CVA

Question 1

which type of aphasia has
impaired fluency
impaired repetition
good comprehension
impaired naming?

Answer 1

Broca’s

Question 2

which type of aphasia has
good fluency
impaired repetition
impaired comprehension
impaired naming?

Answer 2

wernicke’s

Question 3

which type of aphasia has
good fluency
impaired repetition
good comprehension
impaired naming?

Answer 3

conduction

Question 4

which type of aphasia has
good fluency
good repetition
impaired comprehension
impaired naming?

Answer 4

transcortical sensory

Question 5

which type of aphasia has
impaired fluency
good repetition
good comprehension
impaired naming?

Answer 5

transcortical motor

Question 6

which type of aphasia has
impaired fluency
good repetition
impaired comprehension
impaired naming?

Answer 6

transcortical mixed

Question 7

which type of aphasia has
impaired fluency
impaired repetition
impaired comprehension
impaired naming?

Answer 7

global

Question 8

which type of aphasia has
good fluency
good repetition
good comprehension
impaired naming?

Answer 8

anomic

Question 9

lesions in area 45 (inferior frontal gyrus, pars triangularis) often leads to what kind of aphasia

Answer 9

Broca’s

Question 10

lesions in superior temporal gyrus often leads to what kind of aphasia

Answer 10

wernicke’s

Question 11

perisylvian lesions often lead to what kind of aphasia (centered around supramarginal gyrus and insula)

Answer 11

conduction

Question 12

lesions encompassing whole left perisylvian region often lead to what kind of aphasia

Answer 12

global

Question 13

lesions in angular gyrus, watershed region between MCA and PCA, upper area 37, often lead to what kind of aphasia?

Answer 13

transcortical sensory

Question 14

left dorsolateral prefrontal, mesial frontal cortex lesions often lead to what kind of aphasia

Answer 14

transcortical motor

Question 15

lesions in bilateral watershed areas often lead to what kind of aphasia?

Answer 15

transcortical mixed

Question 16

This type of aphasia is often accompanied by motor problems like apraxia and hemiparesis. Comprehension is intact, but the patient may have trouble understanding more complex syntax. Speech is often characterized as slow, effortful, telegraphic, agrammatic, and lacking in prosody. The patient has difficulty naming words, especially verbs, and repeating sentences.

Answer 16

Broca’s

Question 17

What are the most common lesion sites that result in Broca’s aphasia?
-Angular gyrus
-Perisylvian lesion
-Superior temporal gyrus (22)
-Inferior frontal gyrus (44) and frontal operculum (45)

Answer 17

Inferior frontal gyrus (44) and frontal operculum (45)

Question 18

Give an example of a restorative aphasia treatment.

Answer 18

-response elaboration training
-constraint induced language therapy
-sentence production training
-naming therapies

Question 19

Intersystemic gestural reorganization, an aphasia treatment that pairs verbal responses with gestures, is best classified as which type of treatment?

Answer 19

vicarative

Question 20

Which of the following aphasia treatments would be considered compensatory?
-Melodic intonation therapy
-Constraint induced language therapy
-Communication boards
-Semantic feature analysis

Answer 20

communication boards

Question 21

This type of aphasia is often accompanied by acalculia, agraphia, and left/right confusion. It is marked by a patient having difficulty understanding or producing meaningful words. They may repeat phrases well, but do not comprehend the meaning of words. Speech is fluent but marked by semantic paraphasias and neologisms.

Answer 21

Transcortical sensory Aphasia

Question 22

A lesion in which area is most likely to result in conduction aphasia?
-Angular gyrus and area 37
-Perisylvian lesion
-Superior temporal gyrus (22)
-Inferior frontal gyrus (44) and frontal operculum (45)

Answer 22

Perisylvian

Question 23

what would be most likely to affect swallowing in a patient following a cva?

Answer 23

apraxia/dysarthria

Question 24

Your patient is has lingual weakness following a stroke leading to oral phase dysphagia. You perform an MBS after seeing him at the bedside exam even though he has no overt signs or symptoms of aspiration. What might you expect to see on the study? Select all that apply.
-Lingual residue
-Velopharyngeal insufficiency
-Silent aspiration
-Premature spillage into the pharynx
-Buccal pocketing
-Insufficient UES opening
-Full epiglottic inversion

Answer 24

-lingual residue
-silent aspiration
-premature spillage into the pharynx
-buccal pocketing

Question 25

This type of aphasia may be responsive to treatments like Voluntary Control of Involuntary Utterances. If any speech remains, it is most likely stereotypies and automatisms. Prosody and emotional phrases may be preserved. This aphasia is characterized by impaired fluency, comprehension, repetition, and naming.

Answer 25

global

Question 26

Name the most likely aphasias in the case of a left hemisphere MCA ischemia

Answer 26

Transcortical Sensory

Question 27

Name the most likely aphasias in the case of a bilateral stroke with lesions in multiple areas.

Answer 27

Mixed Transcortical