aphasia Flashcards
1
Q
true/false: it is a language impairment and not speech impairment that is the critical feature of aphasia
A
true (pg.256)
2
Q
______ is difficulty finding words and is the core feature of every aphasia syndrome
A
anomia (pg. 256)
3
Q
______ is difficulty with the expression and/or comprehension of the grammatical units of language
A
agrammatism (pg.256)
4
Q
a. agraphia
b. surface dyslexia
c. pure alexia
d. letter-by- letter reading
e. deep dyslexia
- cannot access grapheme-to-phoneme conversion
- use whole-word reading route
- produce semantic paralexic errors in oral reading (e.g reading doctor as nurse)
- cannot read nonwords or semanticlly empty words (e.g for, by to)
A
e. deep dyslexia (pg.256)
5
Q
a. deep dyslexia
b. surface dyslexia
c. pure alexia
d. letter-by- letter reading
e. agraphia
- limited access to meaning on a whole-word basis
- can only use grapheme to phoneme conversion
- good with regular spelling, but not irregular spelling
A
b. surface dyslexia (pg.256)
6
Q
alexia
A
loss of previously acquired reading skills due to recent brain damage
7
Q
a. deep dyslexia
b. surface dyslexia
c. pure alexia
d. letter-by- letter reading
e. agraphia
- less severe form of a visual input based reading disorder
- there is preservation of individual letter reading but readers cannot read words a a whole word
- tend to read each letter aloud and then construct internally what the word is by using their comprehension of oral spelling
A
d. letter by letter reading (pg.257
8
Q
agraphia
A
loss of normally acquired writing skills due to lesions in the foot of the second frontal gyrus
9
Q
what are the 4 other disorders that commonly accompany aphasia?
A
- perseveration
- apraxia
- agnosia
- nonverbal cognitive impairment
(pg. 257)
10
Q
_____-is the inappropriate repetition of a response or continuation of a behavior when it is no longer required or appropriate
A
perseveration (pg.257)
11
Q
a. recurrent perseveration
b. continuous perseveration
-production of a previously made response after a filled delay
A
a. recurrent (pg.257)
12
Q
a. recurrent perseveration
b. continuous perseveration
-this immediate repetition of the same response that was just made; the person cannot stop making the same response
A
b. continuous perseveration (pg.257)
13
Q
_____is the disorder of the execution of learned movement that is not caused by motor weakness, incoordianiton, or sensory loss and is not due to failure to understand the command
A
apraxia (pg.257)
-they know the idea of the movement they want to perform but cannot get the body to perform them correctly due to a disconnection in neuroanatomical pathways
14
Q
______is a sensorimotor speech disorder with symptoms of impaired volitional production of articulation and prosody that does not result from abnormal muscle strength, tone or timing; nor does it arise from aphasia, confusion, generalized intellectual impairment or hearing loss
A
apraxia of speech (pg.257)
15
Q
Agnosia
A
impaired understanding of the meaning of certain stimuli even though there is no peripheral sensory impairment
16
Q
true/false: agnosia are generally associated with cortical brain damage in regions of the parietal, temporal, and occipital lobes
A
true
17
Q
a. visual agnosia
b. prosopagnosia
c. anosognosia
- this inability to recognize what visual objects or pictures of objects are
- it is not simply a failure to name them but rather to understand the meanings of them
A
a. visual angoisa (pg.258)
18
Q
a. visual agnosia
b. prosopagnosia
c. anosognosia
-the inability to recognize faces
A
b. prosopagnosia (pg.258)
19
Q
a. visual agnosia
b. prosopagnosia
c. anosognosia
-the inability to recognize one’s own illness,
A
c. anosognosia (pg.258)
20
Q
true/false: parental lobe lesions are likely to result in some degree of executive system impairment, causing problems in numerous cognitive functions
A
true: frontal lobe lesions (pg.258)
21
Q
the region of the language zone is fed almost entirely by the _______ artery; therefore aphasia is typically caused by a stroke within the territory of this artery
A
left middle cerebral artery (pg.258)
22
Q
what zone is important for verbal expression of language and for grammatical competence?
A
Broca’s (pg.258)
23
Q
what zone is import for auditory comprehension of language?
A
wernicke’s (pg.259)
24
Q
a. anterior lesions
b. posterior lesions
- lead to nonfluent aphasia
- if involves left precental sulcus (aka motor strip) , there will be some right heisparesis
A
a. anterior lesions (pg.259)
25
a. anterior lesions
b. posterior lesions
- leads to fluent aphasia
- there will not be any concomitant motor impairment
- if damage affects the postcentral sulcus (aka the sensory strip) there will likely be some sensory impairment on the right side of the body
b. posterior lesions (pg.259)
26
what hemisphere is dominant for language processing?
left hemisphere (pg.259)
27
only about 1% of right-handers and 30% of left-handers do not show the typical patterns of dominance; this is referred to as ________ dominance
anomalous (pg.259)
28
what are the 4 common etiologies of aphasia?
1. cerebrovascular disease
2. traumatic brain injury
3. brain tumors
4. neurodegenerative disease
(pg. 259)
29
what is the leading cause of aphasia?
cerebrovascular disease (pg.259)
30
risk factors for cerebrovascular disease include what 5 things?
1. high cholesterol
2. diabetes
3. smoking
4. hypertension
5. heart disease
(pg. 260)
31
______ is a temporary loss of neurological function caused by an interruption of blood flow to a brain region.
- it is seen as a working sign for a stroke
- include difficulty speaking, clumsiness, numbness and visual disturbance
transient ischemic attack (pg.260)
32
what does FAST stand for?
```
F=face (facial droop)
A=arm (motor difficulties)
S= speech (speech abnormalities)
T=time (emergency attention should be obtained immediately)
(pg.260)
```
33
a. embolus
b. thrombosis
c. thrombosis-embolic
____ is a clot formed in another body area that can travel up to the brain and then interrupt blood flow
a. embolus (pg.260)
34
a. embolus
b. thrombosis
c. thrombosis-embolic
____ is a clot that can form in the blood vessels of the brain and results in a blockage but has not travelled from another region
b. thrombosis (pg.260)
35
a. embolus
b. thrombosis
c. thrombosis-embolic
___ is a combination of an embolus and a throbs or a storke that could possibly be caused by either
c. thrombosis-embolic stroke (pg.260)
36
a. occlusive stroke
b. hemorrhagic stroke
-may be caused by an embolus or a thrombosis or a combination of the 2
a. occlusive stroke (pg.260)
37
a. occlusive stroke
b. hemorrhagic stroke
-results when there is a rupture of the vessels in the brain rather than a blockage of blood flow
b. hemorrhagic (pg.260)
38
a. ruptured aneurysm
b. arteriovenous malformation
c. an intracerebral hemorrhage
d. subdural or subarachnoid
e. brain hemorrhages
-is a balloted-out area of a blood vessel wall that becomes very thin and subsequently breaks
a. ruptured aneurysm
| pg. 260
39
a. ruptured aneurysm
b. arteriovenous malformation
c. an intracerebral hemorrhage
d. subdural or subarachnoid
e. brain hemorrhages
-is a tangled mass of brain blood vessels that is often congenital and the subsequently ruptures or leaks
b. arteriovenous malformation (pg.260)
40
a. ruptured aneurysm
b. arteriovenous malformation
c. an intracerebral hemorrhage
d. subdural or subarachnoid
e. brain hemorrhages
-is caused by a rupture of a vessel within the neural tissue of the brain
c. an intercerebral hemorrhage (pg. 260)
41
a. ruptured aneurysm
b. arteriovenous malformation
c. an intracerebral hemorrhage
d. subdural or subarachnoid
e. brain hemorrhages
-is coursed by a rupture of vessels in the meningeal covering of the brain that might affect brain tissues beneath the meninges
d. subdural or subarachnoid (pg.260)
42
a. ruptured aneurysm
b. arteriovenous malformation
c. an intracerebral hemorrhage
d. subdural or subarachnoid
e. brain hemorrhages
-requires emergency intervention to prevent an increase of pressure and to drain excess blood resulting from the hemorrhage
e. brain hemorrhage (pg.260)
43
TBI
a. focal injuries
b. diffuse damage
-sometime have both coup (sire of impact) and countercoup (opposite side of impact), caused by the brain impacting different areas of the skull depending on how the TBI occurs
a. focal injuries (pg.260)
44
TBI
a. focal injuries
b. diffuse damage
- axonal injury often occurring in high-speech motor accidents
- many long branches of axons within the brain become damaged, often resulting in significant motor and cognitive difficulties
b. diffuse damage (pg.260)
45
what is a common site of damage in TBI?
unilateral or bilateral prefrontal damage resulting in significant problems with emotional and behavioral regulation and executive functioning impairments
(pg. 260)
46
____ is a progressive neurodegenerative brain disorder affecting multiple domains of cognition, memory, language, visuospatial skills and behavior
dementia (pg.260)
47
what are the 4 different dementia syndromes
1. alzheimers disease
2. frontotemporal dementia
3. vascular dementia
4. dementia with lewy bodies
(pg. 261)
48
a. boston diagnostic aphasia examination
b. boston naming test
c. western aphasia battery -revised
d. aphasia diagnostic profiles
- provides an aphasia profile on the rating scale profile of speech characteristics that can be compared to profiles consistent with one of the seven aphasia syndromes
- the examiner also assigns a subjective severity rating
- may take 2-6 hours to administer
- comprehensive assessment that include both standard and extended test subtests
a. boston diagnostic aphasia examination (pg.261)
49
a. boston diagnostic aphasia examination
b. boston naming test
c. western aphasia battery -revised
d. aphasia diagnostic profiles
-published as part of the BDAE, is a 60 item test of picture confrontation naming ability
b. boston naming test (pg.261)
50
a. boston diagnostic aphasia examination
b. boston naming test
c. western aphasia battery -revised
d. aphasia diagnostic profiles
- assess similar language abilities as the BDAE but it somewhat quicker to administer
- scores result in an aphasia quotient, a cortical quotient, an auditory comprehension quotient, a verbal expression quotient, a reading quotient, and a writing quotient
c. westen aphasia battery-revised (pg.261)
51
a. boston diagnostic aphasia examination
b. boston naming test
c. wester-n aphasia battery -revised
d. aphasia diagnostic profiles
- profiles that can be analyzed from results include the aphasia classification profile, the aphasia severity profile, the alternative communication profile, error profiles, and the behavioral profile
- gives profiles similar to the BDAE and the WAB
d. aphasia diagnostic profiles (pg.261)
52
a. cognitive linguistic quick test
b. porch index of communicative abilities revised
c. minnesota test for the differential diagnosis of aphasia
-provides assessment of language ability as well as assessments of nonverbal cognitive abilities in attention, memory, executive function and visuospatial skills
a. cognitive linguistic quick test (pg.262)
53
a. cognitive linguistic quick test
b. porch index of communicative abilities revised
c. minnesota test for the differential diagnosis of aphasia
- one of the first comprehensive assessments for aphasia
- is no longer in print
c. minnesota test for the differential diagnosis of aphasia (pg.262)
54
non standardized assessment tools for aphasia
a. communication actives of daily living
b. functional assessment of communication skills
c. communicative effectiveness index
d. boston assessment of severe aphasia
-assesses communication activities in seven areas: reading, writing, and using numbers, social interaction, divergent communication, nonverbal communication, sequential relationships, and humor/metaphor
a.communication activities of daily living (pg.262(
55
non standardized assessment tools for aphasia
a. communication actives of daily living
b. functional assessment of communication skills
c. communicative effectiveness index
d. boston assessment of severe aphasia
-43 item test competed by interviewing the PWA and family members to determine functional communication in several domains
b. functional assessment of communication skills (pg.262)
56
non standardized assessment tools for aphasia
a. communication actives of daily living
b. functional assessment of communication skills
c. communicative effectiveness index
d. boston assessment of severe aphasia
- 60 item assessment tool that is specifically for people with severe aphasia, that is designed to capture islands of preserved ability
- scoring system captures both verbal and nonverbal responses to a variety of stimuli
d. boston assessment of severe aphasia (pg.262)
57
non standardized assessment tools for aphasia
a. communication actives of daily living
b. functional assessment of communication skills
c. communicative effectiveness index
d. boston assessment of severe aphasia
-a checklist filled out by caregivers that asks questions referring to 16 different communication situations
c. communicative effectiveness index (pg.262)
58
who developed the the process approach to assess aphasia?
edith kaplan (pg.262)
59
what are the 6 steps of the process approach?
1. record exact error responses and behaviors made during the assessment
2. record all off-task behaviors produced
3. note any self-cueing attempts as well as responses to cues provided by the examiner
4. conduct a qualitative analysis of error responses after the completion of the test
5. analyze data to form a hypotheses about the PWA
6. use hypotheses to determine the best approaches to remediation
(pg. 262)
60
a. fluent
b. nonfluent
____ is verbal expression in which the amount of words produced per utterance is similar to or greater than a nonaphaic individual regardless of whether the words make sense of not
-generally 7 words are produced
a. fluent (pg.263)
61
a. fluent
b. nonfluent
____ is verbal expression in which the amount of words produced per utterance is less than a typical non aphasic individual
-3-5 word per phrase
b. nonfluent (pg.263)
62
____ are word substitution error
paraphasia (pg. 263)
63
a. semantic paraphasia
b. phonemic paraphasia
c. verbal paraphasia
d. neoglism
-share elements of meaning with the target word, such as saying "lion" for the target word "tiger"
a. semantic paraphasia (pg.263)
64
a. semantic paraphasia
b. phonemic paraphasia
c. verbal paraphasia
d. neoglism
-share elements of phonology with the target, such as saying "piger" for the word "tiger"
b. phonemic paraphasia (pg.263)
65
a. semantic paraphasia
b. phonemic paraphasia
c. verbal paraphasia
d. neoglism
-another real word substitution that is not semantically or phonemically related, such as saying "auto" for "tiger"
c. verbal paraphasia (pg.263)
66
a. semantic paraphasia
b. phonemic paraphasia
c. verbal paraphasia
d. neoglism
-a nonword with no apparent relation to the target word, such as "palipon" for "tiger"
d. neoglism (pg.263)
67
True/false: a right-handed PWA who has a hemiparetic right arm and hand should be tested with there non dominant left hand for writing
true (pg.264)
68
True/false: an SLP should conduct a cognitive exam when assessing PWA
False: the assessment should be done by a psychologist or neuropsychologist (pg.264)
69
what nonlinguistic cognitive functions interact with language skills?
- memory
- attention
- executive functioning
- visuospatial functioning
(pg. 264)
70
why is it important to assess limb and oral-facial apraxia during assessment of PWA?
because presence of limb and or oral apraxia may affect performance on a number of tasks especially is the PWA is asked to follow commands (pg.265)
71
when working with multilingual PWA, SLP's need to determine what language was their dominate language ______
pre-aphasia (pg.265)
72
true/false: treatment should be provided in the language requested by PWA and their family
true (pg.266)
73
true/false: simply translating a standardized test from one language to another will provide content that is culturally appropriate
false (pg.266)
74
a. left-frontal
b. left-posterior
_________ lesions are associated with depression, catastrophic reactions and some-times indifference/apathy
left-frontal (pg.269)
75
a. left-frontal
b. left-posterior
_______ lesions are associated with unawareness, agitation, occasionally paranoia and very rarely euphoria
b. left- posterior (pg.269)
76
left-hemisphere lesions are associated with catastrophic reactions which is when
1. the PWA switches suddenly and often violently into a state of intense negativity
- not under voluntary control
-last for a few days
-
77
True/false: it is often difficult to assess psychiatric and emotional disturbances in people with significant communication disorders because talking and answering questions is often integral to psychological assessment
true (pg.270)
78
what are used to accommodate for some of the difficulties with assessment of psychological state in PWA
visual analog mood scales (pg.270)
79
true/false: reactions to a major change such as a stroke and aphasia may be understood as a period of mourning the loss of one's former life
true (pg.270)
80
true/false: stages of mourning suggested by E.Kubler-Ross in mourning the death of a loved one may also apply to PWA as they adjust to new life
true (pg.270)
81
what are the stages of mourning? (5 stages)
1. denial
2. anger
3. bargaining
4. depression
5. acceptance
82
a. impairment-based treatment
b. non-impairment based treatment
- those that create a specific impairment of language and attempt to improve the language skill, thereby lessening the impairment
- examples= melodic intonation therapy
a. impairment-based treatment (pg.270)
83
a. impairment-based treatment
b. non-impairment based treatment
-seek to improve the communication environment of PWA and their quality of life without directly addressing the language deficits leading to the impairments
b. non-impairment based treatment (pg.271)
84
what are the general goals for treatment of aphasia? (3 things)
1. improve communication skills wither by fixing the deficits, compensating for it or both
2. maintain achievements once improvements have been achieved
3. facilitate the PWA's psychocosial and emotional adjustment to the new ones of aphasia
(pg. 271)
85
when should therapy begin?
as soon as they are medically stable
| pg.271
86
_______ is a temporary loss of function and electrical activity in brain regions remote from the lesion but connected via neural networks
diachisis (pg.271)
87
when does spontaneous recovery begin?
in the first 6 months after diaschisis fades (pg.271)
88
True/false: generally, treatment should be provided in the language desired by the PWA and their families, not simply the SLP's most proficient language
true (pg.272)
89
a. parallel recovery
b. differential recovery
c. antagonistic recovery
d. bleding recovery
e. selective aphasia
-refers to the pattern seen in approximately 40% of bilingual aphasia cases in which the extent to which languages recover is consistent with their premorbid patterns patterns: if one language was stronger premorbidly, it would recover to being stronger
a. parallel recovery (pg.272)
90
a. parallel recovery
b. differential recovery
c. antagonistic recovery
d. bleding recovery
e. selective aphasia
-refers to the pattern in which one language recovers to a much greater extent than the other compared to premorbid abilities with the languages
b. differential recovery (pg.272)
91
a. parallel recovery
b. differential recovery
c. antagonistic recovery
d. bleding recovery
e. selective aphasia
-refers to a pattern in which one language is initially available, yet as the other language recovers, the initially available language becomes less accessible
c. antagonistic (pg.272)
92
a. parallel recovery
b. differential recovery
c. antagonistic recovery
d. bleding recovery
e. selective aphasia
-refers to a pattern in which there is uncontrolled mixing of words and grammatical constructions of 2 or more languages when attempting to speak in only one language
d. blending recovery (pg.272)
93
a. parallel recovery
b. differential recovery
c. antagonistic recovery
d. bleding recovery
e. selective aphasia
-refers to the rare pattern in which there is language loss in one language with no measurable deficits in the other
e. selective aphasia (pg.272)
94
True/false: when using an interpreter, the SLP should talk directly to the interpreter and not the PWA
False: they should talk directly to the PWA (pg.273)
95
a. voluntary control of involuntary utterance
b. MIT
c. treatment of underlying forms
d. complexity account of treatment effectiveness
a method that uses oral reading to improve production of single words to communicate ideas in people with severe aphasia
a. voluntary control of involuntary utterances (pg.273)
96
a. voluntary control of involuntary utterance
b. MIT
c. treatment of underlying forms
d. complexity account of treatment effectiveness
a method that uses a combination of intoning of phrases, hand tapping, and verbal repetition to improve verbal output
b. MIT (pg.273)
97
a. voluntary control of involuntary utterance
b. MIT
c. treatment of underlying forms
d. complexity account of treatment effectiveness
based on the idea that treatment of grammatical deficits should focus on remediation of the underlying linguistic deficit
c. treatment of underlying forms (pg.274)
98
a. voluntary control of involuntary utterance
b. MIT
c. treatment of underlying forms
d. complexity account of treatment effectiveness
if more complex forms are treated first, generalization to simpler forms will be achieved without having to directly treat them
d. complexity account of treatment effectiveness (pg.274)
99
what are the 2 main approaches to anomia treatment?
1. facilitation of naming
2. compensating for anomia
(pg. 277)
100
a. facilitation of naming
b. compensation for anomia
-use external cues from the clinician or, ideally, internal cues generated by PWA themselves
a. facilitation of naming (pg.277)
101
what are the types of cues?
- phonemic cues
- verbal descriptions
- first letter
- automatic completions
- repetitions
(pg. 277)
102
a. facilitation of naming
b. compensation for anomia
focusing on getting the idea across rather than finding a specific
b. compensation for anomia (pg.278)
103
a. treatment for aphasic perseveration
b. verb netwrok strengthening treatment
is an anomia treatment for people with significant verbal preservation that focuses on increasing conscious awareness of perseveration behaviors so that PWA learn to inhibit preservations
a. treatment for aphasia perseveration (pg. 278)
104
a. treatment for aphasic perseveration
b. verb netwrok strengthening treatment
a treatment to improve lexical retrieval of content words in sentences, recognizing the key role of verbs and the fact that PWA often have trouble with verb retrieval
b. verb network strengthening treatment (pg.278)
105
__________ is a method designed for LBL readers who have impaired access to words in the graphemic input lexicon
- read aloud a short text passage many times
- practice the same passage as homework
- the multiple trials of reading the same passage aloud facilitate a shift away from LBL reading to a whole-word reading by taking advantage of sentence context and familiarity text
multiple oral re-reading (pg.280)
106
______ involves matching single words or phrases to pictures
drills (pg.280)
107
what are 3 compensatory approaches for aphasic alexia
1. using text-to-speech software that will read aloud highlighted text on a computer screen
2. using books on tape and other resources available for those with visually based reading impairments
3. reading "pens" that will read aloud text that the pen has scanned
108
__________ is a method for agraphia that aims to strengthen words in the graphemic output lexicon so that they can be used for functional writing
anagram copy and recall treatment (pg.280)
109
what are 3 compensatory approaches for aphasic agraphia
1. speech-to-text software
2. assisted-writing software programs that will predict words based on the initial letter that a PWA has typed
3. software programs that will write words associated with precuts that are selected
(pg. 280-281)
110
a. visual action therapy
b. amer-ind gestural training
c. computer-assisted communication
d. communicative drawing approaches
-a method developed for people with severe aphasia as a means to treat limb apraxia so that manual gestural communication may be an option
-
a. visual actin therapy (pg.281)
111
a. visual action therapy
b. amer-ind gestural training
c. computer-assisted communication
d. communicative drawing approaches
-based on a system of manual gestures to communicate information from Universal American Indian Hand Talk
b. amir-ing gestural training (pg. 281)
112
a. visual action therapy
b. amer-ind gestural training
c. computer-assisted communication
d. communicative drawing approaches
-includes and devices and software programs that are examples of augmentative and alternative communication approaches
c. computer-assisted communication (pg.281)
113
a. visual action therapy
b. amer-ind gestural training
c. computer-assisted communication
d. communicative drawing approaches
-appropriate for individuals with severe aphasia who show some ability to produce representational drawings to communicate information
d. communicative drawing approaches (pg. 281)
114
____________ approaches for PWA have been gaining in popularity in recent years and represent a shift away from impairment-based treatment approaches towards the life participation approach to aphasia model
community-based treatment (pg.282)
115
________ is a training program for clinicians and community volunteers based on the idea that communication with PWA could be greatly enhanced by educating their communication partners instead of focusing on fixing the communication impairment of the PWA
supported conversation for adults with aphasia (pg.283)
116
True/false: treatment must be provided at least twice per week (1 hour sessions) in order to be effective less than half that is not better than no treatment at all
true (pg.284)
117
true/false: effect size are usually greatest in the acute post-stroke period but PWA also make significant changes with treatment in the chronic period
true (pg.284)
118
true/false: treatment should be tailored to the specific profile of strengths and weaknesses in each individual in order to maximize effectiveness
true (pg.284)
119
true/false: therefore, recent research on aphasia has seen increase use of multiple-subject research designs
false: single-subject research designs (pg. 284)
120
what is the period of the first 6 months post-onset of a stroke where recovery is taking place even without intervention
spontaneous recovery (pg.284)
121
true/false: the widespread notion of a plateau in recovery after 6 months to 1 year post onset is probably true.
False: it is probably false (pg. 284)
122
true/false: lesion size is more important to recovery patterns than lesion location
false: lesion size is much less important to recovery pattern than lesion location (pg. 284)
123
true/false: people with traumatic aphasia sometimes how more recovery of the aphasia than those with aphasia caused by strokes
true (pg.284)
124
true/false: aphasia from primary progressive aphasia or any neurodegenerative condition will not recover but will deteriorate over time
true (pg.284)
125
True/false: age itself is an insignificant factor in recover, but increased age is associated with other health conditions that may affect recovery from aphasia
true (pg.285)
126
true/false: some studies have suggested that men may show slightly better recovery from aphasia
false: women, but most do not support this notion and show no gender differences in recovery patterns
(pg. 285)
127
true/false: family and friend's support is likely to be a significant factor in recovery
true (pg.285)
128
________ implies that the intact right hemisphere is perhaps more important to self-awareness than is the left hemisphere
anosognosia (pg.286)
129
True/false: awareness of the language and cognition changes seen in normal aging is important to the SLP as a basis for comparison when evaluating those who may have the beginnings of a dementia syndrome
true (pg. 286)
130
True/false: hearing and vision changes are not common in normal aging and need to be considered when evaluating language and cognition performance of people who are elderly
False: hearing and vision changes ARE common (pg.287)
131
_________ is a term most commonly used to describe a subtle but measurable memory disorder
mild cognitive impairment (pg. 287)
132
True/false: a person with mild cognitive impairment has memory problems greater than normal for his age but does not show other symptoms of dementia, such as impaired judgement or reasoning
true (pg.287)
133
______ is a progressive neurological disorder affecting multiple cognitive domains including memory, language, visuospatial skills, executive functioning and behavior
dementia (pg.287)
134
treatment provided by an SLP to a person with dementia often involves treating ______ and _____ in early and muffle stages and ______ in later stages
- cognition
- language
- swallowing
(pg. 287)
135
true/false: care should be taken when evaluating performance not to use the forms that are available for PWA when suing standardized aphasia test with people who have dementia
true (pg.288)
136
when is the onset of alzheimer's dementia?
- 60s and 70s (pg.288)
137
a. mild or early AD
b. moderate or mid-stage AD
c. severe or late-stage AD
- verbal output is fluent but shows mild word-finding problems
- auditory comprehension problems may be seen in formal testing
- reading comprehension deficits
- awareness of disorder may be present
a. mild or early AD (pg.289)
138
a. mild or early AD
b. moderate or mid-stage AD
c. severe or late-stage AD
- language changes are more obviously different from normal aging
- paraphasia of many types
- auditory comprehension deficits more obvious in conversation
- there is marked preservation of individual phrases as well as of ideas
- memory impairment interacts with the linguistic disorder so that the individual frequently repeats questions and is unable to retain information in answers that were given
b. moderate or mid-stage AD (pg.289)
139
a. mild or early AD
b. moderate or mid-stage AD
c. severe or late-stage AD
- all language abilities show severe impairment and it is nearly impossible to conduct neuropsychological assessment
- eventually the person with dementia stops talking or becomes mute
- there may be some preservation of receptions skills seen in echolalia
d. severe or late-stage AD (pg.289)
140
______ refers to a dementia syndrome in which the cause ins cerebrovascular disease of sufficient severity that multiple cognitive domains become impaired
vascular dementia (pg.289)
141
is vascular dementia progressive?
not necessarily progressive (pg.289)
142
true/false: life expectancy after diagnosis of vascular dementia is not long due to vascular disease and its association with other medical conditions
true (pg.289)
143
how to differentiate between vascular dementia and alzheimer's dementia? (2 things)
1. memory is always impaired in AD; only sometimes in VaD
2. the course of the disorder always hows an insidious progression in AD; only sometimes is it progressive in VaD
(pg. 290)
144
_____ is also known as the behavioral variant of FTD and does not include aphasia. it is characterized by disinhibition, poor implies control, apathy, and antisocial behavior
frontal variant FTD (pg.291)
145
elements of _________ syndrome late in house of FTD include:
1. increased sexual activity
2. hyperorality (oral exploration of objects)
3. apathy and placidity
Kluver-Bucy syndrome (pg.291)
146
to be diagnosed with PPA, only language must be impress and this must be the case for the past ___ years
2 (pg.291)
147
eventually, the majority of people diagnosed with PPA will develop a more global dementia syndrome within about ___ years of onset
5 (pg.291)
148
a. semantic dementia
b. nonfluent progressive aphasia
c. logopenic PPA
- characterized by a loss of information in semantic memory that results in a variety of linguistic disturbance
- it starts laterally in the temporal lobe and progresses to include medial temporal structures overtime
- symptoms start with language and overtime progress to include memory
a. semantic dementia (pg.291)
149
a. semantic dementia
b. nonfluent progressive aphasia
c. logopenic PPA
- characterized by significant non fluency of verbal output as a presenting symptom
- look similar to Broca's aphasia
- eventually leads to mutism
- auditory comprehension is preserved
b. nonfluent progressive aphasia (pg.291)
150
a. semantic dementia
b. nonfluent progressive aphasia
c. logopenic PPA
- significant difficulty in word retrieval, but grammar and motor speech are relatively intact
- obvious deficit in repetition, and phonemic paraphasic errors are interpreted as due to a deficit in the function of the phonological loop component of verbal working memory
- shares features with conduction aphasia
c. logopenic PPA (pg.291)
151
a. frontotemporal dementia
b. primary progressive aphasia
c. parkinson's disease and dementia with Lewy bodies
-disorders caused by dysfunctions in brain regions that produce the neurotransmitter dopamine and the brain networks that rely on it
c. parkinson's disease and dementia with Lewy bodies (pg.292)
152
1. resting tremor
2. cogwheel rigidity in motor tone
3. bradykinesia and akinesia
4. postural instability, shuffling, and freezing motor function, often learning to falls
(pg. 292)
What disease are these motor warning signs of ?
Parkinson's Disease
153
_____ is a surgical approach that has had great success in treating the motor disorder associated with Parkinson's diseases
Deep brain stimulation (pg.293)
154
True/false: for people with dementia, the same array of treatment options as in stroke-causes aphasia may be tried in early stages, but expectations will differ because symptoms will worsen, not improve, over time
true (pg.293)
155
clinicians will change their focus over time for people with dementia from maintaining optimal function to _________ for deficits
compensating (pg.293)
156
what are some compensatory strategies used for individuals with dementia? (2 things )
1. AAC
| 2. memory books
157
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-treatment in which groups of people with dementia are involved in discussions facilitated by professional clinical staff on topics from there past that they are still able to reminisce about
a. group reminiscence therapy (pg.294)
158
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-a treatment or those with memory dysfunction that attempts to introduce new memory associations via repeated stimulus-repose trials over increasingly longer intervals
b. spaced-retrical training (pg.294)
159
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-treatments designed to improve the communication environment by educating caregivers about what is expected in AD as it progresses and bout the types of communication strategies that are successful
d. educating caregivers an AD and training communication strategies (pg.294)
160
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-a series of treatments administered by the caregiver that are designed to engage the person with demeita in cognitively stimulating activities such as playing cards, completing puzzles, and discussing films or events
c. caregiver-administered active cognitive simulation for individuals with AD (pg. 295)
161
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-include treatments presented via computer that may assist people with dementia with their memory and problem-solving deficits
e. computer-assisted cognitive interventions (pg. 295)
162
a. group reminiscence therapy
b. spaced-retrival training
c. caregiver-administered active cognitive simulation for individuals with AD
d. educating caregivers on Alzheimer's disease and training communication strategies
e. computer-assisted cognitive interventions
f. montessori-based interventions
-treatments based on principles of education and are designed to result in improvements in behavior, cognitive function, and mood
f. montessori-based interventions (pg.295)
163
true/false: some cultures do not view dementia as a disease but rather as a natural consequence of aging
true (pg.295)
164
true/false: some cultures view those with dementia as being posses by demons or suffering from a mental illness rather than suffering from a neurological disorder
true (pg.295)
165
therefore, SLPs should not assume that the person with dementia they may be treating or the persons family members possess the same _____ they have about the causes of dementia or how best to treat and care for the person with dementia
beliefs (pg.295 )
166
Among the following symptoms, which one is not an especially significant feature of
traumatic brain injury in children?
a. sentence comprehension problems
b. marked deficiency in producing grammatical morhphemes
c. topic maintanence
d. word-retrieval problems
B. Marked deficiency in producing grammatical morphemes
167
The radiographic imaging procedure that allows X-ray beams to circle through segments
of the brain and pass through tissue while a camera takes pictures of sections of the
structures being scanned is known as
computerized axial tomography (CAT) scan
168
A physician refers a 50-year-old male patient with dementia to you for assessment and
treatment. The referring physician suggests the strong possibility of dense intracellular
formation in the neuronal cytoplasm and ballooned and inflated neurons. Your assessment
reveals that the patient has had a progressive loss of vocabulary, paraphasia,
circumlocution, and dominant language problems, with somewhat better preserved memory
and orientation. The most likely diagnosis you would make on this patient is
frontotemporal dementia associated with Pick’s disease.
