Lecture 12 The Neuropsychological Examination Flashcards
Neurospych tests are often coupled w/ info from ___, ___, and ___.
clinical reports, physical exam, premorbid/postmorbid reports (self and relative)
Issues such as ___, ___, ___, and ___ need to be considered when evaluating neuropsych data.
reliability, validity, sensitivity, specificity
Within Normal Limits (average) is between ___ and ___ standard deviations, and constitutes the middle ___% of the population.
-1, +1, 68%
Significantly lower than average (impaired) is below ___ standard deviations, and constitutes the lowest ___% of the population.
-2, 2%
Lower than average (low average) is between ___ and ___ standard deviations, and constitutes ___% of the population.
-2, -1, 14%
Significantly greater than average (superior) is above ___ standard deviations, and constitutes the highest ___% of the population.
+2, 2%
Greater than average (high average) is between ___ and ___ standard deviations, and constitutes ___% of the population.
+1, +2, 14%
Measures that boast population-based norms are useful within a neuropsych test battery, true or false?
FALSE (ideally, pts should be compared w/ local and subgroup norms as well, to examine strengths and weaknesses)
Significant gaps can be found in the normative data for all age, educational, and intellectual ranges, true or false?
TRUE
What is the purpose of neuropsych testing?
provides diagnostic clarification, and grading of clinical severity, for patients w/ cognitive deficits (obvious of supposed)
Do neuropsychologists also measure psychosocial function and personality?
YES
Are attorneys who represent patients allowed to observe a neuropsych evaluation?
NO, no one other than the tester and patient, due to the potential effect of a third person
Ideally, you should sit ___ ___ the patient, so you can fully observe the examinee’s test-taking behavior.
across from
The typical neuropsych exam begins with ___.
a careful history taking
Neuropsych tests are a series of measures that identify ___ impairment and functioning in individuals.
cognitive
Neuropsych tests provide ___ data about aspects of cognition.
quantifiable
Impairment in intelligence can be determined by comparing test results to expected achievement levels based on prior ___ and ___.
education, occupation
___ tests are thought to be ___ resistant to cognitive damage, e.g., language.
hold, more
The Wechsler Scales, WAIS, WISC, and Stanford-Binet are used to test the domain of ___ ___.
intellectual functioning
The WIAT, Woodcock-Johnson, and NEPSY are used to test the domain of ___ ___.
academic achievement
The Token Test is used to test the domain of ___ ___.
language processing
The WTAR, WRAT, NART, and AMNART are used to test the domain of ___.
reading
Language functions include ___, ___ and ___, all of which can be selectively impaired.
speech, reading, writing
The Rey Auditory Verbal Learning Test involves ___ ___ learning of ___ words.
rote list, unrelated
The California Verbal Learning Test involves ___ ___ learning of ___ words.
rote list, related
The Verbal Selective Reminding Test involves ___ ___ of ___ words.
selective reminding, unrelated
The Rey-Osterrieth Complex Figure is used to test for ___ and ___ ___.
immediate and delayed recall
The Continuous Recognition Memory Test tests for ___ memory.
visual
Block design is a ___ ___ test.
visuo-motor integration
The Wisconsin Card Sorting Test, Category Test, Stroop Test, Trail Making Test, WAIS Similarities and Block Design, and Tower of London Test are used to assess the domain of ___ ___.
executive functions
Digit Span, Trail Making Test, Continuous Performance Task (CPT), Cancellation Tasks (letter and symbol), and Paced Auditory Serial Addition Test (PASAT) are used to assess the domain of ___.
attention/concentration
Simple and Choice Reaction Time, Symbol Digit Modalities Test (written and oral), and Trail A are used to assess the domain of ___ ___.
processing speed
The Rey-Osterrieth Complex Figure (copy), WAIS Block Design, Judgment of Line Orientation, and Hooper Visual Organization Test are used to assess the domain of ___ ___.
visuospatial processing
Index Finger Tapping, Grooved Pegboard Task, Hand Grip Strength, Purdue Pegboard, and Handwriting are used to assess the domain of ___ ___ and ___.
motor speed and strength
Name five tests used to assess personality and mood.
MMPI, Rorschach, TAT, Big 5 (OCEAN), and BDI (and BAI)
The ___ is a computerized test of variables of attention.
Conner’s Continuous Performance Test (CPT)
