Aphasia Terms

Question 1

word-retrieval deficits with preserved repetition and spontaneous speech

Answer 1

anomia

Question 2

anomia can be a…____ or ____

Answer 2

symptom of aphasia or can be type of aphasia itself

Question 3

typical characteristics of anomis

Answer 3

1. delayed or unable to retrieve words
2. may be specific to certain classes of words
3. may talk around the problem (circumlocution)
4. may substitute general words for a specific thing

Question 4

is anomia a phoneme problem or a semantic, word level problem

Answer 4

it IS a semantic, word-level problem

Question 5

What is paraphasia

Answer 5

production of unintended syllables, words, or phrases during speech.

Question 6

Are paraphasia errors deliberate?

Answer 6

No, substitution errors, not deliberate

Question 7

What type of aphasia usually demonstrates paraphasia

Answer 7

generally found in fluent aphasia

Question 8

3 types of substitutions found in paraphasia

Answer 8

literal, neologistic, and verbal

Question 9

What are literal substitutions

Answer 9

phonemic substitutions, sequential errors (nen for pen, or pet for pen) have a mix fluent or non

Question 10

What are neologisitc substitutions

Answer 10

jargon substitutions (alovit for pen), resulting from severe phonemic substitutions and/or mis-sequencing (Neologisms). Isolated to wernickes or Post or fluent aphasia

Question 11

What are verbal (semantic) substituions

Answer 11

word substitutions (paper for pen); not a circumlocution, which is an intended substitution

Question 12

What is perseverative paraphasia

Answer 12

previous response persists, interferes with retrieval of new response

Question 13

What is stereotypic speech

Answer 13

Oral expression relegated to sub-propositional speech only
i.e. overlearned, rote productions
May be limited to only yes/no, even

Question 14

Agrammatic is usually found in what type of aphasia

Answer 14

non-fleunt oral expression–>brocas

Question 15

Agrammatism is characterized by

Answer 15

Omission of grammatical variety
Omission of functor words (articles, prepositions personal pronouns, verb inflections)
Lack variety, clarity, specificity

Question 16

Examples of description of agrammatic sytntax

Answer 16

likely omitting parts of speech that are obliged to be there, simplifications, not a variety in sentence strucutres

Question 17

Paragrammatism is a descriptor of syntax in

Answer 17

fluent oral expression (typically)

Question 18

Is Paragrammatism is characterized by omission or errors in grammar

Answer 18

errors in grammar

Question 19

Paragrammatism- errors in grammar include

Answer 19

tense markers, misuse of pronouns, confused syntax, and oddly produced sentence forms. Violate grammar and syntax rules

Question 20

What is repetition

Answer 20

“Ability to reproduce, from auditory presentation, patterns of familiar speech sounds”
-Impaired repetition is diagnostically significant
Intact repetition requires whole “circuit”

Question 21

What is oral reading

Answer 21

• Motor speech production of written text
• Ability to phonetically decode written text and
• Ability to motorically produce that code aloud

Question 22

What is reading comprehension

Answer 22

• Understanding the meaning, implications, of written text
• Concrete v. abstract
• Literal v. metaphorical

Question 23

What is alexia

Answer 23

acquired reading disorder; different types

Question 24

Different types of alexia

Answer 24

1. right hemisphere based

2. left hemisphere based- often associated with alexia. Every patient with aphasia will have some degree of alexia

Question 25

Alexia with agraphia (parieto-temporal alexia)

Answer 25

impaired reading and writing

Question 26

Alexia without agraphia (occipital alexia)

Answer 26

Impaired reading, relatively preserved writing

Question 27

Frontal alexia

Answer 27

- Single-word RC for content - Impaired RC for other parts of speech - Also impaired writing

Question 28

Written Expression is

Answer 28

Transmission of linguistically organized motor instructions & produced in visual symbol format (not auditory symbol) (G

Question 29

What is agraphia

Answer 29

acquired impairment in written expression. Right or left hemi based. If left, often associated with aphasia

Question 30

Frontal agraphia

Answer 30

Impaired motoric aspects of writing (spelling, formation)

Question 31

Parietal agraphia

Answer 31

Impaired access to, or organization of, graphemes to support meaning

Question 32

Alexic-agraphia

Answer 32

Impaired reading and writing

Question 33

Apraxic-agraphia

Answer 33

Impaired ability to plan/sequence writing movements, even gestures

Question 34

General Category- Nonfluent/anterior. What are the syndromes

Answer 34

Brocas, Transcortical motor, Global, and Transcortical mixed

Question 35

General Category-Fluent/posterior

Answer 35

Wernickes, Conduction, anomic, and transcortical sensory

Question 36

Key symptoms and generally associated site of lesion for Brocas

Answer 36

- agrammatic production | - Broca's and surrounding area

Question 37

Key symptoms and generally associated site of lesion for Transcortical Motor

Answer 37

- agrammatic production~like borca's | - prefrontal cortex of L frontal lobe

Question 38

Key symptoms and generally associated site of lesion for Global

Answer 38

- poor AC, minimal OE | - Posterior & frontal perisylvian language region

Question 39

Key symptoms and generally associated site of lesion for Transcortical mixed

Answer 39

- poor AC, minimal OE~Like Global, but repetition intact | - Diffuse, multifocal damage to frontal, parietal lobes

Question 40

Key symptoms and generally associated site of lesion for Wernicke's

Answer 40

- Poor AC, jargon OE, press for speech | - Wernicke’s area (post part of superior temporal gyrus)

Question 41

Key symptoms and generally associated site of lesion for Conduction

Answer 41

- Severely impaired repetition, otherwise “good” OE | - Association tract beneath posterior temporo-parietal boundary (arcuate fasciculus)

Question 42

Key symptoms and generally associated site of lesion for Anomic

Answer 42

- Word-finding deficits, empty speech | - Angular gyrus (posterior temporo-parietal boundary)

Question 43

Key symptoms and generally associated site of lesion for Transcortical-sensory

Answer 43

- Like Wernicke’s, but repetition intact | - Inferior temporo-occipital border area