Introduction- Dementia and MCA
MCA Scoring/Coding
True/False
100

What part of the brain starts to deteriorate first in patients with DAT?

A. Hippocampus

B. Frontal cortex

C. Brain stem

A. Hippocampus

The hippocampus...

100

What is the highest score a person can get for a single concept (like "the boy kicked the ball"), and it means they were both accurate and complete.

A. 3

B. 2

C. 1

A. 3 points for AC is the highest score

100

True/False: responses are required to have the exact wording as MCA examples.

False: Not required - as long as essential meaning of the main concept stays the same.

200

Each main concept is given a code based on the ______ and ______ of the response.

A. Language and Speech

B. Accuracy and Completeness

C. DAT and PPA

B. Accuracy and Completeness

200

The patient says "the boy is playing", but forgets the word "soccer". They receives 2 points because of missing details. What code is that?

A. Accurate and Complete (AC)

B. Accurate and Incomplete (AI)

C. Inaccurate and Incomplete (II)

B. Accurate and Incomplete (AI) - had no incorrect information, but did not include one essential lament of the main concept on the checklist.

200

True/False: People with DAT produce meaningless speech?

False, meaning may be dispersed but NOT absent.

300

What is Main Concept Analysis (MCA)?

A. a discourse measure that looks at whether a person can communicate the gist of a story or discourse sample.

B. a rare neurogenerative disorder

C. a progressive decline in someones memory, EF, attention, language, and social cognition

A. Main Concept Analysis (MCA) is a discourse measure that looks at whether a person can communicate the gist of a story or discourse sample.

300

What would the code/score be if the client responds with "The boy is outside. The man is upset" when the picture is of the ball breaking the window?

A. Accurate and Incomplete (AI: 2 points)

B. Inaccurate and Incomplete (II: 1 point)

C. Absent (AB: 0 points)

C. Absent - 0 points

The ball and the window breaking was not mentioned, skipping the main details of the story

300

True/False: There are 4 possible codes that could be used: AC, AI, IC, or II.

False: AC, AI, IC, II, or AB

400

DAT is _______-driven communication breakdown.

A. Speech

B. Motor

C. Memory

C. Memory

400

What would the code/score be if the client responds with "the girl is eating" when the picture is of a boy playing with a soccer ball?

A. Accurate and Incomplete (AI: 2 points)

B. Inaccurate and Complete (IC: 1-2 points)

C. Inaccurate and Incomplete (II- 1 points)

C. II: 1 point

"the girl" is an incorrect agent of "the boy"

"plays with the soccer ball" was omitted

400

True/False: Those diagnosed with Primary Progressive Aphasia (PPA) often have gradual symptoms before the age of 65?

True, symptoms gradually develop typically before the age of 65.