SLP Neurogenic Communication Disorders 1 — Questions and Answers
Question 1: Which type of aphasia is characterized by non-fluent speech, relatively preserved auditory comprehension, and impaired repetition?
- Wernicke's aphasia
- Broca's aphasia (Correct answer)
- Anomic aphasia
- Transcortical sensory aphasia
Correct answer: Broca's aphasia
Broca's aphasia presents with non-fluent, effortful speech and relatively preserved auditory comprehension, with impaired repetition due to anterior lesions.
Question 2: A patient with Wernicke's aphasia would most likely demonstrate which communication profile?
- Non-fluent speech with good comprehension
- Fluent speech with impaired comprehension and paraphasias (Correct answer)
- Impaired reading with intact verbal output
- Preserved repetition with anomia only
Correct answer: Fluent speech with impaired comprehension and paraphasias
Wernicke's aphasia is characterized by fluent but meaningless speech with paraphasias and jargon, and severely impaired auditory comprehension due to posterior temporal lesions.
Question 3: Which aphasia type is characterized by severely impaired fluency, comprehension, and repetition across all language modalities?
- Anomic aphasia
- Broca's aphasia
- Global aphasia (Correct answer)
- Conduction aphasia
Correct answer: Global aphasia
Global aphasia involves severe impairment across all language modalities including fluency, comprehension, repetition, naming, reading, and writing, resulting from large perisylvian lesions.
Question 4: A patient demonstrates fluent speech with good comprehension but marked difficulty with repetition and frequent phonemic paraphasias. This profile is most consistent with:
- Transcortical motor aphasia
- Anomic aphasia
- Conduction aphasia (Correct answer)
- Broca's aphasia
Correct answer: Conduction aphasia
Conduction aphasia is characterized by fluent speech, relatively preserved comprehension, severely impaired repetition, and frequent phonemic paraphasias with conduite d'approche behavior.
Question 5: The Western Aphasia Battery (WAB) provides which primary measure used to classify aphasia severity and type?
- Aphasia Quotient (AQ) (Correct answer)
- Language Proficiency Index (LPI)
- Communication Effectiveness Index (CETI)
- Boston Severity Rating (BSR)
Correct answer: Aphasia Quotient (AQ)
The Western Aphasia Battery provides an Aphasia Quotient (AQ) score ranging from 0–100 that reflects overall aphasia severity and guides classification of aphasia type.
Question 6: Which feature BEST distinguishes transcortical motor aphasia from Broca's aphasia?
- Impaired auditory comprehension
- Preserved repetition ability (Correct answer)
- Fluent spontaneous speech
- Absence of word-finding difficulty
Correct answer: Preserved repetition ability
Transcortical motor aphasia differs from Broca's aphasia in that repetition is relatively preserved because the perisylvian language network remains intact despite supplementary motor area damage.
Question 7: Which aphasia type presents with fluent speech, good repetition, and good comprehension, but mild word-finding difficulty as the primary feature?
- Anomic aphasia (Correct answer)
- Transcortical sensory aphasia
- Conduction aphasia
- Wernicke's aphasia
Correct answer: Anomic aphasia
Anomic aphasia is characterized by fluent speech with intact repetition and comprehension, but significant word-finding difficulty (anomia) as the dominant deficit.
SLP Neurogenic Communication Disorders 1
Which type of aphasia is characterized by non-fluent speech, relatively preserved auditory comprehension, and impaired repetition?