Neuropsychology Flashcards

1
Q

What are the 3 goals of neuropsych assessment?

A

1) diagnosis
2) description
3) tracking change

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2
Q

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

A

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

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3
Q

What are 3 ways neuropsych assessments are interpreted?

A

1) actuarial results
2) cutoff scores
3) tests

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4
Q

What is aphasia?

A

looking at language skills

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5
Q

What is the Boston Aphasia Battery?

A

assesses language skills, gives actuarial results

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6
Q

What is the line crossing tests?

A

used to detect “neglect” in R-hem

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7
Q

Why does IQ needed to be estimated pre-damage?

A

to determine actual loss of function

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8
Q

How can pre-morbid IQ be estimated?

A

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

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9
Q

What is malingering? Why is it done?

A

faking disorder, $$ or narcotics

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10
Q

How is malingering usually caught?

A

ppl over do it

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11
Q

What is Munchausen Syndrome?

A

ppl faking it but not for $$ or narcotics

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12
Q

What are test batteries?

A

large sets of tests (used before brain scanning available)

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13
Q

What are the PROS of neuropsych test batteries?

A
  • psychometric properties
  • wide range of cog. functions
  • comparisons b/w patients easy
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14
Q

What are the CONS of neuropsych test batteries?

A
  • time consuming
  • test centered (vs. patient)
  • can fail a test for many reasons (not specific)
  • not flexible (very general) “cookie-cutter reports”
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15
Q

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

A

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

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16
Q

What is laterality? When is it important?

A

R Hem vs. L hem, if neurosurgery planned

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17
Q

Where is language found?

A

L hem (usually)

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18
Q

What does the WADA test measure?

A

laterality

19
Q

How does the WADA test work?

A

freeze one hem, then the other

20
Q

The Annette Handedness Questionnaire gives what?

A

a continuum of handedness

21
Q

What is agnosia?

A

cannot recognize something when you see it

22
Q

What are the 4 types of agnosia?

A

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

23
Q

What is the guilty knowledge test?

A

used to propagnosia, skin conductivity increases

24
Q

What is the figure/ground discrimination test?

A

stimultagnosia, figure from background

25
Q

What is the embedded figure test?

A

stimultagnosia, find objects hidden in pic

26
Q

What is the Rey-Osternich Complex Figure test?

A

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

27
Q

What are the 2 batteries used in assessing language?

A

1) Boston Diagnosis Aphasia Exam

2) Western Aphasia Battery (UWO)

28
Q

What is aphasia?

A

language

29
Q

What and how does the Boston Diagnosis Aphasia Exam assess?

A

connection b.w auditory & speech

  • oral expression (word rep, body part naming)
  • auditory comprehension (body part ID)
  • understanding written language (word/pic matching)
30
Q

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

A

isolated injuries via task specific tests

  • graded naming/Boston naming test (name objects)
  • token test (understands words)
  • pyramid & palm tree (understanding)
31
Q

What is retrograde amnesia?

A

can’t recall past events from injury to present

32
Q

What is anterograde amnesia?

A

can’t store new memories

33
Q

How is retrograde amnesia tested?

A

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

34
Q

How is anterograde amnesia tested?

A

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

35
Q

What does the Weschler Memory Scale measure?

A
  • verbal vs. non
  • short vs. long
  • recall vs. recognition
36
Q

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

A

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

37
Q

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

A

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

38
Q

How is spatial attention measured?

A

line bisection (put tick in half)

39
Q

How is sustained attention/vigilance measured?

A

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

40
Q

How is focused attention measured?

A

have to ignore one thing to focus on something else

41
Q

How is divided attention measured?

A
dichotic listening/visual search
trail making (1A->2B) etc
42
Q

How are executive functions measured?

A

Wisconsin Card Sorting Test

43
Q

How does the Wisconsin Card Sorting Test work?

A

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

44
Q

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

A

ignoring old rule (vs. learning the new one)