Deck 13: Neuropsychological Testing

Question 1

A general guideline for neuropsychological assessment is that:

A)testing should focus on either the left or right hemisphere.
B)testing should sample mostly anterior (as opposed to posterior)regions of cortical function.
C)a majority of a patient's relevant cognitive skills should be assessed.

Answer 1

a majority of a patient's relevant cognitive skills should be assessed.

Question 2

The ____________ is the most comprehensive memory battery available and provides subtests that are representative of most aspects of memory that need to be assessed.

A)Test of Memory and Learning - 2
B)Visual-Aural Digit Span Test
C)Wechsler Memory Scale
D)Wide Range Assessment of Memory and Learning

Answer 2

Test of Memory and Learning - 2

Question 3

The Wide Range of Assessment of Memory and Learning consists of nine subtests divided equally into three scales:

A)abstract memory,visual memory,and learning.
B)verbal memory,visual memory,and learning.
C)short term memory,long term memory,and learning.
D)nonverbal memory,verbal memory,learning.

Answer 3

verbal memory,visual memory,and learning.

Question 4

The ______________ is the most commonly used fixed neuropsychological battery.

A)Stanford Brain-Relationship Scale
B)Halstead-Reitan Neuropsychological Battery
C)Luria-Nebraska Neuropsychological Battery
D)Wechsler Assessment of Neuropsychological Status

Question 5

One significant weakness of the Boston Process Approach is that:

A)it is a flexible battery.
B)it cannot be tailored to referral problem.
C)there is not good normative or reference data.
D)ittle research exists for the individual tests.

Question 6

The Luria-Nebraska Neuropsychological Battery can be administered from the age of:

A)8 years.
B)12 years.
C)16 years.
D)18 years.

Question 7

The neuropsychological assessment process typically begins with a(n):

A)personality assessment.
B)intelligence assessment.
C)referral question.
D)treatment team meeting.

Question 8

Koppitz (1977)devised the ___________________ as an early instrument for evaluating children's memory.

A)Bender-Gestalt Test
B)Test of Memory and Learning
C)Visual-Aural Digit Span Test
D)Wide Range of Assessment of Memory and Learning

Question 9

Slick,et al (1996)properly concluded that whenever changes are made to standardized instruments,comprehensive norms:

A)are not changed.
B)are required under the new testing conditions.
C)are not necessary since it adopts a criterion approach.
D)are not used since it is a qualitative assessment.

Question 10

The TOMAL-2 is normed for use from _______ to _________.

A)5; 20 years of age
B)5; 49 years 11 months 30 days
C)5; 59 years 11 months 30 days
D)5; 60 years of age

Question 11

The Wide Range of Assessment of Memory and Learning was developed by Sheslow and Adams for assessing which age group?

A)5 - 17 years of age
B)18 - 75 years of age
C)18 years of age and older
D)21 years of age and older

Question 12

Regarding Traumatic Brain Injury,____________ is the most common of all patient complaints.

A)ataxia
B)memory impairment
C)primary aphasia
D)speech difficulties

Question 13

Subtests included in the TOMAL-2 sample sequential recall,which is strongly mediated by:

A)the left hemisphere,especially the temporal region
B)the right hemisphere,especially the temporal region
C)the left hemisphere,specifically the parietal lobe
D)the right hemisphere,specifically the parietal lobe

Question 14

The TOMAL-2 includes the ___________ subtest,which correlates well with school learning.

A)Facial Memory
B)Recalling Stories
C)Sequential Recall
D)Visual Selective Reminding

Question 15

Neuropsychology is the study of:

A)brain-behavior relationships.
B)covert behavior.
C)metabolic processes of the brain.
D)overt behavior.

Question 16

Neuropsychologists have been asked to determine between _________ pathology (having a structural basis)and __________ pathology (having a psychological or other cause).

A)functional,organic
B)organic,functional
C)negative; positive
D)positive; negative

Question 17

A test that has been devised specifically to supplement the Boston Process Approach is the:

A)Boston Verbal Learning Assessment
B)California Verbal Learning Test
C)Wechsler Assessment of Neuropsychological Status
D)Wechsler Nonverbal Assessment

Question 18

What is the most common cause of traumatic brain injury?

A)assaults
B)blast injuries
C)falls
D)motor vehicle accidents

Question 19

The Boston Process Approach uses:

A)a flexible battery of developmental and psychological tests.
B)a flexible battery of intelligence and personality tests.
C)a fixed battery of developmental and psychological tests.
D)a fixed battery of intelligence and personality tests.

Question 20

The Luria-Nebraska Neuropsychological Battery lends itself to three levels of interpretation:

A)nominal,ordinal,and interval.
B)scale,item,and qualitative.
C)age,grade,and ipsative.
D)ordinal,interval,and ratio.

Question 21

The Auditory Perception Test on the Halstead-Reitan Neuropsychological Test Battery is used to assess sensory-perceptual skills that are hypothesized to be located in the:

A)frontal lobe.
B)occipital lobe.
C)parietal lobe.
D)temporal lobe.

Question 22

Demographic characteristics that typically have the most influence on neuropsychological tests include age,education,ethnicity,and:

A)marital status.
B)weight.
C)gender.
D)region.

Question 23

In the idiographic approach,the clinician uses _________________ as the comparison measure against which current scores are compared.

A)previous scores
B)national norms
C)standardized demographic norms
D)local norms

Question 24

_____________ is/are the most common cause of brain injury due to toxins.

A)Alcohol
B)Heavy metals
C)Methamphetamine
D)Pesticides

Question 25

A transient ischemic attack is defined as:

A)a mild hemorrhagic stroke.
B)a mild occlusive event.
C)a severe completed occlusive event.
D)a severe hemorrhagic stroke.

Question 26

On the Halstead-Reitan Neuropsychological Test Battery,the Rhythm Test is used to assess which skill(s)?

A)alertness.
B)language.
C)reasoning.
D)visual-spatial reasoning.

Question 27

How does a neuropsychologist typically determine a baseline level of functioning for a newly brain injured patient?

A)Personality assessment
B)Clinical interview
C)Review of historical records
D)The referral question

Question 28

A prominent cardiac surgeon was tested and found to be functioning in the average range on a verbal test.What could a neuropsychologist possibly deduce from this information?

A)Nothing - not enough information was provided.
B)The surgeon probably does not have any cognitive deficits.
C)The surgeon is most likely displaying signs of cognitive loss.

Question 29

One ability that is well preserved following brain damage is the capacity to:

A)pronounce irregular words accurately.
B)add two- and three-digit numbers.
C)recall an increasingly complex list of words.
D)perform well on digits backward.

Question 30

When a patient deliberately exaggerates impairment or intentionally creates neurological symptoms,it is known as:

A)conversion.
B)factitious disorder.
C)malingering.
D)somatization.

Question 31

A prominent physiological change seen in alcoholic dementia (also called Korsakoff's Syndrome)is:

A)cortical atrophy in temporal and frontal lobes.
B)Lewy body deposits.
C)loss of dopaminergic cells in the substantia nigra.
D)neurofibrillary plaques and tangles.

Question 32

On the Halstead-Reitan Neuropsychological Test Battery,the hypothesized localization of the Finger Tapping and Grip Strength tests is the:

A)frontal lobes.
B)occipital lobes.
C)parietal lobes.
D)temporal lobes.

Question 33

An assembly line employee with a 10^th grade education was tested and was found to be functioning in the average range on a verbal test.What could a neuropsychologist possibly deduce from this information?

A)Nothing - not enough information was provided.
B)The employee is very likely displaying signs of cognitive loss.
C)The employee is most likely not displaying signs of cognitive loss.

Question 34

One method used to estimate premorbid ability is:

A)orthogonal rotations.
B)the Barona Index.
C)Coefficient Alpha.
D)calculation of a factor matrix of new and old scores.

Question 35

Which of the following dementias produces significant motor disturbance?

A)Alzheimer's Disease
B)Frontal lobe dementia
C)Parkinson's dementia
D)Vascular dementia

Question 36

A neuropsychological instrument used to assess attention is:

A)the Boston Naming Test - 2.
B)Conner's Continuous Performance Test - III.
C)the Stroop Test.
D)the Tower of London.

Question 37

A neuropsychological instrument used to assess executive functioning is the:

A)Comprehensive Trail Making Test.
B)Paced Auditory Serial Addition Test.
C)Reynolds Intellectual Assessment Scales.
D)Wechsler Test of Adult Reading.

Question 38

One psychometric method used to determine whether statistically significant change has occurred during a serial assessment is:

A)subjective judgment.
B)the Oblique Index of Change.
C)the Reliable Change Index.
D)standard difference-score.

Question 39

According to recent research (Schmitt et al,2010),__________________ may serve as a highly specific pathognomic sign of dementia.

A)completion of Trails A
B)completion of Trails B
C)verbal IQ
D)performance IQ