CCC Adult Language and Cognitive Disorders 2 — Questions and Answers
Question 1: Which evidence-based aphasia treatment focuses on restoring word retrieval through repeated naming practice with feedback?
- Supported Conversation for Adults with Aphasia (SCA)
- Treatment of Underlying Forms (TUF)
- Semantic Feature Analysis (SFA) (Correct answer)
- Melodic Intonation Therapy (MIT)
Correct answer: Semantic Feature Analysis (SFA)
Semantic Feature Analysis targets word retrieval by activating semantic networks through systematic feature generation.
Question 2: Melodic Intonation Therapy (MIT) is primarily indicated for which aphasia profile?
- Fluent aphasia with comprehension deficits
- Non-fluent aphasia with relatively preserved comprehension (Correct answer)
- Global aphasia with severe comprehension deficit
- Conduction aphasia
Correct answer: Non-fluent aphasia with relatively preserved comprehension
MIT uses melodic, rhythmic speech to leverage right hemisphere processing in individuals with non-fluent aphasia and preserved comprehension.
Question 3: Cognitive-communication disorders following right hemisphere brain damage commonly include deficits in:
- Phonological processing
- Syntactic comprehension
- Pragmatics, discourse, and prosody (Correct answer)
- Reading decoding
Correct answer: Pragmatics, discourse, and prosody
Right hemisphere damage frequently causes deficits in pragmatic communication, discourse organization, prosodic interpretation, and inferencing.
Question 4: Traumatic brain injury (TBI) most commonly results in which type of communication disorder?
- Classical aphasia syndromes
- Cognitive-communication disorder (Correct answer)
- Motor speech disorder only
- Selective mutism
Correct answer: Cognitive-communication disorder
TBI often causes diffuse damage resulting in cognitive-communication disorders affecting attention, memory, organization, and social communication.
Question 5: Which cognitive domain is most critical for assessing a patient's ability to profit from aphasia therapy?
- Long-term semantic memory
- Working memory and attention (Correct answer)
- Visual-spatial processing
- Executive inhibition only
Correct answer: Working memory and attention
Working memory and attention are essential for learning and retaining new information, directly affecting rehabilitation potential.
Question 6: Augmentative and Alternative Communication (AAC) should be introduced for adults with aphasia:
- Only after all restorative treatments have failed
- Only in end-stage disease
- As early as appropriate to support communication participation (Correct answer)
- Only when the patient requests it
Correct answer: As early as appropriate to support communication participation
AAC should be introduced early to maximize communicative participation and does not interfere with natural speech recovery.
CCC Adult Language and Cognitive Disorders 2
Which evidence-based aphasia treatment focuses on restoring word retrieval through repeated naming practice with feedback?