Western Aphasia Battery

WESTERNAPHAS'A BATTERY
rEST BOOKLET
Andrew Kertesz, n.D., F.R.C.P.(C)
Professor
Department of Clinical Neurologicaf Sciences
University of Weetern Ontario
Head, Department of Clinical Neurological Sciences
St Joseph's Hospital
London, Ontario, Canada
THE PSYCHOLOGICAL CORPORAIION
HARCOURT BRACE JOVANOVICH, INC .
Copyright @ 1982 by The Psychological Corporation. All rights reserved. No part of this publication may b€
reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy,
recording, or any intormation storage and retrieval system, without permission in writing trom the publisher.
Printed in the United States of America.
015-498840-5
PATIENT DATA
Aqe
Handedness Writinq
Throwing
Ctrttinq
Birthdate
Drawinq
Brush
(Number
Education
of Grades)
Occupation
Presentlllness
Hemiplegia
Side
Severe Moderate Mild Recovered
lnvestiqations:
Date
Size
Hemianopia Sensorv
Loss
Side
E.E.G.
lsotooeScan
C.T.Scan
Arterioqrams
OperativeData
AutopsvData
Date
lnstitution
ReferredBv
FileNumber
Location
2
l. Spontaneous Speecft
Recordpatient'sspeechon paperand tape. Substitutesimilarguestionsif necessary
appropriate.Scorefluencyandinformationcontentaccordingto criteriaonpage3.
1. HowAreYouToday?
2. HaveYouBeenHereBefore?
3. Whatls YourName?
4. Whatls Your,Address?
5. Whatls YourOccupation?
6. TellMe A LittleAboutWhy YouAre Here?or What SeemsTo Be TheTrouble?
7. Description
Of Picture.
Presenttestpicture(Card1)and say:"Tettme whatyou see.Tryto talkin sentences."
Encouragethe patientto pay attentionto all aspectsof the picture.Move the picture
towardsthe patient'sintactvisualfield. Ask for more completeresponseif onlya few
wordsareproduced.
Maximum
Score 20
Patient's
ScoreI
SCOR'ruGOF SPONTA'UEOUSSPEECH
A.
lnfonnation Content
(0) No lnformation.
responses
t1) Incomplete
only,e.9.,firstnameor lastnameonly.
l2l Correctresponseto any 1 item.
(3) Correctresponsesto any2 items.
(4) Correctresponsesto any3 items.
(5) Correctresponsesto any3 of the first 6 itemsplussome responseto the picture.
(6) Correctresponsesto any4 of the fii'st6 itemsplussome responseto the picture.
(71 Correctresponsesto 4 of the first 6 items on page2 anda mentionof at least 6 of
the itemsin the picture.
(8) Correctresponsesto 5 of the first 6 items,and an incompletedescriptionof the picture.
phonemicparaphasiasare
Recognizable
to be countedas correct.
(9) Correctresponsesto all 6 items on page 2. An almost completedescriptionof the
picture:at least 10 people,objects,oractionsshouldbe named.Circumlocution
may
be present.
('10) Correctresponsesto all 6 items on page 2 and to the picture.Sentencesof normal
lengthand complexity,referringto most of the itemsandactivities.A reasonably
completedescriptionof the picture.
B. Fluency,Grammatical
Competence, and
Paraphasias
(0) No words or short,meaningless
utterances.
(1) Recurrentstereotypicutteranceswith variedintonation.
conveyingsomemeaning.
effortfuland hesitant.
l2l Singlewords,often paraphasias,
(3) Fluentrecurrentutterancesor mumbling,verylow volumejargon.
(41 Halting,telegraphicspeech.Mostlysinglewords,often paraphasic
but with occasional
phrases.Automaticsentencesonly,e.9.,"Oh I don't know."
verbsor prepositional
(5) Often telegraphicbut more fluent speechwith some grammatical
orEanization.
Paraphasiasmay be prominent,Few propositional
sentences.
(6) More complete propositional
sentences.Normalsyntacticpatternmay be present.
Paraphasias
may be present.
l7l Phonemicjargonwith semblanceto Englishsyntaxand rhythmwith variedphonemes
andneologisms.
May be voluble;mustbe fluent.
(8) Circumlocutory,
fluentspeech.Markedword findingdifficulty.Verbalparaphasias.
May
havesemanticjargon.Thesentencesareoftencompletebut may be irrelevant.
(9) Mostlycomplete,relevantsentences;occasional
hesitationand/orparaphasias.
Some
word findingdifficulty.May havesomearticulatory
errors.
(10) Sentencesof normallengthand complexity,withoutdefiniteslowing,halting,or articulatorydifficulty.No paraphasias.
il. Auditory
A.
Yes/No (luestions
Verbal Comprehension
Explainto the patient that you are going to ask some questionsand that the answersshoutd
"yes"
"no."
be either
or
lf it is difficult to establisha consistentverbalor gestural yeslno
response, then eYe closure for "yes" should be established.The instructionsshould be
repeated, if necessary,during fhe test. Reinforcethe patient when he or she gets into the set
of answeringas requested,but avoidnoddingor commentingon specificitems! lf the patient
self-corrects,the last answer is scored. lf a patient gives an ambiguousor confabulatory
response,repeat the instructionsand the questionand scoreaccordingly.lf the responseis
stillambiguous,score 0. Score3 pointsfor eachcorrectanswer.Recordresponsesin the appropriate column: verbal,gestural,or eye blink.
Verbal Gestural Eve Blink
1. ls YourNameSmith?("no" shouldbe correct)
n
!
D
2. ls YourNameBrownT("no" shouldbe correct)
!
n
n
n
n
n
n
!
6. Do YouLiveIn Windsor?("no" shouldbe correct)
tr
n
tr
n
n
("yes"shouldbe correct)
7. Are YouA ManANoman?
!
n
n
n
8. Are YouA Doctor?("no" shouldbe correct)
n
n
D
tr
!
n
10. AreTheLightsOn InThisRoom? ("yes"shouldbe correct)
n
tr
("ves"shouldbe correct)
11. ls TheDoorClosedT
n
n
n
n
n
n
T
!
n
!
!
x
D
16. DoesMarchComeBeforeJuneT
n
n
n
n
!
17. Do YouEatA BananaBeforeYouPeellt?
n
!
n
18. Doeslt SnowIn JulvT
tr
tr
tr
n
tr
!
!
n
!
3. ls YourName
(realname)
)
4. Do You LiveIn TorontoT(noshouldbe correct)
b.
DOyOu.Live;n
(realresidence) 2
("yes"shouldbe correct)
9. Am I A ManANomanT
1 2 . l s T h i sA H o t e l i
13.
lS ThiS
(realtest location)
("no" shouldbe correct)
14. Are YouWearingRedPyjamas?
15. Will PaoerBurnIn Fire?
19. ls A HorseLargerThan
A Doq?
20. Do YouCutTheGrassWithAn Axi
MaximumScore 60
Patient'sScore-
D
!
B.
Auditory Word
Recognition
Place the real objects in a random cluster making sure that they are within the patient's
intact field if hemianopsrais present. Present cards of the pictured objects, forms, letters,
numbers, and colors.Ask the patient to point to the f urniture, hisor her body parts,and fingers,
in the order /isted. Ask the patient to point to each item, by saying, "Point to the -,
"Show
"
or,
me the
One repetition of each command is allowed. lf the patient
points to more than one item, score 0 unless it is clear that the patient recognizes his or
her error and corrects it. For the seven items requiring left-right discrimination,the patient
must get both the side and body part correct to receivecredit. lf the room does not have
certain f urniture, substitute comparabIe items.
RealObiects
Drawn Obiects
Forms
Cup
Matches
Square
Matches
Cuo
Trianqle
F
61
Pencil
Comb
Circle
B
500
Flower
Screwdriver
Arrow
K
1867
Comb
Pencil
Cross
M
32
Screwdriver
Flower
Cvlinder
n
v
5000
Letters
I
Numbers
5
Colors
Furniture
Bodv Parts
Finoers
Risht-Left
Blue
Window
Ear
Thumb
RiqhtShoulde
Brown
Chair
Nose
RinoFinoer
Left Knee
Red
Desk
Eve
lndexFinoer
LeftAnkle
Green
Liqht
Chest
LittleFinoer
RiqhtWrist
Yellow
Door
Neck
MiddleFinoer
Left Elbow
Black
Ceilino
Chin
RiqhtEar
RiqhtCheek
MaximumScore 60
Patient'sScore-
C. Sequentfal Commands
Scorefor partial execution of the commands accordingto the numbersabove each segment
that is correctly executed. lf the patient requests repetition or looks confused, repeat the
command as a full sentence.On the table before the patient line up the pen, comb, and book
in this respectiveorder and label each, verbally: "See the pen, the comb, and the book? I will
askyou to point to them and do thingswith them,iust as I say.Are you ready?"lf the patient
does not seem to understandthe task,point with the comb to the pen to demonstrate, and
start again.
Scores
yourhand.
Raise
2
Shutyoureyes.
2
Pointto thechair.
2
Pointto the window.then to the door.
z
r
Pointto the pen andthe book.
4
4
4
4
Pointwith the pen to the book.
4
B
4
Pointto the pen with the book.
4
8
4
Pointto the combwith the pen.
4
B
4
With the bookpointto the comb.
4
6
B
4
Putthe pen on top of the bookthengiveit to me.
5
5
5
14
5
Put the comb on the othersideof the penandturnoverthe book.
MaximumScore 80
Patient'sScore-
20
,rt. Repetition
Ask the patient to repeat the words listedbelow; then record the responses.Youmay repeat
items once, if the patient asks or does not seem to hear. If incompletely repeated, score2
points for each recognizable word. Minor dysarthric errors or colloquial pronunciation are
scored as correct. Take 1 point off for errors in order of word sequenceor for each literal
paraphasia (phonem ic e rrors).
MaximumScore
1. Bed
2. Nose
3. Pipe
4. Window
5. Banana
6. Snowball
7. Forty-five
B. Ninety{ivepercent
9. Sixtv-twoanda half
10
10. Thetelephone
is ringing
11. He is not comingback
10
12. The pastrycookwas elated
10
13. FirstBritishFieldArtillerv
14. No ifs.andsor buts
10
15. Packmy boxwith fivedozenjugsof liquidveneer
20
MaximumScore 100
Patient'sScore-
-
- =
IV. Naming
A.
Obiect Naming
Presentobjectsin the order listedbelow. lf no or incorrectresponsesto visual stimulus,
let thepatienttouchthe stimulus.
lf stillno or incorrectresponses,
presenta phonemicor,if a
compositeword,a semanticcue(the firsthalfof thewordLAllowa maximumof 20 seconds
for each item. Score3 porntsif namedcorrectlyor with minor articulatoryenor, 2 points
phonemicparaphasia,
for a recognizable
and 1pointif a phonemicor tactilecueis required.
Stimulus
Fesoonse
Gun
Ball
Knife
oup
Safetvoin
'lammer
Ioothbrush
raser
Dadlock
)encil
Screwdriver
Kev
)aperclip
)ipe
lomb
Elastic
Spoon
Scotchtaoe
Fork
Matches
MaximumScore 60
Patient'sScore-
TactileCue
PhonemicCue
Score
I
B. Word Fluency
Askthe patientto ng.!!eas many animals9s le 9r she canin I minute. The patientmay be
helpedif hesitant.'"Thinkof a domesticanimal,likethe horse,or a wildanimai,tikethe tijer."
Thepatientmaybe prompted-at
30 seconds.Score7pointfor eachanimalnamed(excelptfor
thosein the example),evenif distoftedby literalparaphasia.
MaximumScore 20
Patient's
Score-
C. Sentence Completion
Askpatient to completewhat you say. Providean example,suchas "ice is (cold)."Score
2 pointsfor correctresponseand 1 point for phonemicparaphasias.
Acceptreasonable
alternatives,
e.9.,sugaris . . . (fattening)butnotgrassis . . . (brown).
1. Thegrassis 2. Sugar
is
(green).
(sweetorwhite).
3. Rosesarered,violetsare-
(blue).
4. Theyfoughtlikecatsand-
(dogs).
5. Christmas
is inthemonthof -
{Decembed.
Maximum
Score 10
Patient's
Score-
D.
Rexponsive Speech
Score2 points for acceptable responses,1point for phonemic paraphasias.
1. What do you write with? (pen,pencil)
2. What coloris snow?(white)
3. How manydaysare in a week?(seven)
4. Wheredo nurseswork?(hospital)
5. Wherecanyou get stamps?(postoffice,varietystore)
MaximumScore 10
Patient'sScore-
10
V. Reading
A.
Reading
Gomprehension ol
Sentences
"Read
Presenttestsentences,one per card. lnstructthepatientto:
thesesentencesandpoint
"
to the missrng word. Choose the best from those. The oral instructions should be accompanied by gesture and by pointing to the words missing and the choice of answers.
The instructionsmay be repeatedif the patient does not seem to understand.Ask the patient
to do the example.lf the patient does not do it correctly,point to the correct answer and say:
"See
this is the missrngword, e.9., The tree has. . . wheels, leaves, grass,or fire."
Score
1. Therainis .
blue
wet
met
sea
2. A soldiercarriesa
gun
shoot
fun
aroceries
3. Mr. Smithrepairscarsandtrucks.He is a .
tailor
machine
mechanic
bus
4. Teachersreturnto schooleveryfall.Theyteach.
leaves
children
spring
books
5. Shovelsandsawsarecommontools.Theyhavepartsmadeof . . .
farmer
forest
metal
cutting
6. Farmersoftengrow wheat,corn,andothergrain.Theycanalsoproduce
coal
tractors
earth
vegetables
plentiful.Dueto oil shortage,manynationsare
7. Energyusedto be relatively
turningto alternatesourcessuchas . . . .
boiling water
the banks
the sun
economY
whichwas thoughtto be unsinkable
but it hit an
B. TheTitanicwas an oceanliner
people.lt wouldnot
icebergandsankin 1912,killingovera thousand
havesunkif it hadnot . . . .
lostpower
been badly damaged
carriedpassengers
been going west
MaximumScore 40
Patient'sScore-
11
B. Reading Commands
"l
Presenteachcard and say, want yau to read this aloudand then do what it saYs."
may be repeatedif the patientonly doesone or the otherpart.of the.-task.
lnstructions
or if only
Givea partiatscoreif 6nly part of the commandis reador containsparaphasias
partof thecommandis Pertormed.
2. Wave qoodbve.
5. Pointto the chair,andthento the door.
6. Pickup the pencil,knockthreetimesandput it back.
MaximumScore 20
ScorePatient's
lf the combinedscoreof A and B is 50 or more, discontinuereadingtests and give full
creditof 100 minustwice the differencefrom 60.Score: 100- 2(60- Patient'sScore/.
Continuewith testingif combinedscore(A + B/ is /essthan50.
ProratedScore
C. Written Word
Stimufus - Obiect
Choice Matching
Ptacethe objectsin a randomorderbefore the patient.Ask the patientto point to the obiect that
correspondsto the word presentedon cards22-27. Score 1point for each correct response.
cup
comb
pencil
flower
matches
screwdriver
MaximumScore
Patient'sScore-
D.
Written Word
Stimulus - Picture
Choice lfiarching
6
Card 2 with pictureson it is placed before the patient. lnstruct the patient to p9i1ttto_the
picture that matches the word that is presented.The words are presentedindividually on
cards22-27. Score 1 point for each correct response.
flower
matches
cup
screwdriver
comb
pencil
MaximumScore
Patient'sScore
t2
E.
picture Stimufus Written Word
Choice Matching
Card34, which has the words listedon it, is placed before the patient. Thepatient is then reguested to point to the word that is fhe same as the picture. The pictures are presented
individuallyon cards 28-33. Score 1point for each correct response.
cup
pencil
screwdriver
matches
flower
como
MaximumScore
Patient'sScore-
F.
Spoken Words lilri1n,en Word
choice Matching
Thepatient is presentedwith cards35-38 and askedto se/ect the orally presentedtargetword
"Show
me the word flower." Score1point for eachcorrect response.
from a choice of 5, e.9.,
tower flower tree power garden
cable fable table chair cloth
money nanny wallet purse nurse
willow window glass door winter
MaximumScore
Patient'sScore-
G.
Letter Discrimination
Spelted Word
Recognition
4
Use the score obtained on the letter identification section of the auditory word recognition
subtest. lf that score is 3 points or /ess, use a letter matching task by presenting single
/etters (cutouts)J, F, B, K, M, D and have the patient point to the choice of letters on
card 4.
MaximumScore
Patient'sScore-
H.
6
6
Ask the patient to name the word that is spelled orally by the examiner. lf the patient does
not understand the task, give an example not listed on the test. Score 1 point for each
correctanswer.
n-o
d-o-g
n-o-s-e
o-r-o-w-n
h-a-m-m-e-r
t-e-l-e-p-h-o-n-e
MaximumScore
Patient'sScore-
I
I
|
.fI
t.
Spelling
6
Ask the patient to spell each of the following words presented orally. Give an example,
"dog,
d-o-T," if the patrcnt does not understandthe task. Score 7 point for each correct
answer.
uo
caI
pond
NOUSE
Pencil
government
MaximumScore
Patient'sScore-
IT
6
13
VI. Writing
Use unlinedpaper,labeledwith the name of the patientand the date of the examination
A.
Writing on Beguest
Ask the patient to write his or her name and address.Score 7 point for each recognizable
word or number. Deduct 1/zpoint for each spelling mistakeor paraphasicerror.
MaximumScore
Patient'sScore-
B. Written Output
6
"Write
Presentthepicture(Card1).lnstructthepatientto
a storyaboutwhatis going on in
the picture." Allow about3 minutes.Encouragethe patientto write ln sentencesif it appears
that he or she is going to list words. Score 34 points for a full description,B points for
each completesentencewith 6 words or more, 1 point for each correctword in incomplete
or short sentences.Deduct 1/zpoint for each spellingor paraphasicerror. Scoreisolatedwords
1point, to a maximumof 10 points.Punctuationis not scored.
MaximumScore 34
Patient'sScore-
C.
Writing to Dictation
Ask the patient to write the sentence that you will dictate: "Pack my box with five dozen
jugs of liquid veneer." The sentence may be broken up if the patient cannot remember
it and parts repeatedonce. Score 10 pointsfor the complete sentenceor 1 point for each
correct word. Deduct 1/zpoint for each spellingor paraphasicerror.
MaximumScore 10
Patient'sScoreDiscontinuewriting test if a score of 40 or more is reachedon A, B, and C. Enteras the
scoreforwriting: 2 x patient'sscore.
ProratedScore
D.
Writing of Dictated
or Visually
Presented Words
Ask the patient to write the following words as you dictate them. lf the patient does not
understand,show the real object and gesture to the patient to write its name. lf the patient
fails (unrecognizableword or not written at all), spell the word orally,and if the patient
still fails,providecut-out/etterswith 2 extra letters.Subtract1/zpoint for incorrect/etters.
FullScorefor Either
Written Response Written Response
Dictated
VisualStimulus
gun
watch
nose
hammer
telephone
screwdriver
1
2
1
2
2
2
MaximumScore 10
Patient'sScore-
7 Scorefor Either
Oral
Cut-out
Letters
14
E. Atphabet and
Nimbers
Askthe patientto write thealphabetandthen thenumbersfrom0 through20. Score1/zpoint
for eachletteror number,evenif it is out of order.
1. Alphabet
(0through20)
2. Numbers
MaximumScore 12.5
Patient'sScoreMaximumScore
Patient'sScore-
F.
Dictated fetters
and Numbers
10
Ask the patient to write each of the following dictated /etfers and numbers. Score t/zpoint
each for correctly written letter and one for each complete number.
1. Dictated:D, M, J, B, F
2 . D i c t a t e d5: , 6 1 , 3 2 , 7 0 01, 8 6 7
G.
Copying ol Olords
of a-Sentence
MaximumScore
Patient'sScore-
2.5
MaximumScore
Patient'sScore-
5
Presentcard 39 with the test sentenceprinted on it and ask the patient to copY it. Thepatient may print or write. Score 1 point for each correct word, 10 points for the complete
sentence. Subtract 1/zpoint for each incorrectletter.
MaximumScore
Patient'sScore-
i
I
10
15
Vil. Apraxia
Tellthe patient,"l am going to ask you to do somethings,try and do them as well as you
can." lf thepatientfailsto pertormthe commandwell,thenshowhim or her how (imitatethe
action).lf this fails,thengive the patientthe realobject,whereapplicable(astensks/.
Allow
for variationsin normalperformances.Score3 points for a goodpertormancein the compertormance
or goodpertormanceon imitation
mandcolumn.Score2 pointsfor approximate
performanceon imitationor if pertormedwith the actual
only. Score1point for approximate
object.lf the patientusesa bodypart for an object, score2 points(e.9.,fingersusedas a
combthroughthehair).
Examples
"Whistte."tf the patientpurseshisor her lipsand blows,but thereis no
sound, score2
pointsfor an approximate
performance.lf the patientdeclaresthathe or shecannot do it or
purseshisor her lipsbutdoesnotblow,thendemonstrate.
Thenif thepatientpurseshisor her
performanceon imitation;if thepatientfailsto
lipsandblows, score1 pointfor approximate
exhalethen score0 (no points).
"Sniff." lf thepatientgrimacesor inhalesthroughmouth,score1 pointonly.lf pertormance
improveson imitation,score2 points.lf the patientdoesit only with a flower,score1 point
only.lf thepatientrubsthefloweron hisor her nose,score0 (nopoints).
Command
Upper Limb
1. Makeafist
2. Salute
3. Wavegoodbye
4. Scratchyour head
5. Snaovourfinqers
Facial
6. Putout yourtongue
7. Closeyoureyes
8. Whistle
*9. Sniffa flower
* 10. Blowout a match
lnstrumental
*11. Useacomb
*12. Usea toothbrush
*13. Usea spoonto eat
* 1 4 . U s ea h a m m e r
* 1 5 . U s ea k e v
Complex
16. Pretendto drivea car
17. Pretendto knockat the doorandopenit
* 18. Pretendto fold a paper
19. Pretendto lighta cigarette
20. Pretendto playthe piano
MaximumScore 60
Patient's
Score-
lmitated
WithObiect
16
Vnr. Constructional, Visuospatial and
Calculation Tasks
A.
the figures listed below on a separate sheet of
The subject is asked to freehandedlydraw
"ls
that as complete as Youcan make it?" The scorpaper. Encouragecompletion by saying
ing system rs /isted for each figure.
Drawing
lf the patient appearsto have a comprehensionproblem, then he or she may be shown
examplesfor 10 seconds.
1 . Circle(2)
2. Cube(5)
andform
Score5 pointsfor perspective
Subtract1 pointfor eachinappropriate
angle
Score1 pointif all9 linesareshown
(2)
3. Square
Score2 pointsfor closedsquare
Score1 pointfor4 lines
4 . Clock(5)
Score5 pointsfor correctfigure
Score4 pointsif numbersarepartiallyabsent
orwrong
Score3 pointsfor all numbersand no hands
Score2 pointsif most numbersareabsentor
out of circle
Score1 pointfor circleonly
5 . Tree(3)
Score3 pointsfor qualitY
Score2 pointsfor sYmmetry
Score1 pointfor asymmetry
6 . House(5)
Score5 pointsfor completeperspective
Subtract1 pointfor lackof perspective
Subtract1 pointfor missingdetail
Score2 pointsfor an approximation
7 . Drawa personon a separatesheet(5)
andsymmetry
Score5 pointsfor completeness
Subtract1 pointfor eachbodypartmissing
Score1 pointfor an approximation
8 . Linebisection(3)
Instructthe patientto placea markat the
middle(orcenter)of the line.Deduct1/zpoinl
for each5 mm deviation
Score2 pointsforclosedcircle
Score1 pointforcurvedsegments
Score 30
Maximum
Patient's
Score-
17
B.
Block Design
Placefour blocksbefore the patient. Say"You see fhese btocks,they areatt alike.On some
sides,they are all red, on some all white, and on some,hatf red and hatf white. I am going
to eut the blocks tog.etherto make them look like this picture. Watch me first. No,wi took
at the pictureand make one just likeit with the btocks."Demonstratehow to do theexampte,
ry9vinOs.lowJtl,then miy up the blocksand have the patientdo it, using the iame'itocks.
lf he or she failsto do it in 90 seconds,mix up the btocksand havehim oiher try-"giii.ir tn"
patient fails on the secondattempt, go on'and show the next picture.Mix;;ii;
aincks
after each design. Except for the eiampte, the patient is not'shown how io do it or s
given a secondattempt..Score.3pointsfor correctdesign,completedin 60 setcoids;score
2 points for correct design, with extra time allowed (i minutes).Score I pont for'itoc*s
put together.
Practice
score3 pointsfor correctdesignwithin60 seconds
Score2 pointsfor correctdesignwith extratime
Score1 pointfor 4 blocksput together
MaximumScore
Patient'sScore-
C. Calculation
9
Presentthe card with the first catcutationon.it and sayto thepatient, "t woutd like
- you to
add. what rs -/"
then, "t would tike you to subtract.what is
?',t etc.
Continuewith oral stim.ulian^d
allow the patientto lookat thecardat the sametime (combined
oraland visualstimulation).ScoreZ pgyntsfor eachcorrectre"lor"". fne patieiti)y i"spora
orally or point to the correct answer. Thereis no partial scoregiven.
1. Addition
2. Subtraction
5
+4
6
-2
q
20
1
B
I
4
12
+2
4
12
4
+3
X
4
-7
to
2
8
-3
tr
4
x2
6
2
x3
tJ
2
x7
X
h
2. Division
I
+4
12
2
JI
4
q
3
24
11
J
2. Multiplication
6
tz
64
: Q
13
56
B
72
18
+3
2
11
42
25
4
21
tc
o
MaximumScore 24
Patient'sScore-
D.
Raven's Colored
Progressive Matrices
Administer the R.C.P.M.as indicatedin its manual. Themaximum scoreis 37, 1 pointfor
eachcorrectitem and award 1 additionalpoint for completionin S minutesorless.
MaximumScore 37
Patient'sscore_
18
SCORESHEET
Maximum
speech
spontaneous
Information
Content
Fluency
Total
Comprehension
Yes/NoOuestions
WordRecognition
Auditory
Commands
Sequential
Total
(Divide
By20 ForAO)
(Divide
Bv 10ForCO)
Repetition
Total
(DivideBy 10)
Naming
OblectNaming
Word Fluency
SentenceCompletion
Responsive
Speech
Total
(DivideBv 10)
AphasiaOuotient
(AddTotalsAnd MultiplyBy 2 ForAO)
ReadingAnd Writing
Reading
Writing
Total
(DivideBy 10)
Praxis
Total
(Divide
Bv6)
Construction
Drawing
BlockDesign
Calculation
Raven'sScore
Total
(DivideBv 10)
CorticalQuotient
Add Totals
10
10
20
60
60
80
10
20
100
10
60
20
10
10
10
100
100
20
60
10
30
q
u
37
10
r00
Patient's
Subscores
TotalForAO