Neuropsych

Question 1

Reliability

Answer 1

refers to the ability to reproduce the test results

Question 2

Validity

Answer 2

shows if a test can accurately test what it is supposed to.

Question 3

Objective test

Answer 3

typically pencil-and-paper tests with specific questions that can yield numeric scores to be analyzed. Example: MMPI

Question 4

Projective test

Answer 4

ambiguous stimuli that the patient responds to and the response is then interpreted. Example: Rorschach test. Projective tests detect the presence of subtle psychotic thought processes

Question 5

Who invented the IQ test?

Answer 5

Alfred Binet

Question 6

What goes into an IQ score?

Answer 6

ratio of mental age/chronological age, which is multiplied by 100. An IQ of 100 would imply that your mental age (thinking ability) matches your chronological age (how old you are). The average IQ is 100.

Question 7

Which is the most used intelligence test?

Answer 7

Wechsler Adult Intelligence Scales (WAIS). Latest version is the WAIS III

Question 8

What goes into a WAIS score?

Answer 8

It uses verbal IQ (previously learned factual info) and performance IQ (visuospatial/visuomotor skills). An IQ of 90-100 is normal, 50-70 is mild MR, and below 20 is profound MR. The WAIS has high reliability and the WAIS-II vocabulary test most strongly correlates with pre-morbid functioning in a patient with early dementia.

Question 9

List the objective personality assessments

Answer 9

MMPI, Millon Clinical Multiaxial Inventory, Structured Clinical Diagnostic Assessments (several tests in this category)

Question 10

List the projective personality assessments

Answer 10

Rorschach Test, Thematic Apperception Test (TAT), Sentence Completion Test (SCT), Word-Association Technique, Draw-a-Person test

Question 11

MMPI

Answer 11

uses 10 scales in a configurational approach (see a nice little graph based on responses in 10 categories) to “identify major areas of psychopathologic functioning” and measures test-taking attitudes during the examination (can detect malingering, answering questions falsely, etc. It’s super cool)

Question 12

Millon Clinical Multiaxial Inventor

Answer 12

test with brief administration time and correlates well with DSMIII. Per PRITE, it is the test that is “the most helpful in confirming a personality disorder”

Question 13

Structured Clinical Diagnostic Assessment

Answer 13

these are tests that give a numerical score to show severity of a particular illness. Includes Hamilton Rating Scale for Depression, Yale-Brown ObsessiveCompulsive Scale (YBOCS), and the SCID. The Beck Depression Inventory is the most appropriate brief screening instrument that a patient can fill out alone at a physician’s office to screen for depression

Question 14

Rorschach Test

Answer 14

set of 10 inkblots are a stimulus for associations, half are black and white, they are shown in a particular order, and reaction times are recorded. Interpretation of responses requires an experienced clinician. It is the most widely used projective test

Question 15

Thematic Apperception Test (TAT)

Answer 15

A test in which a patient is shown pictures of situations and asked to describe what is going on in each picture. Example: a woman seated on a couch looking up at an older man. Serves to “infer motivational aspects of behavior

Question 16

Sentence Completion Test (SCT)

Answer 16

has sentence stems that the patient completes (“Sometimes I wish…” “My greatest fear is…”)

Question 17

Word-Association Technique

Answer 17

created by Jung, patient is presented with a word and must give the first word that comes to mind. This is similar to free association and brings unconscious to conscious.

Question 18

Draw-a-Person Test

Answer 18

first used to test intelligence in children, the patient draws a person. Shows a representation of the expression of the self

Question 19

Wisconsin Card Sorting Test (WCST)

Answer 19

assesses “abstract reasoning and flexibility in problem solving” per PRITE. Cards are sorted into groups (color, suit) that the patient is not aware of, with the goal of learning the groups through trial and error

Question 20

Trail Making Test

Answer 20

patient connects letters and numbers together in sequential order to test concentration and executive functioning

Question 21

Bender Gestalt Test

Answer 21

tests visuomotor coordination by copying designs on paper. Has two phases, first with the patient allowed to copy the design with the original design in front of them, and then a memory testing portion where the original design is removed, and the patient must copy the design from visual memory. Helps screen for organic dysfunction. Determines neuropsychologic impairment

Question 22

Token Test

Answer 22

examines patient’s ability to comprehend verbal instructions, grammatical complexity, and attention span

Question 23

Boston Naming Test

Answer 23

examines verbal confrontation and naming. Discriminates cognitive difficulties in Alzheimer’s disease from those in depression

Question 24

Halstead-Reitan Battery of Neuropsychological Tests

Answer 24

determines neuropsychologic impairment, is composed of 10 separate test that function to differentiate brain damaged patients from those who are neurologically intact. Schizophrenics function similar to chronic brain damaged patient

Question 25

Child and adolescent psychological assessments

Answer 25

WISC-III, W-J, WRAT-3, Vineland Adaptive Behavioral Scales

Question 26

Wechsler Intelligence Scale for Children-III (WISC-III)

Answer 26

WAIS-III can be modified for children ages 5-15 in the WISC-III. It is closest to the original Stanford Binet. For preschoolers, there is the Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R)

Question 27

Woodcock-Johnson Psychoeducational Battery-Revised (W-J)

Answer 27

scores reading and mathematics, written language, and other measures of academic achievement. This test helps to more specifically identify learning disability with children that have otherwise normal IQ

Question 28

Wide Range Achievement Test-3 (WRAT-3)

Answer 28

screen for deficits in reading, spelling and math. This is a useful test to screen academic performance

Question 29

Vineland Adaptive Behavioral Scales

Answer 29

evaluates adaptive behavior, communication skills, living skills, socialization, and motor domains. Can be modified to test those with visual and hearing impairments