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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!

Editorial: Review CompletedCreated By: Jennifer GrubbsUpdated Aug 25, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
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This aphasia quiz helps you check how well you understand expressive aphasia - word-finding trouble, halting speech, causes, and care - so you can spot gaps and build confidence. It's quick and scored, and you can keep practicing with extra aphasia questions or try a related speech and language disorders quiz .

Which of the following best describes expressive aphasia?
Difficulty recognizing familiar faces
Difficulty reading written text with intact speaking ability
Difficulty understanding spoken language but fluent speech
Difficulty producing language despite relatively preserved comprehension
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.
Damage to which brain area is most commonly associated with expressive aphasia?
Occipital cortex
Broca's area in the left frontal lobe
Right parietal lobe
Wernicke's area in the temporal 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.
Expressive aphasia is also commonly known as:
Conduction aphasia
Wernicke's aphasia
Broca's aphasia
Global 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.
A key symptom of expressive aphasia is:
Fluent but nonsensical speech
Visual field deficits
Severe auditory comprehension loss
Telegraphic, non-fluent speech
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.
In expressive aphasia, comprehension of spoken language is usually:
Severely impaired
Better than repetition
Equally impaired as naming
Relatively preserved compared to production
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.
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.
Which modality is most prominently affected in expressive aphasia?
Visual perception
Motor coordination
Auditory comprehension
Verbal expression
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.
Expressive aphasia most often results from damage to which lobe of the brain?
Temporal lobe of the nondominant hemisphere
Parietal lobe of the nondominant hemisphere
Occipital lobe of the dominant hemisphere
Frontal lobe of the dominant 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.
Which writing skill is often impaired alongside spoken language in expressive aphasia?
Copying simple shapes
Handwriting legibility only
Mathematical calculations
Spelling and written sentence construction
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.
Non-fluent speech in expressive aphasia is characterized by:
Normal rate with semantic paraphasias
Rapid, melodic speech with neologisms
Slow but grammatically complete sentences
Short, effortful phrases with omission of function words
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.
Which therapy technique uses melodic patterns to improve speech in expressive aphasia?
Melodic Intonation Therapy
Constraint-Induced Movement Therapy
Vestibular Rehabilitation
Transcutaneous Electrical Nerve Stimulation
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.
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.
Agrammatism in expressive aphasia refers to:
Problems with auditory comprehension
Difficulty naming objects
Production of invented words
Omission of function words and simplified sentence structure
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.
Which imaging technique is most sensitive for detecting acute stroke leading to expressive aphasia?
Electroencephalography
Ultrasound of the abdomen
Diffusion-weighted MRI
Plain skull X-ray
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.
The Western Aphasia Battery assesses expressive language by measuring:
Pure tone audiometry
Gait and balance
Visual field cuts
Spontaneous speech, naming, and repetition
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.
Difficulty retrieving specific words for objects is called:
Anomia
Amusia
Agraphia
Alexia
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.
Which characteristic distinguishes Broca's aphasia from transcortical motor aphasia?
Visual naming intact in Broca's aphasia
Impaired repetition in Broca's aphasia but preserved in transcortical motor
Severe comprehension deficits in Broca's aphasia only
Fluent speech in Broca's aphasia but non-fluent in transcortical motor
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.
Damage to which arterial branch most often leads to expressive aphasia?
Anterior cerebral artery
Posterior inferior cerebellar artery
Basilar artery
Superior division of the left middle cerebral 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.
Mean length of utterance (MLU) in speech analysis measures:
Average number of morphemes per utterance
Number of filler words used
Pitch variation across sentences
Duration of each spoken phrase in seconds
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.
Constraint-induced language therapy (CILT) is primarily based on which principle?
Using melodic intonation to bypass language circuits
Applying electrical stimulation to facial muscles
Forcing use of impaired language functions by restricting compensatory strategies
Enhancing auditory feedback through amplification
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.
What is a common feature of apraxia of speech seen in expressive aphasia?
Groping movements of articulators
Persistent neologisms
Complete mutism
Rapid rate with normal prosody
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.
Which neuroimaging finding supports perilesional recruitment in expressive aphasia recovery?
Bilateral occipital hyperactivation
Global reduction in thalamic activity
Increased activation in left inferior frontal gyrus around the lesion
Decreased right hemisphere activation
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.
Which acoustic parameter is most often analyzed to detect apraxia of speech?
Fundamental frequency range
Speech-loudness consistency
Formant transition amplitude
Voice onset time variability
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.
Which contralateral pathway reorganization is implicated in chronic expressive aphasia recovery?
Bilateral corticospinal tract remodeling
Recruitment of right hemisphere arcuate fasciculus homolog
Degeneration of left uncinate fasciculus
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.
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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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