Neurologically Based Communication Disorders

Question 1

A clinician in a hospital setting is asked to evaluate a 64-year old patient who appears to have dementia. In gathering the case history from the patient’s daughter, the clinician finds out that the patient has been a heavy drinker since that time. A detailed eval shows that the patient presents with mem problems, difficulty processing abstract info, and visual-spatial deficits. This patient most likely has
a. dementia of the Alzheimer’s type
b. Parkinson’s
c. Wernicke-Korsakoff Syndrome
d. Aphasia

Answer 1

c. Wernicke-Korsakoff Syndrome

Question 2

Conduction aphasia is caused by lesions
a. in the areas supplied by the MCA and the anterior and posterior arteries
b. in the region between broca and wernicke’s areas, especially in the supramarginal gyrus and the arcuate fasciculus
c. in broadmann’s areas 44 and 45 in the posterior inferior gyrus of the left hemisphere
d. in the angular gyrus, the second temporal gyrus, and the juncture of the temporoparietal lobe

Answer 2

d. in the angular gyrus, the second temporal gyrus, and the juncture of the temporoparietal lobe**

Question 3

Dementia associated with Pick’s disease is associated with
a. azheimer’s dementia
b. frontotemporal dementia
c. semantic variant of primary progressive aphasia
d. the nonfluent variant of the primary progressive aphasia

Answer 3

b. frontotemporal dementia **

Question 4

A hospital based clinician receives a referral for a woman, Fran, who is 76 years old and enjoys walking, swimming, and giving her grandchildren rides. During the initial interview, Fran tells the clinician that she would have to stop her daily walks with her dog because she believes she is slow when she begins walking and then she would take short, rapid, shuffling steps. She also shares that her writing has become smaller and that her friends and family say that she has been found “expressionless” in the recent days. The clinician also notices decreased intelligibility.

Fran probably has:
a. right hemisphere syndrome
b. unilateral upper motor neuron dysarthria
c. alzheimer’s dementia
d. parkinson’s

Answer 4

d. parkinson’s