Broca's aphasia features which type of speech?

• A. Fluent speech with good grammar
• B. Receptive impairment with fluent speech
• C. Expressive, nonfluent speech with relatively good comprehension
• D. Global cognitive decline

Answer: (C)

Broca's aphasia is marked by expressive, nonfluent speech that is slow, halting, and typically telegraphic, with grammar often reduced (agrammatism). Despite this difficulty in producing language, comprehension is relatively preserved, especially for simple sentences, though complex syntax can pose a challenge. Repetition is often impaired because motor speech planning is affected. So, describing speech as expressive but nonfluent with relatively good comprehension best fits Broca's aphasia. In contrast, fluent speech with good grammar aligns more with fluent/receptive forms of aphasia, receptive impairment with fluent speech describes Wernicke's aphasia, and global cognitive decline would imply broader, non-language deficits.