Lecture 3 Flashcards

1
Q

List the Basic components of SLP assessment:

A
Case History
Aphasia battery/ language tests
Cognitive screening
Semantic knowledge
Behaviour and other changes
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2
Q

What aspects are important in a Case history of someone with dementia?

A

Basic info, vision/ hearing, language/s,
History of present illness: progression, neuroimaging
Level of functioning in daily activities
Medical history (vascular dementia?)
Social/ occupational history: lvl of edu., occupation

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3
Q

What do you assess for dementia Ax?

A
Pragmatic skills: Verbal, Non-verbal
Verbal Expression: Spontaneous Speech, OME, Functional Communication
Auditory comprehension
Reading and reading comprehension
Written expression
Cognitive Skills
Semantic Knowledge
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4
Q

T or F: During an assessment of language in dementia it is important to get the history from one other person.

A

True -client might not have good insight

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5
Q

If the clients medical history indicates high blood pressure, obesity and high cholesterol this could indicate ______

A

vascular dementia

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6
Q

How would you assess Verbal Pragmatic skills?

A
  • ability to use a variety of speech acts (questions etc.)
  • Topic (introduction, maintenance)
  • Turn Taking
  • Appropriate lexical selection, pauses and word substitution
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7
Q

When assessing non-verbal pragmatic skills you note difficulty maintaining physical proximity and kinesics (abnormal movements). This could indicate?

A

BvFT

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8
Q

When would you assess spontaneous speech during functional communication?

A

If the person is too impaired for standardized tests.

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9
Q

What standardized tests would assess Verbal Expression in dementia patients?

A
Parts of the:
BDAE
BNT
WAB
TAWF
PALPA
ABCD
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10
Q

When assessing Spontaneous speech what 6 things do you look for?

A
  • Fluency
  • Word/ sound substitutions
  • Motor Speech problems
  • Types of errors
  • Syntax (intact, simplified)
  • Cohesion
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11
Q

In general what would you use to assess verbal expression?

A
  • Spontaneous speech
  • picture description
  • Repetition
  • Naming to confrontation (Give pictures they have to name)
  • Responsive naming
  • Automatic speech
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12
Q

“you write with this” is an example of a _______ task

A

responsive naming

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13
Q

“say the days of the week, Monday . . .” is an example of _______

A

automatic speech

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14
Q

If a picture is presented and the person has to name it this is a ________ task

A

naming to confrontation task

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15
Q

When assessing Auditory Comprehension you would look at:

A
Comprehension of conversational speech
Auditory word recognition
Yes/no questions
Comprehension of sentences of various lengths and complexity
Paragraph length material
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16
Q

What standardized tests could be used to assess auditory comprehension of a client with dementia?

A
BDAE
WAB
PALPA
ABCD
TROG
Token Test
17
Q

What is important to know prior to an assessment of writing, reading and reading comprehension?

A

Premorbid skill and habits

18
Q

What would you look at when assessing reading?

A

Single words - regular, irregular, non-words
Sentences - simple, complex, passive
Paragraphs - time, accuracy, comprehension

Mechanics: fluent, sounding out vs whole words, consonant clusters

19
Q

What standardized tests could be used to assess reading and reading comprehension?

A
BDAE
WAB
ABCD
RCBA
PALPA
GORT-D
20
Q

How would you assess written expression?

A
  • copying
  • writing to dictation (regular, irregular and non-words_
  • written picture description
  • free narrative (thought organization, harder b/c abstract)
21
Q

What standardized test could be used to asses written expression?

A
BDAE
TOWL
ABCD
WAB
PALPA
22
Q

If a client is able to spell regular words correctly but not irregular words this is ______

A

surface dysgraphia

23
Q

If a client is able to spell irregular words correctly but not regular words this is ______

A

phonological dysgraphia

24
Q

What Cognitive Skills should be assessed?

A

Orientation, Insight, Attention, Memory, Learning, Visual-perceptual skills, judgement, abstract thinking

25
Q

What standardized tests can be used to assess cognitive skills?

A
ABCD
ATFR
TOPS
Clock drawing
Figure copying
26
Q

When assessing ___________ we are looking at their verbal and nonverbal access to semantic store

A

semantic knowledge

27
Q

How would we assess semantic knowledge?

A
Receptive vocabulary (PPVT)
Lexical decision (word or non-word)
Synonym judgement and semantic associations
Word definitions
Category-specific impairment
28
Q

What standardized tests could be used to assess semantic knowledge?

A
PPTT
PPVT
BDAE
PALPA
The WORD Test
29
Q

During a picture description task you could assess:

A
  • cohesion
  • word finding
  • syntax
  • literal vs inferences
  • Gist and understanding