American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the role of occupational therapy in treating primary progressive aphasia?

1. To provide cognitive-behavioral therapy

2. To teach compensatory strategies for communication

3. To improve physical mobility

4. To provide medication management

The correct answer is: To teach compensatory strategies for communication

Occupational therapy plays a significant role in managing primary progressive aphasia (PPA) by focusing on functional communication and enhancing the ability to engage in everyday activities. Given the nature of PPA, which involves a gradual loss of language skills, occupational therapists work with patients to develop compensatory strategies for communication. This may include teaching the use of alternative communication methods, such as communication boards or speech-generating devices, as well as techniques to improve other communication-related skills, like facial expressions or gestures. The emphasis on compensatory strategies is pertinent because individuals with PPA are often aware of their communication deficits and may experience frustration. By learning to use these strategies, patients can maintain a higher level of interaction and engagement in their daily lives despite their progressive language difficulties. This approach not only aids in communication but also supports the individual's overall quality of life by fostering independence and participation in social and occupational roles. While cognitive-behavioral therapy, physical mobility improvement, and medication management can be parts of a comprehensive treatment plan for dementia-related disorders, they do not specifically address the core challenges presented by PPA as directly as the strategy of teaching compensatory communication methods.