SPEECH EXAM

Question 0

What are the types of dysphasia?

Answer 0

Receptive
Expressive
Nominal
Conductive

Question 1

What to ask?

Answer 1

What is your name?
Can you describe the room? “Comment on appropriate rate, volume and rhythm”
Say British constitution, 42 west register, baby hippopotamus
No ifs and or buts. “Repetition and
PA TA KA (CN 7, 12 or 10)

Can you name these 3 objects (e.g watch or pen)

3 stage commands - “touch your chin, then your nose and then your ear.”

Reading
Writing
Count down from 30 (easy fatiguability?)

CN exam

Question 2

What is receptive dysphasia and where is the lesion most likely?

Answer 2

Pt cannot understand written or spoken words. Speech is fluent but disorganised.

Wernickes in the posterior superior temporal lobe.

Question 3

What is expressive dysphasia?

Answer 3

Patient understands but can’t answer.
Speech is non-fluent.

BROCAS: posterior inferior frontal lobe

Question 4

What is nominal dysphasia?

Answer 4

When the pt unable to name objects but can do everything else.

Posterior tempoparietal area

Question 5

What is conductive dysphasia?

Answer 5

Pts can follow demands, but can’t repeat statements and name objects.

Lesion in arcuate fasciculus.

Question 6

What is dysarthria?

Answer 6

Difficulty with articulation.

No disorder to content of speech.

Question 7

What can cause dysarthria?

Answer 7

UMML of cranial nerves, extra pyramidal conditions (Parkinson’s) and cerebellar lesions