BCP Neuropsychological & Cognitive Tools 2 — Questions and Answers
Question 1: The Trail Making Test Part B primarily measures which cognitive domain?
- Pure motor speed
- Cognitive flexibility and set-shifting (Correct answer)
- Verbal memory
- Visuospatial construction
Correct answer: Cognitive flexibility and set-shifting
TMT-B requires alternating between numbers and letters, making it a key measure of cognitive flexibility and executive set-shifting.
Question 2: On the Wisconsin Card Sorting Test (WCST), perseverative errors are BEST interpreted as evidence of impairment in which area?
- Long-term memory consolidation
- Prefrontal executive function (Correct answer)
- Primary visual processing
- Phonological decoding
Correct answer: Prefrontal executive function
Perseverative errors on the WCST reflect an inability to shift response sets, implicating prefrontal/frontal lobe executive dysfunction.
Question 3: Which subtest of the Delis-Kaplan Executive Function System (D-KEFS) most directly assesses phonemic verbal fluency?
- Twenty Questions
- Letter Fluency (Correct answer)
- Design Fluency
- Color-Word Interference
Correct answer: Letter Fluency
The D-KEFS Letter Fluency subtest requires generating words beginning with a specific letter, measuring phonemic verbal fluency.
Question 4: The Boston Naming Test (BNT) is primarily used to assess which function?
- Visual memory
- Confrontation naming ability (Correct answer)
- Working memory capacity
- Sustained attention
Correct answer: Confrontation naming ability
The BNT measures confrontation naming by having examinees name line-drawn objects, detecting anomia associated with left hemisphere or language dysfunction.
Question 5: A patient scores within normal limits on Digit Span Forward but shows significant impairment on Digit Span Backward. This pattern BEST suggests difficulty with:
- Phonological short-term storage
- Working memory manipulation (Correct answer)
- Auditory acuity
- Long-term declarative memory
Correct answer: Working memory manipulation
Backward digit span requires mental manipulation of information, implicating working memory rather than simple phonological storage.
Question 6: The Rey-Osterrieth Complex Figure Test delayed recall condition most directly taps which memory system?
- Semantic memory
- Episodic visuospatial memory (Correct answer)
- Procedural memory
- Prospective memory
Correct answer: Episodic visuospatial memory
The delayed recall of the ROCFT assesses episodic visuospatial memory by requiring reproduction of a complex figure after a delay.
Question 7: When administering the California Verbal Learning Test (CVLT-II), the Short-Delay Free Recall trial occurs after:
- A 20-minute filled delay
- An immediate distractor list (List B) (Correct answer)
- Five learning trials of List A only
- Cued recall of List A
Correct answer: An immediate distractor list (List B)
Short-Delay Free Recall on the CVLT-II follows administration of the interference List B, testing recall amid proactive and retroactive interference.
BCP Neuropsychological & Cognitive Tools 2
The Trail Making Test Part B primarily measures which cognitive domain?