Deck 15: Neuropsychological Assessment

Question 1

Which is NOT a subspecialty of neuropsychology?

A) forensic neuropsychology.
B) school neuropsychology.
C) vocational neuropsychology.
D) geriatric neuropsychology.

Answer 1

C

Question 2

These brain lobes contain areas for auditory reception:

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

Answer 2

A

Question 3

A patient is referred to a counseling psychologist for a general assessment.Which of the following is LEAST likely to be part of the test battery routinely administered?

A) an intelligence test
B) a personality test
C) a perceptual-motor test
D) an acculturation measure

Answer 3

D

Question 4

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 5

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 6

As used in Chapter 15,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 7

As reported by Dr.Jeanne Ryan in Chapter 15'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 8

These brain lobes contain areas for visual reception:

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

Question 9

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

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

Question 10

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 11

"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 12

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 13

A test discussed in Chapter 15 of your textbook features a three-dimensional matrix and is designed to evaluate nonverbal reasoning primarily through the testtaker's

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

Question 14

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

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

Question 15

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

A) the Seashore Test of Musical Talent
B) the Piers-Harris Children's Self-Concept Scale
C) the Seguin-Goddard Formboard
D) the series finale of The Bachelorette.

Question 16

Which of the following is NOT a research question raised in an fMRI study cited in Chapter 15 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 17

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 18

This term refers to a deficit in writing ability:

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

Question 19

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) erasers
B) a whisper
C) a wire hanger
D) perfume

Question 20

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

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

Question 21

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 22

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

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

Question 23

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 24

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 25

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 26

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 27

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 28

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.

Question 29

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 30

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 31

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 32

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 33

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 34

In the Bender-Gestalt II,seven new items were added to the original test

A) in order to extend the range of ability tested.
B) because some of the original items were too verbal in nature.
C) to make the test more culturally neutral.
D) to compensate for test-taker colorblindness.

Question 35

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 36

A neuropsychological examination by an experienced neuropsychologist

A) varies widely 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 37

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 38

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 39

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 40

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 41

Which of the following is NOT true of picture absurdity items?

A) They are included as items on the Stanford-Binet Intelligence Scale.
B) They are uncommon on contemporary cognitive ability tests and batteries.
C) They are used as a measure of neuropsychological functioning.
D) They tap skills known to be important in piloting aircraft.

Question 42

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 43

The Tower of Hanoi is appealing

A) to testtakers because it is a puzzle-like task.
B) to testtakers because they receive instantaneous feedback on their performance.
C) to test users because it requires little more than paper-and-pencil to administer.
D) All of these

Question 44

Poor performance on a Wechsler Block Design subtest indicates

A) that the testtaker has a pre-senile dementia.
B) that the testtaker is suffering from Alzheimer's Disease.
C) that severe head trauma has occurred.
D) None of these

Question 45

The 7-Minute Screen and the Mini-Mental State Examination both measure

A) cognitive ability
B) language
C) memory
D) All of these

Question 46

Neuropsychological tests are LEAST likely to be used as

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.

Question 47

Which of the following is TRUE of the Wisconsin Card Sorting Test-64 Card Version?

A) The test is primarily used to screen for seizure disorders, psychotic disorders, and personality disorders.
B) Test results may suggest neurological impairment when in reality the testtaker is mentally ill.
C) The test was developed by a Wisconsin neuropsychologist best known for conducting taste-tests with 64 varieties of muenster cheese.
D) None of these

Question 48

The Porteus Maze Test is NOT

A) a measure of executive functioning.
B) to be used with children under the age of 8.
C) used to study personality traits of testtakers.
D) a measure used by neuropsychologists.

Question 49

A mental status examination conducted during the course of a neuropsychological evaluation may yield data regarding

A) the examinee's motor abilities.
B) the examinee's estimated intellectual functioning.
C) the examinee's sensory perception.
D) All of these

Question 50

As part of a mental status examination during a neuropsychological evaluation,a neuropsychologist would be LEAST likely to routinely evaluate

A) consciousness.
B) thought content.
C) physical appearance.
D) socioeconomic status.

Question 51

The Wechsler Memory Scale-III is appropriate for ages

A) 3-21.
B) 5-18.
C) 16-74.
D) 6-74.

Question 52

Which of the following neuropsychological tests BEST taps skills known to be important in both piloting aircraft and monitoring air traffic control?

A) Trail Making Test
B) Field of Search
C) Tower of Hanoi
D) Boston Naming Test

Question 53

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 related to the referral more extensively than the one used routinely 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.

Question 54

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 these

Question 55

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 these

Question 56

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 capable of doing everything a neurologist can do with a patient in most states.

Question 57

Each of the following might be performed by a neuropsychologist during the course of a routine neuropsychological evaluation EXCEPT

A) testing of reflexes.
B) taking of brain x-rays.
C) physical examination of muscle tone.
D) asking the assessee to skip from one end of the room to the other.

Question 58

The Tower of Hanoi is used

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 these

Question 59

A testtaker is shown a sample item and then must scan a group of items to find one that matches the sample.Which test is this testtaker taking?

A) Trail Making Test
B) Field of Search
C) Porteus Tests
D) The Mooney Problem Checklist

Question 60

A typical neuropsychological evaluation includes

A) a medical history of the patient.
B) a psychosocial history of the patient.
C) a history regarding developmental milestones.
D) All of these

Question 61

An administration of the Montreal Neuropsychological Institute Battery entails the administration of

A) the Wechsler Intelligence Test.
B) the Mooney Faces Test.
C) the Wisconsin Card Sorting Test.
D) All of these

Question 62

The NEPSY is to the Luria-Nebraska Neuropsychological Battery as the

A) Trail Making Test is to the Porteus Maze Test.
B) WISC-III is to the WAIS-III.
C) Tower of Hanoi is to the Bender.
D) Halstead-Reitan is to the Luria-Nebraska.

Question 63

Patients suffering from aphasia exhibit a loss of the ability to

A) perceive smells.
B) perceive sounds lower in volume than a "dollar watch."
C) express themselves orally or in writing.
D) hold their hands steady.

Question 64

If a patient performs poorly on a task entailing interpretation of well-known proverbs,a neuropsychologist would want to further investigate the patient's

A) ability to abstract.
B) possible deficits in organizational skills.
C) ability to be "oriented time three."
D) financial resources to pay for the consultation.

Question 65

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) cerebral hemorrhage.

Question 66

As compared to the Halstead-Reitan,the Luria-Nebraska

A) typically takes much longer to administer.
B) requires greater verbal ability.
C) is the more appropriate test for patients with aphagia.
D) is not for use by inexperienced clinicians.

Question 67

Which of the following is TRUE of a fixed,prepackaged neuropsychological test battery?

A) All of the tests in the battery are standardized.
B) All of the tests were developed based on one particular battery.
C) The tests can be administered in a flexible fashion.
D) Each test in the battery is designed to measure only one neuropsychological variable.

Question 68

The Severe Impairment Battery

A) entails an administration of the Tower of Hanoi.
B) reliably and validly assesses aphasia.
C) is used to assess the more severely impaired.
D) a and c

Question 69

The Halstead-Reitan Neuropsychological Test Battery

A) is relatively easy to administer and can be administered by paraprofessionals.
B) is useful in assessing perceptual, cognitive, and motor deficits.
C) can be administered in under two hours by a well-trained and experienced examiner.
D) Both b and c

Question 70

A patient had documented damage to the left hemisphere of the brain.Given this,a neuropsychologist would suspect that this patient would have difficulty moving

A) the left arm.
B) both arms.
C) the left leg.
D) the right leg.

Question 71

Which is NOT a subtest of the Halstead-Reitan Battery?

A) category
B) coding
C) tactual performance
D) finger-tapping

Question 72

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

Question 73

The study of neuropsychology is BEST characterized as the study of

A) nervous system/cognition relationships.
B) brain/behavior relationships.
C) stimulus/response relationships.
D) physical/platonic relationships.

Question 74

Which is TRUE of a flexible battery in neuropsychological assessment?

A) A flexible battery of tests is typically preferable to a standard or prepackaged battery because it is more tailored to the assessee's presenting problem.
B) Tests administered in a flexible battery frequently overlap with some of the functions typically assessed in a standard battery, although both should always be administered.
C) All tests in a flexible battery have usually been normed on similar populations.
D) Tests administered in a flexible battery are less time-consuming than those in a standard battery.

Question 75

Medical diagnostic procedures,such as PET scans and CT scans,are LEAST likely to be used to diagnose

A) epilepsy.
B) brain lesions.
C) brain tumors.
D) depression.

Question 76

The Bender-Visual Motor Gestalt Test

A) requires a considerable amount of time and special equipment to administer.
B) relies solely on qualitative clinical judgment because no normative data are available.
C) was re-standardized using year 2000 census data.
D) was designed to assess perceptual maturation and neurological impairment.

Question 77

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

Question 78

Which of the following is TRUE regarding a fixed,prepackaged neuropsychological test battery?

A) Great care is taken by the neuropsychologist in pre-selecting the tests to be administered.
B) Scoring guidelines are frequently vague and require subjective clinical judgment.
C) Each test in the battery is designed to measure only one neuropsychological variable.
D) It is most likely to be used by a novice rather than an experienced neuropsychologist.

Question 79

The Luria-Nebraska is

A) a personality assessment battery.
B) a flexible neuropsychological test battery.
C) a fixed neuropsychological test battery.
D) a patient expense for testing reimbursable from Mutual of Omaha.

Question 80

Most neuropsychologists prefer which of the following when conducting a neuropsychological evaluation?

A) a prepackaged neuropsychological battery
B) a flexible neuropsychological battery
C) the Halstead-Reitan
D) the Luria-Nebraska