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14 - Neuropsychological Assessment
14 - Neuropsychological Assessment
Neuropsychological Assessment
4. Distortions in the sense of touch and distortions in bodily self-perception are related to
damage in the
a. frontal lobe.
b. temporal lobe.
c. occipital lobe.
*d. parietal lobe.
Topic: The nervous system and behavior
5 You blindfold a patient and then move the patient’s arms and legs in various positions but
the patient cannot identify where his limbs are located. You might suspect damage to the
a. frontal lobe.
b. temporal lobe.
c. occipital lobe.
*d. parietal lobe.
Topic: The nervous system and behavior
7. The hypothalamus
a. inhibits the emotional impulses generated by the thalamus.
*b. regulates basic bodily functions such as eating, drinking, body temperature, sexual
behavior, and emotion.
c. makes smooth movements possible for complex motor sequences.
d. is involved in the perception of complex visual patterns.
Topic: The nervous system and behavior
8. The hypothalamus
a. inhibits the emotional impulses generated by the thalamus.
*b. regulates basic bodily functions such as eating, drinking, body temperature, sexual
behavior, and emotion.
c. makes smooth movements possible for complex motor sequences.
d. is involved in the perception of complex visual patterns.
Topic: The nervous system and behavior
11. 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 the above
Topic: Overview
12. 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 formation
Topic: Neurological damage and the concept of organicity
13. If a patient experiences deficits in visual reception, visual scanning, and recall of visual
imagery, we might suspect damage to the
a. frontal lobes.
b. limbic system.
*c. occipital lobes.
d. reticular formation.
Topic: The nervous system and behavior
14 If a patient suddenly begins to experience extremes in mood ranging from blunted affect
to emotional outbursts, we might suspect damage to
*a. the limbic system.
b. the cerebellum.
c. the occipital lobes.
d. the spinal cord.
Topic: The nervous system and behavior
17. A person who exhibits deficits in word recall, vocabulary, and finding words to name
things may be suffering from
a. akinesia.
b. apraxia.
*c. anomia.
d. agraphia.
Topic: Neurological damage and the concept of organicity
20. 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 thorough case history and diagnostic interview
b. a mental status examination
*c. measures of self-concept
d. measures of intelligence
Topic: The neuropsychological examination
21. A 16-year-old male suspected of drug abuse is referred for psychological evaluation.
Which test or other assessment tool is LEAST likely to be used?
a. case history data including school records
b. familial medical history data
c. referral for physiological examination including blood and urine tests
*d. measures of creative thinking
Topic: The neuropsychological examination
22. Neuropsychologists
a. do not conduct physical examinations of an individual, since that is the 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. usually evaluate only muscle tone and strength as part of their physical examination
of the individual.
Topic: The neuropsychological examination
25. The mental status examination used as part of the neuropsychological evaluation
a. is exactly the same as a mental status examination used during a clinical or
counseling assessment.
*b. will typically delve into specific areas of interest more extensively than the one used
as part of a clinical or counseling assessment.
c. typically includes the administration of an intelligence test.
d. typically includes the administration of a neuropsychologically oriented adjective
checklist.
Topic: The neuropsychological mental status examination
26. All of the following are assessed as a part of the mental status examination during a
neuropsychological evaluation except
a. consciousness.
b. thought content.
c. physical appearance.
*d. orientation to taste.
Topic: The neuropsychological mental status examination
27. Each of the following might be performed by a neuropsychologist during the course of a
neuropsychological evaluation EXCEPT
a. testing of reflexes.
*b. administration of X rays.
c. physical examination of muscle tone.
d. asking the assessee to skip from one end of the room to the other.
Topic: The neuropsychological examination
28. Which of the following does the 7-Minute Screen and the Mini-Mental State Examination
measure?
a. cognitive ability
b. language
c. memory
*d. all of the above
Topic: Interviews and rating scales
29. The 7-Minute Screen was developed to identify symptoms associated with which of the
following?
a. personality disorders
*b. Alzheimer’s disease
c. seizure disorders
d. all of the above
Topic: Interviews and rating scales
30. Which of the following is TRUE of the Wisconsin Card Sorting Test-64 Card Version?
a. The test is only useful for screening for neurological impairment with suspected
frontal lobe injury.
*b. Caution in interpretation is necessary because test results may suggest neurological
impairment when the testtaker is exhibiting mental illness without neurological
impairment.
c. In addition to frontal lobe injury, the test is useful in diagnosing seizure disorders.
d. All of the above are true.
Topic: Neuropsychological tests
31. The Tower of Hanoi is a useful tool for which of the following purposes?
a. as a measure of various aspects of executive functioning
b. as a measure of planning ability
c. as a measure of cognitive flexibility
*d. all of the above
Topic: Neuropsychological tests
32. For which of the following has the Porteus Maze Test NOT been found useful?
a. as a measure of executive functioning
b. to study personality traits of testtakers
*c. for use with children
d. all of the above
Topic: Neuropsychological tests
33. Which of the following represents a difference between the Trail Making Tests, Tower of
Hanoi, and the Porteus Maze Test?
a. The three do not all measure aspects of cognitive functioning.
*b. The three require paper and pencil.
c. The three measure planning ability.
d. None of the above represents a difference between the three neuropsychological
tests.
Topic: Neuropsychological tests
34. The Trail Making Tests are part of which neuropsychological test battery?
*a. Halstead-Reitan
b. Kaufman Assessment Battery
c. Woodcock-Johnson III
d. none of the above
Topic: Neuropsychological tests
35. A task is which the testtaker is shown a sample item and then must scan a group of items
to match with the sample as quickly as possible is known as which of the following?
a. Trail Making Test
*b. Field of Search
c. Porteus Tests
d. none of the above
Topic: Neuropsychological tests
36. Which of the following neuropsychological tests have been found to assess abilities
important in piloting an aircraft and monitoring air traffic control?
a. Trail Making Test
*b. Field of Search
c. Tower of Hanoi
d. Boston Naming Test
Topic: Neuropsychological tests
38. Neuropsychological tests are most typically used as all of the following EXCEPT
a. an adjunct to medical examinations.
b. an aid in assessing a person’s ability to stand trial.
*c. an aid in identifying intellectual giftedness.
d. a measure of outcome in rehabilitation research.
Topic: Neuropsychological tests
39. Poor performance on the Block Design and other performance subtests of the Wechsler
scales along with high scores on the Verbal subtests indicates
*a. possible damage in the right hemisphere of the brain.
b. possible damage in the left hemisphere of the brain.
c. severe head trauma.
d. a “deterioration quotient” (DQ) often seen in adolescents who crave softserve ice
cream.
Topic: Neuropsychological tests
42. Asking a patient to explain the meaning of proverbs such as “The early bird catches the
worm” may assist a neuropsychologist in assessing a cognitive deficit in which area?
a. planning
b. vocabulary
*c. abstraction
d. orientation
Topic: Tests of general intellectual ability
44. A person who performs very poorly in reproducing abstract geometric forms on a paper-
and-pencil task is most likely to have a deficit in which area of functioning?
a. visual scanning ability
b. visual response speed
c. visual sequential memory
*d. visual-motor integration
Topic: Perceptual, motor, and perceptual-motor tests
47. Most neuropsychologists prefer which of the following when conducting an evaluation?
a. a prepackaged neuropsychological battery
*b. a flexible neuropsychological battery
c. The Halstead-Reitan
d. The Luria-Nebraska
Topic: The flexible battery
51. Which of the following represents a criticism of the Luria-Nebraska as compared to the
Halstead-Reitan?
a. The Luria takes a longer time to administer.
*b. The need for language skills is overrepresented on the Luria.
c. The Luria leads to an over diagnosis of Aphasia.
d. All of the above represent criticisms of the Luria.
Topic: Other fixed neuropsychological batteries
53. Which of the following published tests are included in the Montreal Neuropsychological
Institute Battery?
a. The Wechsler Intelligence Tests
b. The Mooney Faces Test
c. The Wisconsin Card Sorting Tests
*d. all of the above
Topic: Other fixed neuropsychological batteries
54. Which of the following represents the unique contribution of the Severe Impairment
Battery?
a. It reliably and validly assesses epilepsy.
b. It reliably and validly assesses aphasia.
*c. It assesses the more severely impaired.
d. All of the above represent unique contributions.
Topic: Other fixed neuropsychological batteries
57. Medical diagnostic procedures, such as PET scans and CT scans, would be LEAST likely to
be used to diagnose
a. epilepsy.
b. brain lesions.
c. brain tumors.
*d. schizophrenia.
Topic: Everyday Psychometrics: Medical Diagnostic Aids in Neuropsychological Assessment
59. If a person has experienced damage to the left hemisphere of the brain, you might expect
to observe that person having difficulty moving
a. the left arm.
b. both arms.
c. the left leg.
*d. the right leg.
Topic: The nervous system and behavior
60. If damage from an infection was limited to a deficit in the sense of smell, this deficit could
BEST be attributed to a
a. contralateral defect.
b. diffuse lesion.
*c. focal lesion.
d. fissure.
Topic: Neurological damage and the concept of organicity
62. A neuropsychologist might draw information from which of the following during a
neuropsychological examination?
a. a personality measure
b. a measure of intellectual functioning
c. a specific neuropsychological test
*d. all of the above
Topic: The neuropsychological examination
71. The Symbol Search subtest of the WISC-III is an example of which type of test?
a. verbal memory test
*b. perceptual-motor test
c. test of abstract reasoning
d. test of gross and fine motor ability
Topic: Perceptual, motor, and perceptual-motor tests
74. The precise location of a brain tumor could best be identified by means of
*a. a CT scan.
b. an X ray.
c. an electromyograph (EMG).
d. a spinal tap.
Topic: Everyday Psychometrics: Medical Diagnostic Aids and Neuropsychological Assessment
77. Wisconsin Card Sorting Test (WCST) studies indicate that high scores indicative of
impairment are obtained by people with neurological impairments, along with people
with mental disorders who do not have neurological impairments. This latter finding is
indicative of which type of problem with the WCST?
*a. false positives
b. false negatives
c. true negatives
d. true positives
Topic: Tests of cognitive functioning
78. If a testtaker is asked to name familiar objects, write familiar words, and follow verbal
instructions on a test that takes 15 minutes or less, he or she would most likely be taking
a. the Wisconsin Card Sorting Test.
b. the Halstead-Reitan Neuropsychological Battery.
c. the Wechsler Memory Scale.
*d. the Aphasia Screening Test.
Topic: Tests of verbal functioning
79. Children with chronic middle-ear infections often have low scores on the Sequenced
Inventory of Communication Development (SCID). This is evidence of _________________
for the test.
a. test-retest reliability
b. internal-consistency reliability
*c. construct validity
d. content validity
Topic: Tests of verbal functioning
80. According to the text, the increasing ability of physicians to identify brain damage with
scans and other medical technology will likely
a. lessen the importance of neuropsychological testing and assessment.
*b. prompt neuropsychologists to develop better testing techniques for understanding
cognitive strengths and weaknesses.
c. make neuropsychological testing and assessment shift its focus from diagnosis to
remediation.
d. encourage neuropsychologists to return to school, this time for an M.D. degree.
Topic: A perspective
83. The Wechsler Memory Scale-III taps primarily which type of memory?
a. procedural
b. semantic
*c. declarative episodic
d. all of the above
Topic: The WMS-III
84. Neuropsychological deficits in organizing and planning can BEST be assessed by which of
the following?
a. the Wechsler Similarities Test
b. a proverb interpretation test
*c. the Porteus Maze Test
d. an object sorting test
Topic: Other tests
86. Neuropsychologists use the Wechsler Scales for which of the following?
a. only as a measure of current intellectual functioning
*b. to help identify neuropsychological impairment
c. as a stand-alone measure of neurological impairment
d. to establish rapport prior to administering the Halstead-Reitan battery
Topic: Other tests
87. The ability of a first grader to recite the alphabet only in kindergarten class and not at
home when asked by his parents is an example of which type of long-term memory?
a. procedural
b. implicit
*c. context-dependent
d. b and c
Topic: Memory
88. Your ability to remember all of the different types of reliability represents an example of
__________ memory.
a. procedural
*b. declarative
c. short-term
d. b and c
Topic: Memory
89. Based on the findings in the Chapple case, which of the following would be
recommended?
a. a flexible neuropsychological test battery
*b. a fixed neuropsychological test battery
c. avoidance of neuropsychological test batteries
d. unobtrusive measures of neuropsychological functioning
Topic: Close-up: Fixed versus flexible Neuropsychological test batteries and the law
90. Getting dressed in the morning is an example of which kind of long-term memory?
*a. procedural
b. declarative
c. episodic
d. context-dependent
Topic: Memory
91. Which of the following is TRUE of short-term memory according to the model presented
in the text?
*a. Passive and active components of short-term memory are included.
b. Only active components are included.
c. Only passive components are included.
d. All information in short-term memory is encoded into long-term memory.
Topic: Memory
92. Individuals who lack awareness, insight, and the ability to recognize problems are referred
to as
a. agnostic.
*b. anosognostic.
c. amnesiac.
d. “Trekkies”.
Topic: Assessment of insight
93. Factor-analytic research with the Wechsler Memory Scale-III suggests that
*a. different factor solutions emerge based on age.
b. g emerges in adulthood but not old age.
c. no one factor can be used to explain test performance.
d. none of the above
Topic: The WMS-III
94. Attention, concentration, and related factors play what role in the model of memory
presented in the text?
a. They play a role only in episodic and procedural memory.
b. They enhance memory to the extent that they are operating normally.
*c. They determine which input becomes conscious.
d. They inhibit memory when operative under extreme conditions.
Topic: Memory