You are talking to a patient and ask them “How are you feeling?” to which they respond, “I ran my face on the recent stove, but did not see the airplane. It is too hot for seeing a door.” This word-salad conversation would most likely be indicative of which of the following?

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BlackTom AI · Accepted Answer

The question presents a conversational prompt and a strange, fluent but nonsensical reply that mixes words in a way that preserves grammar and rhythm but distorts meaning. This pattern is characteristic of a fluent but semantically impaired speech output often seen in certain aphasias.
Option a. Broca’s Aphasia: Typically involves nonfluent speech, halting, agrammatism, and relatively preserved comprehension. The patient would speak in short, telegraphic phrases and struggle with grammar more than with content. The provided response is fluent and verbose, not matching the nonfluent production of Broca’s aphasia.
Option b. Wernicke’s Aphasia: Known for fluent, well-structured speech that often contains paraphasias or invented words and nonsensical content, with poor comprehension. The sentence "I ran my face on the recent stove, but did not see the airplane. It is too hot for seeing a door" reads as though words are produced fluently but lack meaningful semantic coherence, which aligns with Wernicke’s aphasia.
Option c. Transcortical Motor Aphasia: Shares features with Broca’s aphasia but with preserved repetition; speech is nonfluent and effortful. The salience here is not a fluent but meaningless output, so this option mismatches the observed fluency pattern.
Option d. Global Aphasia: Combines severe impairment of language modalities, affecting both comprehension and expression, often with limited spontaneous speech and poor repetition. The sample output is fluent, making global aphasia unlikely.
Option e. Anomic Aphasia: Characterized by word-finding difficulties and circumlocutions, with relatively preserved fluency and comprehension. The bizarre utterance here goes beyond simple naming problems, making anomic aphasia a poor fit.
In summary, the fluent yet semantically jumbled speech described in the prompt most closely tracks Wernicke’s aphasia, where patients produce grammatically well-formed sentences that may be nonsensical or semantically malapropistic due to impaired comprehension and semantic processing.

You are talking to a patient and ask them “How are you feeling?” to which they respond, “I ran my face on the recent stove, but did not see the airplane. It is too hot for seeing a door.” This word-salad conversation would most likely be indicative of which of the following?

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