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ECU Brain, Language and Aphasia > 6 - Standardized Aphasia Assessment > Flashcards

6 - Standardized Aphasia Assessment Flashcards

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1
Q

When do Aphasia Assessments often begin?

A

Screenings at bedside

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2
Q

What do Aphasia Screenings give us a general sense of?

A

Nature and severity of deficits

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3
Q

What do Aphasia Screenings determines the need for?

A

More comprehensive examination

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4
Q

Who frequently designs Aphasia Screening Tools?

A

Clinicians

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5
Q

Where are Aphasia Screening Tools typically used?

(3)

A

In acute care settings

Environments where little time is available for assessment

Environments where only general info concerning a patient’s linguistic abilities is needed

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6
Q

What is the Purpose of Aphasia Screening Tools?

A

To establish efficiently the presence/absence of language disorders

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7
Q

What do Aphasia Screening Tools not provide?

A

A detailed description of the severity and characteristics of patient’s aphasia

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8
Q

What are two characteristics of Aphasia Screening Tools?

A

Short in length

Sample only a narrow range of language behaviors

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9
Q

When might a clinician chose to use an Aphasia Screening Tool in lieu of a full diagnostic battery?

(4)

A

Patient is in the early or acute stages of recovery from stroke

Patient is too ill or fatigued to undergo a full evaluation

Patient’s length of stay (LOS) in facility is short

Cost dictates immediate clinical information w/o extensive testing

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10
Q

What are the two options of Aphasia Screening Tools?

A

Create your own screening tool

Utilize commercially available tests

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11
Q

What is the Language Screening Test (LAST)?

How many items does it contain?

A

Bedside test designed for “emergency” settings

15 items in 5 subtests

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12
Q

What are the two indexes in the Language Screening Test (LAST)?

A

Expression Index

Receptive Index

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13
Q

What are contained in the Expression Index portion of the Language Screening Test (LAST)?

(3)

A

Naming

Repetition

Automatic Speech

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14
Q

What are contained in the Receptive Index portion of the Language Screening Test (LAST)?

(2)

A

Recognition

Verbal Instructions

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15
Q

What is The Aphasia Rapid Test? (2)

How many items does it have?

A

An NIHSS-like aphasia test

Rates aphasia severity in acute stroke patients

//

26

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16
Q

Where is The Aphasia Rapid Test designed to be administered?

How long does it take?

A

Patient’s bedside

< 3 minutes

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17
Q

What areas do Comprehensive Aphasia Test Batteries assess?

(5)

A

Auditory Comprehension

Verbal Expression

Reading

Writing

Sometimes Cognition

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18
Q

How can Auditory Comprehension be tested in Comprehensive Aphasia Test Batteries?

(3)

A

Single Word Comprehension

Sentence Comprehension

Spoken Discourse

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19
Q

How can Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Select-from-an-array procedure

Test of single-word comprehension

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20
Q

How can the “select-from-an-array procedure” type of Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Pictures (actions, letters, numbers, shapes, colors)

Objects

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21
Q

How can the “test of single-word comprehension” type of Single Word Comprehension be tested in Comprehensive Aphasia Test Batteries?

A

PPVT (Peabody Picture Vocabulary Test)

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22
Q

What variables can influence tests of Single Word Comprehension in Comprehensive Aphasia Test Batteries?

(4)

A

Frequency of occurrence

Semantic or acoustic relationship to foils (semantic or phonetic similarities)

Part of speech

Ambiguity

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23
Q

What variables can influence tests of Sentence Comprehension in Comprehensive Aphasia Test Batteries?

(4)

A

Length and syntactic comprehension

Reversibility and plausibility

Predictability

Personal reference

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24
Q

How can Sentence Comprehension be tested in Comprehensive Aphasia Test Batteries?

(2)

A

Included in standardized language batteries

Tests of sentence comprehension

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25
What are two tests of Sentence Comprehension that can be used in Comprehensive Aphasia Test Batteries?
Token Test Northwestern Syntax Screening Test
26
What variables can influence tests of Discourse Comprehension in Comprehensive Aphasia Test Batteries? (5)
Salience Directness Redundancy Cohesion and coherence Rate and emphatic stress
27
How can Discourse Comprehension be tested in Comprehensive Aphasia Test Batteries? (2)
Included in standardized language batteries Tests of discourse comprehension
28
What test for Discourse Comprehension can be used in Comprehensive Aphasia Test Batteries?
The Discourse Comprehension Test
29
What Speech Characteristics are looked at when testing Verbal Expression in Comprehensive Aphasia Test Batteries? (6)
Paraphasias Neologisms ( Non-Words) Stereotypies (Repeated Words) Jargon (Speech sounds normal but doesn't make sense) Agrammatism Paragrammatism
30
What are Paraphasias?
Incorrect word substituted for an intended or target word
31
What are Neologisms?
Nonsense Words
32
What are Stereotypies?
Word or nonword used repeatedly by a patient, as if it were the only language form available
33
What is Jargon? (2)
Lengthy, fluently articulated utterance which makes little or no sense to the listener Can consist of real or nonwords
34
What is Agrammatism?
Inability to speak in a grammatically correct fashion
35
What is Paragrammatism?
Confused or incomplete use of grammatical structures
36
How can Verbal Expression be tested in Comprehensive Aphasia Test Batteries? (6)
Simple speech production tests Naming Sentence Production Discourse Production Speech Fluency Intelligibility
37
How can Simple Speech Production Tests be used to test Verbal Expression in Comprehensive Aphasia Test Batteries? (3)
Recitations, rhymes, and automatized sequences Sentence completion Repetition
38
How can Naming be used to test Verbal Expression in Comprehensive Aphasia Test Batteries? (2)
Confrontational naming (What is this?) Responsive naming ("The grass is \_\_\_\_\_.")
39
What variables can influence Naming Accuracy in Verbal Comprehension in Comprehensive Aphasia Test Batteries? (4)
Frequency of occurrence Length and phonologic complexity Semantic categories Context
40
How can Sentence Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries? (2)
Subtests in standardized measures Independent tests
41
How can "subtests in standardized measures" type of Sentence Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries? (2)
Make a sentence from a word Expressing ideas
42
What Independent Test for Sentence Production can be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?
Reporters Test
43
How can Discourse Production be used to test Verbal Expression in Comprehensive Aphasia Test Batteries?
Picture descriptions
44
How can Speech Fluency be used to test Verbal Expression in Comprehensive Aphasia Test Batteries? (3)
Fluent vs non-fluent Speech tempo MLU
45
How is Reading be tested in Comprehensive Aphasia Test Batteries?
All language batteries contain reading subtests
46
How do Comprehensive Aphasia Test Batteries test Reading? (4)
Oral reading of words and sentences Match printed words to pictures or objects Match printed words to spoken words Comprehension of printed sentences
47
How can a "matching printed words to pictures or objects" be used to test reading? (2)
Word to object matching Picture to word matching
48
How is Writing be tested in Comprehensive Aphasia Test Batteries?
Standardized language batteries
49
How do Standardized Language Batteries test Writing? (4)
Generating automatized sequences Copying Writing to dictation (letters or numbers) Self formulated material
50
What is the primary Aphasia Battery that Dr. Ellis wants us to know? What is the secondary?
Western Aphasia Battery (WAB) Boston Diagnostic Aphasia Exam
51
Do Language Symptoms fit neatly into just one aphasia type?
No
52
Are Language Symptoms of patients within a given aphasia type truly homogeneous?
No (e.g. some patient with Wernickes aphasia have greater reading comp. than auditory comp.)
53
\_\_\_\_\_\_\_\_\_\_\_\_ are often misleading as both comprehension and production are impaired in most patients.
Dichotomous classification systems (e.g. receptive vs expressive)
54
Aphasia classification may be influenced by the \_\_\_\_\_\_\_\_\_\_\_
Test battery
55
Classifications do not specify the nature of the patient’s \_\_\_\_\_\_\_\_\_\_\_.
Underlying linguistic problems (e.g. semantic vs lexical access problem)
56
What is the first Aphasia Battery to be designed? Is it still in use?
Minnesota Test for Differential Diagnosis of Aphasia No
57
Who designed the Minnesota Test for Differential Diagnosis of Aphasia? When?
Mildred Schuell 1965
58
What criteria was the Minnesota Test for Differential Diagnosis of Aphasia designed to meet? (4)
Explore differences in behavior in all language modalities Gradiated difficulty within each modality Variety of non-language tests Differentiates among clinical syndromes
59
Who designed the Porch Index of Communicative Ability (PICA)? When?
Bruce Porch 1981
60
How many test items are in the Porch Index of Communicative Ability (PICA)? Under how many subtests?
180 test items 18 subtests
61
How long does the Porch Index of Communicative Ability (PICA) take to administer?
1 hour (avg.)
62
How many objects are used in the Porch Index of Communicative Ability (PICA)?
Same 10 objects (for all subtests)
63
Where is the Porch Index of Communicative Ability (PICA) sometimes used?
VA settings
64
How is every response scored in the Porch Index of Communicative Ability (PICA)?
With a 16-category, binary (yes or no) system
65
What can be calculated in the Porch Index of Communicative Ability (PICA)?
Overall mean and modality specific means
66
What is required to administer the Porch Index of Communicative Ability (PICA)?
Certification
67
What is the patient asked to perform in the Revised Token Test (R-TT)?
A series of simple tests involving a variety of colored tokens
68
How many subtests are in the Revised Token Test (R-TT)?
10 brief subtests
69
How long does it take to administer the Revised Token Test (R-TT)?
30 minutes
70
What can you calculate if you combine the Revised Token Test (R-TT) with the Western Aphasia Battery?
Cognitive Quotient
71
What does the Revised Token Test (R-TT) directly measure? (4)
Auditory short term memory (STM) Comprehension of various sentence types and transformations Understanding specific linguistic elements Comprehension of certain semantic relations (Only measures comprehension)
72
Is there a Computerized Version of the Revised Token Test (R-TT)?
Yes
73
Where is the Aachen Aphasia Test (AAT) commonly used? What language is it in? Why is it important to know?
German speaking countries German Used often in important research
74
What 6 subtests are used in the Aachen Aphasia Test (AAT) battery?
Spontaneous speech Token test Repetition Written language Confrontational naming Comprehension
75
Who created the Boston Diagnostic Aphasia Exam-3rd Edition? (2)
Harold Goodglass Edith Caplan
76
What does the Boston Diagnostic Aphasia Exam-3rd Edition do?
Assigns patients to classic aphasia syndromes
77
What is the standard form of the Boston Diagnostic Aphasia Exam-3rd Edition composed of? (4)
Structured interview 27 subtests Boston Naming Test (BNT - 60 items) 9 rating scales
78
How long does it take to administer the Boston Diagnostic Aphasia Exam-3rd Edition?
2 hours (avg.)
79
What picture is this? What test does it come from?
Cookie Theft Picture Boston Diagnostic Aphasia Exam (BDAE)
80
What does the Boston Diagnostic Aphasia Exam measure? (2)
Aphasia classification Aphasia severity
81
In BDAE Aphasia Severity Rating Scale, what type of aphasia is represented below?
Broca's
82
In BDAE Aphasia Severity Rating Scale, what type of aphasia is represented below?
Wernicke's
83
What is the Western Aphasia Battery (WAB)?
Similar to BDAE but psychometrically more sophisticated
84
Who created the Western Aphasia Battery (WAB)? When?
Andrew Kertesz 1979
85
What are patients assigned to in the Western Aphasia Battery (WAB)?
Diagnostic categories according to scores on 4 language subtests
86
What are the 4 subtests in the Western Aphasia Battery (WAB)?
Spontaneous speech Auditory comprehension Repetition Naming
87
What three quotients are measured in the Western Aphasia Battery (WAB)?
Aphasia Quotient Language Quotient Cortical Quotient
88
What is used in the Western Aphasia Battery (WAB) to measure the Aphasia Quotient? (4)
Speech Auditory Comprehension Repetition Naming
89
What is used in the Western Aphasia Battery (WAB) to measure the Cortical Quotient?
Entire Test
90
What is the Western Aphasia Battery (WAB) Aphasia Quotient a functional measure of?
The severity of spoken language deficit in aphasia
91
What is the range of scores that can be received on the Western Aphasia Battery (WAB) Aphasia Quotient? What is the cut off score for aphasia?
Score range from 0-100 93.8 cut-off score (must be below this to qualify for aphasia)
92
What is the Western Aphasia Battery (WAB) Aphasia Quotient used as a classification system for?
Type of aphasia
93
On the Western Aphasia Battery, what are the scores that would qualify someone for Severe Aphasia?
0 - 39
94
On the Western Aphasia Battery, what are the scores that would qualify someone for Moderate Aphasia?
40 - 79
95
On the Western Aphasia Battery, what are the scores that would qualify someone for Mild Aphasia?
80 - 93.7
96
On the Western Aphasia Battery, what are the scores that would disqualify someone for Aphasia?
93.8 - 100
97
What picture is this? What test does it come from?
Picnic Scene Western Aphasia Battery (WAB)
98
What are the different subtests on the Western Aphasia Battery (WAB) used for the Aphasia Quotient? (4)
Spontaneous Speech Auditory Verbal Comprehension Repetition Naming + Word Finding
99
What are the three parts of the Auditory Verbal Comprehension subtest in the Western Aphasia Battery (WAB)?
Yes/No Questions Auditory Word Recognition Sequential Commands
100
What are the four parts of the Naming + Word Finding subtest in the Western Aphasia Battery (WAB)? (4)
Object Naming Word Fluency Sentence Completion Responsive Speech
101
What is the Boston Naming Test (BNT) part of?
Boston Diagnostic Aphasia Exam 2nd + 3rd editions
102
How many items are in the Boston Naming Test (BNT)? What are they? How does the patient do?
60 items Line drawings Confrontational naming
103
What happens as the patient progresses through the Boston Naming Test (BNT)?
Items increase in difficulty
104
Is there an alternate version of the Boston Naming Test (BNT)? What is it? Which version do most settings use?
Yes Short version (15 items) Most settings will use short vision
105
What does the Reading Comprehension Battery for Aphasia-2 measure?
Severity and quality of reading after aphasia
106
How many subtests are in the Reading Comprehension Battery for Aphasia-2? How many items are in each subtest?
10 subtests 10 items in each subtest
107
What are three Functional Communication Assessments?
Communicative Effectiveness Index ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS) Communicative Abilities in Daily Living (CADL
108
What does the Communicative Effectiveness Index correlate with?
Western Aphasia Battery
109
What are the four communication categories in the Communicative Effectiveness Index?
Basic Need Health Threat Life Skill Social Need
110
What does the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS) measure?
Functional communication of adults with speech, language, and cognitive communication disorders (Aphasia, Cognitive- communicative disorders)
111
How many items are in the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS)?
43 items
112
What four areas of Functional Communication are assessed in the ASHA Functional Assessment for Communication Skills for Adults (ASHA-FACS)?
Social communication Communication of basic needs Reading, writing, and number concepts Daily planning
113
What is the Communicative Abilities in Daily Living (CADL-2) designed to assess?
Functional communication performance of adults with neurogenic communication disorders
114
What does the Communicative Abilities in Daily Living (CADL-2) emphasize?
Communication in everyday living situations
115
How many test items are in the Communicative Abilities in Daily Living (CADL-2)?
50
116
What 7 areas of communicative function are tested in the Communicative Abilities in Daily Living (CADL-2)?
Reading, writing, + using numbers Social interaction Divergent communication Contextual communication Non-verbal communication Sequential relationships Humor/metaphor/absurdity
117
What is the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)? (2)
Self-report scale Administered by clinician interview
118
How many items are in the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)? Where do they come from?
49 items The Stroke-Specific Quality of Life Scale (SS-QOL) (health related quality of life scale)
119
How many response types are in the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39)?
2 response formats based on 5pt scale (1) =could not do it at all; definitely yes (5) =no trouble at all; definitely no
120
Do all settings use the same tests?
No

ECU Brain, Language and Aphasia (11 decks)

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