Aphaisa 2 test 1

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Aphaisa 2 test 1
2012-10-02 01:50:59
Aphaisa test

Aphaisa 2 test 1
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  1. Inappropriate or disproportionate laughing or crying is called?
  2. Liabile would be a charateristic of what profile?
    Right CVA or TBI
  3. In what profile did we discuss possibility of pt having overall diffuse symptoms at first and more focal symptoms later? 
    TBI or L or R CVA
  4. Abulia is associated with damage to 
    Left CVA
  5. Abulia is
    hand over hand
  6. Which profile may present with more swallowing problems?
    Right CVA
  7. Which profile may present with flat affect?
    Right CVA
  8. What is the hallmark symptoms of head injuries?
    overall slowing of mentation.
  9. Which profile may include left hemiparesis?
    Right CVA
  10. Which profile may include right hemiparesis?
    Left CVA
  11. Which profile would be more likely to include anomia, apraxia?  What could change this? 
    Left CVA, handedness
  12. Right visual neglect is associated with what?
    Left CVA
  13. Left visual neglect is associated with what profile?
    Right CVA
  14. Which profile is associated with poor self montioring and impulsivity?
    Right CVA
  15. Which profile is associated with poor decison making, poor initiation?
    Frontal damage to Right or Left Hemi, also TBI
  16. Could breathy hoarse voice be associated with either left or right CVA profile? why?
    both, inadequated oral pharyngeal closure
  17. What profile is associated with decreased comprehension?
    Left CVA
  18. What is the other name for decreased comprehension?
    Wernicke's Aphasia
  19. What is the term for continuing a vocal behavior, or continuing writing over and over?
  20. What profile would that term be most likely to be associated with?
    More often seen with Right CVA or TBI, possible Left CVA
  21. Speech, motor movements, expressive language
  22. Cognition, comprehension, receptive language
  23. coordination
  24. commucation within the same hemisphere by what?
    Arcuate Fasciculus
  25. Wernicke's aphasia results in ____________ comprehension and _____________ speech?
    poor, fluent
  26. Broca's aprasia results in ______________ comprehension but _____________ speech.
    good, disfluent
  27. TBI has a ______ ________ progression?
  28. Hemmorragic has a _____________ progression.
    Slow then goes up, gets better as the blood disappears. 
  29. Embolic or thrombolic has a _______________  progression.
    steep at first then plateaus
  30. Order of the scientific method
    • 1.  problem
    • 2. hypothesis
    • 3. test it
    • 4. collect data
    • 5 analyze data
    • 6. modify or reject hypothesis
  31. A referral will tell you?
    • 1.  patients basic information
    • 2.  where the patient is (patient location)
    • 3. what the doctors request is (test for aphasia)
    • 4.  Physicians name
  32. Medical Model Review tells us what?
    • 1. Patient identification
    • 2. Personal History
    • 3. Medical history
    • 4. Physical and neurological examination
    • 5. Doctors orders
    • 6. Progress notes
    • 7. Laboratory Test Reports
  33. Behavioral, Cognitive and Emotional Consequences include?
    • 1.  Responsiveness - coma, semi coma
    • 2.  Hyper-responsiveness- i know, I know, I know
    • 3.  Perserveration- over and over
    • 4.  dimished response flexibilty - flat doesnt engage, not eye contact
  34. Cognitve Changes include difficulty with?
    • 1. Concreteness- difficulty with abstract concepts(right CVA or TBI)
    • 2.  Imparied Self-Monitoring
    • 3. Impaired anticipation of errors- impulsive
    • 4. difficult focusing or sustaining attention (mostly right, but could also be L or TBI)
    • 5.  Sequential ordering impairments (frontal damage)
  35. Disturbances in personality and emotional
    • Emotional lability
    • Irritability/low frustration tolerance
  36. Purpose of testing
    • 1. Deciding on a diagnosis
    • 2. Making a prognosis
    • 3.  Neurologic findings
    • 4. Associatd conditions
    • 5. Patient variables
    • 6. Nature/severity of communication impairments
  37. Measuring recovery and response to treatment?
    • 1. Efficacy- is it a moral and efficient way to do something
    • 2. Outcome- reasonable outcome- can I make a change
    • 3.  Functional communication- so he can communicate wtih someone. 
  38. FIM
    Functional independence measure
  39. FACS-
    ASHA functional assessment of communication skills
  40. CETI
    Communicative Effectiveness Index (CETI)
  41. CADL
    Communicative Abilities in Daily Living
  42. In childhood certain characteristics and abilities increase with age.
  43. in adulthood characteristics and abilites remain relatively stable. 
  44. in old age, biological losses/changes result in loss of function which may be compensible or irreversible. 
  45. What study follows changes related to age differences across groups
    Period (cross-sectional studies) - age related
  46. What study follows a specific group over time allowing tracing of true age related changes.
    longitudinal- over time- time consuming, expensive, and risk the loss of subjects
  47. Changes may be related less to aging and more to time of birth andthe subsequent historical, social, cultural and economic conditons are called?
    cohort effects- ex. 70 year old would have experienced the depression, wwII, and Korean war.
  48. Loss of function equals loss of ___________. 
  49. Loss of autonomy equals loss of _____________ and ______________.
    independence and institutionalization
  50. Elderly respond to ______________, spescific explanation and tasks better
  51. Elderly respond better to ______________ versus timed tasks.
    self paced tasks
  52. Performance of elderly suffers in ____________  ____________ and is better in _______________ ______________ that do not involve time pressures.
    timed tasks, informational tasks
  53. Motor slowing is normal for the normal aging person.
    True or false
  54. Sentence production in the normal aging person reduces in complexity.
    T or F
  55. Motor abilities for articulation do not change sustantially for the elderly unless the _______ or the _______ is damaged.
    CNS or PNS
  56. combined effects of various losses may increase effect of each individual loss.
    T or F
    True "the whole is greater that the sum of the parts"
  57. Normal Neurobiological changes
    • 1. brain weight decreases with age
    • 2.  Brain volume relateive to skull capacity decreases with age.
    • 3. brain's outward appearance changes
  58. Gyri ________ as we age.
  59. Sulci __________ as we age.
  60. As we age the brain has a ___________ appearance.
  61. As we age vital compacity is ___________ and residual volume is ______________.
    reduced, increased
  62. Elderly evidence more disfluencies than do younger adults, however these tend to be predominately ____________ and __________ versus 'core' stuttering disfluencies.
    revisions and interjections
  63. differentiate between searchinng for labels and searching for information
    differential diagnosis
  64. the relationship between characteristics and expected outcomes.
  65. Neurologic Findings
    • 1. changes in performance follow medical/ physical conditon
    • 2. size and location of lesion
    • 3. nature of pathology
    • 4. time post onset
    • 5. recovery curves
  66. Ischemic recovery is
    mostly within the first 3 months
  67. hemmoragic rocovery is mostly _____________.
    after 2 months
  68. TBI recovery is __________ at first and is ______-_____.
    slow, step-wise- plateaus
  69. Matching profile of communication deficits/abilities with patients whose outcomes are known.
    Patient profile approach (MTDDA)
  70. analyzes contributions or weights of varibles (strengths/weaknes) in recovery
    Statistical Predictions approach (PICA)
  71. No system is perfect; several session may indicate ability to participate in treatment and benefit from it.
    prognostic treatment period
  72. whether treatment has a positive effect on a disease or condition.
  73. a meaningful benefit of the procedures realized by the client in their daily living activities.
  74. affecting daily life competence-survival skill
  75. structural or functional abnormality ( brain damage, hemiplegia)
  76. effect of impairments- aphasia- poor ambulation
  77. diminished ability to carry out daily life roles (inability to function as spouse or parent)
  78. Typically ________ ____________ used for program evaluation and patient evaluation.
    rating scales
  79. Rating scales are administered at ________, ___________ and _________-______.
    admission, discharge and follow-up
  80. functional independence Measure is Universal?
  81. Comprehensive Language tests
    Information provided by Tests
    Tests should provide info about:
    • nature of deficits
    • severity of deficits
  82. Comprehensive Language tests
    tests visual (see),  auditory (hear), tactile (feel)
    Primary input modalities
  83. Comprehensive Language tests
    tests speech (say), gesture (point, do), writing (write)
    Primary output modalities
  84. Minnsota Test for Differential diagnosis of Aphasia takes _______ to administer and is ________.
    long, complex
  85. Response Recording
    Plus minus- correct-incorrect is considered ______________.
  86. Response Recording
    supplement with margin notes is considered ________________.
  87. PICA stands for
    The Porch Index of communicative Abilities
  88. Genereal charateristics of the PICA
    • 1. quick to admin.
    • 2. highly constrained in adminstration procedures
    • 3. 10 primary stimulus items across various tasks
    • 4. 10 test stimuli used in each of 18 subtest (standard order with standard material
    • 5. hierarchy of difficulty from more diff to less diff
    • 6. should be adminstered within one session
    • 7. Responses scored on a 16pt binary system based on accuracy, responsiveness, completeness, promptonesss and efficiency.
    • 8. Recovery curve- plots scores with subtests ordered in decreasing difficulty.
  89. BDAE stands for
    The Boston Diagnostic Aphasia Examination
  90. The Boston Diagnostic Aphasia Examination is a ________________ assessment of strengths and weaknesses in all language areas as a guide to thereapy.
    Speech characteristics described using _______ descriptors.
    comprehensive; 7
  91. WAB stands for
    Western Aphasia Battery
  92. Wester Aphasia Battery is similar to the _________ test.
  93. BEST stands for
    Bedside evaluation screening test
  94. Bedside evaluation screening test is an _____________ evaluation.
  95. Free standing tests of speech and language include
    • PPVT-R
    • ROWPVT-R
    • Token Test
    • Revised Token Test
    • Auditory Comprehension Test for Sentences
    • Northwestern Syntax Screening Test
    • Test for Auditory comprehension of Language-Revised
  96. Single word comprehension test include
    • PPVT-R
    • ROWPVT-R
  97. What test tests sentence comprehension
    Token Test (20 tokens, 5 levels of comprehension)
  98. The Revised Token Test is ____________ and more _________________ version of the Token.
    longer, elaborate (10 subtests with 10 equally difficult comments)
  99. Which test includes norms for non-brain injured adults
    TACL-R- Test for Auditory comprehension fo Language Revised
  100. What variables affect sentence comprehension?
    • Length
    • Syntactic complexity
    • Reversibility/Plausibility
    • Predictability
    • Semantic variables
    • Redundancy
  101. Which test would you use for discourse comprehension?
    MTTDA- Minnesota and the BDAE- Boston
  102. Discourse comprehension-
    •  "misnomer" tasks actually consist of comprehension and recall of spoken paragraphs; very little "conversation is involved in these tasks.
    • - a story is read to the pt, followed by comprehension questions.
  103. Speech production
    Simple Test
    • recitation
    • rhymes
    • automatic speech sequences
    • sentence completion
    • speech repetition
  104. For Naming tasks use:
    • Picture, object or confrontation naming
    • Responsive naming- answering simple questions
    • Word fluency measure- say in one minute as many words as you can that start with...-
  105. the ______ naming Test can also be used for naming.
  106. the Boston naming test consists of ______ line drawings presented individually and word familiarity __________.
    60; decreases- familiar to unfamilar
  107. What factors affect naming performance?
    • - word frequency
    • - semantic category (objects hardest) (actions, colors, numbers letters-easier)
    • - uncertainty (abstract, unclear pics, cluttered field)
    • - presence of context vs. isoslated items
    • - word lenght and phonological complexity
  108. Picture description, storytelling, interviews, conversation are part of __________  _________.
    discourse production