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Aphasia Test Online Free: Expressive Aphasia Knowledge Quiz

Quick, free expressive aphasia quiz to check your knowledge. Instant results.

Editorial: Review CompletedCreated By: Jennifer GrubbsUpdated Aug 25, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art quiz illustration on sky blue background shows expressive aphasia test with speech bubbles brain icon checklist

This expressive aphasia quiz helps you check your understanding of word-finding issues, speech patterns, and supportive strategies. You'll get quick, scored feedback to guide your learning; it's educational, not a diagnosis. If you'd like to explore language further, try our linguistics quiz, build your ear with phonetic alphabet practice, or challenge your style sense with a figure of speech quiz.

Expressive aphasia primarily affects which aspect of language?
Color vision
Hearing acuity
Understanding spoken language
Producing spoken language (Explanation: Expressive aphasia chiefly impairs speech production, while comprehension is relatively better preserved)
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Which brain region is most classically associated with expressive (Broca's) aphasia when damaged in the dominant hemisphere?
Left hippocampus
Bilateral cerebellar hemispheres
Left inferior frontal gyrus, Broca's area (BA44/45) (Explanation: Lesions in the left inferior frontal gyrus produce the classic nonfluent, agrammatic profile)
Right occipital lobe
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Speech in expressive aphasia is often described as
Fluent with normal grammar
Whispered with normal grammar
Nonfluent and effortful with agrammatism (Explanation: Output is typically halting, telegraphic, and missing function words)
Rapid and pressured with flight of ideas
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Anomia in expressive aphasia refers to difficulty with
Producing speech sounds
Recognizing faces
Finding words for naming (Explanation: Anomia is a word-finding deficit, common across aphasia types including Broca's)
Understanding complex sentences
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Select the utterance that best exemplifies telegraphic speech seen in expressive aphasia.
I do not like pens.
The pen was borrowed by the student who arrived late.
I am wondering whether I could possibly borrow your pen for a moment.
Pen... need... write (Explanation: Function words are omitted, leaving content words in a halting manner)
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In classic Broca's aphasia, how is repetition typically affected?
Enhanced compared to spontaneous speech
Impaired for words and sentences (Explanation: Repetition is usually impaired in Broca's aphasia, unlike transcortical motor aphasia where it is spared)
Spared and normal
Mildly reduced only for long sentences
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Compared with expression, auditory comprehension in Broca's aphasia is generally
Equally impaired
Normal for complex syntax but impaired for single words
More impaired
Relatively preserved, especially for simple sentences (Explanation: Patients often understand simple commands better than they can speak)
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Writing in expressive aphasia typically
Shows parallel nonfluent, agrammatic patterns (Explanation: Agraphia often mirrors spoken output in Broca's aphasia)
Is normal
Is excessively verbose but grammatical
Is replaced by drawing with perfect spelling
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The vascular territory most commonly implicated in acute Broca's aphasia due to stroke is
Posterior inferior cerebellar artery
Superior division of the left middle cerebral artery (Explanation: Infarcts in this branch commonly involve the left inferior frontal region causing nonfluent aphasia)
Anterior cerebral artery
Basilar artery
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Melodic Intonation Therapy is designed to
Strengthen memory for word lists
Train reading comprehension only
Improve auditory comprehension via phoneme discrimination
Use singing and rhythm to facilitate speech output (Explanation: MIT leverages intact melodic-prosodic processing to cue utterance production)
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Which feature best helps distinguish apraxia of speech from expressive aphasia?
Inconsistent articulatory errors with disrupted prosody and groping (Explanation: Apraxia of speech shows inconsistent errors and motor planning deficits; aphasia is primarily linguistic)
Anomia
Agrammatic sentence structure
Word-finding pauses
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Constraint-Induced Aphasia Therapy primarily targets
Avoiding spoken output to reduce frustration
Strengthening limb apraxia
Singing to improve breath control
Forcing verbal communication while constraining nonverbal strategies (Explanation: CIAT increases intensity of verbal practice by limiting gestures/writing)
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The best imaging modality to detect an acute ischemic lesion causing new-onset expressive aphasia within minutes of onset is
PET scan
Diffusion-weighted MRI (Explanation: DWI is highly sensitive to acute ischemia within minutes)
X-ray
Noncontrast CT only
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On the Western Aphasia Battery, the Aphasia Quotient is most closely associated with
Severity of aphasia (Explanation: WAB-AQ summarizes language impairment severity across domains)
Depression severity
Vision acuity
Risk of seizures
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Transcortical motor aphasia differs from Broca's aphasia in that
Comprehension is severely impaired in transcortical motor aphasia
Naming is normal in both
Repetition is disproportionately spared in transcortical motor aphasia (Explanation: TMA has nonfluent speech but preserved repetition)
Fluency is normal in both
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Damage restricted to the arcuate fasciculus with intact Broca's and Wernicke's areas would most likely produce
Broca's aphasia
Transcortical motor aphasia
Conduction aphasia with impaired repetition (Explanation: Disconnection disrupts repetition despite fluent output and relatively good comprehension)
Pure alexia
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Which lesion pattern most commonly yields alexia with agraphia, sometimes overlapping with expressive deficits?
Bilateral caudate nuclei
Left angular gyrus involvement (Explanation: Angular gyrus lesions produce alexia with agraphia and can accompany perisylvian language network damage)
Cervical spinal cord
Right frontal pole
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tDCS (transcranial direct current stimulation) paired with speech therapy in post-stroke expressive aphasia has
Mixed but promising evidence as an adjunct in some patients (Explanation: Studies show variable benefits; it is investigational adjunctive therapy)
No safety considerations
Robust FDA approval as a standalone cure
Guaranteed return to baseline language
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In acute stroke triage, which symptom constellation most specifically suggests a left MCA superior division infarct?
Left homonymous hemianopia alone
Complete mutism with intact writing
Nonfluent aphasia, right face/arm weakness, relatively preserved comprehension (Explanation: This profile localizes to left frontal-perisylvian cortex)
Ataxia with vertigo
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In left-handers, language lateralization
Occurs in the cerebellum predominantly
Is always right hemisphere
Is more variable, with a higher rate of right or bilateral dominance (Explanation: Left-handers show more variability than right-handers)
Matches right-handers exactly
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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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