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
kammick for hammock
phonemic
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)
Target: temperature
Error: temperade
Agraphia: ?
Treatment: ?
Graphemic buffer agraphia
Tx: CART, cueing hierarchies, segmentation
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
jellyfish for octopus
semantic - related
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
Target: fowder
Error: fowl
Agraphia: ?
Tx: ?
Phonological Agraphia
Tx: Key-word treatment
a) phoneme level
b) visual input lexicon
c) speech output lexicon
d) semantic system
A - phoneme level
sklervick for hammock
neologistic
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
Target: table
Error: furniture
Agraphia: ?
Tx: ?
Deep agraphia
anagram and copy treatment (ACT)
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
octagon for octopus
phonemic
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
Target: knight
Error: nite
Agraphia: ?
Tx: ?
Lexical Agraphia
CART, problem-solving approach
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
define circumlocution and give an example
talking around intended word, an informative description
ex. animal, beach, water, letter O, finally octopus
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)
Target: telephone
Error: teLepHone
Agraphia: ?
Tx: ?
peripheral agraphia
alphabet board, self-dictation, typing, use of non-dominant hand, write BIG