brain injuries by testing the students in the multiple-choice format.
  
  
  METHODS
  This article presents a case study of a high school student with severe hydrocephalus and difficulties with state-mandated reading comprehension tests who was denied exceptional student education services because her grades were "so good." Result Although an honor student who received academic awards, she was never taught how to pass the state reading test and was denied her diploma at graduation.
  
  
  CONCLUSIONS
  The cognitive obstacles posed by the multiple-choice format can be specified and treated. In-service training can help school staff and officials to recognize and serve these children promptly so that academic disability can be prevented.
authors.affiliation: Department of Communication Sciences & Disorders, P.O. Box 162215, Orlando, FL 32816, USA.
authors.forename: Larry E
authors.initials: LE
authors.lastname: Schutz
authors.forename: Kenyatta O
authors.initials: KO
authors.lastname: Rivers
authors.forename: Judith A
authors.initials: JA
authors.lastname: Schutz
authors.forename: Adele
authors.initials: A
authors.lastname: Proctor
mesh_terms: D000124:Achievement; D001930:Brain Injuries / Q000150:complications*; D002648:Child; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy*; D004521:Educational Measurement / Q000592:standards*; D006801:Humans