Lecture 59: Neuropsych Testing Flashcards Preview

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Flashcards in Lecture 59: Neuropsych Testing Deck (26):
1

Minnesota Multiphasic Personality Inventory

Objective personality test to identify normal personality structure and psychopathology w/ validity scales

2

Rorschach Ink Blots test: type and describe set-up

Projective personality assessment; 10 cards w/ free association and inquiry phase

3

Thematic Apperception Test (TAT): type and describe set-up

Projective personality test; subject asked to tell a dramatic story about pictures

4

Sentence completion test: type and describe set-up

Projective personality test; patient completes sentences started by an examiner ("I wish...")

5

Psychopathology rating scales/screening tools have two broad categories and examples of the later category

Research tools; Tools with clinical utility (Beck Depression Inventory and PHQ-9/2)

6

BDI particularly addresses

Cognitive symptoms of depression (thoughts/feelings)

7

Psychological Testing (def) and clinical uses (2)

Formal assessment of emotionality, intellectual abilities, personality characteristics and psychopathology; can aid in differential dx and treatment recommendations

8

Neuropsychological Testing (def)

Formal assessment of cognitive function, behavior, functional impairment

9

Goals of neuropsych testing

1. Dx; 2. Understand deficit and impact on fxn; 3. Measure change overtime; 4. Localization (?)

10

What can neuropsych testing not do

Answer cause of deficit

11

Neuropsych measures (2)

IQ and neurocognitive battery

12

Neurocognitive battery includes (6)

Processing speed, attention, WM, learning, problem solving, social cognition

13

Mental age vs chronological age

A person's level of intellectual functions vs actual age

14

Intelligent Quotient (IQ) definition according to age

IQ = Mental age/ Chronological age x 100

15

IQ pts for borderline intellectual functioning. IQ SD?

70-79; 15

16

VIQ includes

Verbal comprehension and WM

17

PIQ includes

Perceptual organization and processing speed

18

What's a test used to evaluate skills for daily living in mentally retarded individuals?

Vineland Social Maturity Scale

19

Tests of executive function (3)

Verbal fluency (name words w/ letter, category), stroop test, wisconsin card sorting test

20

Wisconsin card sorting test tests...Sensitive to what brain region?

Set-shifting; DLPFC

21

What test evaluates visual memory?

Rey Osterrieth Complex Figure Test

22

How to test verbal learning/memory?

California Verbal Learning Test

23

Clinical usefulness of formal neuropsych assessment

In absence of physical exam/imaging finding, can demonstrate whether or not a deficit exists and what it is and how it changes over time

24

What is a screen for Alzheimer's? What does it assess (6) and what does it NOT?

Mini-Mental Status Exam: attention, calculation, orientation, STM, language, visuospatial; does NOT assess executive function

25

What are the advantages of the MoCA?

Evaluates the domains of MMSE PLUS executive functions (clock-drawing and Trails)

26

Drawing tests for frontal lobe dysfunction

Loops (cannot inhibit drawing) and alternating patterns: square, triangle (notice pattern, set shift)

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