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COMD 705 Exam 1 (Part 1) Flashcards | StudBud
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COMD 705 Exam 1 (Part 1)
COMD 705 Exam 1 (Part 1)
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1
Which describes an assessment based on the Boston System that differentiates syndromes and Aphasia types?
MAST
MoCA
BDAE-3/BNT
WAB-R
2
Non-complex, canonical structures in sentence production. Speakers usually omit function words in sentences
Aphasia
Apraxia
Alexia
Agrammatism
3
Which type of stroke has a more complicated medical treatmentand an unpredictable recovery pattern?
Hemmorhagic
Ischemic
4
In the Dual Stream Model of Language Processing, the ventral stream connections carry:
Information for the phonological aspects of speech production
Information for both speech production and comprehension
Information for speech comprehension
Information for speech production
5
Pint > like "mint" represents which type of alexia?
None of the above
Surface Alexia
Deep Alexia
Phonological Alexia
6
A patient arrives and you choose to assess pragmatics. Which is an appropriate formal assessment?
RBMT
TEA
BANDS
CADL-2
7
An example of a lexical treatment is:
Phonological Treatment
CART
Interactive treatment
All of these are options
8
John Hughlings Jackson was responsible for:
Phrenology
Clinical Associative Connective Models
Connectionism
Automatic vs. Prepositional speech
9
T or F: Scientists in the 16th and 17th century were able to distinguish language disorders from cognitive deficits
True
False
10
T or F: Melodic Intonation therapy can be utilized for agrammatism
True
False
11
Which of the following should be answered during an aphasia assessment?
What is the extent of the problem / Underlying mechanism?
What improves behaviors?
What level does communication break down?
All of these should be answered
12
Which structure within the limbic system is important for programming/executing movement? (Including speech movements!)
The basal ganglia
The amygdala
The thalamus
The hippocampus
13
T or F: In Agrammatism, action naming is typically less impared than object naming
True
False
14
What is neuroplasticity?
Changes at the cell level or cellular network level within the brain
When brain areas perform new function resulting from therapy or rehab
Can be from dendrites or axons regeneration
The brain's ability to reorganize by forming neural connections
15
Behavior therapy in Aphasia therapy focuses on:
Behaviors to maximize cognition
Behaviors to maximize communication proficiency
Behaviors to minimize communication with unrelated partners
Behaviors to suppress all communciation difficulty
16
Which of the following should be considered when assessing word retrieval / production?
Word length
Imageability
Frequency
All of the above
17
Lexical-decision, repetition, minimal-pair detection normal; impaired phonological comprehension
None of the above
Word sound deafness
Word meaning deafness
Word-form deafness
18
Which is NOT an example of executive functioning?
Organizing
Memory
Reasoning
Problem Solving
19
The aphasia categorized with intact fluency, poor comprehension, and intact repetition is best known as:
Wernicke's aphasia
Transcortical sensory aphasia
Broca's aphasia
Conduction Aphasia
20
Which is NOT an example of peripheral (early stages) alexia?
Visual Alexia
Pure Alexia
Deep Alexia
Neglect Alexia
21
The ventral stream is responsible for which process upon activation?
Morphological Processes
Syntactic Processes
Semantic Processes
Phonological Processes
22
Compared to other language functions, relatively intact comprehension is specifically characteristic of:
Global and Broca's aphasia
Anomic and Transcoritcal motor aphasia
Conduction and Broca's aphasia
Wernicke's and Transcortical sensory aphasia
23
"Comb" for "cobe" can represent which type of alexia?
Deep Alexia
Phonological Alexia
None of the above
Surface Alexia
24
T or F: Research has shown that the chronic stage of stroke is static
True
False
25
T or F: an ischemic stroke can be either thrombotic or embolic
True
False
26
What is Neural Plasticity?
When brain areas perform new function resulting from therapy or rehab
Can be from dendrites or axons regeneration
The brain's ability to reorganize by forming neural connections
Changes at the cell level or cellular network level within the brain
27
Which correctly describes a word finding error type?
Anomia
Alexia
Agraphia
Dyslexia
28
Common aphasia behaviors include impaired:
All of the above
Auditory Comprehension
Word finding and repetition
Fluency
29
Which is an example of an informal reading/writing assessment?
WAB-R
BDAE
Reading/writing symbols
PALPA
30
Which best describes an ischemic stroke?
Caused by a blood clot wihtin an artery
Hemmorhage of blood into or surrounding the brain
Loss of blood circulation to parts of the brain
Both Blue and Yellow
31
The combination approach:
Allows goals to be set using input from pt and caregiver
Allows SLP to set goals independently from patient
Both Blue and yellow
Assesses/ treats patient using approaches that work best for them
32
Which of the following best represents the justification of clinicians being familiar with models of aphasia?
Guides EBP
All of these are correct
Assists with Assessment and Treament
Assists with Prognosis
33
The frontal lobe is responsible for:
Integration/association of auditory information
Fine motor control/coordination
Visual association
Executive functioning, planning, prediction, personality, motor movement
34
Which area of the brain has been shown to lead to improvement in comprehension and fluency upon increased activation?
Right Hemisphere
Left Hemisphere
Cerebellum
None of the above
35
Which describes an impairment-focused approach utilized with aphasia?
Script Training
Verb Network Strengthening Network (V-NeST
PACE
Life Participation Approach to Aphasia
36
You are assessing anomia. What is an example of an assessment you could use to assess word finding (formally)?
FCP
BNT
ADP
WAB-R
37
Which type of aphasia displays intact fluency, comprehension and repetition?
Global Aphasia
Broca's aphasia
Transcortical motor aphasia
Anomic Aphasia
38
Chronic:
First 3 months after an injury
12 hours prior to the injury
9+ months after an injury
3-9 months after an injury
39
In healthy language processing:
A network of bilateral frontal, temporal and parietal regions are involved
None of the above
A network of unilateral frontal and temporal regions are involved
A network of unilateral temporal and parietal regions are involved.
40
Which is an example of a treatment you may choose to utilize with a patient who is experiencing pragmatic difficulties?
PACE
AAC Devices
SCA
Both yellow and blue
41
In the cognitive neuropsychological approach, scientists attempt to explain aphasia through:
Areas of brain damage / sites of lesions
Examining fluency errors
An emphasis on fluency-patterns
Models of healthy language processing
42
Which of the following scientists revived connectionism?
Leichtiem
Gall
Wernicke
Gerschwind
43
The parietal lobe is responsible for:
Integration/association of auditory information
Primary sensory cortex
Memory, emotion, semantic computations
Executive functioning, planning, prediction, personality, motor movement
44
A patient presents with difficulties in attention. As a formal assessment, you choose to utilize:
RBMT
BADS
TEA
VATA-L
45
The name of the brain region deemed responsible for articulated speech was coined by:
Carl Wernicke
John Hughlings Jacksom
Paul Broca
Ludwig Leichteim
46
T or F: Fluency is easy to quantify and use as a clinical measure
False
True
47
When assessing Agrammatism, a standardized assessment that can be used is:
VAST
PALPA
NAVS
All of the above
48
An interruption of blood flow to the ACA could cause:
Visual-spatial deficits with constructional apraxia
Disorder of auditory comprehension
Contralateral hemiplesion of upper body
Disorder of executive functioning skills and altered personality
49
Aphasia can be defined as:
Impairment of speech, cognition, language and daily functioning
Impairment of sensory functioning resulting from brain lesion
Impairment of language modalities resulting from brain lesion
Impairment within the PNS derived from a brain lesion
50
Which correctly identifies the lesion represented by "3" in the Wenicke-Leichtiem model?
Broca's Aphasia
Transcortical Aphasia
Conduction Aphasia
Wernicke's Aphasis
51
Which scientist was responsible for phrenology?
Wernicke
Leichtiem
Broca
Gall
52
The internal carotids are connected to the vertebrals by:
The ACA
The Circle of Willis
The MCA
The vertebrals
53
In Semantically based treatment:
The SLP has the patient's caregivers independently produce a concept map
SLP helps patients use a concept map for related information
Reviewing the information has been seen to not increase retrieval
Generalization is not applicable
54
Which include skills of sustained, selective/focused, switching, and divided?
Memory
Executive Functioning
Processing
Attention
55
Based on findings from Robey (1998), when should treatment for Aphasia start?
Acute phase
Pre-chronic phase
Subacute phase
Chronic phase
56
In the Dual Stream Model of Language Processing, the dorsal stream connections carry:
Information for phonological-motor aspects of speech production
Information for speech comprehension
Information for the phonological aspects of speech production
Information for both speech production and comprehension
57
The WHO-ICF Framework:
All of the above
Focuses on quality of life and aphasia in real-life scenarios
Includes body structure and function
Promotes communication partners and full life participation
58
Long term memory impacts working memory
False
True
59
T or F: therapy-induced brain plasticity occurs with intensive therapy, even years post-onset
False
True
60
Which best describes a neurologic factor related to pattern of recovery?
Age
Health/fitness
Handedness
Etiology of the injury
61
Which represents one of the main cons of the Classical Associative Connectionist Models?
They are not insightful into the organizations of types of aphasia
Common knowledge is not developed through defining the types of aphasia
They will not help with future research on types of aphasia
Deficits resulting from lesions in the same area differ by individual
62
Neurotypical individuals show the activation of which stream for language production tasks?
Dorsal stream
Ventral Stream
63
A Transient Ischemic Attack (TIA):
None of the above
Is a rapidly developing, brief focal ischemia
Is not considered a warning sign to impending stroke
Is >24 hours, usually lasts 48 hours
64
Compared to other language functions, relatively intact repetition is specifically characteristic of:
Transcortical motor and sensory aphasia
Broca's aphasia
Wernicke's aphasia
Conduction aphasia
65
Which is described by normal repetition, minimal pair detection normal, impaired phonological comp/lexical decision
None of the above
Word sound deafness
Word meaning deafness
Word form deafness
66
Aphasia is NOT:
A language disorder
Caused primarily by CVA
Word finding difficulty
Related to sensation or intellect
67
One consequence of an interruption of blood flow to the MCA could be:
Memory impairment
Contralateral hemiparesis and hemisensory loss of leg/foot
Disorder of executive functioning skills and altered personality
Contralateral hemiplegia of upper body
68
Compensation can be defined as:
When there is an intact functional system link but difficulty accessing
Ability to relearn lost items or procedures
None of the above
Using a new strategy to perform the same task; not a return to baseline
69
Subacute:
12+ months after an injury
First 3 months after an injury
12 hours prior to the injury
3-9 months after an injury
70
Which neurocognitive model is dominant paradigm within the world of Aphasia?
Traditional Association Model
Classical Associative Connectionist Model
Wernicke-Gall Connectionist Model
Phrenology
71
T or F: All aphasia batteries include a repetition subtest
False
True
72
What is recovery?
3-9 months after therapy
An individual can perform a previously impaired task in the previous manner
Enlisting brain areas that have capacity to contribute to the lost function
When brain areas perform new function as a result of therapy or rehab
73
If you were to order the following types of evidence from most-least, which is accurate?
1. RCT, 2. Experimental Study, 3. Observational, Meta Analysis of RCTs
1. Meta Analysis of RCTs, 2. RCT, 3. Observational, 4. Experimental Study
1. Meta Analysis of RCTs, 2. RCT, 3. Experimental Study, 4. Observational
1. Experimental Study, 2. RCT, 3. Observational, Meta Analysis of RCTs
74
Hemi-attention and hemiakinesia can be a sign of Neglect syndrome
True
False
75
The name of the brain region deemed responsible for comprehension of speech was coined by:
Paul Broca
Carl Wernicke
Ludwig Leichteim
John Hughlings Jacksom
76
Which describes an informal assessment for word retrieval/production?
PALPA
WAB-R
Cloze phrases/sentences
BNT
77
Which is described by no repetition, minimal pair detection impaired, and is ameliorated by lip reading
Word meaning deafness
Word form deafness
None of the above
Word sound deafness
78
Which correctly lists the ROMA core outcome set?
Language, Communication, Treatment Impact, QOL
Language, communication, QOL
None of the above
Language, Communication, Patient-reported satisfaction, emotional WB, QOL
79
What percentage of stroke survivors have aphasia?
30-35%
20-25%
10-20%
15-25%
80
Prognostic factor(s) of recovery:
personal factors
Time since incident
all of the above
Neurological factors
81
"Wernicke's Area" is found:
In the posterior superior left temporal lobe
In the posterior superior occipital lobe
In the superior left parietal lobe
In the posterior superior left frontal lobe
82
Which structure within the limbic system is the sensory and relay station of the brain?
The basal ganglia
The hippocampus
The thalamus
The amygdala
83
Which describes an assessment also based on the Boston System but emphasizes fluency, comp., repetition & naming?
BDAE-3/BNT
WAB-R
MoCA
SLUMS
84
T or F: Aphasia affects communication, social functioning, quality of life, and caregiver's quality of life
True
False
85
Which of the following correctly labels the Wernicke-Leichtiem model?
A= Concept Center, B= Wernicke's, M=Broca's
A= Wernicke's, B= Broca's, M=Concept center
A= Wernicke's, B= Concept Center, M=Broca's
A= Broca's, B= Concept Center, M=Wernicke's
86
What is the role of the SLP in post-stroke aphasia intervention?
To restore quality of life
All of the above
To maximize functional independence
To improve linguistic and communicative abilities
87
T or F: all aphasia batteries include auditory comprehension subtests
False
True
88
Which is responsible for memory processing and sexual / emotional aspects of behavior?
Frontal Lobe
The limbic system
The Cerebellum
The Temporal lobe
89
Which type of aquired alexias affect the deeper processes?
Central Alexias
Peripheral Alexias
90
Which lesion site would most likely result in a phonological production deficit?
Supramarginal Gyrus
Post Central Gyrus
Angular Gyrus
Precentral Gyrus
91
An estimated _____ people in the USA have aphasia.
2 million
100,000
1 million
3 million
92
Which describes a declarative memory?
Knowing who sang at the first concert you went to
Knowing how to use your phone
Knowing how to sing a song
Knowing how to drive a car
93
After a stroke occurs, the most changes occur in which stage?
Subacute
Acute
Chronic
Early Chronic
94
Executive function impairments are closely tied to:
None of the above
Nonverbal and verbal memory, working memory, learning
Sustianed attention, divided attention
Pragmatic abilities, discourse production, comprehension
95
In the sentence-processing model (Garrett 1988), where does mapping occur?
Positional Level
Functional Level
Message Level
Phonetic encoding
96
Acute:
First 3 months after an injury
3-9 months after an injury
12+ months after an injury
12 hours prior to the injury
97
FAST stands for:
Facial drooping, arm weakness, speech difficulty, time to call
Facial drooping, arm weakness, speech volume, treatment
Facial drooping, arm weakness, speech difficulty, treatment
Facial drooping, arterial deficit, spoken word, treatment
98
The _____ supply hemispheres via the MCA and ACA
Internal Vertebrals
External carotids
Internal arteries
Internal carotids
99
A cognitive model that states damage to a specific brain area leads to a specific deficit is:
Cognitive Neuropsychological
A common characteristic of all models
Locationalist
Holistic
100
Most cases of aphasia are due to:
MCA CVA
ACA CVA
None of the above
PCA CVA