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Here is a quick mnemonic “CLINICAL LANGUAGE to remember about Clinical Examination Of Language

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Clinical Examination Of Language : How To Remember Easily ?

  • C – Comprehension should be assessed by asking the patient to follow conversation or answer yes-no questions.
  • L – Language examination should include assessment of naming, spontaneous speech, comprehension, repetition, reading, and writing.
  • I – In anomia, the patient may fail to provide the appropriate word or offer an incorrect but related word.
  • N – Naming deficit is the most common finding in aphasic patients, characterized by difficulty retrieving the appropriate name.
  • I – Integrity of grammar should be noted, including word order, tenses, suffixes, prefixes, plurals, and possessives.
  • C – Comprehension-based naming deficit exists if the patient can neither provide nor recognize the correct name.
  • A – Aphasic patients may exhibit paraphasias, such as semantic or phonemic paraphasias.
  • L – Language deficits can arise acutely in cerebrovascular accidents (CVAs) or gradually in neurodegenerative diseases.
  • L – Lesions in CVAs can encompass cerebral cortex and deep white matter pathways, leading to specific syndromes.
  • A – Alexia refers to the inability to read aloud or comprehend written words and sentences.
  • N – Nonfluent speech is characterized by sparse and halting output with short phrase length.
  • G – Grammar integrity can be assessed by evaluating syntax, plurals, possessives, and word order.
  • U – Utterance length below four words indicates nonfluent speech.
  • A – Agraphia describes an acquired deficit in spelling.
  • G – Gray matter and white matter destruction at the lesion site occurs in acute CVAs.
  • E – Examination should also include assessment of repetition, reading, and writing abilities.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department