Exam #1 Book Flashcards
Pure word deafness results from ____.
(a) destruction of primary auditory cortex
(b) damage to auditory radiations within the acoustic nerve
(c) bilateral disconnection of auditory receptive areas from Wernicke’s area
(d) disconnection of Wernicke’s area from semantic regions of the anterior temporal lobe
Abcd
Which route of administration causes most rapid central nervous system penetration by opioids or stimulants?
(a) smoking
(b) inhalation/nasal
(c) injection
(d) rectal
Abcd
An individual is given a battery of tests with at least three tests in each of five cognitive domains. He performs below the 10th percentile on one test in each of two separate cognitive domains. How do you interpret this pattern of performance?
(a) The patient is clearly impaired in two important cognitive domains; I diagnose accordingly and provide treatment recommendations in my report.
(b) The patient is essentially intact in almost all cognitive domains; I make no diagnosis and clarify in my report that no treatment is deemed necessary.
(c) The patient may be impaired in one or more domain; I need more tests to be sure and will send a request for that in a report to the insurance company.
(d) This may be due to normal variability. Unless a disorder is otherwise indicated by history, I make no diagnosis but comment on the variability in my report.
Abcd
In contrast to women with multiple sclerosis, men with the disease may show ____.
(a) greater cognitive impairment
(b) more relapses
(c) less neurologic deterioration
(d) fewer lesions on MRI
Abcd
A patient can both name and match-to-sample a visually presented object. She cannot remember where in a 3 × 3 spatial array the object was located. According to “top-bottom” theory, the lesion is likely somewhere in the ____.
(a) forceps major
(b) dorsal stream
(c) ventral stream
(d) forceps minor
B dorsal stream
Which of the following would be expected to show the lowest vulnerability to the effects of anoxia/ hypoxia?
(a) areas supplied by the lenticulostriate arteries
(b) watershed regions between the major arteries
(c) regions with high metabolic demand
(d) area of bifurcation of the major branches of the middle cerebral artery
Abcd
Which statement best defines cerebral palsy?
(a) It is a group of brain-based disorders characterized by motor impairments.
(b) It is a disease process that results in abnormal motor control.
(c) It is a group of disorders that causes primary damage to the muscles.
(d) It is an umbrella term for disorders that result from perinatal asphyxia.
Abcd
A 23-year-old patient with a known history of reading disorder (dyslexia) is referred for evaluation of possible major depression or other mood disorder. The neuropsychologist would like to administer the MMPI-2-RF to assist in diagnostic decision-making. There is no opportunity for professional audio presentation of the items via computer. Which of the following best describes how the neuropsychologist should proceed when electing to administer the MMPI-2-RF to this patient?
(a) Administer a measure of reading achievement to ensure that the patient’s reading level is no less than a tenth-grade level of ability.
(b) Read the test items aloud to the patient, repeating the items as necessary, to ensure adequate comprehension of item content.
(c) Administer a reading achievement task to ensure no less than a fifth-grade reading level.
(d) Administration of the MMPI-2-RF is not appropriate for use with this patient.
Abcd
Social cognition is a relatively new area of study in epilepsy, despite the high incidence of comorbidity between Autism spectrum disorder and epilepsy. Studies have shown that, even among persons with epilepsy who do not have Autism spectrum disorder, that emotional recognition and theory of mind are affected. Which of the following is true about social cognition in persons with epilepsy?
(a) Social cognition is adversely affected in temporal lobe epilepsy, but not other epilepsy syndromes.
(b) Social cognition is normal in persons with temporal lobe epilepsy, but affected in other epilepsy syndromes.
(c) Social cognition is affected in persons with both temporal lobe epilepsy and other epilepsy syndromes.
(d) Social cognition is affected in children with epilepsy, but is age dependent and generally normal in adults.
Abcd
Currently, the only treatment that extends life expectancy for adrenoleukodystrophy is ____.
(a) Lorenzo’s oil
(b) epilepsy surgery
(c) pallidotomy
(d) hematopoietic stem cell transplant
Abcd
