Exam 1 - Aphasias

Question 1

basic assessment of aphasia

Answer 1

1. spontaneous speech & naming
   - conversation, naming
2. repetition abilities
3. comprehension abilities

Question 2

naming types

Answer 2

1. confrontation
2. convergent
3. divergent

Question 3

confrontation naming

Answer 3

ask them to name something quickly

Question 4

convergent naming

Answer 4

give items in a category + they tell you the category

Question 5

divergent naming

Answer 5

give category and they tell you items

Question 6

repetition abilities

Answer 6

1. monosyllabic words
2. multisyllabic words
3. familiar words
4. familiar phrases
5. familiar sentences
6. unfamiliar phrases or sentences

Question 7

comprehension abilities

Answer 7

1. yes/no questions
2. 1-, 2-, 3- part commands or instructions

Question 8

which aspect of basic assessment checks both input & output?

Answer 8

repetition abilities

Question 9

other aspects of assessment

Answer 9

1. oral mech exam
2. swallowing
3. reading
4. writing
5. calculation/math skills

Question 10

Global aphasia

Answer 10

1. mixed aphasia
2. severely affected in all language functions
3. noninformative
4. nonfluent
5. poor comprehension, repetition, & naming
6. may produce stereotypic utterances & well pronounced emotionally charged words, often swear words

Question 11

severely affected in all language functions

Answer 11

global aphasia

Question 12

may produce stereotypic utterances & well pronounced emotionally charged words, often swear words

Answer 12

global aphasia

Question 13

conduction aphasia

Answer 13

1. very poor word repetition
2. relatively fluent but paraphrasic speech (usually literal)
3. good comprehension
4. poor writing
5. word finding problems
6. normal intonation
7. variety of syntactic patterns
8. usually good self-awareness of errors

Question 14

suspect lesion of locus: conduction aphasia

Answer 14

arcuate fasciculus, supramarginal gyrus

Question 15

wernicke’s aphasia

Answer 15

1. fluent, rapid speech output containing paraphasic (literal, verbal, & neologistic) errors
2. impaired comprehension, repetition & naming
3. reading & writing usually impaired
4. word finding difficulties
5. paragrammatic syntax
6. normal intonation
7. usually NO self-awareness of errors
8. paucity of substantive words
9. production is repetitious & stereotyped in content, conveying little information

Question 16

suspect lesion of locus: wernicke’s aphasia

Answer 16

posterior portion of first temporal gyrus of the left hemisphere
brodmann’s 22

Question 17

anomic aphasia

Answer 17

1. fluent, grammatically well-informed, often circumlocutionary speech
2. good comprehension and repetition
3. impaired naming, word finding, and spelling abilities (vary by individual)

Question 18

suspect lesion locus: anomic aphasia

Answer 18

temporal-parietal injury which may extend into the angular gyrus

Question 19

transcortical sensory aphasia

Answer 19

1. fluent, well-articulated speech w/ irrelevant paraphasias &/or neologisms
2. good repetition
3. poor comprehension naming
4. does not initiate speech
5. poor reading & writing
6. good preservation of memorized material

Question 20

suspect lesion of locus: TCS

Answer 20

watershed lesion cutting off Wernicke-Broca complex from the rest of the brain; posterior temporal-parietal junction of the dominant hemisphere

Question 21

transcortical motor aphasia

Answer 21

1. absence of spontaneous speech
2. good comprehension
3. excellent repetition
4. good reading comprehension & oral reading
5. difficulty initiating & organizing speech
6. good articulation
7. fairly good confrontation naming

Question 22

suspected lesion of locus: TCM

Answer 22

anterior to or superior to Broca’s area in the dominant frontal lobe; inferior posterior frontal and superior parasagittal

Question 23

transcortical mixed aphasia

Answer 23

1. nonfluent with echolalia
2. poor comprehension & confrontation naming
3. poor reading & writing
4. good repetition
5. good articulation
6. speech consists of short meaningless, repetitive phrases, stereotypic, echolalic repetition, & completion of open-ended sentences

Question 24

suspect lesion of locus: TCMx

Answer 24

multifocal or diffuse pathology involving anterior and posterior association cortex

Question 25

Broca’s aphasia

Answer 25

1. nonfluent
2. effortful, distorted speech output
3. restricted vocabulary & grammar
4. relatively intact auditory comprehension
5. writing impaired commensurate & speech
6. mild reading impairment
7. literal paraphasias are common
8. repetition & naming are impaired, but at times, better than spontaneous speech

Question 26

suspect lesion of locus: Broca’s

Answer 26

broca’s area (posterior 2/3 of 3rd frontal convolution)

Question 27

fluent aphasias

Answer 27

1. Wernicke’s
2. TCS
3. conduction
4. anomic

Question 28

nonfluent aphasias

Answer 28

1. GLobal
2. Broca’s
3. TCM
4. TCMx

Question 29

good auditory comprehension

Answer 29

1. conduction
2. broca’s
3. anomic
4. TCM

Question 30

poor auditory comprehension

Answer 30

1. TCS
2. wernicke’s
3. global
4. TCMx

Question 31

good repetition

Answer 31

1. TCM
2. TCS
3. anomic
4. TCMx

Question 32

poor repetition

Answer 32

1. wernicke’s
2. conduction
3. global
4. broca’s

Question 33

good reading & writing

Answer 33

1. TCM
2. Anomic

Question 34

poor reading & writing

Answer 34

1. TCS
2. conduction
3. global
4. broca’s
5. wernicke’s
6. TCMx