3.21.14 40 Aphasia

Question 1

What is fluent aphasia? Where (generally) do they occur?

Answer 1

Speaks fluently, doesn't understand/comprehend language
Posterior lesions (wernicke's area)

Question 2

What is non-fluent aphasia? Where (generally) do they occur?

Answer 2

Understands, but doesn't speak well
Anterior lesions (broca's area)

Question 3

What lesions cause aphasia? (region? hemisphere?)

Answer 3

Perisylvian region (broca and wernicke)
Left hemisphere (90-95% pts are left-side dominant)

Question 4

What are the “big four” assessment areas in aphasia?

Answer 4

Fluency
Anomia (recalling words)
Auditory comprehension
Repetition abilities

Question 5

What are the major types of non-fluent aphasia?

Answer 5

Global aphasia (expressive and receptive)
Broca’s aphasia (primarily expressive)
Transcortical motor aphasia

Question 6

What are the major types of fluent aphasia?

Answer 6

Wernicke’s aphasia (receptive)
Anomic aphasia (can’t recall words)
Conduction aphasia (can’t hear)
Transcortical sensory aphasia

Question 7

What does the Boston’s classification system test?

Answer 7

Is pt fluent? Comprehends? Repeats? Y/N answers to each of these will lead to diagnosis

Question 8

What’s the silver lining in global aphasia?

Answer 8

Most pts don’t remain globally aphasic

Question 9

Pt fluent, but doesn’t understand speech, can’t repeat what you say

Answer 9

Wernicke’s

Question 10

Pt fluent, comprehends language, can’t repeat

Answer 10

Conduction

Question 11

Pt nonfluent, comprehends, can’t repeat

Answer 11

Broca’s

Question 12

Pt nonfluent, can’t comprehend, can’t repeat

Answer 12

Global

Question 13

Pt nonfluent, comprehends, can repeat

Answer 13

Transcortical motor

Question 14

Pt fluent, can’t comprehend, can repeat

Answer 14

Transcortical sensory