ASPPB Neuropsychology 2 — Questions and Answers
Question 1: Which lobe is primarily responsible for processing auditory information?
- Frontal lobe
- Parietal lobe
- Temporal lobe (Correct answer)
- Occipital lobe
Correct answer: Temporal lobe
The temporal lobe contains the primary auditory cortex (Heschl's gyrus) and is central to auditory processing.
Question 2: A patient with damage to the right parietal lobe most commonly presents with:
- Broca's aphasia
- Left hemispatial neglect (Correct answer)
- Prosopagnosia
- Anterograde amnesia
Correct answer: Left hemispatial neglect
Right parietal lesions typically produce contralateral (left) hemispatial neglect, where patients fail to attend to the left side of space.
Question 3: The Trail Making Test Part B primarily assesses:
- Verbal fluency
- Visuospatial memory
- Cognitive flexibility and set-shifting (Correct answer)
- Sustained attention
Correct answer: Cognitive flexibility and set-shifting
TMT-B requires alternating between numbers and letters, making it a sensitive measure of cognitive flexibility and executive set-shifting.
Question 4: Which neurotransmitter system is most directly implicated in the pathophysiology of Parkinson's disease?
- Serotonergic
- Dopaminergic (Correct answer)
- Cholinergic
- GABAergic
Correct answer: Dopaminergic
Parkinson's disease results from degeneration of dopaminergic neurons in the substantia nigra pars compacta.
Question 5: In neuropsychological assessment, the Boston Naming Test measures:
- Confrontation naming ability (Correct answer)
- Verbal working memory
- Category fluency
- Reading decoding
Correct answer: Confrontation naming ability
The BNT assesses confrontation naming by asking patients to name line-drawn pictures of objects with increasing difficulty.
Question 6: Which structure connects the two cerebral hemispheres and is involved in interhemispheric communication?
- Hippocampus
- Corpus callosum (Correct answer)
- Thalamus
- Basal ganglia
Correct answer: Corpus callosum
The corpus callosum is the largest white matter commissure, enabling communication between the left and right cerebral hemispheres.
Question 7: A patient who cannot recognize familiar faces despite intact basic vision most likely has damage to the:
- Primary visual cortex
- Fusiform face area in the temporal lobe (Correct answer)
- Superior parietal lobule
- Prefrontal cortex
Correct answer: Fusiform face area in the temporal lobe
Prosopagnosia results from damage to the fusiform face area (FFA) in the right inferior temporal lobe.
Which lobe is primarily responsible for processing auditory information?