Jennifer Khouw
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Lecture 2

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Jennifer Khouw
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Neuropsych assessment

Neuropsych assessment

Question 1 of 61

1

Clinical neuropsychological applies to:

Select one of the following:

  • Humans only

  • Humans and all primates

  • Humans and mammals

  • Humans and chimpanzees

Explanation

Question 2 of 61

1

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

Select one or more of the following:

  • Clinical history

  • Psychological interview

  • Behavioural observations

  • Animal behaviour models

  • Response to neuropharmacology

Explanation

Question 3 of 61

1

Clinical neuropsychology evolved out of which parent disciplines?

Select one or more of the following:

  • Behavioural neurology

  • Clinical psychology

  • Socio-cognitive psychology

  • Behavioural neuropharmacology

  • Cognitive neuroscience

Explanation

Question 4 of 61

1

What can make an assessment neuropsychological?

Select one or more of the following:

  • The questions that prompted it

  • The main issues

  • The findings

  • The inferences

  • Being assigned to a neuropsychologist

  • Recommendation from primary physician

Explanation

Question 5 of 61

1

What is the opposite of localisation?

Select one of the following:

  • Lateralisation

  • Equipotentialism

  • Spatiality

Explanation

Question 6 of 61

1

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

Select one of the following:

  • Equipotentialism

  • Spatiality

  • Localisation

  • Lateralisation

Explanation

Question 7 of 61

1

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

Select one of the following:

  • Localisation

  • Equipotentialism

  • Lateralisation

  • Spatiality

Explanation

Question 8 of 61

1

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

Select one of the following:

  • Lezak (2012)

  • Farah & Gillihan (2012)

  • Costa & McCrae (1990)

  • Lewisham (2016)

Explanation

Question 9 of 61

1

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

Select one or more of the following:

  • Nature

  • Extent

  • Location

  • Duration

  • Cause

Explanation

Question 10 of 61

1

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

Select one of the following:

  • Equipotentialism

  • Localisation

  • Lateralisation

  • Spatiality

Explanation

Question 11 of 61

1

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

Drag and drop to complete the text.

    Traumatic Brain Injury
    Stroke
    Dementia
    Substance Abuse
    Oxygen deprivation
    Infections

Explanation

Question 12 of 61

1

Ischaemic = ___________; haemorrhagic= __________

Select one of the following:

  • Blockage; bleed

  • Bleed; blockage

  • Rupture; constriction

  • Constriction; rupture

Explanation

Question 13 of 61

1

What is true of TBI?

Select one or more of the following:

  • 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

Explanation

Question 14 of 61

1

Which of the following are causes of acquired neuropsychological disorders?

Select one or more of the following:

  • Substance Abuse

  • Oxygen Deprivation

  • Herpes Simplex

  • HIV/AIDS

  • Invasive brain tumours

  • HPV

  • Non-invasive brain tumours

  • Schizophrenia

Explanation

Question 15 of 61

1

Neuropsychological assessment is the most effective tool for diagnosing:

Select one or more of the following:

  • Mild TBI

  • Early-onset dementia

  • Late-onset dementia

  • Dementia with Lewy Bodies

  • Ischaemic stroke

  • Haemorrhagic stroke

Explanation

Question 16 of 61

1

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

Select one of the following:

  • Lateralisation

  • Localisation

  • Locationalisation

  • Linearitisation

Explanation

Question 17 of 61

1

Which brain disorders commonly lateralise?

Select one or more of the following:

  • Stroke

  • Focal gunshot wound

  • Vascular dementia

  • Ischaemic stroke

  • Herpes Simplex

Explanation

Question 18 of 61

1

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

Select one of the following:

  • 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

Explanation

Question 19 of 61

1

Currently, what are the purposes of neuropsychological assessment?

Select one or more of the following:

  • 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

Explanation

Question 20 of 61

1

What questions might be asked when establishing functional capacity?

Select one or more of the following:

  • Can they live independently?

  • Can they drive?

  • What other services/interventions do they need?

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

Explanation

Question 21 of 61

1

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

Select one of the following:

  • improvement

  • decline

  • full recovery

  • stagnation

Explanation

Question 22 of 61

1

Over time, dementia usually:

Select one of the following:

  • worsens

  • improves

  • remains static

Explanation

Question 23 of 61

1

What is true of forensic neuropsychological assessment?

Select one or more of the following:

  • 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

Explanation

Question 24 of 61

1

What is a psychological test?

Select one or more of the following:

  • Measuring device

  • Procedure designed to measure psych-related variables

  • Tool

  • Provide comprehensive diagnostic information

Explanation

Question 25 of 61

1

What information can neuropsychological assessment take into account?

Select one or more of the following:

  • Test scores

  • Direct observation

  • Info provided by family

  • Objective info from other records

  • Patient's personal preferences

Explanation

Question 26 of 61

1

Which of the following are approaches to neuropsychological assessment?

Select one or more of the following:

  • Process

  • Composite battery

  • Fixed battery

  • Partial battery

  • Syndrome

  • Paralegal

Explanation

Question 27 of 61

1

Which approach uses the Luria-Nebraska?

Select one of the following:

  • Fixed battery

  • Composite battery

  • Syndrome

  • Partial battery

  • Paralegal

  • Process

Explanation

Question 28 of 61

1

What is true of the Fixed Battery Approach?

Select one or more of the following:

  • 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

Explanation

Question 29 of 61

1

What are some disadvantages of the Fixed Battery Approach?

Select one or more of the following:

  • Fatigue

  • Does not administer enough tests

  • Does not take into account context

  • Often administered by a psychometrician

  • No direct observation

Explanation

Question 30 of 61

1

What is true of the Composite Battery approach?

Select one or more of the following:

  • Uses the Luria-Nebraska

  • Does not allow for hypothesis-testing

  • Administers a small battery of tests

  • Often uses Weschler tests

Explanation

Question 31 of 61

1

What is true of the Syndrome approach?

Select one or more of the following:

  • 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

Explanation

Question 32 of 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?

Select one of the following:

  • Pymble

  • Gordon

  • Turramurra

  • Killara

  • Hornsby

Explanation

Question 33 of 61

1

What are the characteristics of Balint's syndrome?

Select one or more of the following:

  • Optic ataxia

  • Gaze dyspraxia

  • Object ataxia

  • Simultanagnosia

  • Prosopagnosia

  • Apperceptive agnosia

  • Neglect

Explanation

Question 34 of 61

1

What is true of simultanagnosia?

Select one or more of the following:

  • 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

Explanation

Question 35 of 61

1

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

Select one or more of the following:

  • Gaze dyspraxia

  • Gaze ataxia

  • Simultagnosia

  • Optic ataxia

Explanation

Question 36 of 61

1

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

Select one of the following:

  • Optic ataxia

  • Simultanagnosia

  • Gaze dyspraxia

  • Apperceptive agnosia

  • Neglect

Explanation

Question 37 of 61

1

What is true of the Process approach?

Select one or more of the following:

  • 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

Explanation

Question 38 of 61

1

What is true of Poreh and Kaplan's work?

Select one or more of the following:

  • 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

Explanation

Question 39 of 61

1

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

Select one of the following:

  • Top left

  • Top right

  • Centre

  • Anywhere left of centre

  • Bottom left

  • Mid-right

Explanation

Question 40 of 61

1

What is the mildest form of neglect?

Select one of the following:

  • Rightward orienting bias

  • Partial neglect

  • Dyspraxia

  • Ataxia

Explanation

Question 41 of 61

1

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

Select one of the following:

  • 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

Explanation

Question 42 of 61

1

What is true of Standard conditions?

Select one or more of the following:

  • 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

Explanation

Question 43 of 61

1

What is true of optimal conditions?

Select one or more of the following:

  • Modifies the test

  • Helps to elucidate the impaired function

  • Allows for use of normative data

  • Removes all test validity

Explanation

Question 44 of 61

1

What is true of norms?

Select one or more of the following:

  • 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

Explanation

Question 45 of 61

1

How is premorbid functioning estimated?

Select one or more of the following:

  • 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

Explanation

Question 46 of 61

1

When can people be motivated to under-perform?

Select one or more of the following:

  • Compensation claims

  • Reducing prison sentence

  • Desire for attention

  • Escaping conscription

  • Impress a new boy/girlfriend

Explanation

Question 47 of 61

1

What is true of practise effects?

Select one or more of the following:

  • 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

Explanation

Question 48 of 61

1

What is true of the Wisconsin Card Sorting Test?

Select one or more of the following:

  • Requires cognitive flexibility

  • Especially susceptible to novelty effects

  • Measures neuroticism

  • Cannot be done via computer

Explanation

Question 49 of 61

1

What are examples of qualitative data?

Select one or more of the following:

  • General attitude to testing

  • Motor behaviour

  • Affect/mood

  • Z scores

  • Raw scores

Explanation

Question 50 of 61

1

Fill the blank spaces to complete the text.

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

Explanation

Question 51 of 61

1

Fill the blank spaces to complete the text.

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

Explanation

Question 52 of 61

1

What is true of Pattern Analysis?

Select one or more of the following:

  • 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]

Explanation

Question 53 of 61

1

What is true of clinical signifiance?

Select one or more of the following:

  • = 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

Explanation

Question 54 of 61

1

What is Veridicality?

Select one or more of the following:

  • 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

Explanation

Question 55 of 61

1

What is Verisimilitude?

Select one or more of the following:

  • How well the cognitive test mimics real world situations

  • How well the cognitive test correlates with real world outcomes

Explanation

Question 56 of 61

1

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

Select one of the following:

  • Veridicality

  • Verisimilitude

  • Verity

  • Vermillion

Explanation

Question 57 of 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?

Select one of the following:

  • Veridicality

  • Verisimilitude

  • Verity

  • Vermillion

Explanation

Question 58 of 61

1

What is the Vector Approach?

Select one or more of the following:

  • 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

Explanation

Question 59 of 61

1

What is true of the BREIF-A?

Select one or more of the following:

  • = 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

Explanation

Question 60 of 61

1

What is true of the Cognitive Failures questionnaires?

Select one or more of the following:

  • Follows peoples' day-to-day cognitive challenges

  • Can get self-report and informant versions

  • Gold-standard of self-report executive function measures

  • More holistic

Explanation

Question 61 of 61

1

Fill the blank space to complete the text.

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

Explanation

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