Exam 2: cognitive-linguistic Ax Flashcards by Morgan Villa

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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negative Hx of central neuropathology

aphasic-like but normal language

prior Hx of limited language

aphasic-like but normal language

lack of education could explain the problems

aphasic-like but normal language

level of literacy could explain the problem

aphasic-like but normal language

current environment could explain the problem

aphasic-like but normal language

life-long problem

aphasic-like but normal language

sudden onset

aphasia

slow onset

dementia

damage to the left hemisphere

aphasia

bilateral brain damage

dementia

focal brain lesions

aphasia

diffuse brain damage

dementia

mood is usually appropriate, though depressed or frustrated at times

aphasia

may be moody, withdrawn, agitated

dementia

cognition is mostly intact

aphasia

mild to severely impaired cognition

dementia

memory is typically intact

aphasia

memory is impaired to various degrees, often severely

dementia

generally relevant, socially appropriate, and organized

aphasia

often irrelevant, socially inappropriate, and disorganized

dementia

semantic, syntactic, and phonologic performance simultaneously impaired

aphasia

progression of deterioration from semantic to syntactic to phonologic performance

dementia

fluent or nonfluent

aphasia

fluent until symptoms get worse

dementia

no confabulation

aphasia

confabulation

confusion, schizophrenia

early onset

schizophrenia

late onset

aphasia

thought disorders

schizophrenia

inappropriate emotional responses

schizophrenia

no left sided neglect

aphasia

left side neglect

right hemisphere problems

no denial of illness

aphasia

denial of illness

right hemisphere problems

lack of affect

right hemisphere problems

generally normal affect

aphasia

recognizing familiar faces

aphasia

may not recognize familiar faces

right hemisphere problems

simplification of drawings

aphasia

rotation and left sided neglect

right hemisphere problems

no significant prosodic defect

aphasia

significant prosodic defect

right hemisphere problems

inappropriate humor

right hemisphere problems

may retell the essence of a story

aphasia

may retell only nonessential, isolated details

right hemisphere problems

may understand implied meanings

aphasia

understands only literal meanings

right hemisphere problems

pragmatic impairments more striking

right hemisphere problems

though limited in language skills, communication is often good

aphasia

though possessing good language skills, communication is very poor

right hemisphere problems

pure linguistic deficits are dominant

aphasia

pure linguistic deficits are NOT dominant

right hemisphere problems

mini mental state examination

orientation registration recall attention and calculation language

MMSE: 28-30

normal

MMSE: 20-27

mild dementia

MMSE:12-19

moderate dementia

MMSE: 0-11

severe dementia

SLUMS + high school education: 27-30

normal

SLUMS + high school education: 21-26

MNCD

SLUMS + high school education: 1-20

dementia

SLUMS + < high school education: 25-30

normal

SLUMS + < high school education: 20-24

MNCD

SLUMS + < high school education: 1-19

dementia

GDS 1

normal no impairment in thinking, remembering, and reasoning

GDS 2

very mild forgetting names and objects

GDS 3

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

GDS 4

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

GDS 5

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

GDS 6

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

GDS 7

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

GDS

global deterioration scale seven stages of dementia

most common disease seen in all of medicine

depression

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

depression

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

depression

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

depression

management of depression

patient education family education