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

Primary progressive aphasia (PPA) is a neurodegenerative syndrome characterized by progressive deterioration of language as the primary symptom, often preceding broader cognitive changes by years.

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

In moderate Alzheimer's disease, patients typically show increased word-finding difficulty, repetitive questioning, tangential discourse, and progressively reduced coherence in conversation.

Question 3

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

Accepted Answer

Spaced retrieval training

Answer

Spaced retrieval training is an evidence-based technique for individuals with dementia that uses gradually increasing time intervals to help patients retain functional target information using intact procedural memory.

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

The logopenic variant of PPA is associated with atrophy in left posterior temporal and inferior parietal regions, resulting in word-finding pauses and impaired phonological working memory affecting repetition.

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 is characterized by effortful, agrammatic speech with relatively preserved comprehension, while svPPA presents with fluent speech but severely impaired single-word comprehension and semantic knowledge.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Neurogenic Communication Disorders 3