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Behavioral tests
- 1. Neuropsyc Testing for the RITE Swathi Vijayaraghavan Neuro PGY3
- 2. Why? They are interestingand can be useful in characterizing weakness/deficits in various cognitive disorders. They always have about 10 questions on the RITE that we almost always get wrong. We might actually use them in real life. Get an idea of some of the neat Neuropsyc tests.
- 3. Evaluating Intelligence WechslerAdult Intellignce Scale (WAIS-III)-- IQ test Wisconsin Card Sorting Test (WCST)-- tests executive functioning and reasoning
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- 5. WAIS-IV (2008) Intelligence: “Theglobal capacity of a person to act purposefully, to think rationally, and to deal effectively with his/her environment.” Verbal Comprehension Scale: similarities, vocabulary, information ( and comprehension) Working Memory Scale: digit span, arithmetic (and letter-numbering sequence) Perceptual Reasoning Scale: block design, matrix reasoning, visual puzzles (and picture completion & figure weights) Processing speed Scale: Symbol search, coding, (and cancellation).
- 6. WAIS-IV: Verbal ComprehensionIndex (VCI) Similarities: abstract verbal reasoning (how are a car and bicycle alike?)
- 7. WAIS-IV: Verbal ComprehensionIndex (VCI) Similarities: abstract verbal reasoning (how are a car and bicycle alike?) Vocabulary: degree of learning/comprehension/ability to verbally express (what is a chair?)
- 8. WAIS-IV: Verbal ComprehensionIndex (VCI) Similarities: abstract verbal reasoning (how are a car and bicycle alike?) Vocabulary: degree of learning/comprehension/ability to verbally express (what is a chair?) Information: gen info acquired from culture (e.g. “Who is the Vice President of USA?”)
- 9. WAIS-IV: Verbal ComprehensionIndex (VCI) Similarities: abstract verbal reasoning (how are a car and bicycle alike?) Vocabulary: degree of learning/comprehension/ability to verbally express (what is a chair?) Information: gen info acquired from culture (e.g. “Who is the Vice President of USA?”) Comprehension: abstract social conventions, rules and expressions (e.g., “What does ‘the grass is always greener on the other side’ mean?)
- 10. WAIS-IV: Working Memory Index (WMI) Arthimetic: concentration on math problems (eg: How many 30 cent match books can you get for two dollars?)
- 11. WAIS-IV: Working Memory Index (WMI) Arthimetic: concentration on math problems (eg: How many 30 cent match books can you get for two dollars?) Digit Span: attention, concentration, mental control (eg: repeat # forwards/backwards)
- 12. WAIS-IV: Working Memory Index (WMI) Arthimetic: concentration on math problems (eg: How many 30 cent match books can you get for two dollars?) Digit Span: attention, concentration, mental control (eg: repeat # forwards/backwards) Letter-Number Sequencing: attention and working memory (eg: repeat sequence R-3, F-1, C-2, in numerical order, then in alphabetical)
- 13. WAIS-IV: Perceptual Reasoning Index Block design: spatial perception/visual abstract processing & problem solving (Frontal/ parietal; Autism/ Aspergers patients do better)visual defects
- 14. WAIS-IV: Perceptual Reasoning Index Block design: spatial perception/visual abstract processing & problem solving (Frontal/ parietal; Autism/ Aspergers patients do better) Matrix reasoning: nonverbal abstract problem solving, inductive reasoning, spatial reasoning
- 15. WAIS-IV: Perceptual Reasoning Index Block design: spatial perception/visual abstract processing & problem solving (Frontal/ parietal; Autism/ Aspergers patients do better) Matrix reasoning: nonverbal abstract problem solving, inductive reasoning, spatial reasoning Visual Puzzles: non-verbal reasoning
- 16. WAIS-IV: Perceptual Reasoning Index Block design: spatial perception/visual abstract processing & problem solving (Frontal/ parietal; Autism/ Aspergers patients do better) Matrix reasoning: nonverbal abstract problem solving, inductive reasoning, spatial reasoning Visual Puzzles: non-verbal reasoning Picture completion: ability to quickly perceive visual defects
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- 18. WCST Subject is givena stack of cards and told to sort them out but is not given any rules. During the sorting subject is told if sorting is correct or incorrect. Subject then has to figure out the rules based on the “corrects” and “incorrects” and then appropriately sort the cards Once the subject gets the rules right, they are then changed and process is repeated.
- 19. WCST Tests cognitive flexibility and abstract thought Sensitive to frontal lobe dysfunction may be abnormal in patients with schizophrenia or some structural abnl (eg: caudate lesions)
- 20. Minnesota Multi-Phasic Personality Inventory ClinicalScale Validity Scale Content Scale Psy-5 Scale
- 21. MMPI: Clinical Scales Hypochondriasis Paranoia Depression Psychasthenia Hysteria Schizophrenia Psychopathic Deviate Hypomania Masculinity/ Social Introversion Femininity
- 22. MMPI: Validity Scales L-scale (lie scale)- ppl TRIN & VRIN (detect trying to present self in inconsistencies) positive way Fb-scale (items that F-scale (faking good or less than 10% of gen bad) pop. support- if score high- subject is not K-scale (defensiveness) paying attention) subtler than L-scale Fs-scale (over ?-scale (unanswered) reporting somatic sxs)
- 23. Stroop Color Naming Test Measures selective attention, cognitive flexibility, and processing speed. Abnl in dementias, neurodegen dz, brain damage, ADHD, Schizophrenia, depression, addictions EEG & FMRI should correlate with inc activity in frontal lobes, ant. cingulate gyrus and dorsal prefrontal cortex.
- 24. Stroop Color Naming Test Three types of stimuli: neutral (Red), congruent (Red), incongruent (Red)
- 25. Stroop Color Naming Test
- 26. Boston Naming Test Evaluatesfor aphasia 60 item object naming Spontaneous or with cues High and low frequency objects
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- 30. Trail Making Test TrailA: has numbers 1 to 25 spread across a page and subject has to draw a trail from 1 to 25 (timed test). Trail B: have to connect letters and numbers in alternating pattern (timed test). Can help identify general frontal lobe (executive) dysfunction (esp. Trails B).
- 31. Random stuff.. Conner’s ContinuousPerformance Test: good for assessing sustained visual attention; good for dx ADHD Recognition Memory Test: measures word and face recognition PASAT (paced auditory serial addition task): tests working memory and processing of speed of info; sensitive to concussion effects Rey-Osterrich Complex Figure: immediate/delayed recall, eval memory & construction Word Memory Test: good to test malingering (the actual accuracy score is lower than would be for guessing so to get it would have to intentionally give wrong answers.
- 32. Pop quiz hotshot! A patient with moderate Parkinson’s Disease without dementia would score poorly on which component of the WAIS? Similarities Vocabulary Block Design Arithmetic Digit Span