Clinical Tests Flashcards
Which of the following tests would be most useful for confirming a diagnosis of intellectual disability?
A. Vineland-3
B. Stroop Test
C. Benton Test
D. MMSE
Answer A is correct. The DSM-5 diagnosis of intellectual disability requires deficits in intellectual functions and adaptive functioning, and the Vineland-3 is a measure of adaptive functioning.
When administering the Bender-Gestalt II to a 72-year-old man who has just received a diagnosis of mild neurocognitive disorder due to Alzheimer’s disease, you will first ask the man to:
A. match a set of cards to four stimulus cards.
B. pick up a piece of paper in his right hand, fold it in half, and put it in his lap.
C. copy geometric designs depicted in a set of cards.
D. draw from memory the geometric designs depicted in a set of cards.
Answer C is correct. Administration of the Bender-Gestalt II involves two phases – the copy phase in which the examinee is shown each design and asked to copy it “as best as you can,” and the recall phase in which the examinee is asked to draw as many of the designs as possible from memory. Answer A describes the administration procedure for the Wisconsin Card Sorting Test. Answer B describes one of the tasks of the Mini-Mental State Exam (MMSE). And answer D describes the second phase of the administration of the Bender-Gestalt II.
Poor performance on the Stroop Word and Color Test or the Tower of London Test is most suggestive of damage to the area of the brain that mediates:
A. short-term memory.
B. executive functions.
C. visual-motor integration.
D. receptive language.
Answer B is correct. The Stroop Test and the Tower of London Test are both sensitive to frontal lobe dysfunction, especially areas of the frontal lobe that are responsible for executive (higher-order cognitive) functions.
A score of 23 or lower on the Mini-Mental State Exam (MMSE) indicates:
A. normal functioning.
B. cognitive impairment.
C. severe depression.
D. a lack of responsiveness.
Answer B is correct. The maximum score on the MMSE is 30, and a score of 24 is usually used as the cutoff. Scores below 24 indicate cognitive impairment and, the lower the score, the greater the impairment.
A score of _____ on the Halstead Impairment Index indicates severe impairment.
A. 0
B. .5
C. .9
D. -10.0
Answer C is correct. The Halstead Impairment Index is derived by dividing the total number of subtests that indicate impaired performance by the total number of subtests. It ranges from 0 to 1.0, with a score of 0 to 0.2 indicating normal functioning, 0.3 to 0.4 indicating mild impairment, 0.5 to 0.7 indicating moderate impairment, and 0.8 to 1.0 indicating severe impairment.
