Name _____________________________________ Score _________/100
 

1. Provide the appropriate label for each of the following definitions (10)
 

	Example: substituting "sofa" for "chair"
	unawareness or denial of deficits
	memory for events
	slow movement or difficulty initiating movement
	difficulty recognizing familiar or famous faces
	sound substitution error
	involuntary motor behaviors expressing emotions that are not actually experienced
	nonword produced by individuals with aphasia or dementia, thought to reflect gross sound or semantic errors
	blood clot that blocks an artery
	refers to speech that is halting and effortful

2. Describe the cognitive and communicative characteristics associated with right hemisphere damage. (5)

3. You are asked to see a patient with a referral diagnosis of "conduction aphasia." What characteristics would you expect this patient to exhibit? (5)

4. It turns out the patient doesn't really "sound" like they have conduction aphasia. What are some reasons that the label of "conduction aphasia" might be applied to a person who now doesn't fit that description? (5)

5. Using the following scale, provide the ratings you would expect patients with the following types of aphasia to exhibit. (10)

1= normal 2= not as impaired as other areas 3= as impaired as other areas
4= more impaired than other areas 5=very impaired
 

	Spontaneous Speech	Auditory Comprehension	Repetition	Naming
Example (Broca's)	3	2	3	3
Transcortical Motor
Wernicke's
Anomic

6. Discuss the issue of "site of lesion" as it applies to the pathophysiology of CVA versus TBI. (5)

7. Compare and contrast apraxia of speech and dysarthria (5)

8. Compare and contrast flaccid, UUMN, and spastic dysarthria (10)

9. Compare and contrast Parkinson's disease and Alzheimer's disease (10)

10. You are asked to provide tx to a patient 3 days post-onset a left MCA stroke. What deficits might you expect to see? (5)

11. Describe the "classic" characteristics of ataxic dysarthria (5).

12. True/False (10)

_____ Alzheimer's disease is the most common cause of dementia

_____ Hemorrhagic strokes have a better prognosis than ischemic strokes

_____ Festination is associated with Parkinson's disease

_____ Patients with cognitive disorders often exhibit near normal syntax

_____ Individuals who have been exposed to heavy metals are at risk for developing Parkionson's disease

_____ Patients with flaccid dysarthria may exhibit bilateral weakness

_____ Spastic dysarthria is the only dysarthria associated with increased speech rate

_____ Children can exhibit motor speech disorders

_____ Apraxia of speech is most commonly associated with spastic dysarthria

_____ Individuals with global aphasia often exhibit echolalia
 

13. Aphasia is defined as a "multimodal disorder." What does this mean? (5)

14. One of your patients has a lesion in the internal capsule and exhibits a mixed dysarthria (spastic, ataxic). Explain how this could be. (5)

15. Discuss the relevance of intracranial pressure to adequate neurological function (5)