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ECU Brain, Language and Aphasia > 6 - Standardized Aphasia Assessment > Flashcards

6 - Standardized Aphasia Assessment Flashcards

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1
Q

When do Aphasia Assessments often begin?

A

Screenings at bedside

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2
Q

What do Aphasia Screenings give us a general sense of?

A

Nature and severity of deficits

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3
Q

What do Aphasia Screenings determines the need for?

A

More comprehensive examination

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4
Q

Who frequently designs Aphasia Screening Tools?

A

Clinicians

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5
Q

Where are Aphasia Screening Tools typically used?

(3)

A

In acute care settings

Environments where little time is available for assessment

Environments where only general info concerning a patient’s linguistic abilities is needed

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6
Q

What is the Purpose of Aphasia Screening Tools?

A

To establish efficiently the presence/absence of language disorders

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7
Q

What do Aphasia Screening Tools not provide?

A

A detailed description of the severity and characteristics of patient’s aphasia

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8
Q

What are two characteristics of Aphasia Screening Tools?

A

Short in length

Sample only a narrow range of language behaviors

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9
Q

When might a clinician chose to use an Aphasia Screening Tool in lieu of a full diagnostic battery?

(4)

A

Patient is in the early or acute stages of recovery from stroke

Patient is too ill or fatigued to undergo a full evaluation

Patient’s length of stay (LOS) in facility is short

Cost dictates immediate clinical information w/o extensive testing

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10
Q

What are the two options of Aphasia Screening Tools?

A

Create your own screening tool

Utilize commercially available tests

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11
Q

What is the Language Screening Test (LAST)?

How many items does it contain?

A

Bedside test designed for “emergency” settings

15 items in 5 subtests

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12
Q

What are the two indexes in the Language Screening Test (LAST)?

A

Expression Index

Receptive Index

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13
Q

What are contained in the Expression Index portion of the Language Screening Test (LAST)?

(3)

A

Naming

Repetition

Automatic Speech

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14
Q

What are contained in the Receptive Index portion of the Language Screening Test (LAST)?

(2)

A

Recognition

Verbal Instructions

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15
Q

What is The Aphasia Rapid Test? (2)

How many items does it have?

A

An NIHSS-like aphasia test

Rates aphasia severity in acute stroke patients

//

26

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16
Q

Where is The Aphasia Rapid Test designed to be administered?

How long does it take?

A

Patient’s bedside

< 3 minutes

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17
Q

What areas do Comprehensive Aphasia Test Batteries assess?

(5)

A

Auditory Comprehension

Verbal Expression

Reading

Writing

Sometimes Cognition

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18
Q

How can Auditory Comprehension be tested in Comprehensive Aphasia Test Batteries?

(3)

A

Single Word Comprehension

Sentence Comprehension

Spoken Discourse

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19
Q

How can Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Select-from-an-array procedure

Test of single-word comprehension

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20
Q

How can the “select-from-an-array procedure” type of Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Pictures (actions, letters, numbers, shapes, colors)

Objects

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21
Q

How can the “test of single-word comprehension” type of Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

A

PPVT (Peabody Picture Vocabulary Test)

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22
Q

What variables can influence tests of Single Word Comprehension in Comprehensive Aphasia Test Batteries?

(4)

A

Frequency of occurrence

Semantic or acoustic relationship to foils (semantic or phonetic similarities)

Part of speech

Ambiguity

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23
Q

What variables can influence tests of Sentence Comprehension in Comprehensive Aphasia Test Batteries?

(4)

A

Length and syntactic comprehension

Reversibility and plausibility

Predictability

Personal reference

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24
Q

How can Sentence Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Included in standardized language batteries

Tests of sentence comprehension

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25
Q

What are two tests of Sentence Comprehension that can be used in Comprehensive Aphasia Test Batteries?

A

Token Test

Northwestern Syntax Screening Test

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26
Q

What variables can influence tests of Discourse Comprehension in Comprehensive Aphasia Test Batteries?

(5)

A

Salience

Directness

Redundancy

Cohesion and coherence

Rate and emphatic stress

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27
Q

How can Discourse Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Included in standardized language batteries

Tests of discourse comprehension

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28
Q

What test for Discourse Comprehension can be used in Comprehensive Aphasia Test Batteries?

A

The Discourse Comprehension Test

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29
Q

What Speech Characteristics are looked at when testing Verbal Expression in Comprehensive Aphasia Test Batteries?

(6)

A

Paraphasias

Neologisms ( Non-Words)

Stereotypies (Repeated Words)

Jargon (Speech sounds normal but doesn’t make sense)

Agrammatism

Paragrammatism

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30
Q

What are Paraphasias?

A

Incorrect word substituted for an intended or target word

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31
Q

What are Neologisms?

A

Nonsense Words

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32
Q

What are Stereotypies?

A

Word or nonword used repeatedly by a patient, as if it were the only language form available

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33
Q

What is Jargon?

(2)

A

Lengthy, fluently articulated utterance which makes little or no sense to the listener

Can consist of real or nonwords

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34
Q

What is Agrammatism?

A

Inability to speak in a grammatically correct fashion

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35
Q

What is Paragrammatism?

A

Confused or incomplete use of grammatical structures

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36
Q

How can Verbal Expression be tested in Comprehensive Aphasia Test Batteries?

(6)

A

Simple speech production tests

Naming

Sentence Production

Discourse Production

Speech Fluency

Intelligibility

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37
Q

How can Simple Speech Production Tests be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

(3)

A

Recitations, rhymes, and automatized sequences

Sentence completion

Repetition

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38
Q

How can Naming be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

(2)

A

Confrontational naming (What is this?)

Responsive naming (“The grass is _____.”)

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39
Q

What variables can influence Naming Accuracy in Verbal Comprehension in Comprehensive Aphasia Test Batteries?

(4)

A

Frequency of occurrence

Length and phonologic complexity

Semantic categories

Context

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40
Q

How can Sentence Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

(2)

A

Subtests in standardized measures

Independent tests

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41
Q

How can “subtests in standardized measures” type of Sentence Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

(2)

A

Make a sentence from a word

Expressing ideas

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42
Q

What Independent Test for Sentence Production can be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

A

Reporters Test

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43
Q

How can Discourse Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

A

Picture descriptions

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44
Q

How can Speech Fluency be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?

(3)

A

Fluent vs non-fluent

Speech tempo

MLU

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45
Q

How is Reading be tested in Comprehensive Aphasia Test Batteries?

A

All language batteries contain reading subtests

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46
Q

How do Comprehensive Aphasia Test Batteries test Reading?

(4)

A

Oral reading of words and sentences

Match printed words to pictures or objects

Match printed words to spoken words

Comprehension of printed sentences

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47
Q

How can a “matching printed words to pictures or objects” be used to test reading?

(2)

A

Word to object matching

Picture to word matching

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48
Q

How is Writing be tested in Comprehensive Aphasia Test Batteries?

A

Standardized language batteries

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49
Q

How do Standardized Language Batteries test Writing?

(4)

A

Generating automatized sequences

Copying

Writing to dictation (letters or numbers)

Self formulated material

50
Q

What is the primary Aphasia Battery that Dr. Ellis wants us to know?

What is the secondary?

A

Western Aphasia Battery (WAB)

Boston Diagnostic Aphasia Exam

51
Q

Do Language Symptoms fit neatly into just one aphasia type?

A

No

52
Q

Are Language Symptoms of patients within a given aphasia type truly homogeneous?

A

No

(e.g. some patient with Wernickes aphasia have greater reading comp. than auditory comp.)

53
Q

____________ are often misleading as both comprehension and production are impaired in most patients.

A

Dichotomous classification systems

(e.g. receptive vs expressive)

54
Q

Aphasia classification may be influenced by the ___________

A

Test battery

55
Q

Classifications do not specify the nature of the patient’s ___________.

A

Underlying linguistic problems

(e.g. semantic vs lexical access problem)

56
Q

What is the first Aphasia Battery to be designed?

Is it still in use?

A

Minnesota Test for Differential Diagnosis of Aphasia

No

57
Q

Who designed the Minnesota Test for Differential Diagnosis of Aphasia?

When?

A

Mildred Schuell

1965

58
Q

What criteria was the Minnesota Test for Differential Diagnosis of Aphasia designed to meet?

(4)

A

Explore differences in behavior in all language modalities

Gradiated difficulty within each modality

Variety of non-language tests

Differentiates among clinical syndromes

59
Q

Who designed the Porch Index of Communicative Ability (PICA)?

When?

A

Bruce Porch

1981

60
Q

How many test items are in the Porch Index of Communicative Ability (PICA)?

Under how many subtests?

A

180 test items

18 subtests

61
Q

How long does the Porch Index of Communicative Ability (PICA) take to administer?

A

1 hour (avg.)

62
Q

How many objects are used in the Porch Index of Communicative Ability (PICA)?

A

Same 10 objects (for all subtests)

63
Q

Where is the Porch Index of Communicative Ability (PICA) sometimes used?

A

VA settings

64
Q

How is every response scored in the Porch Index of Communicative Ability (PICA)?

A

With a 16-category, binary (yes or no) system

65
Q

What can be calculated in the Porch Index of Communicative Ability (PICA)?

A

Overall mean and modality specific means

66
Q

What is required to administer the Porch Index of Communicative Ability (PICA)?

A

Certification

67
Q

What is the patient asked to perform in the Revised Token Test (R-TT)?

A

A series of simple tests involving a variety of colored tokens

68
Q

How many subtests are in the Revised Token Test (R-TT)?

A

10 brief subtests

69
Q

How long does it take to administer the Revised Token Test (R-TT)?

A

30 minutes

70
Q

What can you calculate if you combine the Revised Token Test (R-TT) with the Western Aphasia Battery?

A

Cognitive Quotient

71
Q

What does the Revised Token Test (R-TT) directly measure?

(4)

A

Auditory short term memory (STM)

Comprehension of various sentence types and transformations

Understanding specific linguistic elements

Comprehension of certain semantic relations

(Only measures comprehension)

72
Q

Is there a Computerized Version of the Revised Token Test (R-TT)?

A

Yes

73
Q

Where is the Aachen Aphasia Test (AAT) commonly used?

What language is it in?

Why is it important to know?

A

German speaking countries

German

Used often in important research

74
Q

What 6 subtests are used in the Aachen Aphasia Test (AAT) battery?

A

Spontaneous speech

Token test

Repetition

Written language

Confrontational naming

Comprehension

75
Q

Who created the Boston Diagnostic Aphasia Exam-3rd Edition?

(2)

A

Harold Goodglass

Edith Caplan

76
Q

What does the Boston Diagnostic Aphasia Exam-3rd Edition do?

A

Assigns patients to classic aphasia syndromes

77
Q

What is the standard form of the Boston Diagnostic Aphasia Exam-3rd Edition composed of?

(4)

A

Structured interview

27 subtests

Boston Naming Test (BNT - 60 items)

9 rating scales

78
Q

How long does it take to administer the Boston Diagnostic Aphasia Exam-3rd Edition?

A

2 hours (avg.)

79
Q

What picture is this?

What test does it come from?

A

Cookie Theft Picture

Boston Diagnostic Aphasia Exam (BDAE)

80
Q

What does the Boston Diagnostic Aphasia Exam measure?

(2)

A

Aphasia classification

Aphasia severity

81
Q

In BDAE Aphasia Severity Rating Scale, what type of aphasia is represented below?

A

Broca’s

82
Q

In BDAE Aphasia Severity Rating Scale, what type of aphasia is represented below?

A

Wernicke’s

83
Q

What is the Western Aphasia Battery (WAB)?

A

Similar to BDAE but psychometrically more sophisticated

84
Q

Who created the Western Aphasia Battery (WAB)?

When?

A

Andrew Kertesz

1979

85
Q

What are patients assigned to in the Western Aphasia Battery (WAB)?

A

Diagnostic categories according to scores on 4 language subtests

86
Q

What are the 4 subtests in the Western Aphasia Battery (WAB)?

A

Spontaneous speech

Auditory comprehension

Repetition

Naming

87
Q

What three quotients are measured in the Western Aphasia Battery (WAB)?

A

Aphasia Quotient

Language Quotient

Cortical Quotient

88
Q

What is used in the Western Aphasia Battery (WAB) to measure the Aphasia Quotient?

(4)

A

Speech

Auditory Comprehension

Repetition

Naming

89
Q

What is used in the Western Aphasia Battery (WAB) to measure the Cortical Quotient?

A

Entire Test

90
Q

What is the Western Aphasia Battery (WAB) Aphasia Quotient a functional measure of?

A

The severity of spoken language deficit in aphasia

91
Q

What is the range of scores that can be received on the Western Aphasia Battery (WAB) Aphasia Quotient?

What is the cut off score for aphasia?

A

Score range from 0-100

93.8 cut-off score (must be below this to qualify for aphasia)

92
Q

What is the Western Aphasia Battery (WAB) Aphasia Quotient used as a classification system for?

A

Type of aphasia

93
Q

On the Western Aphasia Battery, what are the scores that would qualify someone for Severe Aphasia?

A

0 - 39

94
Q

On the Western Aphasia Battery, what are the scores that would qualify someone for Moderate Aphasia?

A

40 - 79

95
Q

On the Western Aphasia Battery, what are the scores that would qualify someone for Mild Aphasia?

A

80 - 93.7

96
Q

On the Western Aphasia Battery, what are the scores that would disqualify someone for Aphasia?

A

93.8 - 100

97
Q

What picture is this?

What test does it come from?

A

Picnic Scene

Western Aphasia Battery (WAB)

98
Q

What are the different subtests on the Western Aphasia Battery (WAB) used for the Aphasia Quotient?

(4)

A

Spontaneous Speech

Auditory Verbal Comprehension

Repetition

Naming + Word Finding

99
Q

What are the three parts of the Auditory Verbal Comprehension subtest in the Western Aphasia Battery (WAB)?

A

Yes/No Questions

Auditory Word Recognition

Sequential Commands

100
Q

What are the four parts of the Naming + Word Finding subtest in the Western Aphasia Battery (WAB)?

(4)

A

Object Naming

Word Fluency

Sentence Completion

Responsive Speech

101
Q

What is the Boston Naming Test (BNT) part of?

A

Boston Diagnostic Aphasia Exam 2nd + 3rd editions

102
Q

How many items are in the Boston Naming Test (BNT)?

What are they?

How does the patient do?

A

60 items

Line drawings

Confrontational naming

103
Q

What happens as the patient progresses through the Boston Naming Test (BNT)?

A

Items increase in difficulty

104
Q

Is there an alternate version of the Boston Naming Test (BNT)?

What is it?

Which version do most settings use?

A

Yes

Short version (15 items)

Most settings will use short vision

105
Q

What does the Reading Comprehension Battery for Aphasia-2 measure?

A

Severity and quality of reading after aphasia

106
Q

How many subtests are in the Reading Comprehension Battery for Aphasia-2?

How many items are in each subtest?

A

10 subtests

10 items in each subtest

107
Q

What are three Functional Communication Assessments?

A

Communicative Effectiveness Index

ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS)

Communicative Abilities in Daily Living (CADL

108
Q

What does the Communicative Effectiveness Index correlate with?

A

Western Aphasia Battery

109
Q

What are the four communication categories in the Communicative Effectiveness Index?

A

Basic Need

Health Threat

Life Skill

Social Need

110
Q

What does the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS) measure?

A

Functional communication of adults with speech, language, and cognitive communication disorders (Aphasia, Cognitive- communicative disorders)

111
Q

How many items are in the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS)?

A

43 items

112
Q

What four areas of Functional Communication are assessed in the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS)?

A

Social communication

Communication of basic needs

Reading, writing, and number concepts

Daily planning

113
Q

What is the Communicative Abilities in Daily Living (CADL-2) designed to assess?

A

Functional communication performance of adults with neurogenic communication disorders

114
Q

What does the Communicative Abilities in Daily Living (CADL-2) emphasize?

A

Communication in everyday living situations

115
Q

How many test items are in the Communicative Abilities in Daily Living (CADL-2)?

A

50

116
Q

What 7 areas of communicative function are tested in the Communicative Abilities in Daily Living (CADL-2)?

A

Reading, writing, + using numbers

Social interaction

Divergent communication

Contextual communication

Non-verbal communication

Sequential relationships

Humor/metaphor/absurdity

117
Q

What is the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)?

(2)

A

Self-report scale

Administered by clinician interview

118
Q

How many items are in the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)?

Where do they come from?

A

49 items

The Stroke-Specific Quality of Life Scale (SS-QOL) (health related quality of life scale)

119
Q

How many response types are in the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)?

A

2 response formats based on 5pt scale

(1) =could not do it at all; definitely yes
(5) =no trouble at all; definitely no

120
Q

Do all settings use the same tests?

A

No

ECU Brain, Language and Aphasia (11 decks)

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