SLP Neurogenic Communication Disorders 3

Question 1

Which condition is most commonly associated with progressive language breakdown as the PRIMARY presenting symptom before general cognitive decline?

Accepted Answer

Primary progressive aphasia

Answer

Vascular dementia

Answer

Lewy body dementia

Answer

Alzheimer's disease

Question 2

A patient with moderate-stage Alzheimer's disease is MOST expected to demonstrate which communication pattern?

Accepted Answer

Word-finding difficulty, repetitive questioning, and reduced discourse coherence

Answer

Intact procedural memory with severely impaired phonology

Answer

Fluent jargon aphasia with no comprehension

Answer

Selective mutism with preserved writing ability

Question 3

Which of the following is an evidence-based memory intervention specifically designed for individuals with dementia?

Accepted Answer

Spaced retrieval training

Answer

PROMPT therapy

Answer

Fast ForWord program

Answer

Non-speech oral motor exercises

Question 4

The logopenic variant of primary progressive aphasia (lvPPA) is most associated with atrophy in which brain region?

Accepted Answer

Left posterior superior temporal and inferior parietal regions

Answer

Left frontal lobe and supplementary motor area

Answer

Right frontal and parietal regions bilaterally

Answer

Bilateral occipital and temporal poles

Question 5

Which characteristic BEST distinguishes the nonfluent/agrammatic variant of PPA (nfvPPA) from the semantic variant (svPPA)?

Accepted Answer

nfvPPA features effortful agrammatic speech; svPPA features fluent speech with impaired semantic knowledge

Answer

nfvPPA has impaired single-word comprehension; svPPA has effortful speech

Answer

nfvPPA shows surface dyslexia; svPPA shows impaired repetition

Answer

Both variants present identically in early stages

Question 6

Neurogenic stuttering acquired after stroke MOST commonly results from damage to which area?

Accepted Answer

Left hemisphere cortical and subcortical structures

Answer

Cerebellum and brainstem exclusively

Answer

Right parietal lobe in isolation

Answer

Bilateral frontal poles

Question 7

Which communication strategy is MOST recommended when interacting with individuals in the late stage of dementia?

Accepted Answer

Using simplified language, yes/no questions, and non-verbal cues

Answer

Providing complex multi-step instructions to stimulate cognition

Answer

Engaging in abstract discussions to maintain cognitive reserve

Answer

Reducing all communication to prevent frustration