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Quizzes > Health & Medicine > Diseases & Conditions

Expressive Aphasia Quiz: Test Your Knowledge Now

Ready for an anomic aphasia test online? Begin this quick test for aphasia and see how you score!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
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Are you curious about your communication skills? Our do i have aphasia quiz offers a free, scored expressive aphasia test that helps you explore if you might be experiencing language challenges. In just minutes, this aphasia test online walks you through symptoms, causes, and therapies, highlighting how expressive aphasia is characterized by word-finding struggles and halting speech. Whether you're a caregiver, clinician, or eager learner, this quick online assessment is designed to sharpen your awareness. Ready to challenge yourself? Jump into our aphasia quiz now or dive deeper with our speech and language disorders quiz for a broader brain health check!

Which of the following best describes expressive aphasia?
Difficulty producing language despite relatively preserved comprehension
Difficulty understanding spoken language but fluent speech
Difficulty reading written text with intact speaking ability
Difficulty recognizing familiar faces
Expressive aphasia, also known as Broca’s aphasia, is characterized by impaired speech production while comprehension remains relatively intact. It often results from damage to the left inferior frontal gyrus. Patients can understand language better than they can produce it. American Speech-Language-Hearing Association
Damage to which brain area is most commonly associated with expressive aphasia?
Broca’s area in the left frontal lobe
Wernicke’s area in the temporal lobe
Occipital cortex
Right parietal lobe
Broca’s area, located in the left inferior frontal gyrus, is the classical site for expressive language production. Lesions here result in non-fluent, effortful speech with relatively preserved comprehension. Damage to other regions yields different types of aphasia or other deficits. NCBI Bookshelf
Expressive aphasia is also commonly known as:
Broca’s aphasia
Wernicke’s aphasia
Global aphasia
Conduction aphasia
Expressive aphasia is synonymous with Broca’s aphasia, named after Paul Broca who first described language deficits from frontal lobe lesions. Wernicke’s aphasia affects comprehension and fluency. Global aphasia involves both expressive and receptive deficits, while conduction aphasia primarily impairs repetition. Wikipedia
A key symptom of expressive aphasia is:
Telegraphic, non-fluent speech
Fluent but nonsensical speech
Severe auditory comprehension loss
Visual field deficits
Expressive aphasia is characterized by non-fluent, effortful “telegraphic” speech where small function words are omitted. Patients usually speak in short phrases but comprehension remains relatively intact. Fluent but nonsensical speech is typical of Wernicke’s aphasia. ASHA Practice Portal
In expressive aphasia, comprehension of spoken language is usually:
Relatively preserved compared to production
Severely impaired
Better than repetition
Equally impaired as naming
Patients with expressive aphasia generally understand spoken language much better than they can produce it. Their main difficulty lies in formulating words and sentences. Severe comprehension loss is more characteristic of receptive aphasia types. American Stroke Association
Which test is commonly used to assess expressive language abilities in aphasia?
Boston Naming Test
Mini-Mental State Examination
Beck Depression Inventory
Raven’s Progressive Matrices
The Boston Naming Test assesses word retrieval and naming ability, critical components of expressive language. It is widely used in aphasia evaluations to quantify naming deficits. The MMSE screens general cognition, not specifically expressive language. National Aphasia Association
Which modality is most prominently affected in expressive aphasia?
Verbal expression
Auditory comprehension
Visual perception
Motor coordination
Expressive aphasia primarily impairs the ability to produce spoken and written language. Auditory comprehension is relatively spared, though some mild deficits may occur. Visual perception and motor skills are not defining features of this type. Mayo Clinic
Expressive aphasia most often results from damage to which lobe of the brain?
Frontal lobe of the dominant hemisphere
Occipital lobe of the dominant hemisphere
Temporal lobe of the nondominant hemisphere
Parietal lobe of the nondominant hemisphere
Expressive aphasia is most commonly caused by lesions in the left (dominant) frontal lobe, specifically Broca’s area. Occipital and nondominant hemisphere lesions typically produce visual or spatial deficits rather than language production problems. NCBI PMC
Which writing skill is often impaired alongside spoken language in expressive aphasia?
Spelling and written sentence construction
Handwriting legibility only
Mathematical calculations
Copying simple shapes
Expressive aphasia often affects both spoken and written language, leading to agrammatic writing and spelling errors. Handwriting legibility per se is less affected than linguistic formulation. Mathematical skills and copying shapes involve different neural networks. ASHA Public
Non-fluent speech in expressive aphasia is characterized by:
Short, effortful phrases with omission of function words
Rapid, melodic speech with neologisms
Slow but grammatically complete sentences
Normal rate with semantic paraphasias
Non-fluent speech in expressive aphasia is slow and effortful, often missing grammatical function words. Fluent aphasia types may produce rapid but meaningless speech or semantic errors. Grammatically complete sentences are rare in expressive aphasia. Verywell Health
Which therapy technique uses melodic patterns to improve speech in expressive aphasia?
Melodic Intonation Therapy
Constraint-Induced Movement Therapy
Transcutaneous Electrical Nerve Stimulation
Vestibular Rehabilitation
Melodic Intonation Therapy (MIT) uses the musical elements of speech (melody and rhythm) to improve language production in non-fluent aphasia. Constraint-Induced Movement Therapy is for limb rehabilitation. The other options are unrelated to language therapy. PubMed
The most common cause of expressive aphasia is:
Ischemic stroke affecting the left frontal lobe
Traumatic brain injury to the right hemisphere
Degenerative cerebellar disease
Peripheral neuropathy
An ischemic stroke in the left MCA superior division frequently damages Broca’s area, leading to expressive aphasia. Right hemisphere injuries affect other functions, and cerebellar or peripheral nerve conditions do not cause classic aphasia. American Stroke Association
Agrammatism in expressive aphasia refers to:
Omission of function words and simplified sentence structure
Production of invented words
Difficulty naming objects
Problems with auditory comprehension
Agrammatism is the hallmark of Broca’s aphasia and involves missing articles, prepositions, and inflections, yielding ‘telegraphic’ speech. Invented words characterize neologistic aphasias. Naming and comprehension deficits are separate features. NCBI PMC
Which imaging technique is most sensitive for detecting acute stroke leading to expressive aphasia?
Diffusion-weighted MRI
Plain skull X-ray
Electroencephalography
Ultrasound of the abdomen
Diffusion-weighted MRI is highly sensitive to early ischemic changes in the brain. Plain X-rays do not show soft tissue detail, EEG measures electrical activity, and abdominal ultrasound is unrelated. Stroke Journal
The Western Aphasia Battery assesses expressive language by measuring:
Spontaneous speech, naming, and repetition
Pure tone audiometry
Visual field cuts
Gait and balance
The Western Aphasia Battery evaluates expressive modalities including spontaneous speech content and fluency, naming abilities, and repetition. It provides an Aphasia Quotient for severity. The other options assess hearing, vision, or motor skills. ASHA Leader
Difficulty retrieving specific words for objects is called:
Anomia
Agraphia
Alexia
Amusia
Anomia is a core feature of expressive aphasia, reflecting word-finding difficulties. Agraphia is writing impairment, alexia is reading impairment, and amusia is a musical disorder. NCBI PMC
Which characteristic distinguishes Broca’s aphasia from transcortical motor aphasia?
Impaired repetition in Broca’s aphasia but preserved in transcortical motor
Fluent speech in Broca’s aphasia but non-fluent in transcortical motor
Severe comprehension deficits in Broca’s aphasia only
Visual naming intact in Broca’s aphasia
Broca’s aphasia features non-fluent speech with poor repetition, whereas transcortical motor aphasia has non-fluent speech but intact repetition. Both have relatively preserved comprehension. Visual naming deficits occur in both types. ASHA
Damage to which arterial branch most often leads to expressive aphasia?
Superior division of the left middle cerebral artery
Anterior cerebral artery
Posterior inferior cerebellar artery
Basilar artery
The superior division of the left MCA supplies Broca’s area in the frontal lobe. Occlusion here typically causes expressive aphasia. The ACA supplies medial frontal lobes, PICA supplies cerebellum, and basilar artery supplies brainstem. Radiopaedia
Mean length of utterance (MLU) in speech analysis measures:
Average number of morphemes per utterance
Duration of each spoken phrase in seconds
Pitch variation across sentences
Number of filler words used
MLU quantifies fluency by calculating the average number of morphemes per utterance. It reflects sentence complexity and is often reduced in expressive aphasia. Duration, pitch, and filler usage are separate measures. NCBI PMC
Constraint-induced language therapy (CILT) is primarily based on which principle?
Forcing use of impaired language functions by restricting compensatory strategies
Using melodic intonation to bypass language circuits
Enhancing auditory feedback through amplification
Applying electrical stimulation to facial muscles
CILT restricts alternative communication modes (e.g., gestures) to compel patients to use verbal language, promoting neuroplasticity. Melodic intonation therapy uses melody, not CILT. Auditory amplification and facial stimulation are unrelated approaches. PubMed
What is a common feature of apraxia of speech seen in expressive aphasia?
Groping movements of articulators
Rapid rate with normal prosody
Persistent neologisms
Complete mutism
Apraxia of speech involves disrupted motor planning, leading to visible groping and trial-and-error articulatory movements. Fluent speech with normal prosody occurs in other disorders, and neologisms are more typical of Wernicke’s aphasia. ASHA
Which neuroimaging finding supports perilesional recruitment in expressive aphasia recovery?
Increased activation in left inferior frontal gyrus around the lesion
Decreased right hemisphere activation
Bilateral occipital hyperactivation
Global reduction in thalamic activity
Recovery often involves perilesional left-hemisphere areas taking over language tasks, showing increased activation near the damaged site. Right hemisphere overactivity is less predictive of positive outcomes, and occipital or thalamic changes are unrelated. NCBI PMC
Which acoustic parameter is most often analyzed to detect apraxia of speech?
Voice onset time variability
Fundamental frequency range
Speech-loudness consistency
Formant transition amplitude
Apraxia of speech often manifests as inconsistent voice onset times reflecting disrupted timing of articulatory movements. Fundamental frequency and loudness relate to prosody and volume; formant transitions are more tied to phonetic quality. PubMed
Which contralateral pathway reorganization is implicated in chronic expressive aphasia recovery?
Recruitment of right hemisphere arcuate fasciculus homolog
Degeneration of left uncinate fasciculus
Bilateral corticospinal tract remodeling
Hyperactivation of the cerebellar peduncles
Studies suggest that in chronic stages, homologous right-hemisphere language tracts like the arcuate fasciculus support language recovery when left-hemisphere damage is extensive. Left uncinate degeneration and motor tract changes are not primary in aphasia recovery. Frontiers in Human Neuroscience
Which rTMS protocol has shown efficacy in improving naming in expressive aphasia by modulating interhemispheric balance?
Low-frequency (1 Hz) rTMS to right inferior frontal gyrus
High-frequency (20 Hz) rTMS to left occipital cortex
Theta-burst stimulation to right cerebellum
Random noise stimulation to both temporal lobes
Low-frequency rTMS (1 Hz) applied to the right homolog of Broca’s area can reduce maladaptive overactivation and rebalance interhemispheric inhibition, improving naming in nondominant hemisphere stroke patients. Other protocols target unrelated regions or frequencies. PubMed
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Study Outcomes

  1. Identify Expressive Aphasia Symptoms -

    Recognize hallmark signs of expressive aphasia such as word-finding difficulties and simplified speech patterns, using the free expressive aphasia test as a guide.

  2. Differentiate Anomic Aphasia -

    Distinguish anomic aphasia from other language disorders by applying specific anomic aphasia test criteria presented in the quiz.

  3. Analyze Quiz Results -

    Interpret your score from the "do i have aphasia quiz" to assess potential language impairments and determine next steps.

  4. Understand Causes and Risk Factors -

    Explain common causes, such as stroke or head injury, and identify risk factors associated with aphasia development.

  5. Apply Treatment Insights -

    Explore evidence-based therapies and strategies for recovery, enabling informed discussions with healthcare providers after taking the aphasia test online.

Cheat Sheet

  1. Expressive Aphasia Characteristics -

    Expressive aphasia, often called Broca's aphasia, is marked by non-fluent, effortful speech with relatively preserved comprehension. A handy mnemonic is "BROCA blocks words" to recall blocked speech output despite intact understanding. According to ASHA guidelines, pauses, telegraphic phrases, and agrammatism are key red flags in an expressive aphasia test online.

  2. Anomic Aphasia Test Criteria -

    Anomic aphasia is characterized by word”retrieval failures, especially for nouns, while grammar and comprehension stay largely intact. Clinicians use picture”naming tasks - like asking "What's this?" for common objects - to score noun-finding ability. Remember "NO MOnk - Nouns Often Missing Keenly" as a mnemonic for noun-finding deficits.

  3. Scoring the Aphasia Quiz -

    Standardized tools like the Western Aphasia Battery - Revised (WAB-R) assign an Aphasia Quotient (AQ) from 0 - 100 based on spontaneous speech, comprehension, repetition, and naming. For example, AQ = [(Spontaneous Speech/20) + (Auditory Verbal Comprehension/10) + (Repetition/10) + (Naming/10)] × 2. This formula helps you interpret online test scores to gauge expressive deficits and track progress.

  4. Neurological Basis and Causes -

    Expressive aphasia usually stems from damage to Broca's area in the left inferior frontal gyrus, most often due to stroke or traumatic brain injury. MRI studies from major research hospitals confirm the link between frontal lesions and non-fluent speech. A simple phrase to remember is "Left Front for Fluent Production."

  5. Treatment Approaches and Recovery -

    Evidence-based interventions like Constraint-Induced Language Therapy (CILT) and Melodic Intonation Therapy (MIT) drive neural reorganization and speech improvements. Studies recommend intensive practice - 3 - 5 sessions per week - to maximize gains, with caregivers encouraged to reinforce new skills at home. Keep in mind "CILT Creates Language Triumphs" to stay motivated through therapy.

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