Aphasia

Question 1

Etiology

Answer 1

Most common: stroke

Question 2

Ischemic Stroke

Answer 2

Blocked or interrupted blood supply

• Thrombus (collection)
• Embolus (traveling mass)

Question 3

Hemorrhagic Stroke

Answer 3

Bleeding in the brain due to ruptured blood vessels

Question 4

Fluent Aphasias

Answer 4

Wernicke’s,
Transcortical Sensory
Conduction
Anomic

Question 5

Non-Fluent Aphasias

Answer 5

Broca’s
Transcortical Motor
Mixed Transcortical
Global

Question 6

Aphasia Assessment Areas

Answer 6

Four Lang. Modalities:
- Reading
- Writing
- Aud. Comp.
- Verbal Expression
PLUS:
Memory
Cognition

Question 7

Standardized Aphasia Tests

Answer 7

• Boston Diagnostic
• Western Aphasia Battery (WAB)
• Minnesota Test for Differential Diagnosis
• Porch Index of Comm. Ability
• Aphasia Diagnostic Profile (ADP)

Question 8

Functional Assessment Tools

Answer 8

FCP (functional comm. profile)
CADL-2 (Comm. Abilities in Daily Living)
- ASHA-FACS (ASHA functional assess. of comm. skills)

Question 9

Better Prognosis

Answer 9

• Younger & healthier
• High level of Ed
• Smaller Lesion
• No other med or behav. disorders
• Less severe aphasia
• Quick tx initiation
• Supportive family

Question 10

Parallel Recovery

Multilingual pts

Answer 10

Both lang. improves rate/degree

Question 11

Differential Recovery

Multilingual pts

Answer 11

1 lang. improves more than other

Question 12

Successive Recovery

Multilingual pts

Answer 12

Max recovery in 1 lang. before improvement in the other lang.

Question 13

Antagonistic Recovery

Multilingual pts

Answer 13

As 1 lang. improves, other regresses

Question 14

Selective Recovery

Multilingual pts

Answer 14

Only 1 lang. shows improvement

Question 15

Family & Caregiver Education

Answer 15

• Time & Phase of post-stroke
• How ready they are to participate meaningfully in programming
• Emotional support, counseling, & engage family members in process
• Brochures/pamphlets
• Show simple comm. strategies
• Problem solving strategies
• Support Groups
• Write everything down

Question 16

Neologism

Answer 16

Non-Word

Question 17

Jargon

Answer 17

Series of Non-Words

Question 18

Anomia

Answer 18

Word Finding Deficits

Question 19

Circumlocution

Answer 19

Intentionally speaking around target words due to inability to retrieve target word

Question 20

Phonemic Paraphasia

Answer 20

Sound errors or transpositions

Question 21

Semantic Paraphasia

Answer 21

Right Category, wrong word. Semantically related words

Question 22

Perseveration

Answer 22

Word used previously is repeated involuntarily & incoherently for target

Question 23

Verbal Stereotypies

Answer 23

Repetitive stereotypical utterances

- Real words & Neologisms

Question 24

Agrammatism

Answer 24

Speech contains only substantive words (nouns), short phrases (telegraphic utterances), omits function words.
Selective impairment of word retrieval

Question 25

Paragrammatism

Answer 25

Speech contains grammatical errors: wrong tense markers, misuse of pronouns & syntactic constructions

Question 26

Praxis

Answer 26

Ability to produce purposeful, learned movements

Question 27

Apraxia

Answer 27

Disturbed ability to produce purposeful, learned movements, despite intact mobility, usually caused by LH brain damage. Movements can still be made reflexively, but not voluntarily