ABPN Psychiatry and Neurology Exam 2025 – Complete Practice Test Prep

Question: 1 / 1275

What is the best test to measure executive functioning in patients?

Halstead-Reitan neuropsychological battery

Thematic apperception test

Trail-making test

The Trail-making test is considered one of the best assessments for measuring executive functioning in patients. This test is particularly effective because it evaluates several cognitive abilities that are essential for executive function, such as cognitive flexibility, task switching, and visual attention.

During the assessment, the individual is asked to connect a series of numbers and letters in an alternating sequence. This task requires them to remain focused, shift their attention between the sequences, and react quickly while maintaining the correct order. These components strongly reflect the workings of the frontal lobe, which is critically involved in executive functions.

When evaluating the other tests listed, the Halstead-Reitan neuropsychological battery, while comprehensive, assesses a broad range of cognitive skills and isn't solely focused on executive function. The Thematic Apperception Test primarily examines personality and interpersonal relationships through storytelling based on ambiguous images, making it less relevant for executive function assessment. The Minnesota Multiphasic Personality Inventory (MMPI) is primarily used to assess personality structure and psychopathology, rather than cognitive processes like executive functioning. Therefore, the Trail-making test stands out as a targeted tool for evaluating executive function capabilities in patients.

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MMPI

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