Integrated Visual and Auditory Continuous Performance Test- second Edition (IVA-2™)
Diagnostic Impression
Recommendations
Languages
Timeline
Santiago Benitez
amarillo,Texas
Overview
2026
2026
years of professional experience
Work History
Construction Worker
Skid Loader
Framer
work with power tools
Flooring Installer
electric
Roofing Laborer
Painter
Tractor Operator
Mechanic
Sprinkler Technician
Lawn Mower
Absolute Lawn Care
05.2023 - 12.2025
Operated commercial-grade mowers to maintain residential and commercial lawns efficiently.
Ensured adherence to safety protocols while using landscaping equipment and tools.
Assisted in maintaining equipment by performing routine checks and basic repairs.
Collaborated with team members to execute lawn care plans effectively and timely.
Education
High School Diploma -
San Bernardino High School
San Bernardino, CA
05-2005
Skills
Problem-solving
Heavy lifting
Construction
Attention to detail
EVALUATION SUMMARY
A fourth-grade student at Emerson Elementary, Santiago Benitez was seen in this office for brief evaluation accompanied by his mother who stated, “At school he keeps getting in trouble for not being still. He disrupts the class.”
A 40-week delivery weighing 9 pounds 8 ounces, Santiago’s mother indicated the pregnancy she had low platelets, but took iron and had a good pregnancy. Santiago achieved developmental milestones appropriately. No history of head injury, seizure activity, loss of consciousness or significant febrile illness was reported. Appetite is good, but he has difficulties going to sleep.
Santiago was given an objective computerized continuous performance test to quantify sustained attention, level of disinhibition, processing speed, consistency of responding, pattern of responding, and cognitive stamina.
His mother completed a questionnaire indicating the frequency of any observed behaviors that might identify his executive function problems.
CORE INDEX SCORES
Index Raw Score T Score Percentile Rank 95% Confidence Interval
Behavioral Functioning 41 74 99 66 - 77
Emotional Functioning 30 74 99 66 - 77
Executive Functioning 62 73 99 69 - 76
Total Composite 221 76 99.5 71 - 79
CLINICAL INDEX SCORES
Index Raw Score T Score Percentile Rank 95% Confidence Interval
According to his mother, Santiago experiences SEVERE difficulty in all domains
Integrated Visual and Auditory Continuous Performance Test- second Edition (IVA-2™)
The IVA-2 CPT is a test of visual and auditory attention and impulse control. It is designed primarily to help in the screening, diagnosis, and quantification of the symptoms of Attention-Deficit Hyperactivity Disorders (ADHD) for ages 6 to adult. In addition, the IVA-2 serves as a secondary purpose in helping objectively measure the effects and benefits of therapeutic treatments. Including the Warm-Up and Practice periods, the overall testing time is about fifteen minutes with the Main Test lasting about twelve minutes.
The IVA-2 presents a series of “1’s” and “2’s” in a pseudo-random combination of visual and auditory stimuli. The test taker is required to click a mouse only when he sees or hears a “1” (target) and not to click when he sees or hears a “2” (foil). The test is intended to be mildly boring and demanding of sustained attention to challenge the individual’s ability to shift cognitive sets. The IVA-2 combines tests of impulsivity and inattention in a counter-balanced design and presents each in both the auditory and the visual modalities. During certain periods, the test pulls for errors of commission (i.e., impulsivity) by creating a response set demanding constant responding then unexpectedly requiring the subject to inhibit response. During other periods, the test pulls for errors of omission (i.e., inattention) by presenting a number of consecutive foils, creating response sets of non-responding then unexpectedly requiring the subject to respond.
The IVA-2 analysis provides eight global composite quotient scores and seventeen other scales divided into four groups: Response Control, Attention, Stamina, and Speed. The global composite quotients and full-scale composite quotient scores (i.e., Full-Scale Response Control Quotient and Full-scale Attention Quotient) are based on six primary visual and auditory scales each. The IVA-2 also includes a primary scale to measure Fine Motor Hyperactivity.
All scores are reported as standard scores with a mean of 100 and standard deviation of 15.
Santiago’s scores were especially problematic in executive inhibition/distractibility. He had some difficulty in attention. Limited evaluation data point to the following DSM-5 diagnosis:
Attention-deficit hyperactivity disorder, predominantly inattentive presentation, moderate – severe
Recommendations
1. Santiago would likely benefit from a trial of stimulant medication.
2. When/If medicated, retest(s) may assist in objectively measuring the effects and benefits of therapeutic treatments to identify optimal agent/dosage.