Study

Aphasia types and characteristics

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  • A key characteristic of Broca’s aphasia is:
    Nonfluent speech with relatively good comprehension
    Severe jargon
    Poor auditory comprehension
    Errors where sounds are substituted (“papple” for “apple”)
  • The most common cause of aphasia is:
    Cerebellar infarct
    Loss of motor plan
    Left-hemisphere stroke in the MCA territory
    TBI
  • Aphasia is primarily a disorder of:
    Left-hemisphere stroke in the MCA territory
    Memory and attention
    Short, effortful speech with reduced phrase length
    Language processing affecting comprehension &/or expression
  • A patient whose auditory comprehension is strong but who produces only a few words with great effort likely demonstrates:
    Broca’s aphasia
    Anomic aphasia
    Conduction aphasia
    Wernicke’s aphasia
  • A hallmark of Wernicke’s aphasia is:
    Poor auditory comprehension with fluent but empty speech
    Good auditory comprehension
    Errors where sounds are substituted (“papple” for “apple”)
    Nonfluent speech with relatively good comprehension
  • Transcortical mixed aphasia is characterized by:
    Severe deficits in expression and comp. w/ preserved repet.
    Intact repetition with poor auditory comprehension
    Good reading comprehension
    Fluent speech with prominent word-finding difficulty
  • Wernicke’s aphasia is caused by damage to the:
    Insula
    Superior longitudinal fasciculus
    Supplementary motor area
    Posterior superior temporal gyrus
  • Which feature BEST differentiates transcortical motor aphasia (TMA) from Broca’s aphasia?
    Agrammatic spoken language
    Intact repetition despite reduced initiation of speech
    Nonfluent, effortful output
    Poor auditory comprehension
  • A patient produces fluent but meaningless sentences filled with neologisms. This is:
    Agrammatism
    Jargon aphasia
    Logorrhea
    Hypophonia
  • A hallmark feature that differentiates Wernicke’s aphasia from anomic aphasia is:
    Intact repetition
    Fluent speech
    Word-finding difficulty
    Severely impaired auditory comprehension
  • A patient repeats perfectly but cannot initiate conversation. This suggests:
    Conduction aphasia
    Broca’s aphasia
    Global aphasia
    Transcortical motor aphasia
  • Conduction aphasia is linked to damage in:
    The entire left perisylvian region
    Right frontal lobe
    Arcuate fasciculus
    Precentral gyrus
  • Fluent aphasias are characterized by:
    Short, effortful speech with reduced phrase length
    Normal prosody with paraphasias and reduced meaning
    Effortful output
    Agrammatism
  • Frequent circumlocutions with relatively preserved grammar and comprehension indicate:
    Broca’s aphasia
    Anomic aphasia
    Wernicke’s aphasia
    Global aphasia
  • A hallmark of Wernicke’s aphasia is:
    Nonfluent speech with relatively good comprehension
    Semantic substitutions
    Poor awareness of deficits (anosognosia)
    Strong repetition
  • A patient with strong auditory comprehension but very limited output and severe agrammatism likely has:
    Wernicke’s aphasia
    Broca’s aphasia
    Transcortical sensory aphasia (TSA)
    Anomic Aphasia
  • Repetition in Broca’s aphasia is:
    Superior to spontaneous speech
    Mildly impaired
    Intact
    Severely impaired
  • Broca’s aphasia is typically caused by damage to:
    Angular gyrus
    Posterior superior temporal gyrus
    Left inferior parietal lobe
    Left inferior frontal gyrus
  • A patient shows minimal spontaneous speech, preserved repetition, and intact naming when prompted. This is characteristic of:
    Transcortical motor aphasia
    Wernicke’s aphasia
    Mixed transcortical aphasia
    Global aphasia
  • Perseveration is MOST common in:
    Wernicke’s aphasia
    Global aphasia
    Broca’s aphasia
    Conduction aphasia
  • Global aphasia is MOST accurately described as:
    Severe expressive deficits with intact comprehension
    Severe impairments in expr., comp., naming, reading, & rep.
    Fluent speech with poor auditory comprehension
    Normal prosody with paraphasias and reduced meaning
  • A patient shows echolalia, poor comprehension, and intact repetition. This pattern is typical of:
    Transcortical Sensory Aphasia (TSA)
    Anomic Aphasia
    Conduction Aphasia
    Transcortical Mixed Aphasia
  • In anomic aphasia, repetition is typically:
    Absent
    Poor
    Severely impaired
    Relatively intact
  • Global aphasia involves:
    Severe jargon
    Severe impairments in all language modalities
    Poor awareness of deficits (anosognosia)
    Poor auditory comprehension
  • Anomic aphasia is marked by:
    Severe repetition impairment
    Fluent speech with prominent word-finding difficulty
    Nonfluent output
    Severe deficits in expression and comp. w/ preserved repet.
  • The lesion for global aphasia typically involves:
    The entire left perisylvian region
    Posterior superior temporal gyrus
    Occipital cortex
    Cerebellum
  • Repetition is most severely impaired in:
    Transcortical sensory aphasia
    Anomic aphasia
    Transcortical motor aphasia
    Conduction aphasia
  • Mixed transcortical aphasia is characterized by which pattern?
    Poor repetition, poor comprehension, poor naming
    Severe deficits in expr. & comp. with preserved repetition
    Strong naming with mild fluency deficits
    Fluent output but good comprehension
  • Global aphasia is most commonly associated with a lesion involving:
    Posterior cerebral artery infarct
    Entire L perisylvian region, often from a large MCA stroke
    Right temporal lobe
    The cerebellum
  • Nonfluent aphasias are characterized by:
    Normal prosody with paraphasias and reduced meaning
    Normal prosody
    Fluent but empty output
    Short, effortful speech with reduced phrase length
  • A patient produces minimal spontaneous speech, has very poor comprehension, but can repeat long sentences verbatim. This most strongly suggests:
    Transcortical sensory aphasia
    Global aphasia
    Wernicke’s aphasia
    Mixed transcortical aphasia
  • Literal/phonemic paraphasias are:
    Neologisms
    Errors where sounds are substituted (“papple” for “apple”)
    Semantic substitutions
    Telegraphic speech
  • Transcortical Sensory Aphasia (TSA) is often mistaken for:
    Anomic aphasia
    Conduction aphasia
    Broca’s aphasia
    Wernicke’s aphasia with preserved repetition
  • Good repetition + good comprehension + word-finding difficulties =
    Global aphasia
    Anomic aphasia
    Wernicke’s aphasia
    Broca’s aphasia
  • A patient presents with severe word-finding problems, intact comprehension, normal repetition, and difficulty producing low-frequency nouns. This most likely reflects:
    Broca’s aphasia
    Conduction aphasia
    Global aphasia
    Anomic aphasia
  • The main linguistic hallmark of conduction aphasia is:
    Poor auditory comprehension with fluent but empty speech
    Nonfluent speech with relatively good comprehension
    Severe impairments in all language modalities
    Severely impaired repetition with good comprehension
  • A patient presents with echolalia, severely impaired comprehension, but intact repetition. This pattern best indicates:
    Mixed transcortical aphasia
    Global aphasia
    Transcortical motor aphasia
    Transcortical sensory aphasia (TSA)
  • A repetition vs. comprehension dissociation best distinguishes:
    Anomia vs. agnosia
    Transcortical vs. non-transcortical aphasias
    Apraxia vs. dysarthria
    Fluent vs. nonfluent aphasia
  • Transcortical Motor Aphasia (TMA) typically presents with:
    Severely impaired repetition with good comprehension
    Good repetition with reduced initiation of speech
    Mild naming deficits
    Severely impaired comprehension with good repetition
  • Press of speech with poor comprehension and anosognosia indicates:
    Transcortical sensory aphasia
    Broca’s
    Transcortical motor aphasia
    Wernicke’s aphasia
  • A patient can name objects and comprehend well, but pauses often due to difficulty retrieving specific nouns in conversation. This strongly suggests:
    Wernicke’s aphasia
    Mixed transcortical aphasia
    Broca’s aphasia
    Anomic aphasia
  • A patient with fluent speech, frequent phonemic paraphasias, poor repetition, and good comprehension most likely has:
    Transcortical motor aphasia
    Conduction aphasia
    Transcortical sensory aphasia (TSA)
    Global aphasia
  • A patient shows severely impaired naming, relatively fluent output, intact repetition, and poor auditory comprehension. This profile MOST strongly suggests:
    Anomic aphasia
    Transcortical sensory aphasia (TSA)
    Wernicke’s aphasia
    Conduction aphasia
  • The presence of logorrhea (press of speech) strongly differentiates:
    Wernicke’s aphasia from conduction aphasia
    Global from transcortical mixed aphasia
    Wernicke’s from sensory aphasia
    Broca’s from Transcortical motor aphasia
  • Paraphasias refer to:
    Err. in word selection/ phoneme production in fluent speech
    Made-up, meaningless words produced in fluent aphasia
    Difficulty producing phonemes
    Reduced attention
  • A patient with fluent output, impaired comprehension, intact repetition, and semantic paraphasias likely has:
    Transcortical sensory aphasia (TSA)
    Anomic aphasia
    Broca’s aphasia
    Global aphasia
  • A person with fluent speech, poor comprehension, and good repetition most likely has:
    Conduction aphasia
    Transcortical sensory aphasia
    Wernicke’s aphasia
    Mixed transcortical aphasia
  • Neologisms are:
    Err. in word selection/ phoneme production in fluent speech
    Words used in jargon aphasia only
    Real words with altered meaning
    Made-up, meaningless words produced in fluent aphasia