Aphasia Flashcards
During group therapy, having one or more members who are positive role models of recovery can strengthen which of the following motivational factors. All of the choices are true to some degree but one choice is most directly affected by role models.
Select one:
a. They can help to support the need for autonomy in other members
b. They can help to support the need for relatedness in other members
c. They can promote hope in other members
d. They can help build self-efficacy in other members
d. They can help build self-efficacy in other members
You have a patient who suffered RHD and has left visuospatial neglect. Your CFY supervisor recommends that you focus on compensatory techniques during visual scanning tasks with these patients. She also stated that this is usually enough to improve a patient’s functional performance on a variety of real world tasks. Which of the following statements is consistent with the Cicerone et al (2011) review?
Select one:
a. The supervisor is right. Simple visual scanning tasks are effective and often generalize to other functional tasks
b. Simple visual scanning tasks are not effective - you need to practice solely on more complex, real-world tasks.
c. The supervisor is right. Simple visual scanning tasks have been shown to generalize but better generalization is seen if more complex visuospatial tasks are included in treatment.
d. Compensatory approaches, are not appropriate since there are different restorative approaches to treatment the work better.
c. The supervisor is right. Simple visual scanning tasks have been shown to generalize but better generalization is seen if more complex visuospatial tasks are included in treatment.
Based on the following results from testing, which of the following naming treatments makes the most sense for your client with aphasia?
30/60 correct on the Boston Naming Test
Errors were a combination of “don’t know” responses and semantic paraphasias
Most errors were on uncommon vs common objects
Repetition was moderately impaired. More errors on low imageability vs high imageability words. There was no significant frequency or length effect.
Performance on the Pyramids and Palm Trees Test was impaired.
Select one:
a. Phonological Component Analysis by Leonard, Rochon, & Laird, 2008
b. Semantic Feature Analysis by Boyle and colleagues
c. Melodic Intonation Therapy by Sparks and colleagues
d. None of the above
Feedback
b. Semantic Feature Analysis by Boyle and colleagues
Your post-stroke patient has the following findings after testing. Which focus of treatment is the most rational?
No significant difficulty matching lower to upper case letters
No significant difference in the ability to read regularly vs irregularly spelled words
Much greater difficulty reading non-words vs real words
No significant imageability or frequency effects
Select one:
a. Treatment should focus on letter identification
b. Treatment should focus on grapheme to phoneme conversion and blending
c. Treatment should focus on whole word identification/comprehension
d. None of the above
b. Treatment should focus on grapheme to phoneme conversion and blending
Your post-stroke patient has the following findings after testing. Which focus of treatment is the most rational?
Significant difficulty matching lower to upper case letters
Equal difficulty reading regularly vs irregularly spelled words
Equal difficulty reading non-words vs real words
No significant imageability or frequency effects
Select one:
a. Treatment should focus on letter identification
b. Treatment should focus on grapheme to phoneme conversion and blending
c. Treatment should focus on whole word identification/comprehension
d. None of the above
a. Treatment should focus on letter identification
During an assessment of a person with aphasia, you find a striking difference between real word and non-word repetition (non-word is much worse). Based on this finding, what factor should you pay particular attention to when choosing words to target during naming treatments.
Select one:
a. length
b. frequency
c. imageability
d. none of the above
A. length
You gave the CAT to one of your patients. She did poorly on the spoken word to picture matching task. Most of her errors were choosing phonological distractors. She did not display any phonological errors during naming. You have time to give only one extra test/subtest after completing the CAT. Given the results mentioned above, which task would you give to confirm the kind of processing difficulty suggested by your patient’s performance.
Select one:
a. Pyramids and Palm Trees test
b. Repetition of real words vs. nonwords
c. Repetition of words of increasing length
d. Auditory minimal pairs discrimination task
e. None of the above are appropriate
d. Auditory minimal pairs discrimination task
You are administering semantic feature analysis training to one of your clients. Which of the following statements is most accurate about what to expect from this treatment approach?
Select one:
a. The patient will improve on trained items but the treatment is not designed to encourage generalization to untreated items.
b. The patient will improve on trained items and show some generalization to untrained words. Generalization is expected occur on words both within and outside the category being trained.
c. The patient will improve on trained items and show some generalization to untrained words. Generalization will tend to occur on words within the category being trained.
d. None of the above
c. The patient will improve on trained items and show some generalization to untrained words. Generalization will tend to occur on words within the category being trained.
Your patient is 8 years post-stroke. Her main goal is to improve her reading so she can participate in a book club. You only have time to administer one of the following assessments. Which one would you administer?
Select one:
a. Reading subtests from the PALPA
b. Western Aphasia Battery
c. Cognitive Linguistic Quick Test
a. Reading subtests from the PALPA
Monopitch and monoloudness in persons with dysarthria may not represent an underlying aprosodia.
Select one:
True
False
True
You receive a consult for a patient. The consult says: 67 y/o female s/p L MCA CVA. MRI shows an inferior posterior frontal lobe lesion. What type of aphasia are they most likely to have?
Select one:
a. Transcortical motor
b. Broca’s
c. Conduction
d. Wernicke’s
e. None of the above
b. Broca’s
What is the advantage of the most recent version of the BDAE vs the most recent version of the WAB?
Select one:
a. The BDAE is used in research more often so it’s easier to compare clinical findings with research findings
b. The BDAE has a shortened form
c. The BDAE provides a more in-depth psycholinguistic assessment if using the extended version
d. None of the above
c. The BDAE provides a more in-depth psycholinguistic assessment if using the extended version
You gave the CAT to one of your patients. She did poorly on the spoken word to picture matching task. Most of her errors were choosing phonological distractors. She did not display any phonological errors during naming. You have time to give only one extra test/subtest after completing the CAT. Given the results mentioned above, which task would you give to confirm the kind of processing difficulty suggested by your patient’s performance.
Select one:
a. Pyramids and Palm Trees test
b. Repetition of real words vs. nonwords
c. Repetition of words of increasing length
d. Auditory minimal pairs discrimination task
e. None of the above are appropriate
Feedback
d. Auditory minimal pairs discrimination task
You have a patient with severe, global aphasia. This patient did very poorly on the Pyramids and Palm Trees (PPT) test. You want to test single spoken word comprehension but you think the spoken word to picture matching subtest from the CAT will be too difficult for him (the CAT has 4 items to choose from - one close semantic distractor, one distant semantic distractor, a phonological distractor, and an unrelated distractor). Given his performance on the PPT, how would you modify the a spoken word to picture matching task so that your patient is likely to get some right (i.e. which is the best approach)?
Select one:
a. Reduce the array of choice of pictures from 4 to 2
b. Reduce the array of choices from 4 to 2 and make stimuli very different phonologically
c. Reduce the array of choices from 4 to 2 and make the stimuli very different semantically
d. None of the above
c. Reduce the array of choices from 4 to 2 and make the stimuli very different semantically
You have a patient who has significant difficulty reading. They are able to write, and they show no overt signs of anomia or other language impairments. When you verbally ask them to tell you what sound different letters make (e.g. What sound does the letter “b” make), they are able to do this. But, when you provide them with a printed letter they can’t tell you what sound it makes. Additionally, they have difficulty matching letters of different case (e.g. matching g to G or r to R). They can copy letters. At what stage of reading are they having difficulty?
Select one: a. Abstract visual letter identification b. grapheme to phoneme conversion c. poor visual acuity d. none of the above e. all of the above Feedback
a. Abstract visual letter identification
Based on your understanding of neuroanatomy, where would you expect the lesion to be in question previously?
Select one:
a. Anterior frontal lobe
b. Anterior parietal lobe
c. Anterior temporal lobe
d. Anterior occipital lobe
e. none of the above
d. Anterior occipital lobe
A lexical decision making task focuses on assessing..
Select one:
a. speech sound processing
b. lexical recognition
c. lexical meaning
d. none of the above
e. all of the above
b. lexical recognition
You have a patient that makes semantic errors across all modalities of language (auditory comprehension, written language, verbal expression) on the CAT. You can give one more test. Which test should you give?
Select one:
a. Philadelphia Naming Test
b. Auditory and written lexical decision making task from the PALPA
c. Repetition task that is controlled for length
d. Pyramids and Palm Trees test
e. None of the above
d. Pyramids and Palm Trees test
You’ve received a consult to evaluate a patient. The neurologist has diagnosed the person with Broca’s aphasia. During the interview, the patient sounds as if they may have a Broca’s aphasia. Assuming that the patient does have a Broca’s aphasia, which of the following sentences would you expect them to have the most difficulty understanding?
Select one:
a. The farmer is painted by the policeman
b. The woman is eating an ice-cream
c. She is laughing
d. The policeman paints the old farmer
a. The farmer is painted by the policeman
Language impairments in PWA can make assessment of executive function difficult. Which of the following tasks might be appropriate to assess executive function in PWA?
Select one:
a. Design fluency tasks
b. Mazes
c. Trail making tasks
d. None of the above
e. All of the above
e. All of the above
What is the benefit of having a test that has parallel versions (e.g. you can give the same test with different stimuli - form a, form b, etc)
Select one:
a. One version of the test may be more appropriate for a patient than another version
b. It is a more objective measure of change over time (e.g. pre and post treatment)
c. It reduces clinician boredom
d. None of the above
Feedback
b. It is a more objective measure of change over time (e.g. pre and post treatment)
Some cognitive or language tests include verbal fluency tasks. If you ask a patient to name as many words that begin with a letter (phonemic/letter fluency) and name as many items in a category (semantic/category fluency), they may do poorly for which of the following reasons?
Select one:
a. Anomia
b. Executive dysfunction
c. Self-monitoring deficits
d. None of the above
e. All of the above
e. All of the above
Before testing executive functioning, or at least before making a judgment of executive function ability, we should test and understand which of the following cognitive processes?
Select one:
a. Attention
b. Memory
c. Language ability
d. None of the above
e. All of the above
e. All of the above
According to social cognitive theory, which factor is strongest when it comes to using group therapy to promote patients’ motivation
Select one:
a. It can increase self-efficacy by allowing patients to observe the successes of others
b. It can increase self-efficacy through verbal encouragement
c. It can increase self-efficacy by reducing social isolation
d. None of the above
a. It can increase self-efficacy by allowing patients to observe the successes of others
