Neuropsychological assessment

Question 1

what is neuropsychology

Answer 1

the relationship between brain function/ dysfunction and behaviour

Question 2

what is a neuropsychological assessment?

Answer 2

systematic collection, organisation and interpretation of information about a person and their situation as well as predicting future behaviour

Question 3

what considerations should be taken into account when testing neuropsychological status

Answer 3

standardisation sample e.g. culture, language and premorbid abilities

Question 4

what is the underlying concept of psychometrics?

Answer 4

based on statistical analysis and a normal distribution

Question 5

what are the three conceptual approaches to neuropsychological ax?

Answer 5

assessment
psychometrics
localisation

Question 6

WAIS-IV

Answer 6

tests full scale IQ
index scores for verbal comprehension, working memory, perceptual reasoning and processing speed
dsicriminates verbal/ non verbal abilities or crystallised/ fluid intelligence

Question 7

what percentage of people fall within one standard deviation (15 points) of 100 on the WAIS

Answer 7

68%

Question 8

what percentage of people fall within two standard deviations (30 points) of 100 on the WAIS

Answer 8

96%

Question 9

what are the core subtests of the verbal comprehension index?

Answer 9

similarities
vocabulary
information

Question 10

what is the suplemental subtest of the verbal comprehension index?

Answer 10

comprehension

Question 11

what are the perceptual reading index core substests?

Answer 11

block design
matrix reasoning
visual puzzles

Question 12

what are the perceptual reasoning index supplemental subtests?

Answer 12

figure weights (16-69)
picture completion

Question 13

what are the working memory index core subtests?

Answer 13

digit span
arithmetic

Question 14

what is the working memory index supplemental subtest?

Answer 14

letter-number sequencing (16-69)

Question 15

what are the processing speed index core subtests?

Answer 15

symbol search
coding

Question 16

what is the processing speed index supplemental subtest?

Answer 16

cancellation (16-69)

Question 17

which reading tests can be used to estimate pre morbid IQ?

Answer 17

national adult reading test
weschler test of adult reading
spot the word and spot the word 2
schonell graded word reading test
test of premorbid functioning

co normed against WAIS-IV

Question 19

what are the issues with estimates of premorbid IQ?

Answer 19

based on reading vocabularly of low frequency irregular words
affected by developmental or acquired language difficulties
english as first language
large error margins

Question 20

Memory

Answer 20

new learning as affected by working and episodic memory

Question 21

what are the types of memory that can be assessed?

Answer 21

verbal vs. non verbal
recall vs. recognition
anterograde ve retrograde
prospective
procedural

Question 22

evidence of material specific difficulties may suggest what?

Answer 22

lateralisation

Question 23

testing recall vs recognition memory help with what?

Answer 23

identifying encoding vs. retrieval difficulties

Question 24

which tests can be used to test retrograde memory?

Answer 24

autobiographical memory test
dead or alive test

Question 25

how is verbal memory tested?

Answer 25

story recall (immediate and delayed) list learning paired associates word recognition

Question 26

how is visual memory tested?

Answer 26

drawing and recall of abstract designs (rey complex, overlapping pentagons) recall. recognitiion of designs/ photos

Question 27

how is everyday memory tested?

Answer 27

prospective tasks from the rivermead behavioural memory test cambridge prospective memory test

Question 28

what are the broad clinical categories of memory?

Answer 28

expressive dysphasia receptive dysphasia

Question 29

how can language-naming be tested?

Answer 29

graded naming test

Question 30

how can expressive language be tested?

Answer 30

cookie theft picture

Question 31

how can syntax and grammar be tested?

Answer 31

test for the reception of grammar (TROG-2)

Question 32

TROG-2 | Bishop et al. 2003

Answer 32

measures understanding of grammatical contrasts mcq with lexical and grammatical foils standardised on children (some adult norms)

Question 33

how can perception be measured?

Answer 33

visual object and perception battery (incomplete letters) object decision

Question 34

what are the measures of perception?

Answer 34

basic visual acuity object perception space perception

Question 35

what are the measures of attention?

Answer 35

sustained attention selective attention divided attention visual scanning unilateral neglect

Question 36

how can visual attention be measured?

Answer 36

map search from the test of everyday attention

Question 37

how can neglect be tested?

Answer 37

line bisection star cancellation behavioural inattention test

Question 38

how can visual neglect be tested>

Answer 38

drawing copy e.g. clock, cube, flower

Question 39

what are the main aspects of executive function that are commonly assessed?

Answer 39

initiation and perseveration disinhibition planning and sequencing problem solving concrete thinking insight & awareness

Question 40

what are tasks of initiation and perseveration designed to do?

Answer 40

test fluency and cognitive flexibility involving rule shifting

Question 41

how can initiation and perseveration be tested?

Answer 41

wisconsin card sorting trail making test part b brixton and hayling

Question 42

what are disinhibition tasks designed to do?

Answer 42

test response suppression through tasks which require inhibition of a prepotent response

Question 43

how can disinhibition be tested

Answer 43

stroop

Question 44

how can planning and sequencing be tested?

Answer 44

zoo map modified six elements (BADS) tower of london

Question 45

how can concrete thinking be tested?

Answer 45

similarities (WAIS-IV) cognitive estimates proverb interpretation

Question 46

what are issues with frontal lobe tests?

Answer 46

test more than just frontal lobe functions cortical and subcortical lesions can affect peerformance on executive functioning tests poor internal/ test-retest reliability frontal functions overlap with working memory, attention and IQ frontal lobe paradox (efrontal paradox)

Question 47

what are the issues with sensitivity and specificity

Answer 47

poor sensitivity and specificity e.g. working memory problems or specific dyscalculic difficulties can both affect performance on mental arithmetic tasks

Question 48

which other domains can be tested with neuropsychological ax?

Answer 48

mood behaviour

Question 49

how can mood/ behaviour be tested?

Answer 49

HADS PHQ-9 GAD-7 DEX FrSBe

Question 50

what makes interpretation difficult?

Answer 50

developmental issues early environment factors language culture acquired brain injury drug, alcohol, medication effects psychiatric disorders physical health problems practice effects motivation

Question 51

# true or false neuropsychological ax can help distinguish between functional and organic problems

Answer 51

true