Jennifer Khouw
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Lecture 2

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Jennifer Khouw
Criado por Jennifer Khouw mais de 6 anos atrás
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Neuropsych assessment

Questão 1 de 61

1

Clinical neuropsychological applies to:

Selecione uma das seguintes:

  • Humans only

  • Humans and all primates

  • Humans and mammals

  • Humans and chimpanzees

Explicação

Questão 2 de 61

1

Clinical neuropsychological assessment means interpreting test performance within the context of:

Selecione uma ou mais das seguintes:

  • Clinical history

  • Psychological interview

  • Behavioural observations

  • Animal behaviour models

  • Response to neuropharmacology

Explicação

Questão 3 de 61

1

Clinical neuropsychology evolved out of which parent disciplines?

Selecione uma ou mais das seguintes:

  • Behavioural neurology

  • Clinical psychology

  • Socio-cognitive psychology

  • Behavioural neuropharmacology

  • Cognitive neuroscience

Explicação

Questão 4 de 61

1

What can make an assessment neuropsychological?

Selecione uma ou mais das seguintes:

  • The questions that prompted it

  • The main issues

  • The findings

  • The inferences

  • Being assigned to a neuropsychologist

  • Recommendation from primary physician

Explicação

Questão 5 de 61

1

What is the opposite of localisation?

Selecione uma das seguintes:

  • Lateralisation

  • Equipotentialism

  • Spatiality

Explicação

Questão 6 de 61

1

Which perspective says that the size of a lesion is important but its location is not?

Selecione uma das seguintes:

  • Equipotentialism

  • Spatiality

  • Localisation

  • Lateralisation

Explicação

Questão 7 de 61

1

Which perspective says that the location of the lesion is more important than the size?

Selecione uma das seguintes:

  • Localisation

  • Equipotentialism

  • Lateralisation

  • Spatiality

Explicação

Questão 8 de 61

1

Who said that brain damage needs to be considered measurable and multi-dimensional?

Selecione uma das seguintes:

  • Lezak (2012)

  • Farah & Gillihan (2012)

  • Costa & McCrae (1990)

  • Lewisham (2016)

Explicação

Questão 9 de 61

1

Which of the following affects the behavioural consequences of a lesion?

Selecione uma ou mais das seguintes:

  • Nature

  • Extent

  • Location

  • Duration

  • Cause

Explicação

Questão 10 de 61

1

Strategic Lacunar infarcts can have a bigger impact than large infarcts. Which perspective does this support?

Selecione uma das seguintes:

  • Equipotentialism

  • Localisation

  • Lateralisation

  • Spatiality

Explicação

Questão 11 de 61

1

List the most common causes of acquired neuropsychological disorders, from most to least common:
1.
2.
3.

Arraste e solte para completar o texto.

    Traumatic Brain Injury
    Stroke
    Dementia
    Substance Abuse
    Oxygen deprivation
    Infections

Explicação

Questão 12 de 61

1

Ischaemic = ___________; haemorrhagic= __________

Selecione uma das seguintes:

  • Blockage; bleed

  • Bleed; blockage

  • Rupture; constriction

  • Constriction; rupture

Explicação

Questão 13 de 61

1

What is true of TBI?

Selecione uma ou mais das seguintes:

  • Least common cause of acquired neuropsychological disorders

  • Happens when a mechanical force meets the head

  • Causes neurons to stretch/shear

  • Causes glia to stretch/shear

  • Rarely due to accidents

Explicação

Questão 14 de 61

1

Which of the following are causes of acquired neuropsychological disorders?

Selecione uma ou mais das seguintes:

  • Substance Abuse

  • Oxygen Deprivation

  • Herpes Simplex

  • HIV/AIDS

  • Invasive brain tumours

  • HPV

  • Non-invasive brain tumours

  • Schizophrenia

Explicação

Questão 15 de 61

1

Neuropsychological assessment is the most effective tool for diagnosing:

Selecione uma ou mais das seguintes:

  • Mild TBI

  • Early-onset dementia

  • Late-onset dementia

  • Dementia with Lewy Bodies

  • Ischaemic stroke

  • Haemorrhagic stroke

Explicação

Questão 16 de 61

1

Some brain disorders exclusively affect the left or right hemisphere. What is the name of this concept?

Selecione uma das seguintes:

  • Lateralisation

  • Localisation

  • Locationalisation

  • Linearitisation

Explicação

Questão 17 de 61

1

Which brain disorders commonly lateralise?

Selecione uma ou mais das seguintes:

  • Stroke

  • Focal gunshot wound

  • Vascular dementia

  • Ischaemic stroke

  • Herpes Simplex

Explicação

Questão 18 de 61

1

Damage to the dominant hemisphere means the patient will most likely:

Selecione uma das seguintes:

  • Perform worse in verbal activities than nonverbal activities

  • Perform worse in nonverbal activities than verbal activities

  • Perform worse in spatial than non-spatial activities

  • Perform worse in non-spatial than spatial activities

Explicação

Questão 19 de 61

1

Currently, what are the purposes of neuropsychological assessment?

Selecione uma ou mais das seguintes:

  • Determine cognitive capabilities and deficits

  • Establish functional capacity

  • Develop a treatment/rehab plan

  • Clarify diagnosis

  • Measure change over time

  • Diagnose size and shape of lesion

Explicação

Questão 20 de 61

1

What questions might be asked when establishing functional capacity?

Selecione uma ou mais das seguintes:

  • Can they live independently?

  • Can they drive?

  • What other services/interventions do they need?

  • How will they get home from the hospital/rehab?

Explicação

Questão 21 de 61

1

In cases of acquired brain injury, time should lead to:

Selecione uma das seguintes:

  • improvement

  • decline

  • full recovery

  • stagnation

Explicação

Questão 22 de 61

1

Over time, dementia usually:

Selecione uma das seguintes:

  • worsens

  • improves

  • remains static

Explicação

Questão 23 de 61

1

What is true of forensic neuropsychological assessment?

Selecione uma ou mais das seguintes:

  • Also called "medico-legal" assessment

  • Commonly done by junior neuropsychologists

  • Neuropsychologist considered an expert witness

  • Everything you do has to be defensible in a court of law

  • Rely on patient having had premorbid neuropsychological assessment

Explicação

Questão 24 de 61

1

What is a psychological test?

Selecione uma ou mais das seguintes:

  • Measuring device

  • Procedure designed to measure psych-related variables

  • Tool

  • Provide comprehensive diagnostic information

Explicação

Questão 25 de 61

1

What information can neuropsychological assessment take into account?

Selecione uma ou mais das seguintes:

  • Test scores

  • Direct observation

  • Info provided by family

  • Objective info from other records

  • Patient's personal preferences

Explicação

Questão 26 de 61

1

Which of the following are approaches to neuropsychological assessment?

Selecione uma ou mais das seguintes:

  • Process

  • Composite battery

  • Fixed battery

  • Partial battery

  • Syndrome

  • Paralegal

Explicação

Questão 27 de 61

1

Which approach uses the Luria-Nebraska?

Selecione uma das seguintes:

  • Fixed battery

  • Composite battery

  • Syndrome

  • Partial battery

  • Paralegal

  • Process

Explicação

Questão 28 de 61

1

What is true of the Fixed Battery Approach?

Selecione uma ou mais das seguintes:

  • Gives every test in large batteries

  • Gives tests pulled from large batteries at the neuropsychologist's discretion

  • Very common in Australia

  • Can take 4-5 hours

  • Covers a broad range of cognitive functions

  • Follows the hypothesis-testing approach

  • Usually standardised

  • Often uses Weschler tests

Explicação

Questão 29 de 61

1

What are some disadvantages of the Fixed Battery Approach?

Selecione uma ou mais das seguintes:

  • Fatigue

  • Does not administer enough tests

  • Does not take into account context

  • Often administered by a psychometrician

  • No direct observation

Explicação

Questão 30 de 61

1

What is true of the Composite Battery approach?

Selecione uma ou mais das seguintes:

  • Uses the Luria-Nebraska

  • Does not allow for hypothesis-testing

  • Administers a small battery of tests

  • Often uses Weschler tests

Explicação

Questão 31 de 61

1

What is true of the Syndrome approach?

Selecione uma ou mais das seguintes:

  • Follows the medical model

  • Most popular approach

  • Most common in stroke

  • Most common in TBI

  • Describe patient's performance in regards to its closeness to an established syndrome

  • Describe patient's performance in regards to its closeness to normal functioning

Explicação

Questão 32 de 61

1

What is the name given to a tiny metal object lying on the ground that turns out to be a large object buried deep?

Selecione uma das seguintes:

  • Pymble

  • Gordon

  • Turramurra

  • Killara

  • Hornsby

Explicação

Questão 33 de 61

1

What are the characteristics of Balint's syndrome?

Selecione uma ou mais das seguintes:

  • Optic ataxia

  • Gaze dyspraxia

  • Object ataxia

  • Simultanagnosia

  • Prosopagnosia

  • Apperceptive agnosia

  • Neglect

Explicação

Questão 34 de 61

1

What is true of simultanagnosia?

Selecione uma ou mais das seguintes:

  • Perceptual version of tunnel vision

  • Can't process more than 1 piece of visuo-spatial info at a time

  • Can't process more than 1 piece of visual info at a time

  • Renders person unable to count the number of objects on the desk without using their hand

  • Can't voluntarily shift gaze

Explicação

Questão 35 de 61

1

What do you call it when a person can't voluntarily shift their gaze?

Selecione uma ou mais das seguintes:

  • Gaze dyspraxia

  • Gaze ataxia

  • Simultagnosia

  • Optic ataxia

Explicação

Questão 36 de 61

1

Completely missing someone's hand when going in for a handshake may be a sign of:

Selecione uma das seguintes:

  • Optic ataxia

  • Simultanagnosia

  • Gaze dyspraxia

  • Apperceptive agnosia

  • Neglect

Explicação

Questão 37 de 61

1

What is true of the Process approach?

Selecione uma ou mais das seguintes:

  • Focuses on binary outcome of test

  • Focuses on strategies used by patient to arrive at the outcome

  • More quantitative than qualitative

  • Greater focus on clinical than statistical methods

Explicação

Questão 38 de 61

1

What is true of Poreh and Kaplan's work?

Selecione uma ou mais das seguintes:

  • Quantified the Process approach

  • Called Quantified Process Approach

  • Allows for statistical evaluation of the Process Approach

  • Quantified the Composite Battery approach

  • Called Numerical Battery Approach

Explicação

Questão 39 de 61

1

80% of people in Western countries begin the Bells Test from the:

Selecione uma das seguintes:

  • Top left

  • Top right

  • Centre

  • Anywhere left of centre

  • Bottom left

  • Mid-right

Explicação

Questão 40 de 61

1

What is the mildest form of neglect?

Selecione uma das seguintes:

  • Rightward orienting bias

  • Partial neglect

  • Dyspraxia

  • Ataxia

Explicação

Questão 41 de 61

1

In the Bells test, what is the criteria for neglect?

Selecione uma das seguintes:

  • 3 more bells omitted on one side compared to the other

  • 4 bells omitted overall

  • At least 1 bell omitted on one side and 0 bells omitted on the other

  • 2 bells omitted on each side

  • All bells in periphery omitted

Explicação

Questão 42 de 61

1

What is true of Standard conditions?

Selecione uma ou mais das seguintes:

  • Provides a patient's test score in relation to their peers

  • Expect a poor result in the suspected-impaired area

  • Adds in unnecessary error

  • Makes measurement less precise

  • Allows patient cross-comparison

  • Helps to elucidate the impaired function

Explicação

Questão 43 de 61

1

What is true of optimal conditions?

Selecione uma ou mais das seguintes:

  • Modifies the test

  • Helps to elucidate the impaired function

  • Allows for use of normative data

  • Removes all test validity

Explicação

Questão 44 de 61

1

What is true of norms?

Selecione uma ou mais das seguintes:

  • The vast majority of tests are highly correlated with age

  • Have to at least match your norms to your patient's age group

  • Verbal tests depend on education

  • Visuo-spatial tests always vary by education

  • Australia has large norms on Chinese-Australians

Explicação

Questão 45 de 61

1

How is premorbid functioning estimated?

Selecione uma ou mais das seguintes:

  • Measure cognitive functions that are usually not affected by brain injury

  • Often measures irregular word reading

  • Can use Weschler Test of Adult Reading (WTAR)

  • Often uses WAIS

  • Can use the Test of Premorbid Functioning

  • Compare test results to norms

  • Can also use demographics

Explicação

Questão 46 de 61

1

When can people be motivated to under-perform?

Selecione uma ou mais das seguintes:

  • Compensation claims

  • Reducing prison sentence

  • Desire for attention

  • Escaping conscription

  • Impress a new boy/girlfriend

Explicação

Questão 47 de 61

1

What is true of practise effects?

Selecione uma ou mais das seguintes:

  • Pretty much plateaus out after 3rd administration

  • True improvement/decline is outside the CIs for the true score

  • Can be resolved by using parallel forms

  • Are less common in memory tests

Explicação

Questão 48 de 61

1

What is true of the Wisconsin Card Sorting Test?

Selecione uma ou mais das seguintes:

  • Requires cognitive flexibility

  • Especially susceptible to novelty effects

  • Measures neuroticism

  • Cannot be done via computer

Explicação

Questão 49 de 61

1

What are examples of qualitative data?

Selecione uma ou mais das seguintes:

  • General attitude to testing

  • Motor behaviour

  • Affect/mood

  • Z scores

  • Raw scores

Explicação

Questão 50 de 61

1

Preencha os espaços em branco para completar o texto.

Write in numerals:
Z score: Mean = , SD=
Scaled score: Mean= , SD=
Standard score: Mean of , SD=
T-score: Mean= , SD=

Explicação

Questão 51 de 61

1

Preencha os espaços em branco para completar o texto.

In a standard scale:
50% of scores are between and
80% of scores are between and
95% of scores are between and
Under is intellectual impairment

Explicação

Questão 52 de 61

1

What is true of Pattern Analysis?

Selecione uma ou mais das seguintes:

  • Looks at patterns of impairment

  • Compares patient's profile against known clinical profiles

  • Eg dementia will have above-average performance on memory tasks

  • Flat(ish) profile= significant brain impairment

  • Can use the Repeatable Battery for the Assessment of Neuropsychological Statis [RBANS]

Explicação

Questão 53 de 61

1

What is true of clinical signifiance?

Selecione uma ou mais das seguintes:

  • = The reliability of the difference between 2 test scores

  • = How unusual the difference between 2 test scores is in the normal population

  • Interesting if the difference only occurs in 5-10% of normal population

  • Clinical groups have similar curves to control groups

Explicação

Questão 54 de 61

1

What is Veridicality?

Selecione uma ou mais das seguintes:

  • How well the cognitive test correlates with real world outcomes

  • How well the cognitive test mimics real world situations

  • Correlations between existing tests and functional measures

  • Unstandardized tests

Explicação

Questão 55 de 61

1

What is Verisimilitude?

Selecione uma ou mais das seguintes:

  • How well the cognitive test mimics real world situations

  • How well the cognitive test correlates with real world outcomes

Explicação

Questão 56 de 61

1

The Trail Making Test Part B correlates highly with the Occupational Therapy Driving Assessment. What is this an example of?

Selecione uma das seguintes:

  • Veridicality

  • Verisimilitude

  • Verity

  • Vermillion

Explicação

Questão 57 de 61

1

The Tes of Everyday Attention tests ability to perform real world (albeit anachronistic) applications of cognitive functions. What is this an example of?

Selecione uma das seguintes:

  • Veridicality

  • Verisimilitude

  • Verity

  • Vermillion

Explicação

Questão 58 de 61

1

What is the Vector Approach?

Selecione uma ou mais das seguintes:

  • Using all available data

  • Drawing conclusions about likely diagnosis

  • Drawing conclusions about likely prognosis

  • Less holistic

  • Less ecological validity

  • Any data inconsistent with the diagnosis must be accounted for

Explicação

Questão 59 de 61

1

What is true of the BREIF-A?

Selecione uma ou mais das seguintes:

  • = Behaviour Rating Inventory of Executive Functioning for Adults

  • Has poor psychometrics

  • Gold-standard of self-report executive functioning measures

  • Has self-report and informant versions

Explicação

Questão 60 de 61

1

What is true of the Cognitive Failures questionnaires?

Selecione uma ou mais das seguintes:

  • Follows peoples' day-to-day cognitive challenges

  • Can get self-report and informant versions

  • Gold-standard of self-report executive function measures

  • More holistic

Explicação

Questão 61 de 61

1

Preencha o espaço em branco para completar o texto.

Answer in numerals to 1dp:
Tests tend to have a correlation with real world functioning

Explicação

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