2- Neuropsychological Evaluation

Question 1

Three key ideas about neuropsychological evaluation covered by this lecture
C_____ f_______
B_____ a______
T________

Answer 1

Cognitive functions
Brain areas
Testing

Question 2

What tools are used to complete behavioural assessments?

Answer 2

Standardised tests sensitive to brain-behaviour relationships

Question 3

Testing is _______ and can focus on intelligence, problem solving, attention, memory and language, perceptual and motor abilities, emotions and personality

Answer 3

Multidimensional

Question 4

When is a neuropsychological evaluation recommended?

Answer 4

When a brain-based impairment is suspected

Question 5

Where do referrals for neuropsychological evaluations originate? Name 4

Answer 5

GP
Neurologist
Lawyer
Workplace

Question 6

We are looking at 5 possible purposes for evaluation. This one is about brain-based vs not brain-based impairments

Answer 6

Differentiating organic (brain level) and functional (not brain level) impairments

Question 7

What is an organic impairment?

What is it compared to?

Answer 7

One at the brain level.

Compared to a functional impairment which is not brain level.

Question 8

We are looking at 5 main purposes for evaluations. This one is about creating a profile.

Answer 8

Profile of strengths and weaknesses.

Question 9

A purpose of evaluation is to create a profile of 1. ___ and 2 _____.

1. Is to:
2. Is to:

Answer 9

Strengths
Weaknesses
1. Strengths - use to work around deficits
2. Weaknesses - target areas of rehab

Question 10

We are looking at 5 main purposes of evaluations. This one is about keeping track.

Answer 10

Monitor rehab progress

Question 11

We are looking at 5 main purposes of evaluations. This one is about the law.

Answer 11

Disability determination for forensic / legal purposes. Medicolegal.

Question 12

We are looking at 5 main purposes of evaluation. This one is about the person’s day to day._____
Three examples are:

Answer 12

Determining the impact on a patient’s life.

For example: driving, work, social life

Question 13

Neuropsychological evaluations take an integral approach which can also incorporate these three factors:
______ eg personal, family history
_______ eg cranial nerve function, muscle tone
_______ eg CT, PET

Answer 13

Background
Neurologic examination
Neuroimaging data

Question 14

There are 4 psychometric issues that need to be considered.

One is about testing everyone in the same conditions

Answer 14

Standardisation

Question 15

There are 4 psychometric issues that need to be considered. One is about comparing patients against the average results

Answer 15

Test norms

Question 16

There are 4 psychometric issues that need to be considered. One is about getting the same result each time, across time.

Answer 16

Reliability

Question 17

There are 4 psychometric issues that need to be considered. One is about getting an accurate result, or testing what needs to be tested.
This can be broken into three areas.
___ ____ is about testing the actual issue
___ ____ is about making sure present tests test the same thing as previous ones, with new technology etc
___ ___ is about being able to presume future outcomes

Answer 17

Validity
Construct validity
Concurrent validity
Predictive validity

Question 18

Neuropsychological testing is multidimensional. There is a battery of tests that are used. These tests focus on 8 functional areas. Name 3.
Are the answers listed from basic to complex or complex to basic?

Answer 18

Orientation
Sensation and perception
Attention
Motor skills
Language
Visual-spatial organisation
Memory
Executive function

Basic to complex

Question 19

(Lower/higher) complexity functions can be mapped easily onto brain areas, whereas (lower/higher) complexity functions use a range of areas

Answer 19

Lower

Higher

Question 20

Of the 8 functional areas that can be tested,  this one is about the awareness of self to the world. 
\_\_\_\_\_\_
This comes in 3 ways : 
\_\_\_\_ (ie I am Fleur)
\_\_\_\_ (ie the date is)
\_\_\_\_ (ie I am on campus)

Answer 20

Orientation

Person
Time
Place

Question 21

Of the 8 functional areas that can be tested, this one is about the awareness of self to the world.
______
The cortical location is the _____ ______

Answer 21

Orientation

Reticular formation

Question 22

Of the 8 functional areas that can be tested, this one is about the awareness of self to the world. _______
This is tested using the _______ (and abbreviation). This test has 8 questions.

Answer 22

Orientation

Galveston Orientation and Amnesia Test

Question 23

Of the 8 functional areas that can be tested, this one is about stimulation of sensory organs, and making sense of this (processing, interpretation)

Answer 23

Sensation and perception

Question 24

Vision comes under the functional area of:____ _____
The primary brain area for experiencing vision in a simple way, including seeing light and shape, without meaning, is in the _____ lobe. This is at the _____ of the head.

Answer 24

Sensation and perception
Occipital
Back

Question 25

Vision comes under the functional area of ____
The secondary areas for experiencing vision include processing.
______ is in the temporal lobe
______ is in the parietal lobe

Answer 25

Sensation and perception
Object recognition
Location

Question 26

Hearing comes under the functional area of ________.
The primary area for experiencing hearing is in the ______ lobe. This includes basic sound elements such as: (list 2 things)

Answer 26

Sensation and perception
Temporal
Loudness, duration

Question 27

Hearing comes under the functional area of ________.
Secondary areas for processing hearing include ______ area, which is in the temporal lobe. This area involves processing spoken information - understanding language.

Answer 27

Sensation and perception

Wernicke’s

Question 28

Hearing comes under the functional area of ________.
Secondary areas for hearing include ______ area, which is in the frontal lobe. This area involves expressive language and producing speech.

Answer 28

Sensation and perception

Broca’s

Question 29

Sensation and perception is conceptually the _______ system. It is organised _____, which means the right brain deals with the left hand, etc.

Answer 29

Somatosensory

Contralaterally

Question 30

Testing sensation and perception includes subtests of the Halstead-Reiten Neuropsychological _____ (HRNB), in visual, auditory and tactile modalities.

Answer 30

Battery

Question 31

The third of the 8 functional areas is _____. This includes concentrating over a long period, which is called _______, and focusing on more than one thing at once, which is called ______.

Answer 31

Attention
Sustained
Selective

Question 32

______ is a functional area tested using the Symbol Digit Modalities Test, and the D2 Test of Attention.

Answer 32

Attention

Question 33

This is the 4th of the 8 functional areas, which involves demonstrating movement and control in the upper and lower extremities.
The primary and secondary cortal areas are in the _____ lobes - these are about sequencing movement and planning movement.

Answer 33

Motor skills

Frontal

Question 34

Testing _____ includes subtests of the HRNB (Halstead-Reiten Neuropsychological Battery). This includes the finger tapping test and the grip strength rest.

Answer 34

Motor skills

Question 35

The fifth of the 8 functional areas is ______, which involves verbal communication skills.
These include receptive or understanding skills, which is in ______ area in the temporal lobe, and expressive skills, which is in ____ area in the frontal lobe.

Answer 35

Language
Wernicke’s
Broca’s

Question 36

This functional area is tested using the Token test, the Controlled Oral Word Association Test (COWAT), and the Boston Naming Test

Answer 36

Language