Clinical approach to aphasia

Question 1

6 things to examine in language exam

Answer 1

1. spontaneous speech
2. auditory comprehension
3. naming
4. repetition
5. writing
6. reading

Question 2

6 things to assess in spontaneous speech

Answer 2

1. fluency
2. paraphasias
3. word finding difficulties
4. articulations
5. effort
6. prosody

Question 3

what does fluency indicate

Answer 3

fluent - temporoparetial lobe lesion

nonfluent- frontal lobe

Question 4

2 types of paraphasias

Answer 4

1. verbal/semantic - word subsitiution (hat for coat)

2. literal/phonemenic - sound subsitiution (clable for cable)

Question 5

4 levels of auditory comprehension

Answer 5

1. single words
2. phrases
3. whole body commands
4. syntax - relations between words (before/after)

Question 6

4 non-fluent aphasias

Answer 6

1. broca’s
2. global
3. transcortical motor
4. mixed transcortical

Question 7

4 fluent aphasias

Answer 7

1. wernike’s
2. conduction
3. anomic
4. transcortical sensory

Question 8

describe conduction aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 8

fluency - yes
comp - yes
repetition - poor
naming - poor
lesion - arcuate fasciculus

Question 9

describe wernikes aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 9

fluency - yes
comp - poor
repetition - poor
naming - poor
lesion - post. superior temp lobe

Question 10

describe brocas aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 10

fluency - no
comp - yes
repetition - poor
naming - poor
lesion - brocas

Question 11

describe global aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 11

fluency - no
comp - poor
repetition - poor
naming - poor
lesion - everywhere

Question 12

describe transcortical sensory aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 12

fluency - yes
comp - poor
repetition - good
naming - poor
lesion - post-parieto-occip while sparing wernike

Question 13

describe transcortical motor in terms of fluency, comprehension, repetition, naming and lesion

Answer 13

fluency - no
comp - yes
repetition - good
naming - poor
lesion - frontal sparing broca

Question 14

describe mixed transcortical aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 14

fluency - no
comp - poor
repetition - good
naming - poor
lesion - association cortex sparing perisylvian language area

Question 15

describe anomic aphasia in terms of fluency, comprehension, repetition, naming and lesion

Answer 15

fluency - yes
comp - yes
repetition - good
naming - poor
lesion - temporal or parietal

Question 16

what occurs in alexia without agraphia

Answer 16

1. lesion in post occip. lobe on left means incoming visual information can be seen, but can’t cross over to the angular gyrus, where we read and write - can’t read, but AG is fine so can write

Question 17

apasias with good rep

Answer 17

all transcoricals and anomia

Question 18

aphasias with good comp

Answer 18

1. broca
2. trans motor
3. anomia
4. conduction