Deck 14: Neuropsychological Assessment

Question 1

________ is an example of a neurological condition that is most typically diagnosed on the basis of presenting signs and symptoms rather than any formal test.

A) Diabetic neuropathy
B) Brain tumor
C) Microcephaly
D) Parkinson's disease

Answer 1

D

Question 2

According to Dr.Eric Kramer,when evaluating a patient for dementia,prior behavioral and medical records as compared to more current information may be particularly useful in identifying a potentially reversible cause of the observed cognitive dysfunction.Here,the category of "reversible causes" includes pathology related to

A) metabolic disturbances.
B) inflammatory conditions.
C) infectious conditions.
D) All of these

Answer 2

D

Question 3

The largest referral source for neuropsychologists is

A) psychologists.
B) neurologists.
C) pediatricians.
D) attorneys.

Answer 3

B

Question 4

According to Dr.Eric Kramer,it is during the initial interview that

A) the patient's ability to comprehend communication and to express thought is assessed.
B) tests such as the trail-making test are administered.
C) the social skills of the caregiver are informally evaluated.
D) All of these

Question 5

According to Dr.Eric Kramer,in an outpatient setting,the person coming for an evaluation of dementia typically

A) is accompanied by a significant other or caregiver.
B) complains of forgetfulness.
C) has word-finding difficulties.
D) All of these.

Question 6

According to Dr.Eric Kramer,when evaluating a patient for dementia,the possibility of the existence of dementia-like symptoms must be ruled out.One such test for that purpose measures

A) the amount of kale one has consumed.
B) the number of steps one has taken.
C) the amount of Vitamin B-12 in the body.
D) the amount of free uric acid in the bloodstream.

Question 7

According to Dr.Eric Kramer,red flags for the presence of dementia include

A) receipt of a number of late payment notices.
B) a recent accident or incident while driving-uncharacteristic of the patient in the past.
C) a sudden feeling of being lost in an otherwise familiar locale while driving or being driven.
D) All of these

Question 8

According to Dr.Eric Kramer,when evaluating a patient for dementia,it may be useful to determine if the patient has a prior history of

A) a gluten-free diet.
B) a syphillitic infection.
C) obsessive-compulsive disorder.
D) playing Pokemon Go.

Question 9

Which test was specifically cited by Dr.Eric Kramer as one typically administered in an in-office evaluation for dementia?

A) the UCLA Memory Test
B) the Montreal Cognitive Assessment
C) the Mini-Mental-Status-Examination
D) All of these

Question 10

A performance-based test which is abbreviated as the ______ is used to help in the assessment of one's capacity for independent living.

A) AAFR
B) SOS-1
C) TEFE
D) 911-FR

Question 11

It is second only to dementia as the most common neurological disorder in the world.

A) ALS
B) Multiple sclerosis
C) Microcephaly
D) Parkinson's disease

Question 12

According to Dr.Eric Kramer,a neurologist's in-office evaluation for dementia will typically begin with observation and an interview question like,

A) "What is your name?".
B) "Who referred you to this office?".
C) "Where are you right now?".
D) "Why are you seeking help at this time?".

Question 13

According to Dr.Eric Kramer,the existence of dementia-like symptoms is a state called

A) pseudo-dementia
B) petite-folie
C) memory-lapsis
D) None of these

Question 14

A second edition of the Bender-Gestalt was published ____ years after the original.

A) 8
B) 13
C) 18
D) 65

Question 15

According to Dr.Eric Kramer,a diagnosis of dementia,or senile dementia Alzheimer's type,is made

A) on the basis of three or more instance of forgetting in a week.
B) if senile dementia or Alzheimer's type markers are present in urine specimens.
C) using various psychological and biological tools of assessment.
D) All of these

Question 16

Being able to call for help and supply first responders with emergency-relevant information is referred to in the text as an

A) executive function.
B) emergency capability.
C) urgent capacity.
D) ability to multi-task.

Question 17

According to Dr.Eric Kramer,when evaluating a patient for dementia,a neurologist may order both an EEG and an MRI for the patient so that

A) the neurologist has data from both a static structural and dynamic functional evaluation.
B) the neurologist can compare brain pathology images at different critical points in time.
C) the neurologist can better evaluate the extent of current damage that has been done.
D) the neurologist's billing department is satisfied that every possible test that can be ordered has been ordered.

Question 18

According to Dr.Eric Kramer,a particular protein deposit in the blood vessels or the nerve cells that may act as a marker for senile dementia of the Alzheimer's type is called

A) a suetoxin.
B) an edithalid.
C) a jentinen.
D) an amyloid.

Question 19

According to Dr.Eric Kramer,when evaluating a patient for dementia,neuropsychological assessment has value in differentially diagnosing dementia of the

A) Alzheimer's type.
B) vascular type.
C) frontotemporal type.
D) All of these

Question 20

According to Dr.Eric Kramer,when evaluating a patient for dementia,the neurologist may order technologically sophisticated medical tests to provide information critical to making a differential diagnosis.In this context,Dr.Kramer made reference to a relatively new procedure that

A) attempts to identify a particular protein accruing in the blood vessels and nerve cells.
B) provides an image of the plaque and tangles thought to be causal in dementia.
C) yields a working map of the thyroid gland and its possible contribution to dementia-like symptoms.
D) scans for the amount of dopamine the brain has available for its use.

Question 21

Parkinson's disease results from cell loss in an area of the brain called the

A) cingulate gyrus.
B) superior colliculous.
C) substantia nigra.
D) None of these

Question 22

Of the following,who is considered the "founding father of neuropsychology"?

A) L. L. Thurstone
B) Ralph Reitan
C) Ward Halstead
D) Mehmet Oz

Question 23

Parkinson's disease is a neurological disorder characterized by

A) tremors.
B) slowness of movement.
C) problems with balance.
D) All of these.

Question 24

The elevation in certain chemicals that naturally occurs during exercise may

A) serve a protective function against dopamine depletion.
B) mimic the effects of certain anti-oxidants.
C) reduce depression in patients with Parkinson's disease.
D) All of these.

Question 25

Parkinson's disease

A) may be cured through regular dopamine infusions.
B) may be cured through deep brain stimulation.
C) both may be cured through regular dopamine infusions and may be cured through deep brain stimulation.
D) None of these.

Question 26

A DaTscan entails the use of high-tech imaging equipment to gauge

A) whether or not a brain tumor has changed in size.
B) approximately how damaged the brain is by plaque.
C) the amount of dopamine that is present in the brain.
D) approximately how damaged the brain is by tangles.

Question 27

A number of conditions can present like,and be misdiagnosed as Parkinson's disease.Which is NOT such a condition?

A) tremors induced by certain medications
B) serotonin deficiency syndrome
C) a neurological disorder called essential tremor
D) Lewy body dementia

Question 28

Many of the medications available to treat Parkinson's Disease elicit their own problems,such as dyskinesias.Dyskinesias are

A) slowness in standing from a seated position.
B) involuntary, jerking-type movements.
C) tremors spreading from one side of the body to the other.
D) muscular problems affecting the production of speech.

Question 29

Initially,Parkinson's disease may present as a

A) puzzling loss of perceptual-motor ability.
B) subtle loss of ability to focus attention.
C) clear problem in standing from a sitting position.
D) barely noticeable tremor in the finger.

Question 30

Possible problems reported by Parkinson's patients include

A) stiffness in the limbs or facial muscles.
B) issues with swallowing and salivation.
C) excessive, unexplained sweating.
D) All of these

Question 31

Psychologists who suspect that a patient may have undiagnosed Parkinson's disease should refer the patient for

A) a neurological battery to confirm the diagnosis.
B) a DaTscan to rule out the diagnosis.
C) an evaluation by a medical doctor.
D) an evaluation by a neurologist who specializes in movement disorders.

Question 32

The most common variety of Parkinson's disease is called idiopathic Parkinson's disease.Here,the adjective idiopathic may best be defined as

A) familial.
B) unpredictable.
C) of non-genetic origin.
D) of unknown origin.

Question 33

Ralph Reitan shied away from writing textbooks because he felt that

A) students had no basis of comparing his "readable" writing from other, difficult-to-get-through books.
B) his writing style was better suited to publication in scholarly journals.
C) he could do more good by personally presenting at scientific meetings.
D) writing textbooks should be reserved for the end of one's career.

Question 34

Parkinson's disease was first referred to as such by

A) Mesmer.
B) Charcot.
C) Rush.
D) None of these.

Question 35

Non-motor symptoms typically associated with Parkinson's disease include

A) depression.
B) indigestion.
C) compulsions.
D) All of these.

Question 36

Parkinson's disease results from a deficiency in the brain of

A) glutamate.
B) dopamine.
C) acetylcholine.
D) serotonin.

Question 37

In 1817,a British physician named _____________ authored a journal article entitled "An Essay on the Shaking Palsy."

A) James Parkinson
B) William Constable
C) Cecil Parkinson
D) Samuel Goldwyn

Question 38

Larrabee (2015)described a valid flexible battery that required about ____ hours of administration time including administration time for the MMPI-2.

A) 5
B) 7
C) 9
D) 11

Question 39

Legendary boxers like Muhammed Ali are thought to have contracted a form of Parkinson's disease called _________ as a result of repeated head trauma.

A) pugilistic Parkinson's
B) traumatic Parkinson's
C) concussive Parkinson's
D) Rocky Parkinson's

Question 40

As Parkinson's Disease progresses,patients typically complain of

A) unwanted nerve sensations.
B) loss of normal arm swing when walking.
C) difficulties associated with balance.
D) All of these.

Question 41

The dominant brain hemisphere takes the lead in all of the following EXCEPT

A) spatial recognition.
B) arithmetic calculations.
C) writing.
D) reading.

Question 42

As reported by Dr.Jeanne Ryan in Chapter 14's Meet an Assessment Professional feature,every athlete in the public school system of New York State must have on file a baseline neuropsychological assessment on file.Data from this assessment

A) is compiled for research on sports-related neurological injuries.
B) is used in the event that the athlete suffers a concussion.
C) has been helpful in designing treatment programs for athlete injuries.
D) All of these

Question 43

Which is true about Parkinson's Disease?

A) There is no cure.
B) There is no way to slow its progression.
C) It is best treated by a team of multi-discipline professionals.
D) All of these

Question 44

According to your textbook,so-called "unconscious memory" is thought to be accessible only by means of

A) hypnosis.
B) meditation.
C) indirect measures.
D) direct measures.

Question 45

The Romberg test is also referred to as the

A) standing still test.
B) nose-finger-nose test.
C) finger wiggle test.
D) walking-running-skipping test.

Question 46

Which of the following is NOT a research question raised in an fMRI study cited in Chapter 14 of your textbook?

A) How does traumatic brain injury impact the brain network that mediates memory?
B) How does depression moderate reward anticipation?
C) How does watching aggression on the tv show Cops affect the brain?
D) How does one's favorite song activate brain circuitry?

Question 47

At what age does a child typically reach the developmental milestone of being able to say "mama" and "da-da"?

A) 6 months
B) 9 months
C) 12 months
D) 18 months

Question 48

These brain lobes contain areas for visual reception:

A) temporal lobes.
B) occipital lobes.
C) parietal lobes.
D) frontal lobes.

Question 49

MRI is to fMRI as

A) photo is to video.
B) wrist is to arm.
C) standard definition is to high definition.
D) two-dimensional is to three-dimensional.

Question 50

As used in Chapter 14,the term pattern analysis refers to

A) a tool for evaluating eye-to-brain visual perception ability.
B) a pattern of test responses indicative of neuropsychological deficit.
C) a neuropsychological tool of assessment that entails feeling textures.
D) None of these

Question 51

"It's an ill wind that blows nobody good." One would MOST likely find this proverb on a neuropsychological test designed to measure

A) aptitude for meteorology.
B) episodic memory.
C) perceptual-motor ability.
D) the ability to abstract.

Question 52

If you did not have a copy of the UPSIT and had to improvise,which of the following would you be MOST LIKELY to employ in your evaluation of a patient?

A) water
B) a whisper
C) a wire hanger
D) perfume

Question 53

A test discussed in Chapter 14 of your textbook features a three-dimensional matrix.The test was designed to evaluate nonverbal reasoning primarily through the testtaker's

A) visual sense.
B) olfactory sense.
C) kinesthetic sense.
D) haptic sense.

Question 54

This term refers to a deficit in the sense of smell:

A) amusia.
B) anolfactoria.
C) ataxia.
D) anosmia.

Question 55

Cranial nerve damage as evidenced by neuroimaging is

A) a hard sign of neurological deficit.
B) a soft sign of neurological deficit.
C) indicative of a verbal-performance discrepancy.
D) All of these

Question 56

These brain lobes contain areas for auditory reception:

A) temporal lobes.
B) occipital lobes.
C) parietal lobes.
D) frontal lobes.

Question 57

According to your textbook,which of the following is BEST completed while the individual is blindfolded?

A) the Seashore Test of Musical Talent
B) the Piers-Harris Children's Self-Concept Scale
C) the Seguin-Goddard Formboard
D) getting dressed to attend the Grammy Awards

Question 58

This term refers to a deficit in writing ability:

A) acopia.
B) agnosia.
C) agraphia.
D) aphasia.

Question 59

Soft sign is to hard sign as

A) functional is to organic.
B) inborn is to acquired.
C) probable is to definite.
D) Robert Downey Jr. is to Iron Man.

Question 60

In 2010,the second edition of the MMSE was published.Which is TRUE of the MMSE-2?

A) It was also published in a brief version.
B) It was also published in an expanded version.
C) It should be used for screening, not diagnosis.
D) All of these

Question 61

Symptoms of a neurological deficit may become evident

A) during an intake interview.
B) during the administration of psychological tests.
C) as the result of the administration of a psychological test.
D) All of these

Question 62

Neuropsychologists

A) are trained to screen for signs and symptoms of neurological deficit.
B) make use of case-study information in the evaluation process.
C) may administer a test such as "Trail Making" in the evaluation process.
D) All of these

Question 63

The phenomenon of ________ operates when an injury to the right side of the brain results in sensory or motor deficit on the left side of the body.

A) diffuse organicity
B) contralateral control
C) bilateral functioning
D) reticular formulation

Question 64

If a patient reports having severe visual deficits while attempting to read a Facebook page,a neuropsychologist would suspect damage to the

A) occipital lobes.
B) limbic system.
C) frontal lobes.
D) Facebook server.

Question 65

Focal brain lesions

A) are diffusely scattered throughout the brain.
B) may have broad ramifications with regard to behavioral deficits.
C) may result in paralysis unless they are surgically addressed within 30 days of formation.
D) rarely have serious consequences.

Question 66

A patient exhibits deficits in word recall,vocabulary,and finding words to name things.A neuropsychologist would be MOST likely to consider diagnosing this patient with

A) akinesia.
B) apraxia.
C) anomia.
D) alcoholism.

Question 67

Neurology is to neuropsychology as

A) brains is to beauty.
B) psychiatry is to psychology.
C) prince is to pauper.
D) neuron is to neutron.

Question 68

The thalamus acts as

A) an executive controller for volitional motor movements that are transmitted from the brain to the muscles.
B) a communications relay station for sensory information being transmitted to the cerebral cortex.
C) visual-spatial sequencer for perceiving complex patterns of movement from the cingular gyrus.
D) a kind of brake on emotional impulses that exerts a calming influence when one becomes too angry.

Question 69

A neuropsychologist blindfolds a patient and then moves the patient's arms and legs in various positions.The patient is unable to identify where his limbs are located.The neuropsychologist would MOST likely suspect that the patient has suffered some sort of damage to the

A) frontal lobe.
B) temporal lobe.
C) parietal lobe.
D) occipital lobe.

Question 70

Neuropsychologists

A) do not conduct physical examinations of an individual, since that is the sole responsibility of the neurologist.
B) perform many of the noninvasive procedures that a neurologist might perform as part of a physical examination.
C) are trained in the use of equipment such as CT scans and PET scans.
D) are legally entitled to do everything a neurologist can do with a patient in most states.

Question 71

A client complains of memory loss,headaches,and hand tremors.Which test or assessment technique is LEAST likely to be used by a neuropsychologist?

A) a case history
B) a mental status examination
C) a measure of self-concept
D) a measure of intelligence

Question 72

If a patient suddenly begins to experience extremes in mood ranging from blunted affect to emotional outbursts,a neuropsychologist would suspect damage to the

A) limbic system.
B) cerebellum.
C) occipital lobes.
D) spinal cord.

Question 73

The hypothalamus

A) inhibits the emotional impulses generated by the thalamus with hormones.
B) regulates basic bodily functions such as eating, drinking, and body temperature.
C) makes smooth movements possible for complex motor and tactile sequences.
D) is primarily involved in the perception and recognition of complex visual patterns.

Question 74

A neuropsychological examination by an experienced neuropsychologist

A) varies as a function of the referral question.
B) consists of a standard battery of tests.
C) is usually initiated only if "hard signs" are found in screening.
D) is usually initiated only if "hard signs" are suspected.

Question 75

Problems with one's sense of touch are MOST likely related to injury to (or lesions in)

A) the frontal lobe.
B) the temporal lobe.
C) the occipital lobe.
D) the parietal lobe.

Question 76

A 16-year-old male suspected of drug abuse is referred for neuropsychological evaluation.Which tool of assessment is LEAST likely to be used?

A) case history data
B) familial medical history data
C) referral for blood and urine tests
D) a measure of creative thinking

Question 77

If a patient exhibits disturbances in sound discrimination,voice recognition,and auditory memory,a neuropsychologist would suspect damage to

A) the cerebellum.
B) the temporal lobe.
C) the occipital lobe.
D) the parietal lobe.

Question 78

A brain-injured patient appears impulsive and inattentive.She tends to make tactless comments in conversation,and seems unable to anticipate the consequences of her actions.Based on these facts,a neuropsychologist would suspect damage to which area of the brain?

A) the frontal lobe
B) the temporal lobe
C) the occipital lobe
D) the parietal lobe

Question 79

Which of these is likely to be a hard sign of neurological damage?

A) headaches
B) abnormal reflex responses
C) poor attention
D) consistent difficulty sleeping

Question 80

The terms organicity and neurological damage

A) both refer to damage to the brain, the spinal cord, and the peripheral nervous system.
B) are basically the same diagnostic entities and are unitary in nature.
C) were generally used interchangeably from about the time of World War I to the 1950s.
D) both refer to the fact that most brain-damaged children share a similar pattern of cognitive, behavioral, and motor deficits.