Cognitive Tests

Handouts

Primary Progressive Aphasia Examination

Logopenic PPA

  • Impairment on BNT but can describe the object - they know what it is but can’t retrieve the word.

  • Impairment on famous faces - they might not be able to name the person, but when you ask “which one is Barak Obama”, they can point to him.

  • Cookie jar - fluent, but empty. Uses “thing, it”.

  • Trouble repeating “no ifs, ands, or buts”.

Semantic PPA

  • Impairment on BNT but they don’t even know what it is. No attempt to describe around the item.

  • Impairment on famous faces - they cannot name the person and when you ask for a specific person, they do not recognize them.

  • Ask them to read a word, and describe it - they can read it but don’t know what it is:

    • Lion

    • Shirt

    • Pumpkin

  • Surface dyslexia (read words wrong) and surface dysgraphia (spell words wrong)

    • Read Island - “Is-land”

    • Spell ghost - goast

Non-fluent PPA

  • Cookie jar - they have word finding hesitation AND grammar is abnormal - they leave out “and”, “the”, “it'“, “a”, etc.

    • can lack normal syntax (sound ESL).

    • E.g. “mother drinking glass”

  • Difficulty repeating “pa, ta, ka” (apraxia)

Distinguish non-fluent from the word-finding difficulty of AD by listening for missing words -> in AD there are long pauses, talking around things, changing topic to avoid having to say the thing they can't remember...

vs in non-fluent, it is disjointed, block-ey, effortful, sometimes with agrammatism