1. BEKA EDGAR RACHEL FARMER RACHEL MCKELROY SARA RUFFNER Aphasias

2. __________ typically refers to acquired disorders of language processing secondary to brain disease. A. Apraxia B. Aphasia C. Dysphasia D. Dementia E. Dysarthria  Intelligence is not affected  In contrast to congenital or developmental language problems (dysphasia), motor speech disorders (dysarthria, dysphonia, apraxia), or impaired thought processes (dementia, schizophrenia). B. APHASIA!

3. Which is NOT a major type of aphasia? A. Broca’s B. Transcortical Motor C. Anomia D. Wernicke’s E. Conduction Less common impairment than Broca's aphasia. B. TRANSCORTICAL MOTOR!!

4. Broca’s Area is important for: A. Tear production B. Saliva production C. Cerumen production D. Voice production E. Speech production  Spontaneous speech is nonfluent and agrammatical.  Speech becomes slow and labored.  It may sound telegraphic, with function words like articles, conjunctions, and prepositions missing but responses generally makes sense.  Speech articulation is slurred. E. SPEECH PRODUCTION!

5. Which is a characteristic of Broca’s aphasia? A. Patients understanding of numbers is poor. B. Patients can only understand rhyming words. C. Patients spontaneous writing is poor, but reading comprehension is better D. Patients can understand social cues but cannot explain them if prompted. E. Patients understanding of language is poor unless spoken very loudly. In Broca’s aphasia, comprehension is not seriously affected Repetition IS affected ANSWER: D!!

6. A person with ___________ aphasia lacks auditory comprehension, but uses fluent, meaningless speech. A. Broca’s B. Auditory Cortex C. Wernicke’s D. Transcortical Motor E. Anomic As temporal lobe is affected, auditory comprehension is impaired. Words are often inappropriate, if not sheer nonsense (neologistic paraphasia). C. WERNICKE’S!!

7. In this type of aphasia, it is common for sounds to be combined in wrong sequences i.e., “veletision” for “television.” A. Anomic B. Agnosia C. Global D. Dysgraphia E. Conduction  Transpositions of sounds within a word ("television" → "velitision") are common - Sounds are combined in wrong sequences.  ‘Stop’ may come out ‘pots’, ‘tops’, ‘post’.  Hearing word repeated correctly does not improve performance.  Patient is aware of these errors and makes efforts at self-correction. E. CONDUCTION!!

8. ___________ is characterized by the production of unintended syllables, words, or phrases during the effort to speak. A. Paraphasia B. Gerstmann’s Syndrome C. Homunculus D. Dysfluency E. Diplopia Paraphasia refers to the production of unintended syllables, words, or phrases during the effort to speak A. PARAPHASIA!!

9. Damage to _________________________, the white matter that connects Broca’s Area and Wernicke’s Area, may result in conduction aphasia. A. Corpus callosum B. Arcuate fasciculus C. Lingual gyrus D. Island of Reil E. Sylvian fissure Conduction aphasia is caused by damage to the nerve fibers in the arcuate fasciculus, which connects Wernicke's and Broca's areas. B. ARCUATE FASCICULUS!!

10. Patients with conduction aphasia show all the following characteristics EXCEPT: A. Speech is fluent B. Comprehension is impaired C. Oral reading is poor D. Repetition is poor E. Sounds are transpositioned Patients with conduction aphasia show the following characteristics:  Speech is fluent  Comprehension remains good  Oral reading is poor  Repetition is poor B. COMPREHENION IS IMPAIRED

11. ALL language aspects are severely impaired in this aphasia: A. Conduction B. Ataxic C. Transcortical mixed D. Anomic E. Global Sum of Broca’s & Wernicke’s aphasia. Typically the result of a large blockage of the middle cerebral artery. Signs/symptoms –  Typically nonfluent or mute & exhibit impaired comprehension  All language aspects (speech, naming, comprehension, repetition, reading & writing) are severely impaired. E. GLOBAL!!

12. Global aphasia is typically a result of a large blockage of __________ artery: A. Basilar B. Lateral Cerebral C. Posterior Communicating D. Middle Cerebral E. Vertebral B. MIDDLE CEREBRAL!!

13. In this aphasia persons have difficulty remembering or recognizing familiar names: A. Broca’s B. Retrograde C. Anomic D. Conduction E. Wernicke’s C. ANOMIC APHASIA!!

14. Anomia is caused by isolated damages to various parts of the ______ lobe or the _______lobe: A. insular, parietal B. frontal, parietal C. frontal, temporal D. parietal, occipital E. parietal, temporal Anomia is caused by isolated damages to various parts of the parietal lobe or the temporal lobe. E. PARIETAL, TEMPORAL!!

15. This broad category of aphasia’s is characterized by… Lesions that do not directly affect the primary language areas or the circuit between the Broca’s and Wernicke’s area, but to other areas that project to the language cortex. A. Wernicke’s B. Broca’s C. Transcortical D. Motor E. Conduction C. TRANSCORTICAL!!

16. What are the types of transcortical aphasias? A. Motor B. Sensory C. Mixed D. A and C E. All of the above Three types of transcortical aphasia:  Transcortical motor aphasia  Transcortical sensory aphasia  Transcortical mixed aphasia E. ALL OF THE ABOVE!!

17. ________ is a defining quality of ALL transcortical aphasias? A. Preserved repetition skills B. Impaired comprehension C. Writing skills intact D. Naming E. Fluent speech Because the arcuate fasciculus is intact A. PRESERVED REPETITION SKILLS

18. Transcortical motor aphasia is typically due to an injury to the ________ lobe, in an area sometimes referred to as a watershed region. A. Parietal B. Frontal C. Temporal D. Occipital E. Insular The “watershed” region is the region surrounding Broca’s Area. Comprehension is intact, but patient is nonfluent B. FRONTAL!

19. Which aphasia is typically seen in patients with Alzheimer’s disease? A. Transcortical Sensory B. Anomic C. Conduction D. Wernicke’s E. Broca’s Transcortical sensory aphasia is typically associated with lesions to the left posterior temporo-occipital lobe sparing the Wernicke’s region.  Is also seen in patients with Alzheimer’s disease. A. TRANSCORTICAL SENSORY!!

20. Transcortical Mixed Aphasia is the transcortical equivalent of ________ aphasia. A. Wernicke’s B. Broca’s C. Anomic D. Global E. Conduction In this rare condition, Broca's area, Wernicke’s area, and the arcuate fasciculus are intact but the watershed region around them is damaged. D. GLOBAL!!

21. Which of the following are characteristics of Transcortical Sensory Aphasia? A. Impaired reading comprehension B. Unimpaired auditory comprehension C. Writing unaffected D. All of the above E. None of the above Typically associated with lesions to the left posterior temporo- occipital lobe sparing the Wernicke’s region. Reading and Writing are impaired because the area surrounding Wernicke’s is affected. A. Impaired reading comprehension

22. A lesion to this area of the brain will result in what type of aphasia? A. Conduction B. Wernicke’s C. Broca’s D. Global E. Anomia B. Wernicke’s

23. A lesion to this area of the brain will result in what type of aphasia? A. Transcortical Sensory B. Broca’s C. Wernicke’s D. Global E. Anomic D. Global

24. A lesion to this area of the brain will result in what type of aphasia? A. Anomic B. Transcortical Sensory C. Conduction D. Broca’s E. Wernicke’s C. Conduction

25. A lesion to this area of the brain will result in what type of aphasia? A. Conduction B. Transcortical Motor C. Wernicke’s D. Global E. Broca’s

26. Fill in the following chart.

27. Ok, but seriously, fill in whether each of these characteristics is deficient or relatively spared in Broca’s Aphasia.

28. Chart Answers