Neuropsychology

Question 1

What are the 3 goals of neuropsych assessment?

Answer 1

1) diagnosis
2) description
3) tracking change

Question 2

What are the advantages of using neuropsych assessment? (6)

Answer 2

1) standardized
2) intensive
3) sensitive (highly skilled)
4) scaled
5) precise
6) quantitative observations

Question 3

What are 3 ways neuropsych assessments are interpreted?

Answer 3

1) actuarial results
2) cutoff scores
3) tests

Question 4

What is aphasia?

Answer 4

looking at language skills

Question 5

What is the Boston Aphasia Battery?

Answer 5

assesses language skills, gives actuarial results

Question 6

What is the line crossing tests?

Answer 6

used to detect “neglect” in R-hem

Question 7

Why does IQ needed to be estimated pre-damage?

Answer 7

to determine actual loss of function

Question 8

How can pre-morbid IQ be estimated?

Answer 8

1) education
2) vocab
3) occuaption
4) functional capacities (self-care)
5) demographic
6) reading lvl
7) subtest pattern

Question 9

What is malingering? Why is it done?

Answer 9

faking disorder, $$ or narcotics

Question 10

How is malingering usually caught?

Answer 10

ppl over do it

Question 11

What is Munchausen Syndrome?

Answer 11

ppl faking it but not for $$ or narcotics

Question 12

What are test batteries?

Answer 12

large sets of tests (used before brain scanning available)

Question 13

What are the PROS of neuropsych test batteries?

Answer 13

• psychometric properties
• wide range of cog. functions
• comparisons b/w patients easy

Question 14

What are the CONS of neuropsych test batteries?

Answer 14

• time consuming
• test centered (vs. patient)
• can fail a test for many reasons (not specific)
• not flexible (very general) “cookie-cutter reports”

Question 15

What the 5 brain functions that are of interests to neuropsychologists?

Answer 15

1) laterality
2) visual perception
3) language
4) memory
5) attention & executive control

Question 16

What is laterality? When is it important?

Answer 16

R Hem vs. L hem, if neurosurgery planned

Question 17

Where is language found?

Answer 17

L hem (usually)

Question 18

What does the WADA test measure?

Answer 18

laterality

Question 19

How does the WADA test work?

Answer 19

freeze one hem, then the other

Question 20

The Annette Handedness Questionnaire gives what?

Answer 20

a continuum of handedness

Question 21

What is agnosia?

Answer 21

cannot recognize something when you see it

Question 22

What are the 4 types of agnosia?

Answer 22

1) object: can’t recognize when see it
2) colour: can’t discriminate or name
3) propagnosia: faces
4) stimultagnosia: discrim b/w figures

Question 23

What is the guilty knowledge test?

Answer 23

used to propagnosia, skin conductivity increases

Question 24

What is the figure/ground discrimination test?

Answer 24

stimultagnosia, figure from background

Question 25

What is the embedded figure test?

Answer 25

stimultagnosia, find objects hidden in pic

Question 26

What is the Rey-Osternich Complex Figure test?

Answer 26

stimultagnosia, show stimuli then take away, ask to draw **lines

Question 27

What are the 2 batteries used in assessing language?

Answer 27

1) Boston Diagnosis Aphasia Exam | 2) Western Aphasia Battery (UWO)

Question 28

What is aphasia?

Answer 28

language

Question 29

What and how does the Boston Diagnosis Aphasia Exam assess?

Answer 29

connection b.w auditory & speech - oral expression (word rep, body part naming) - auditory comprehension (body part ID) - understanding written language (word/pic matching)

Question 30

What and how does the Western Aphasia Battery (UWO) assess?

Answer 30

isolated injuries via task specific tests - graded naming/Boston naming test (name objects) - token test (understands words) - pyramid & palm tree (understanding)

Question 31

What is retrograde amnesia?

Answer 31

can't recall past events from injury to present

Question 32

What is anterograde amnesia?

Answer 32

can't store new memories

Question 33

How is retrograde amnesia tested?

Answer 33

Boston Remote Memory Test (famous faces, recall intro of events)

Question 34

How is anterograde amnesia tested?

Answer 34

Warrington's Recognition Memory test (which face/word shown in original set when comparing 2)

Question 35

What does the Weschler Memory Scale measure?

Answer 35

- verbal vs. non - short vs. long - recall vs. recognition

Question 36

What does the Boston Remote Memory Test measure and how does it measure that?

Answer 36

retrograde amnesia; (famous faces, recall intro of events)

Question 37

What does the Warrington's Recognition Memory test measure and how does it measure that?

Answer 37

anterograde amnesia (which face/word shown in original set when comparing 2)

Question 38

How is spatial attention measured?

Answer 38

line bisection (put tick in half)

Question 39

How is sustained attention/vigilance measured?

Answer 39

count how many times stim occurs sustained = long time vigilance = random so have to stay alert

Question 40

How is focused attention measured?

Answer 40

have to ignore one thing to focus on something else

Question 41

How is divided attention measured?

Answer 41

``` dichotic listening/visual search trail making (1A->2B) etc ```

Question 42

How are executive functions measured?

Answer 42

Wisconsin Card Sorting Test

Question 43

How does the Wisconsin Card Sorting Test work?

Answer 43

match based on unspoken rule, rule changes and participant has to adapt

Question 44

What do people with executive functioning damage have trouble doing in the Wisconsin Card Sorting Test?

Answer 44

ignoring old rule (vs. learning the new one)