Stroke and aphasia Flashcards
Define:
Dysarthria [1]
Dysphonia [1]
Dysarthrophonia [1]
What stays the same throughout each of the above? [1]
Dysarthria: disorder affecting articulation (slurred / unclear speech)
Dysphonia voice disorder (voice might be weak / distorted)
Dysarthrophonia: voice and articulation disoder
Language and cognition is normal
What is aphasia? [1]
Difficulty speaking, writing, following written or spoken language or non-verbal coommunication
What is the biggest cause of aphasia in the UK? [1]
Stroke
Describe the difference in Broca’s and Wernicke’s aphasias [2]
State if they are fluent or non-fluent [2]
Wernicke aphasia: characterized by impaired language comprehension Fluent
Broca’s aphasia: characterised the partial loss of the ability to produce language (stammering). Non-fluent
Which of the following is associated with trauma to the frontal lobe?
A. Broca aphasia
B. Loss of pain and temperature sensation
C. Ataxic gait
D. Tremors
Which of the following is associated with trauma to the frontal lobe?
A. Broca aphasia
B. Loss of pain and temperature sensation
C. Ataxic gait
D. Tremors
A 60-year-old female has non-fluent aphasia characterized by good comprehension but poor repetition. What is the best description of this condition?
A. Wernicke aphasia
B. Broca aphasia
C. Anomic aphasia
D. Mixed transcortical aphasia
A 60-year-old female has non-fluent aphasia characterized by good comprehension but poor repetition. What is the best description of this condition?
A. Wernicke aphasia
B. Broca aphasia
C. Anomic aphasia
D. Mixed transcortical aphasia
Where do lesions occur in the brain to create non-fluent and fluent aphasias? [2]
Non-fluent: anterior
Fluent: posterior
What is the name for difficulty of remembering words? [1]
Anomia
What is the name for saying the wrong words? [1]
Paraphasias
What is telegrammatism? [1]
Difficulty forming sentences
What is word sound deafness / wword meaning deafness? [1]
Difficulty understanding speech
What are the 4 patterns look for when assessing aphasia? [4]
- Fluency and ouput (including written)
- Auditory comprehension
- Repitition
- Naming (objects; pictures; conversatuin)
What is the name of the connection between Broca’s and Wernicke’s areas of the brain? [1]
Arcuate fasciculus
How are other aspects of cognition (for example, reasoning, attention, orientation) effected during aphasia? [1]
Same
Name 4 public health implications of aphasia [4]
- less likley to be discharged home
- HCP often lack communication skills to communicate with PWA
- More likely to suffer AEs
- More likely to become socially isolated (think of impact of lonliness - social isolation equivilant to smoking 15 cigarettes a day)
