Exam 2: cognitive-linguistic Ax Flashcards by Morgan Villa | Brainscape

Q

other ways to check speech-language

A

dynamic Ax, conversation, discourse

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Q

most important things to check if you only had limited time?

A

level of consciousness
vision, hearing acuity, dentition
basic language comprehension abilities
basic language production abilities
basic cognitive skills
swallowing abilities
neglect
IF TIME:
reading decoding & comprehension
writing
calculation
drawing

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Q

basic language comprehension abilities

A

following “point to” or touch commands
yes/no questions

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Q

basic language production abilities

A

general conversation
repetition
naming
description of picture

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Q

types of naming

A

responsive
confrontation
generative

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Q

responsive naming

A

“wh” questions

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Q

generative naming

A

word fluency task
generate certain words in a category

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Q

repetition task helps to

A

differentiate between corticals and transcorticals

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Q

basic cognitive skills

A

orientation
memory (declarative)

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Q

orientation

A

1 person
2 place
3 time

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Q

neglect

A

hemispatial neglect

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Q

writing task

A

name
address
sentence clinician speaks

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Q

calculation tasks

A

check 4 functions (+ - x ÷)

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Q

drawing tasks

A

clock
house

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Q

spontaneous speech subtest

A

how are you today?
have you been here before?
what is your name?
what is your address?
what is your occupation?
tell me a little about why you are here. OR what seems to be the trouble?
description of picture

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Q

scoring of spontaneous speech: nonfluent aphasia

A

never score a person with nonfluent aphasia above a 5

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Q

wab

A

western aphasia battery
lake picture

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Q

bdae

A

boston diagnostic aphasia examination
cookie theft picture

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Q

positive Hx of central neuropathology

A

aphasia

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Q

prior Hx of normal language

A

aphasia

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Q

lack of education but does not explain problems

A

aphasia

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Q

level of literacy does not explain the problem

A

aphasia

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Q

current environment could not explain the problem

A

aphasia

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Q

sudden onset

A

aphasia

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Q

negative Hx of central neuropathology

A

aphasic-like but normal language

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Q

prior Hx of limited language

A

aphasic-like but normal language

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Q

lack of education could explain the problems

A

aphasic-like but normal language

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Q

level of literacy could explain the problem

A

aphasic-like but normal language

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Q

current environment could explain the problem

A

aphasic-like but normal language

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Q

life-long problem

A

aphasic-like but normal language

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Q

sudden onset

A

aphasia

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Q

slow onset

A

dementia

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Q

damage to the left hemisphere

A

aphasia

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Q

bilateral brain damage

A

dementia

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Q

focal brain lesions

A

aphasia

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Q

diffuse brain damage

A

dementia

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Q

mood is usually appropriate, though depressed or frustrated at times

A

aphasia

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Q

may be moody, withdrawn, agitated

A

dementia

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Q

cognition is mostly intact

A

aphasia

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Q

mild to severely impaired cognition

A

dementia

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Q

memory is typically intact

A

aphasia

Q

memory is impaired to various degrees, often severely

A

dementia

Q

generally relevant, socially appropriate, and organized

A

aphasia

Q

often irrelevant, socially inappropriate, and disorganized

A

dementia

Q

semantic, syntactic, and phonologic performance simultaneously impaired

A

aphasia

Q

progression of deterioration from semantic to syntactic to phonologic performance

A

dementia

Q

fluent or nonfluent

A

aphasia

Q

fluent until symptoms get worse

A

dementia

Q

no confabulation

A

aphasia

Q

confabulation

A

confusion, schizophrenia

Q

early onset

A

schizophrenia

Q

late onset

A

aphasia

Q

thought disorders

A

schizophrenia

Q

inappropriate emotional responses

A

schizophrenia

Q

no left sided neglect

A

aphasia

Q

left side neglect

A

right hemisphere problems

Q

no denial of illness

A

aphasia

Q

denial of illness

A

right hemisphere problems

Q

lack of affect

A

right hemisphere problems

Q

generally normal affect

A

aphasia

Q

recognizing familiar faces

A

aphasia

Q

may not recognize familiar faces

A

right hemisphere problems

Q

simplification of drawings

A

aphasia

Q

rotation and left sided neglect

A

right hemisphere problems

Q

no significant prosodic defect

A

aphasia

Q

significant prosodic defect

A

right hemisphere problems

Q

inappropriate humor

A

right hemisphere problems

Q

may retell the essence of a story

A

aphasia

Q

may retell only nonessential, isolated details

A

right hemisphere problems

Q

may understand implied meanings

A

aphasia

Q

understands only literal meanings

A

right hemisphere problems

Q

pragmatic impairments more striking

A

right hemisphere problems

Q

though limited in language skills, communication is often good

A

aphasia

Q

though possessing good language skills, communication is very poor

A

right hemisphere problems

Q

pure linguistic deficits are dominant

A

aphasia

Q

pure linguistic deficits are NOT dominant

A

right hemisphere problems

Q

mini mental state examination

A

orientation
registration
recall
attention and calculation
language

Q

MMSE: 28-30

A

normal

Q

MMSE: 20-27

A

mild dementia

Q

MMSE:12-19

A

moderate dementia

Q

MMSE: 0-11

A

severe dementia

Q

SLUMS + high school education: 27-30

A

normal

Q

SLUMS + high school education: 21-26

A

MNCD

Q

SLUMS + high school education: 1-20

A

dementia

Q

SLUMS + < high school education: 25-30

A

normal

Q

SLUMS + < high school education: 20-24

A

MNCD

Q

SLUMS + < high school education: 1-19

A

dementia

Q

GDS 1

A

normal
no impairment in thinking, remembering, and reasoning

Q

GDS 2

A

very mild
forgetting names and objects

Q

GDS 3

A

mild
poor performance at work, beginning to get lost, not remembering material that is read

Q

GDS 4

A

moderate
cannot remember current events or information about one’s past and loss of ability to travel and handle finances

Q

GDS 5

A

moderately severe
cannot survive on their own; disoriented to time and place; only remembers major facts about themselves and others

Q

GDS 6

A

severe
unaware of surroundings, recent events, and past experiences; may not remember the name of family member

Q

GDS 7

A

very severe
loss of speech; requires assistance with toileting and feeing

Q

GDS

A

global deterioration scale
seven stages of dementia

Q

most common disease seen in all of medicine

A

depression

Q

occurs in 10-30% of all patients with AD and stroke

A

depression

Q

is caused by general medical illnesses or conditions 10-15% of the time

A

depression

Q

occurs in approx. 15-25% of patients in long term care facilities

A

depression

Q

management of depression

A

patient education
family education