Lecture 12 The Neuropsychological Examination

Question 1

Neurospych tests are often coupled w/ info from ___, ___, and ___.

Answer 1

clinical reports, physical exam, premorbid/postmorbid reports (self and relative)

Question 2

Issues such as ___, ___, ___, and ___ need to be considered when evaluating neuropsych data.

Answer 2

reliability, validity, sensitivity, specificity

Question 3

Within Normal Limits (average) is between ___ and ___ standard deviations, and constitutes the middle ___% of the population.

Answer 3

-1, +1, 68%

Question 4

Significantly lower than average (impaired) is below ___ standard deviations, and constitutes the lowest ___% of the population.

Answer 4

-2, 2%

Question 5

Lower than average (low average) is between ___ and ___ standard deviations, and constitutes ___% of the population.

Answer 5

-2, -1, 14%

Question 6

Significantly greater than average (superior) is above ___ standard deviations, and constitutes the highest ___% of the population.

Answer 6

+2, 2%

Question 7

Greater than average (high average) is between ___ and ___ standard deviations, and constitutes ___% of the population.

Answer 7

+1, +2, 14%

Question 8

Measures that boast population-based norms are useful within a neuropsych test battery, true or false?

Answer 8

FALSE (ideally, pts should be compared w/ local and subgroup norms as well, to examine strengths and weaknesses)

Question 9

Significant gaps can be found in the normative data for all age, educational, and intellectual ranges, true or false?

Answer 9

TRUE

Question 10

What is the purpose of neuropsych testing?

Answer 10

provides diagnostic clarification, and grading of clinical severity, for patients w/ cognitive deficits (obvious of supposed)

Question 11

Do neuropsychologists also measure psychosocial function and personality?

Answer 11

YES

Question 12

Are attorneys who represent patients allowed to observe a neuropsych evaluation?

Answer 12

NO, no one other than the tester and patient, due to the potential effect of a third person

Question 13

Ideally, you should sit ___ ___ the patient, so you can fully observe the examinee’s test-taking behavior.

Answer 13

across from

Question 14

The typical neuropsych exam begins with ___.

Answer 14

a careful history taking

Question 15

Neuropsych tests are a series of measures that identify ___ impairment and functioning in individuals.

Answer 15

cognitive

Question 16

Neuropsych tests provide ___ data about aspects of cognition.

Answer 16

quantifiable

Question 17

Impairment in intelligence can be determined by comparing test results to expected achievement levels based on prior ___ and ___.

Answer 17

education, occupation

Question 18

___ tests are thought to be ___ resistant to cognitive damage, e.g., language.

Answer 18

hold, more

Question 19

The Wechsler Scales, WAIS, WISC, and Stanford-Binet are used to test the domain of ___ ___.

Answer 19

intellectual functioning

Question 20

The WIAT, Woodcock-Johnson, and NEPSY are used to test the domain of ___ ___.

Answer 20

academic achievement

Question 21

The Token Test is used to test the domain of ___ ___.

Answer 21

language processing

Question 22

The WTAR, WRAT, NART, and AMNART are used to test the domain of ___.

Answer 22

reading

Question 23

Language functions include ___, ___ and ___, all of which can be selectively impaired.

Answer 23

speech, reading, writing

Question 24

The Rey Auditory Verbal Learning Test involves ___ ___ learning of ___ words.

Answer 24

rote list, unrelated

Question 25

The California Verbal Learning Test involves ___ ___ learning of ___ words.

Answer 25

rote list, related

Question 26

The Verbal Selective Reminding Test involves ___ ___ of ___ words.

Answer 26

selective reminding, unrelated

Question 27

The Rey-Osterrieth Complex Figure is used to test for ___ and ___ ___.

Answer 27

immediate and delayed recall

Question 28

The Continuous Recognition Memory Test tests for ___ memory.

Answer 28

visual

Question 29

Block design is a ___ ___ test.

Answer 29

visuo-motor integration

Question 30

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 ___ ___.

Answer 30

executive functions

Question 31

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 ___.

Answer 31

attention/concentration

Question 32

Simple and Choice Reaction Time, Symbol Digit Modalities Test (written and oral), and Trail A are used to assess the domain of ___ ___.

Answer 32

processing speed

Question 33

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 ___ ___.

Answer 33

visuospatial processing

Question 34

Index Finger Tapping, Grooved Pegboard Task, Hand Grip Strength, Purdue Pegboard, and Handwriting are used to assess the domain of ___ ___ and ___.

Answer 34

motor speed and strength

Question 35

Name five tests used to assess personality and mood.

Answer 35

MMPI, Rorschach, TAT, Big 5 (OCEAN), and BDI (and BAI)

Question 36

The ___ is a computerized test of variables of attention.

Answer 36

Conner’s Continuous Performance Test (CPT)