Practice Test Geeks(ABCN) American Board of Clinical Neuropsychology Practice Test
← All ABCN Flashcard Decks

Patient Assessment and Evaluation Flashcards

7 cards from real ABCN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Assessment and Evaluation flashcards as text

  1. A clinician administers the Rey-Osterrieth Complex Figure (ROCF) and finds the patient's copy is fragmented with poor organizational strategy. This PRIMARILY reflects impairment in:

    Answer: Visuoconstructional ability and planning

    Fragmented, disorganized ROCF copies indicate impaired visuoconstructional ability and executive planning during the copy condition.

  2. In the context of ecological validity, which assessment approach BEST captures real-world functional abilities in patients with acquired brain injury?

    Answer: Naturalistic or performance-based measures alongside standardized tests

    Combining naturalistic or performance-based measures with standardized tests maximizes ecological validity and functional relevance.

  3. The Test of Memory Malingering (TOMM) uses a forced-choice paradigm where chance performance is approximately 50%. A score below which threshold is considered evidence of suboptimal effort?

    Answer: Below 45 on Trial 2

    A TOMM Trial 2 score below 45 is the most widely cited cutoff indicating performance significantly below chance and suggesting invalid effort.

  4. When evaluating executive function with the Delis-Kaplan Executive Function System (D-KEFS), the Color-Word Interference Test condition 3 (Inhibition) MOST directly measures:

    Answer: Response inhibition and cognitive flexibility

    D-KEFS Condition 3 requires inhibiting the dominant reading response to name ink colors, directly measuring response inhibition.

  5. A patient demonstrates intact encoding but rapid forgetting on delayed recall trials. This profile is MOST consistent with pathology in the:

    Answer: Hippocampus and medial temporal lobe structures

    Rapid forgetting with intact encoding is the hallmark signature of hippocampal and medial temporal lobe dysfunction.

  6. During a clinical interview for neuropsychological evaluation, obtaining collateral history from a reliable informant is ESPECIALLY critical when:

    Answer: The patient has limited insight or significant cognitive impairment

    Patients with limited insight or cognitive impairment may underreport symptoms, making collateral informant history essential for accurate diagnosis.

  7. Which statistical concept describes the degree to which a neuropsychological test measures the same construct across different demographic groups (e.g., age, sex, education)?

    Answer: Measurement invariance

    Measurement invariance refers to the psychometric property ensuring a test measures the same construct equivalently across different demographic groups.