Ellis and Young
Paraphasias
Alexias
Agraphias
100

During administration of the WAB, patient was shown object "screwdriver". She was asked to match it with its corresponding printed word and pointed to the word "tool". Which process likely is affected?

a) semantic system 

b)Visual analysis system 

c) speech output lexicon 

A - semantic system 

attaches meaning but can't choose the right word 

100

kammick for hammock

phonemic 

100

On the WAB-R reading commands out loud subtest, your client read "close your mouth" for "close your eyes" and "raise your arm" for "raise your hand". Based on the errors, the Alexia is most likely...

a) peripheral

b) pure

c) deep

d) semantic 

C - deep 

problems with grapheme-phoneme conversion, make lexicaliztation and visual errors 

makes semantic errors and morphological errors (ex. cost for money, scolds for scolded) 

100

Target: temperature 

Error: temperade 

Agraphia: ? 

Treatment: ? 

Graphemic buffer agraphia 

Tx: CART, cueing hierarchies, segmentation

200

On a reading aloud task, your patient misread the word "brown" as "Bronwyn". Which process is likely involved? 

a) graphemic output lexicon 

b) visual input lexicon

c) semantic system 

B - visual input lexicon 
200

jellyfish for octopus

semantic - related

200

on a reading aloud task from BDAE-III, your client misread the word /na/ as /gnaw/. Which Alexia is suspected? 

a) frontal

b) neglect

c) phonological

d) surface

D - surface 

difficulty with irregularly spelled words, over reliance on grapheme-phoneme conversion or indirect sub lexical route 

200

Target: fowder

Error: fowl 

Agraphia: ? 

Tx: ? 

Phonological Agraphia 

Tx: Key-word treatment 

300
When speaking spontaneously, your client said "pook" for "book" and "gat" for "cat". Which process is likely involved? 

a) phoneme level

b) visual input lexicon

c) speech output lexicon

d) semantic system 

A - phoneme level 

300

sklervick for hammock

neologistic

300

In oral reading of sentences, your client accurately reads the following: Summertime. A good beach day. After driving 45 minutes they arrive at the seashore.

His answers to multiple choice questions were:

the weather was... COLD

they rode in a.... TRAIN 

the trip took about... 5 MIN 

Based on his presentation, you suspect: 

a) semantic alexia

b) deep alexia

c) attentional alexia

d) visual Alexia 

A - semantic Alexia 

able to read out loud without comprehension, difficulty attaching word meaning 

300

Target: table

Error: furniture 

Agraphia: ?

Tx: ?

Deep agraphia 

anagram and copy treatment (ACT) 

400

On a spoken picture naming task, the client made the following errors: ..

cross for airplane

guitar for racquet

arrow for brush


a)speech output lexicon

b)visual object recognition

c) semantic system

B - Visual object recognition 

errors visually similar to target 

400

octagon for octopus

phonemic

400

Your client was administered reading commands subtest of WAB-R/ Asked to read the commands out loud, the client responses were: 

Wave goodbye - "goodbye"

Draw a cross with your foot = "cross with your foot"

point to the chair and then to the door "chair and then to the door" 

Client's presentation is most consistent with...

a) central Alexia 

b) left neglect 

c) neglect Alexia 

d) lexicaliztation 

C - Neglect Alexia 

400

Target: knight 

Error: nite 

Agraphia: ? 

Tx: ? 

Lexical Agraphia 

CART, problem-solving approach

500

On a spoken picture naming task, the client made the following errors: 

penco for pencil

heart for harp

compost it for computer 


a) speech output lexicon

b) auditory input lexicon 

c) phoneme level 

C - phoneme level 

length effect 

500

define circumlocution and give an example 

talking around intended word, an informative description

ex. animal, beach, water, letter O, finally octopus

500

Which of the following is NOT a peripheral Alexia? 

a) pure Alexia 

b) neglect alexia

c) phonological Alexia 

d) attentional Alexia 

C - phonological Alexia is a central Alexia, meaning it is the later states of the reading process that is disrupted and difficulty is with deeper or higher reading functions 

peripheral Alexia are early stages of reading process and the perceptual level (words on a page) 

500

Target: telephone

Error: teLepHone

Agraphia: ?

Tx: ?

peripheral agraphia 

alphabet board, self-dictation, typing, use of non-dominant hand, write BIG