Neurology: Case of the Month

Test Yourself — Patient 83

Aphemia

1. Aphemia is primarily a disorder of:
   • [ A ] language
   • [ B ] apraxia
   • [ C ] speech
2. Which problem of communication is least like the others clinically?
   • [ A ] Broca's aphasia
   • [ B ] Wernicke's aphasia
   • [ C ] transcortical motor aphasia
   • [ D ] aphemia
3. Aphemia can be clinically distinguished from Broca's aphasia by:
   • [ A ] vocal naming
   • [ B ] vocal repetition
   • [ C ] comprehension of complex commands
4. Which of the following, if damaged, can cause primarily a disorder of speech rather than language?
   • [ A ] basal ganglia
   • [ B ] pars opercularis
   • [ C ] cerebellum
   • [ D ] inferior pre-rolandic gyrus
   • [ E ] all of the above
5. A lesion in which of the following vascular territory is most likely to lead to aphemia?
   • [ A ] upper division of the middle cerebral artery (distal branches)
   • [ B ] inferior division of the middle cerebral artery (distal branches)
   • [ C ] anterior cerebral artery
   • [ D ] posterior cerebral artery

 

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