Page 1 of 77
Simucase Paul Assessment SLP Case Study
| Broca’s Aphasia & Apraxia Evaluation |
Full Assessment, Diagnosis & Treatment
Recommendations | 2026 Update.
Q1
Paul’s stroke is localized to which vascular territory?
A) Middle cerebral artery (superior division)
B) Anterior cerebral artery
C) Middle cerebral artery (inferior division) – actually Broca’s
area is supplied by superior division, but insula by MCA. Best
answer: Superior division of MCA
D) Posterior cerebral artery
Rationale: Broca’s area and the surrounding premotor cortex
are supplied by the superior division of the left MCA.
,Page 2 of 77
Answer: A
Q2
Which of Paul’s pre-morbid factors increased his risk for
stroke?
A) Hypertension and hyperlipidemia
B) Diabetes mellitus
C) Atrial fibrillation
D) Smoking (not specified, but hypertension is confirmed)
Rationale: Hypertension and hyperlipidemia are major
modifiable risk factors for ischemic stroke.
Answer: A
Q3
,Page 3 of 77
Paul’s age places him in which stroke risk demographic?
A) 58 years – increased risk starting in 50s
B) 20-30 years
C) Over 80 years
D) Only pediatric
Rationale: Stroke risk increases with age, especially after 55;
Paul at 58 is in the higher-risk adult category.
Answer: A
Q4
Paul’s right-handedness indicates that his language functions
are likely lateralized to the:
A) Right hemisphere
B) Left hemisphere
C) Both hemispheres equally
D) Cerebellum
, Page 4 of 77
Rationale: Over 95% of right-handed individuals have left-
hemisphere language dominance.
Answer: B
Q5
The initial symptom “inability to speak” combined with right-
sided weakness suggests:
A) Right hemisphere stroke
B) Left hemisphere stroke with Broca’s aphasia
C) Global aphasia
D) Psychogenic mutism
Rationale: Left frontal lesions cause Broca’s aphasia with
contralateral weakness.
Answer: B
Simucase Paul Assessment SLP Case Study
| Broca’s Aphasia & Apraxia Evaluation |
Full Assessment, Diagnosis & Treatment
Recommendations | 2026 Update.
Q1
Paul’s stroke is localized to which vascular territory?
A) Middle cerebral artery (superior division)
B) Anterior cerebral artery
C) Middle cerebral artery (inferior division) – actually Broca’s
area is supplied by superior division, but insula by MCA. Best
answer: Superior division of MCA
D) Posterior cerebral artery
Rationale: Broca’s area and the surrounding premotor cortex
are supplied by the superior division of the left MCA.
,Page 2 of 77
Answer: A
Q2
Which of Paul’s pre-morbid factors increased his risk for
stroke?
A) Hypertension and hyperlipidemia
B) Diabetes mellitus
C) Atrial fibrillation
D) Smoking (not specified, but hypertension is confirmed)
Rationale: Hypertension and hyperlipidemia are major
modifiable risk factors for ischemic stroke.
Answer: A
Q3
,Page 3 of 77
Paul’s age places him in which stroke risk demographic?
A) 58 years – increased risk starting in 50s
B) 20-30 years
C) Over 80 years
D) Only pediatric
Rationale: Stroke risk increases with age, especially after 55;
Paul at 58 is in the higher-risk adult category.
Answer: A
Q4
Paul’s right-handedness indicates that his language functions
are likely lateralized to the:
A) Right hemisphere
B) Left hemisphere
C) Both hemispheres equally
D) Cerebellum
, Page 4 of 77
Rationale: Over 95% of right-handed individuals have left-
hemisphere language dominance.
Answer: B
Q5
The initial symptom “inability to speak” combined with right-
sided weakness suggests:
A) Right hemisphere stroke
B) Left hemisphere stroke with Broca’s aphasia
C) Global aphasia
D) Psychogenic mutism
Rationale: Left frontal lesions cause Broca’s aphasia with
contralateral weakness.
Answer: B
