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Psychiatry > SM_124b: Neuropsychological Testing > Flashcards

SM_124b: Neuropsychological Testing Flashcards

1
Q

Describe theory of clinical neuropsychology

A

Clinical neuropsychology theory

  • Is an applied science of brain-behavior relationships
  • Brain dysfunction <-> behavior (cognition, emotion)
  • Functional network model: multifaceted cognitive functions are underlain by widely distributed neural networks
  • Neurocogntive tests are indirect measures of brain functioning via standardized assessment of cognitive functioning
  • Neuropsychologist uses psychometric theory to diagnose neurocognitive dysfunction and relate it to underlying pathology
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2
Q

Functional network model stipulates ____

A

Functional network model stipulates multifaceted cognitive functions are underlai by widely distributed by neural networks

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3
Q

Psychometic theory posits ____

A

Psychometic theory posits scores are normally distributed

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4
Q

Neuropsychology scores are standardized by the formula ___

A

Neuropsychology scores are standardized by the formula

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5
Q

Normal neuropsychological scores are ____ percentile

A

Normal neuropsychological scores are 9th-90th percentile

(1.3 std dev from the mean)

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6
Q

Neuropsychological exam includes ____, ____, and ____

A

Neuropsychological exam includes cognitive domain, functional neural networks, and associated conditions

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7
Q

Neuropsychological assessment uses ____ and ____ to estimate premorbid level of cognitive ability

A

Neuropsychological assessment uses word reading ability and demographics to estimate premorbid level of cognitive ability

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8
Q

Neuropsychological exam measures intellectual functions via the ____

A

Neuropsychological exam measures intellectual functions via the Cattell-Horn-Carroll model

(fluid reasoning, crystallized knowledge, visual processing, short-term memory, long-term storage and retrieval, processing speed, and auditory processing)

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9
Q

Wechsler Full Scale IQ includes ____, ____, ____, and ____

A

Wechsler Full Scale IQ includes perceptual reasoning, verbal comprehension, working memory, and visuomotor processing speed

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10
Q

Wechsler General Ability Index includes ____ and ____

A

Wechsler General Ability Index includes perceptual reasoning and verbal comprehension

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11
Q

Intelligences are ____ and ____

A

Intelligences are multiple and culture-bound

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12
Q

Selective attention includes ____ and ____

A

Selective attention includes sensory selective attention and response selection and control

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13
Q

Intensity of attention includes ____, ____, and ____

A

Intensity of attention includes attentional capacity / focus, sustained attention / vigilance, and speed of information processing

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14
Q

Attention and processing speed is tested on neuropsychological exam via ____, ____, and ____

A

Attention and processing speed is tested on neuropsychological exam via trail making, digit span, and letter-number sequencing

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15
Q

Executive functions include ____, ____, and ____

A

Executive functions include problem solving, cognitive control, and behavior regulation

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16
Q

Language portion of neuropsychological exam measures ____, ____, ____, ____, ____, ____, and ____

A

Language portion of neuropsychological exam measures expression, comprehension, repetition, naming, verbal fluency, reading, and writing

(left hemisphere dominance for language)

17
Q

____ is a key component in organizing and consolidating long-term memory that is permanently stored in a distributed fashion in the neocortex

A

Medial temporal lobe is a key component in organizing and consolidating long-term memory that is permanently stored in a distributed fashion in the neocortex

18
Q

____ and underlying white matter pathways are essential in facilitating encoding and retrieval

A

PFC and underlying white matter pathways are essential in facilitating encoding and retrieval

19
Q

Verbal material is stored in the ____ hemisphere, while visual material is stored in the ____ hemisphere

A

Verbal material is stored in the language dominant hemisphere, while visual material is stored in the nondominant hemisphere

20
Q

Encoding involves ____ and has ____ characteristics

A

Encoding involves immediate recall and has learning curve characteristics

21
Q

Delayed recall involves ____ and ____

A

Delayed recall involves spontaneous recall after a delay (20-30 mins) and cued recall

22
Q

Recognition memory involves ____ and is necessary to assess ____

A

Recognition memory involves forced choice or multiple choice and is necessary to assess retentive memory

23
Q

Visuospatial functions portion of neuropsychological assessment involves ____ and ____

A

Visuospatial functions portion of neuropsychological assessment involves visuoperceptual and visuoconstructional

Visuoperceptual: spatial perception / angulation, visual integration, visual form discrimination

24
Q

____ stream is for processing objects’ spatial location relevant to the viewer

A

Dorsal stream is for processing objects’ spatial location relevant to the viewer

25
Q

____ stream is for object identification and recognition

A

Ventral stream is for object identification and recognition

26
Q

Motor functions portion of neuropsychological testing involves ____, ____, and ____

A

Motor functions portion of neuropsychological testing involves strength, speed, and dexterity

27
Q

Pyschometric testing for personality and psychopathology involves ____ and ____ scales

A

Pyschometric testing for personality and psychopathology involves empirically derived and theoretically derived scales

  • Empirically derived: clinical scales derived by selecting items that best discriminate between groups of patients diagnosed with various psychopathologies
  • Theoretically derived: clinical scales derived from theoretical descriptions of psychopathologic syndromes
28
Q

Minnesota Multiphasic Personality Inventory determines a _____

A

Minnesota Multiphasic Personality Inventory determines a psychological profiles, which reflects the patient’s standing on scales indexing broad domains of psychopathology (depression, anxiety)

(clinically significant is T score > 1.5 standard deviations above the mean)

29
Q

When is neuropsychology consult appropriate?

A

Neuropsychology consult is appropriate when

  • Specific decision-making capacities
  • Cognitive sequelae of TBI
  • Suspected developmental disorder (ID, LD, ADHD)
  • Pre-post treatment baseline (before surgery, radiation)
  • Cognitive sequelae of conditions that affect recognition: HIV/AIDS, autoimmune disorders, psychiatric disorders
30
Q

When is neuropsychology consult NOT appropriate?

A

Neuropsychology consult NOT appropriate when

  • Frank delirium
  • Agitation / uncooperative patient
  • Reversible causes of altered mental status have not been ruled out or corrected
  • Significant visual / motor / expressive limitations
  • Acute psychiatric symptoms requiring inpatient treatment

Psychiatry (37 decks)

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