Define and Provide a Fact
A/C
What is auditory comprehension (or the person's ability to understand the language that they hear)?
As part of your clinical internship, you "observe" your supervising clinician conducting a pre-assessment intake phone call with the partner of a client with aphasia. Provide examples of two questions you might overhear them asking the partner.
Multiple answers possible: What does a typical day look like for your partner? Also, questions about medical history/health status, time post onset, medication status, site/extent of damage, family structure, social and vocational goals, how does communication work at home. . .
True or False: Hemorrhagic strokes are the result of interrupted or blocked blood flow to the brain.
False: Hemorrhagic strokes are the result of a bleed. Thrombo-embolic (ischemic) strokes are the result of interrupted or blocked blood flow to the brain.
BEFAST
What is balance loss, changes in vision (eyes), facial droop, arm weakness, changes in speech, and "time to call 9-1-1?" This acronym describes early symptoms of stroke.
Clinicians consider many factors, including time post onset, client's response to treatment, auditory comprehension skills, site/size of damage to determine whether this is excellent, good, fair, guarded, or poor.
What is prognosis?
True or False: A command such as "tap the table, open the book, and lift the cup" is typically more difficult for a client with aphasia than "touch your nose."
True. In the first auditory comprehension task, there are more steps and parts (3 steps, 6 parts) than in the second task (1 step, 2 parts).
tPA
What is tissue plasminogen re-activator? (It can be used to break up blood clots within 3 hours of onset of stroke.)
The characteristic of aphasia seen when a client tries to name the picture of a radio and says: "Oh, you know, it's that thing that makes noise. . . we used to have it a lot. . . can't think of it. . and music . . . can't think of it."
What is circumlocution?
True or False: A clinician says to the client, "Point to your nose." The input channel in this example is verbal.
False: In this example, the input channel is auditory. Remember that we think of input channel(s) from the client's perspective.
Fluency (as understood in aphasia)
What is the term that describes length of production, ease of production, melodic line, and flow of expressive language?
A Cookie Theft picture description such as the one below (in combination with poor auditory comprehension and poor repetition) is most likely to come from a person with what type of aphasia?
Ya know I get that smuddle flinkered with it and that lady wants to get them around here.
What is fluent aphasia most consistent with Wernicke's type?
True or False: Inconsistent errors and groping of articulators are common signs of apraxia of speech, and we may see these signs in the presence of nonfluent-type aphasia.
True. These are the signs and we may see them because of the proximity between areas of the frontal lobe involved in language production (i.e. Broca's area) and motor planning for speech.
Zone of Language
What is the anatomical region of the left hemisphere that includes Broca’s and Wernicke's areas, subcortical white matter pathways, and surrounds the Sylvian fissure. (This region also receives blood distribution from the middle cerebral artery.)
A client with language production that is generally slow, effortful, anomic, and agrammatic; with relatively good auditory comprehension; and relatively good repetition skills suggests the presence of what type of aphasia? [refer to your classification tree for help]
What is nonfluent aphasia, most consistent with Transcortical Motor type?
True or False: An SLP can most efficiently assess a client's mental status by completing a confrontation naming task.
False: Confrontation naming tasks (e.g. asking "what's this" while showing the client an object) are commonly used to assess for anomia in aphasia clients. To assess a client's mental status, a clinician will want to determine if the client is alert, aware and oriented and may use a variety of methods to determine these facts.