Deck 10: Neuropsychological Assessment

Question 1

Awareness of the relationship between the human brain and the ability to reason was first proposed by the physician _____.

A) Heraclitus
B) Galen
C) Plato
D) Hippocrates

Answer 1

B

Question 2

The concept of phrenology was developed by ___.

A) Broca
B) Gall
C) Wernicke
D) Galen

Answer 2

B

Question 3

The study of the relationship between one's moral, emotional, and intellectual behaviors and variations of the skull's surface is called ___.

A) phonology
B) apraxia
C) phrenology
D) aphasia

Answer 3

C

Question 4

Deficits in the ability to express or comprehend written or spoken communication as a result of brain injury are called ___.

A) lesions
B) infractions
C) apraxias
D) aphasias

Question 5

Clinical neuropsychology, begun by _____, applies brain-behavior principles to the assessment and treatment of the individual patient.

A) Karl Lashley
B) Paul Broca
C) Arthur Benton
D) Carl Wernicke

Question 6

The case of Phineas Gage was especially interesting because it showed that brain damage could affect ___.

A) muscle strength
B) vision
C) personality
D) breathing

Question 7

The two main approaches to neuropsychological assessment include the _____ and _____ battery approach.

A) static…variable
B) fixed…flexible
C) reliable…valid
D) structural…functional

Question 8

The _____ battery approach allows the clinician to choose the subtests believed to be best suited to assess each examinee.

A) fixed
B) variable
C) flexible
D) functional

Question 9

The _____ battery approach to neuropsychological assessment uses the same set of tests for each examinee.

A) fixed
B) flexible
C) functional
D) variable

Question 10

According to the textbook, which is the more widely used approach to neuropsychological testing: the fixed- or flexible-battery approach?

A) Fixed
B) Flexible
C) They are used about equally.
D) Fixed with younger clients, flexible with older clients.

Question 11

The two most commonly used fixed neuropsychological batteries are the ___.

A) Luria Nebraska and Mini-Mental State Exam
B) Luria Nebraska and Halstead-Reitan
C) Halstead-Reitan and Mini-Mental State Exam
D) Halstead-Reitan and Wide Range Achievement Test

Question 12

According to the textbook, the Luria-Nebraska Neuropsychological Battery possesses _____ utility beyond confirming the presence of brain damage.

A) valuable
B) no
C) questionable
D) considerable

Question 13

The _____ Index on the Halstead-Reitan Neuropsychological Battery provides a cutoff point to represent the presence or absence of neurological deficits.

A) Performance
B) Cognitive
C) Neurological
D) Impairment

Question 14

The General Neuropsychological Deficit Score on the Halstead-Reitan reflects the _____ of neuropsychological deficits.

A) localization
B) presence
C) nature
D) severity

Question 15

Drawbacks to the Halstead-Reitan Neuropsychological Battery include ___.

A) lack of a memory test
B) long administration time
C) both a and b
D) neither a nor b

Question 16

The measure typically used to provide a quick screen for significant cognitive impairment is the ___.

A) Wechsler Memory Scale
B) Mini-Mental State Exam
C) Wide Range Achievement Test
D) Finger Tapping Test

Question 17

The _____ is a test frequently used by neuropsychologists for assessing academic achievement, with subtests assessing reading, spelling, and arithmetic abilities.

A) OLSAT
B) Stanford Achievement Test
C) Wechsler Memory Scale
D) Wide Range Achievement Test

Question 18

The _____, a component of the Halstead-Reitan Neuropsychological Battery, is often administered as part of a flexible battery approach to measure visual scanning, writing speed, and attention/concentration.

A) Trail-Making Test
B) Continuous Performance Test
C) Stroop Test
D) Embedded Figures Test

Question 19

Patients with brain injury may have difficulty switching between patterns of thought on the Trail-making Test. These patients are said to ___.

A) persist
B) perseverate
C) endure
D) continue

Question 20

In neuropsychological testing, the most typical way to measure grip strength is with the ___.

A) Hand dynamometer
B) Finger tapper
C) Chin-up apparatus
D) Grooved peg board

Question 21

An example of a measure of expressive language skills, such as talking and writing, is the ___.

A) Wisconsin Card Sorting Test
B) Design Fluency Test
C) Boston Naming Test
D) California Naming Test

Question 22

A commonly used measure to assess a patient's language comprehension is the ___.

A) Boston Naming Test
B) Wernicke Test
C) Tarot Test
D) Token Test

Question 23

One part of this test has numbers 1-13 and letters A-L scattered around a sheet of paper. The examinee must connect the entries in order, alternating numbers and letters. What test is this?

A) Letter-number sequence test
B) Trail-making test
C) Connect-the-dots test
D) Coding test

Question 24

The Finger Tapping test is primarily a measure of _______ .

A) attention/concentration
B) motor speed
C) manual dexterity
D) finger strength

Question 25

A neuropsychological assessment typically includes an assessment of cognitive ability, most frequently employing the __________.

A) MMPI
B) Stanford-Binet
C) Draw-a-person Test
D) Wechsler intelligence scales

Question 26

A neuropsychological assessment typically includes an assessment of personality, most frequently employing the __________.

A) WAIS
B) Draw-a-Person Test
C) MMPI
D) NEO PI

Question 27

Patients with _____, an inability to assemble or copy two- or three- dimensional objects, may perform poorly on visuospatial or perceptual tasks.

A) constructional apraxia
B) spatial apraxia
C) perceptual apraxia
D) visual apraxia

Question 28

Estimates of premorbid IQ can often be obtained from cognitive ability tests that had been administered ___.

A) on the job
B) in infancy
C) in school
D) while recuperating in the hospital

Question 29

A person looks at the four pieces of a simple puzzle. The person says "I know the pieces go together to make a horse, but I can't get them to go together." This is an example of _____.

A) constructional apraxia
B) expressive aphasia
C) motor aphasia
D) constructional dyslexia

Question 30

The most frequent complaint reported by patients referred for neuropsychological evaluation are deficits in ___.

A) vocabulary
B) vision
C) small motor control
D) memory

Question 31

Which part of the brain seems to be particularly crucial for executive functions?

A) cingulate gyrus
B) occipital lobes
C) cerebellum
D) frontal lobes

Question 32

What is the relative use of objective and projective measures of personality in neuropsychological evaluations?

A) Objective measures dominate.
B) Projective measures dominate.
C) Objective and projective measures are used equally often.
D) Objective measures dominate for younger clients, projectives for older clients.

Question 33

Patients with _____, like the example of Mrs. S. described in the textbook, do not attend to objects in their neglected field of vision.

A) visual neglect
B) spatial insufficiency
C) spatial neglect
D) visual insufficiency

Question 34

Clinical neuropsychologists typically assess three areas of motor functioning. Which of the following is NOT one of these areas?

A) motor speed
B) fine motor coordination
C) grip strength
D) reflex responsiveness

Question 35

Tests that require _____, the ability to switch cognitive sets, are frequently used to measure executive functions.

A) cognitive flexibility
B) executive flexibility
C) cognitive plasticity
D) executive plasticity

Question 36

The measure of executive function that requires the patient to name the color of a printed word while ignoring the meaning of the word is the ___.

A) Wisconsin Card Sorting Test
B) Stroop Test
C) Category Test of the Halstead-Reitan
D) Cognitive Flexibility Test

Question 37

The measure of executive functioning that requires the patient to match a given set of cards to one of four stimuli that differ in some way is the ___.

A) Stroop Test
B) Boston Card Sorting Test
C) Wisconsin Card Sorting Test
D) Token Test

Question 38

A patient seems well oriented during the day but becomes disoriented at night. This is referred to as ___.

A) day-night mix-up
B) sunshine deficit
C) night fearing
D) sundowning

Question 39

A 25-year old patient states that he "got very good grades in school." Which would be the best way to check on this claim?

A) administer an IQ test to him
B) administer an achievement test to him
C) check with his spouse
D) check his school records

Question 40

The Neuropsychology Behavior and Affect Profile (NBAP) was originally developed to be completed by ___.

A) the patient
B) the patient's significant other
C) the neuropsychologist
D) the neurologist

Question 41

The _____ Scale of the MMPI has been utilized to detect malingering, or _____.

A) Lie…deliberate faking
B) Dissimulation…persistent symptoms
C) Dissimulation…deliberate faking
D) Lie…persistent symptoms

Question 42

Very simple memory tests may reveal malingering when the patient's responses are correct at ___.

A) exactly chance level
B) noticeably lower than chance level
C) noticeably higher than chance level

Question 43

By investigating a patient's _____, a clinical neuropsychologist might obtain information about ECT treatments that could contribute to the patient's memory complaints.

A) psychiatric history
B) school records
C) psychosocial history
D) collateral information

Question 44

Information about the patient's family, occupational history, and history of drug and alcohol abuse would be classified under the patient's ___.

A) behavioral observations
B) psychosocial history
C) collateral information
D) medical history

Question 45

The clinician says either "Red" or "Green" to the patient, waits 10 seconds, then asks the patient "What word did I say?" The clinician repeats this test 20 times, varying "Red" and "Green" randomly. The patient responds correctly only 3 times. What is a likely conclusion?

A) mild short-term memory deficit
B) severe short-term memory deficit
C) aphasia
D) malingering

Question 46

Which is often a significant source of behavioral observations for the neuropsychologist?

A) performance during the Wechsler test
B) school records
C) reports from job supervisors
D) psychiatric history

Question 47

A person behaves as if having Alzheimer's disease but the symptoms are really the result of severe depression, which we eliminate with a combination of therapy and diet. We say that this person was a case of ___.

A) pseudodementia
B) quasi-dementia
C) partial dementia
D) psuedo Alzheimer's

Question 48

What psychological condition is often at the root of pseudodementia?

A) schizophrenia
B) malingering
C) sociopathy
D) depression

Question 49

Billy, the 4^th grader receiving failing grades in school, as described in the text, appeared to be a case of ___.

A) attention deficit
B) depression
C) malingering
D) intellectual disability

Question 50

The inability to sound out words and making substitutions of visually similar words when reading are characteristics of ___.

A) dysphonetic dyslexia
B) dyseidetic dyslexia
C) dyscalculia
D) dysphoria

Question 51

When a clinical neuropsychologist gathers information about the patient's status from family members, he or she is utilizing ___.

A) psychiatric history
B) behavioral observations
C) collateral information
D) psychosocial history

Question 52

A recently widowed patient complains of memory loss, trouble concentrating, and an inability to perform daily activities. Neuropsychological evaluation shows an above average ability to learn long lists of words, with a moderately impaired recall of these words and a normal recognition memory. MMPI-2 results suggest depression. The most appropriate diagnosis for this patient would be ___.

A) dementia
B) Alzheimer's disease
C) stroke
D) pseudodementia

Question 53

The most general definition of a learning disability is a significant discrepancy between a child's ___.

A) level of cognitive ability and achievement
B) verbal and recognition memory
C) level of cognitive ability and memory
D) memory and level of achievement

Question 54

Which term was used to describe a condition of using "odd" communication?

A) dyslexia
B) pragnosia
C) pseudo-comm
D) dementia

Question 55

A child with attention deficit disorder might score average or above average on the _____, but below average on the ____.

A) Wechsler Memory Scale…Wechsler Individual Achievement Test
B) Stroop Test…Boston Naming Test
C) WISC…Wechsler Individual Achievement Test
D) Embedded Figures Test…WISC