Practice Test Geeks(ABCN) American Board of Clinical Neuropsychology Practice Test
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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 58-year-old patient with multiple sclerosis (MS) shows deficits on the Symbol Digit Modalities Test (SDMT). This is MOST commonly attributed to impairment in:

    Answer: Processing speed and information processing efficiency

    The SDMT is particularly sensitive to the slowed processing speed that is one of the most common cognitive complaints in MS.

  2. When establishing a diagnosis of Major Neurocognitive Disorder, the DSM-5 requires evidence of significant cognitive decline from a previous level of performance in at least how many cognitive domains?

    Answer: One or more domains with documented decline interfering with independence

    DSM-5 Major Neurocognitive Disorder requires significant decline in one or more cognitive domains that interferes with independence in everyday activities.

  3. Which of the following BEST describes the purpose of using demographically corrected normative data in neuropsychological assessment?

    Answer: To reduce the influence of age, education, and sex on test score interpretation

    Demographically corrected norms reduce variance due to age, education, and sex, improving the accuracy of identifying true cognitive impairment.

  4. In conducting a feedback session with a patient after a neuropsychological evaluation, the clinician should PRIORITIZE which of the following ethical obligations?

    Answer: Communicating results in accessible language while respecting patient autonomy and confidentiality

    Ethical feedback requires communicating results clearly and in accessible language while upholding patient autonomy and maintaining confidentiality.

  5. A child referred for a learning disability evaluation performs two standard deviations below the mean in reading fluency but has average IQ scores. According to current diagnostic frameworks, this BEST supports a diagnosis of:

    Answer: Specific Learning Disorder with impairment in reading (dyslexia)

    Significant reading fluency impairment (≥2 SD below mean) with average IQ is diagnostic of Specific Learning Disorder with reading impairment (dyslexia) under DSM-5.

  6. Which technique is MOST appropriate for assessing visual memory when a patient has suspected right hemisphere dysfunction?

    Answer: Wechsler Memory Scale Visual Reproduction subtest

    The WMS Visual Reproduction subtest requires reproduction of nonverbal geometric designs, making it sensitive to right hemisphere visual memory impairment.

  7. The concept of 'reliable change index' (RCI) in neuropsychological practice is used PRIMARILY to:

    Answer: Determine whether score changes over serial assessments exceed measurement error

    The RCI quantifies whether score changes between two administrations exceed the test's measurement error, helping clinicians determine if change is real or artifactual.