Aphasia / Right Hemisphere Flashcards

1
Q

Various arteries help supply blood to the face and brain. Neurogenic communication disorders are associated with interrupted blood supply to the brain. Of the following statements, which is correct?

A. The internal carotid artery supplies the muscles of the face
B. Damage to the external carotid artery causes aphasia
C. Broca’s area and Wernicke’s area are supplied by the middle cerebral artery
D. If an artery below the circle of Willis is blocked, brain damage is maximal

A

C. Broca’s area and Wernicke’s area are supplied by the middle cerebral artery

The inferior temporal branch of the middle cerebral artery supplied blood to Wernicke & the superior division of the middle cerebral artery supplied blood to Broca’s. In a stroke, the middle cerebral artery is blocked most often

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2
Q

Which of the following is a quick screening for aphasia and can be administered verbally in about 5 to 15 minutes?

A. Duration Aphasia Screening Test
B. SAGE Test
C. Mississauga Cognitive Screening Test
D. Mississippi Aphasia Screening Test

A

D. Mississippi Aphasia Screening Test

The MAST was developed as a brief screening tool for those with severely impaired communication and language skills. The MAST was designed to detect changes in language abilities over time. It has 9 subtests that can range from 1 to 10 items per subscale and can be administered in 5 to 15 minutes.

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3
Q

A 72 year old suffered a stroke and had issues with poor memory, short attention span, rambling speech, impulsive behavior, left neglect, understanding jokes, and logically sequencing tasks. On the basis of this info, the physician mentioned to the family the pt probably suffered…

A. CN X damage
B. Damage to the hippocampus
C. Left hemisphere brain damage
D. Right hemisphere brain damage

A

D. Right hemisphere brain damage

Pt;s with RH damage typically have difficulties with the following:
1. Orientation: issues with dates, times, places, events
2. Perception: left-side neglect
3. Organization: issues with planning or giving directions
4. Memory: forgetting previously learned material, not remembering new info
5. Attention: inability to focus on task
6. Discourse processing (including narratives)
7. Social Communication (not understanding implied meanings, nonverbal cues, or jokes)

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4
Q

A ____ develops when a blood clot occurs in a blood vessel and blood flow through the vessel reduced

A

Thrombosis

A thrombosis is when clots block arteries or veins. Patients often complain about chest pain, swelling in one leg, or numbness on one side of the body. It could lead to a stroke or heart attack and could be life threatening.

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5
Q

A clinician is conducting in-service training in a hospital and is recommending treatment designed for patients with severe aphasia and apraxia whose repetition abilities are severely impaired. The clinician mentions that the purpose of this approach is to shape a variety of utterances that may eventually be used volitionally. She is referring to the following approach to therapy:

A

Melodic Intonation Therapy (MIT)

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