Global Cognitive Test + Cognitive Domain tests

When would you refer a patient for neuropsychological assessment

Nature of patient condition might need diff diag; improve skill in education or vocation

Contra-indicators for assessment validity

Physical problem, intoxication/substance use, psych disorder or learning disability, congenital or pre-existing conditions, language, culture, motivation

What are battery tests

large tests meant to target almost every domain of cognition

What are the disadvantages of battery tests

Time consuming, patient will lose motivation leading to loss of detail

What are the 6 domains of cognitive function

Language, learning and memory, social cognition, complex attention, executive function, perceptual motor function

MMSE test is comprised of what tests

Orietnation, registration, attention and calculation, recall, language, construction

MoCA tests what cognitive domains

Visuospatial/executive, naming, attention, language, abstraction, delayed recall, orientation 

What is Addenbrooke used for

Dementia screening

What cognitive domains is tested in Addenbrooke

Attention, memory, fluency, language, visuospatial

Asking for the date, subtracting 7 from 100 and repeating words tests what areas

Frontal (dlPFC) and parietal lobe (orientation)

When in delayed recall and name-address what brain areas are involved

Hippocampus and medial temporal → Encoding + retrieval, frontal lobe → organization

Verbal fluency test what lobe

Left frontal (Broca), left temporal → Semantic memory, frontal executive

Test of language comprehension, repetition, reading & writing, and naming involves what areas

Left temporal (Wernicke), left frontal (Broca), angular gyrus → Reading and writing

Testing construction ability and visuoperceptual ability tests what lobes

Parietal lobe → Spatial processing, occipital → Visual perception, frontal → Motor planning

What are the 4 domains tested in WAIS

ventral comprehension, perceptual reasoning, working memory, processing speed

What brain regions are involved in verbal comprehension (VCI) and low scores indicate what

Left temporal and frontal lobe (language areas); low score = language/verbal reasoning problem

What brain regions are involved in perceptual reasoning and low scores indicate what

Right parietal and occipital lobes; low score = right hemisphere dysfunction or visuospatial deficit

What brain regions are involved in working memory and low scores indicate what

Dorsolateral prefrontal; low score = lack of executive function and short term memory (ADHD, frontal lobe lesion)

What brain regions are involved in processing speed and low scores indicate what

Frontal (motor speed), parietal (visual scanning), occipital (visual perception); low score = TBI and aging

What is the memory function test used for

Assess dementia, TBI, psychiatric disorder, pre and post surgery evaluation, recovery of brain function and cognitive development

What is the executive function test used for

Assess TBI, stroke/frontal lobe lesion, ASD or ADHD, schizophrenia/depression, dementia