Speech & Language Disorders and Cranial Nerves Screening

Question 1

APHASIA is d/t ___ and not ___

Answer 1

traumatic d/o, developmental

Question 2

Refers to the acquired communication d/o that
manifests in individuals who were previously capable of
using language appropriately

Answer 2

APHASIA

Question 3

● An acquired d/o of all language modalities, including

1. verbal expression,
2. auditory comprehension,
3. written expression, and
4. reading comprehension

Answer 3

APHASIA

Question 4

APHASIA Implies impairment in both ____and ____ language modalities

Answer 4

receptive , expressive

Question 5

● Aphasia is consistent only c a focal dse, usually of the

_____

Answer 5

left hemisphere

Question 6

2 CLASSIFICATIONS OF APHASIA

Answer 6

Fluent Aphasia.

Non-Fluent Aphasia.

Question 7

Impaired auditory comprehension and fluent speech that is of normal rate and melody

Answer 7

Fluent Aphasia.

Question 8

Which part is usually impaired for fluent aphasia?

Answer 8

○ Reading and writing are usually severely

impaired

Question 9

● AKA: sensory aphasia or receptive aphasia

Answer 9

1. Wernicke’s Aphasia

Question 10

● Impaired auditory comprehension and fluently articulated speech marked by word substitutions

Answer 10

1. Wernicke’s Aphasia

Question 11

● Characterized by significant word-finding difficulty in
the context of fluent, grammatically well-formed
speech

Answer 11

2. Anomic Aphasia

Question 12

● Repetition is disproportionately impaired relative to

auditory comprehension and verbal expression

Answer 12

3. Conduction Aphasia

Question 13

● Verbal output is generally grammatical and fluent but

has episodes of halting speech during moments of word retrieval difficulty

Answer 13

3. Conduction Aphasia

Question 14

Limited vocabulary, slow, hesitant speech,
some awkward articulation, and restricted
use of grammar in the presence of relatively
preserved auditory comprehension

Answer 14

Non-Fluent Aphasia.

Question 15

● Nonfluent type of aphasia
● Also referred to as expressive aphasia, motor
aphasia, and/or verbal aphasia

Answer 15

1. Broca’s aphasia

Question 16

● Characterized by 
1. awkward articulation,
2. restricted vocabulary, and 
3. restriction to simple grammatical forms in the presence of a relative preservation of
auditory comprehension

Answer 16

1. Broca’s aphasia

Question 17

Writing skills generally mirror the pattern of speech

Answer 17

1. Broca’s aphasia

● Naiintindihan mo pero di mo ma-express sarili mo

Question 18

Language function is similar to those of Broca’s
aphasia c the exception that repetition is relatively
preserved

Answer 18

Transcortical Motor Aphasia

Question 19

A severe aphasia with marked dysfunction across all
language modalities and with severely limited residual
use of all communication modes for oral–aural
interactions

Answer 19

GLOBAL APHASIA

● Not a type of aphasia but rather a designation of
severity

Question 20

GLOBAL APHASIA is Extensive damage may be anywhere in the ___
hemisphere, and is sometimes ___

Answer 20

left, bilateral

Question 21

ACQUIRED APHASIA
● Acquired aphasia in children as a result of __ caused by ___
in the same syndromes manifest in adults with aphasia

Answer 21

cerebral damage

head injury, tumor, or stroke results

Children with acquired aphasia are slow to develop
language and academic skills

Question 22

A slowly progressive isolated aphasia not due to stroke, trauma, tumor, or infection, which does not fit neatly into existing aphasia classification schemes

Answer 22

PRIMARY PROGRESSIVE APHASIA

Question 23

● Commonly observed as a speech/articulation disorder

Answer 23

PRIMARY PROGRESSIVE APHASIA

Question 24

● Progresses at different rates and its most severe for

can result to inability to speak

Answer 24

PRIMARY PROGRESSIVE APHASIA

Question 25

● Comprehension in PRIMARY PROGRESSIVE APHASIA usually ____

Answer 25

remains relatively preserved

Question 26

Where is broca’s area located?

Answer 26

Inferlor frontal gyrus (Area 44).

Question 27

broca’s aphasia

a. reading may be less impaired than speech and writing
b. speech and writing is less impaired than reading

Answer 27

a

Question 28

Wernicke’s area

Answer 28

Posterior portion of

temporal gyrus

Question 29

Cause of sensory aphasia

Answer 29

lesion in wernicke’s area

Question 30

Evaluates language skills based on all modalities

(auditory, visual, gestural) VAG

Answer 30

Boston Diagnostic Aphasia Examination

Question 31

Aims of Boston Diagnostic Aphasia Examination

Answer 31

Aims
○ Dx of presence and type of aphasic
syndrome
○ Measure level of performance
○ Ax of strengths and weaknesses

Question 32

Boston Diagnostic Aphasia Examination Used for

Answer 32

Individuals who are brain damaged and

may be aphasic or not

Question 33

5 Major Sections of the Test

Answer 33

○Conversational/expository speech
○ Auditory comprehension
○ Oral expression
○ Understanding written language
○ Writing

Question 34

DYSARTHRIA

● Sometimes called as ____

Answer 34

motor speech disorder.

Question 35

● ____refers to an impairment of speech
production resulting from damage to the central or
peripheral nervous system, which causes weakness,
paralysis, or incoordination of the motor speech
system.

Answer 35

Dysarthria

Question 36

Neuroanatomical site of a lesion causing dysarthria can be one or a combination of the ____

Answer 36

cerebrum, cerebellum, brainstem, and cranial nerves.

Question 37

● Is characterized by impairments to the articulatory,
respiratory, laryngeal, and resonance subsystems of
speech.

Answer 37

Dysarthria

Needed para makapagsalita ka.

Question 38

when patients are totally unintelligible as the result of severe motor-speech system impairment.

Answer 38

● Anarthria

Question 39

PRIMARY TYPES OF DYSARTHRIA

Answer 39

Spastic Dysarthria - 
Flaccid Dysarthria -
 Ataxic Dysarthria -
Hypokinetic Dysarthria -
Hyperkinetic Dysarthria -

Question 40

characterized by imprecise articulation, slow labored articulation, hypernasality, harsh to strained phonation, and monotonous pitch.

Syllables may be given equal stress and inflection.

reduced control of exhalation with
shallow inhalation and
Slow breaths

Answer 40

Spastic Dysarthria -

Question 41

characterized by slow/labored articulation, hypernasality, and hoarse, breath phonation.

reduced control of exhalation with
Phrases may be short,
shallow inhalation

Answer 41

Flaccid Dysarthria

○ Most of these deviant speech characteristics
are related to muscular weakness and reduced
tone which affects speech accuracy.

Question 42

characterized by disturbances of timing, movement, range, control, and coordination of the muscles of speech and respiration.
Speech is imprecise, slow, and irregular.

Answer 42

Ataxic Dysarthria -
○ E.g., Cerebral Palsy. Parang lasing.
○ There may be intermittent periods of explosive
inflection, syllable stress, and loudness
patterns. Bigla na lang tataas yung boses ng
patient habang nagsasalita. Phonemes may be
prolonged, pitch and loudness are
monotonous.

Question 43

characterized by variable articulatory precision, slow rate of speech, harsh, hoarse voice quality, excessive and overly long pauses, prolonged syllables, and reduced phonation.

Answer 43

Hypokinetic Dysarthria -

Question 44

characterized by variable articulatory precision, vocal harshness, prolonged sounds, and intervals between words, monotonous pitch, and loudness.
○ Involuntary or excess mvmt ng body can affect
speech

Answer 44

Hyperkinetic Dysarthria -