Aphasia
Name any 2 standardized tests used to evaluate aphasia
Which of these standardized tests is most appropriate for the comprehensive assessment of cognitive communication in dementia?
Mini-Mental State Examination
Arizona Battery for Cognitive Communication Disorders – Second Edition
Cognitive-Linguistic Quick Test +
Montreal Cognitive Assessment
Arizona Battery for Cognitive Communication Disorders – Second Edition
What is the most common cause of TBI in the elderly population? Young adults?
Bob stated, “Can you get me bater?” and gestures to the water pitcher. What type of paraphasia is Bob producing?
Phonemic (also known as literal)
What type of dementia is characterized by excessive protein deposits in the neuronal cell bodies that cause degeneration of the cortex and subcortex and contribute to hallucinations and delusions?
Lewy body dementia
Explain what a contrecoup brain injury is. Is it a closed or open head injury?
Acceleration-deacceleration, closed head injury. Injury is at the opposite point of impact. Caused by brain moving back and forth in skull.
What type of stroke is bleeding within the brain tissue?
Intracerebral hemorrhage
An SLP working in a long-term care facility is treating a patient with moderate cognitive and swallowing impairment secondary to Alzheimer’s disease. The SLP rates the patient using the Functional Independence Measure at the start of treatment and again 6 months later. The patient’s scores on the measure do not change during the period of treatment. Has the SLP demonstrated the effectiveness of her treatment?
Yes, because the patient’s scores did not decline over time.
What are the types of amnesia associated with TBIs? Name and describe them.
post-traumatic amnesia: loss of memory of events after accident
pre-traumatic amnesia: loss of memory prior to accident
Judy can see, feel, and hear stimuli, but she cannot understand their meaning. When you place a brush in Judy’s hand, she does not know what to do with it. What type of disorder may Judy have?
Agnosia
Mr. Red is a healthy 72-year-old man with a family history of Alzheimer’s disease. He’d like to reduce his risk of developing the disease. Mr. Red exercises regularly and eats a healthy diet. He also reads regularly, maintains an active social life with friends and family, and tries to challenge himself to learn new skills. Which of these activities may be effective in preventing or delaying dementia? (It can be multiple)
All of them. Diet, exercise, education and cognitive stimulation, social activity, and learning new skills have all been shown to prevent dementias such as Alzheimer's disease.
What are 3 symptoms associated with right hemisphere disorder?
Left neglect, flat affect, decreased memory, decreased attention, prosopagnosia, disorientation, confabulation, impaired discourse/narrative skills, monotone, etc.
Bill presents to your outpatient clinic for a language evaluation. After the evaluation you notice that Bill’s speech is non-fluent and he is only able to produce few words with impaired naming. Bill sometimes responds to whole-body commands but has severely impaired sentence comprehension. You notice that in his medical records, the stroke was extensive affecting the entire perisylvian area. What type of aphasia is Bill presenting with?
Global
An SLP works in a hospital outpatient clinic and receives a referral to evaluate an 83-year-old man. The man arrives for his appointment alone but state he lives with his wife. The SLP’s evaluation indicates the man is demonstrating significant symptoms of dementia. The SLP discusses her findings and recommendations for treatment. At the end of the session, the SLP tells the man to decide if he wants to continue with treatment. How might this be an ethical issue?
Because the SLP determined that the man has significant symptoms associated with dementia, it is unethical to ask him if he wants to continue treatment because he should not be making important decisions at this time without his wife/caregiver present.
Name one screening or assessment tool often used for right hemisphere disorder.
Mini-Mental State-2, Mini Inventory of Right Brain Injury, Burns Brief Inventory, RIC Evaluation of Communicative Problems in Right Hemisphere Dysfunction – 3, Right Hemisphere Language Battery – 2, Test of Visual Neglect, Behavioral Inattention Test