Lecture 59: Neuropsych Testing

Question 1

Minnesota Multiphasic Personality Inventory

Answer 1

Objective personality test to identify normal personality structure and psychopathology w/ validity scales

Question 2

Rorschach Ink Blots test: type and describe set-up

Answer 2

Projective personality assessment; 10 cards w/ free association and inquiry phase

Question 3

Thematic Apperception Test (TAT): type and describe set-up

Answer 3

Projective personality test; subject asked to tell a dramatic story about pictures

Question 4

Sentence completion test: type and describe set-up

Answer 4

Projective personality test; patient completes sentences started by an examiner (“I wish…”)

Question 5

Psychopathology rating scales/screening tools have two broad categories and examples of the later category

Answer 5

Research tools; Tools with clinical utility (Beck Depression Inventory and PHQ-9/2)

Question 6

BDI particularly addresses

Answer 6

Cognitive symptoms of depression (thoughts/feelings)

Question 7

Psychological Testing (def) and clinical uses (2)

Answer 7

Formal assessment of emotionality, intellectual abilities, personality characteristics and psychopathology; can aid in differential dx and treatment recommendations

Question 8

Neuropsychological Testing (def)

Answer 8

Formal assessment of cognitive function, behavior, functional impairment

Question 9

Goals of neuropsych testing

Answer 9

1. Dx; 2. Understand deficit and impact on fxn; 3. Measure change overtime; 4. Localization (?)

Question 10

What can neuropsych testing not do

Answer 10

Answer cause of deficit

Question 11

Neuropsych measures (2)

Answer 11

IQ and neurocognitive battery

Question 12

Neurocognitive battery includes (6)

Answer 12

Processing speed, attention, WM, learning, problem solving, social cognition

Question 13

Mental age vs chronological age

Answer 13

A person’s level of intellectual functions vs actual age

Question 14

Intelligent Quotient (IQ) definition according to age

Answer 14

IQ = Mental age/ Chronological age x 100

Question 15

IQ pts for borderline intellectual functioning. IQ SD?

Answer 15

70-79; 15

Question 16

VIQ includes

Answer 16

Verbal comprehension and WM

Question 17

PIQ includes

Answer 17

Perceptual organization and processing speed

Question 18

What’s a test used to evaluate skills for daily living in mentally retarded individuals?

Answer 18

Vineland Social Maturity Scale

Question 19

Tests of executive function (3)

Answer 19

Verbal fluency (name words w/ letter, category), stroop test, wisconsin card sorting test

Question 20

Wisconsin card sorting test tests…Sensitive to what brain region?

Answer 20

Set-shifting; DLPFC

Question 21

What test evaluates visual memory?

Answer 21

Rey Osterrieth Complex Figure Test

Question 22

How to test verbal learning/memory?

Answer 22

California Verbal Learning Test

Question 23

Clinical usefulness of formal neuropsych assessment

Answer 23

In absence of physical exam/imaging finding, can demonstrate whether or not a deficit exists and what it is and how it changes over time

Question 24

What is a screen for Alzheimer’s? What does it assess (6) and what does it NOT?

Answer 24

Mini-Mental Status Exam: attention, calculation, orientation, STM, language, visuospatial; does NOT assess executive function

Question 25

What are the advantages of the MoCA?

Answer 25

Evaluates the domains of MMSE PLUS executive functions (clock-drawing and Trails)

Question 26

Drawing tests for frontal lobe dysfunction

Answer 26

Loops (cannot inhibit drawing) and alternating patterns: square, triangle (notice pattern, set shift)