Exam 2: RHS

Question 1

50% of adults with RH strokes have

Answer 1

cog-comm disorders

Question 2

50% of adults with LH strokes have

Answer 2

aphasia

Question 3

~95% of adults with aphasia receive

Answer 3

inpatient speech-language rehab treatment

Question 4

~80% of adults with cog-comm disorders associated with RHS receive

Answer 4

inpatient speech-language rehab treatment

Question 5

attention problems

Answer 5

50% divided attn
35% selective attn

Question 6

Anosognosia

Answer 6

lack of awareness of deficit
*improves over time

Question 7

suppression

Answer 7

inhibition of contextually-irrelevant meanings

Question 8

semantic lang probs

Answer 8

suppression
figurative language

Question 9

prag language probs

Answer 9

conversation
affect & emotion
theory of mind

Question 10

nonlinguistic deficits

Answer 10

attn deficits
lack of awareness
visuoperceptual deficits
cog/executive dysfunction
neglect

Question 11

attn deficits

Answer 11

may be hyper- or hypo-aroused or have difficulty sustaining attn, especially on the left side

Question 12

visuoperceptual deficits

Answer 12

object recognition
constructional tasks (puzzles, blocks)
spatial orientation (familiar routes, moving from point A to point B)

Question 13

neglect

Answer 13

pt. fails to report, respond, or orient to stimuli on side opposite of brain lesion (contralateral) despite the motor and sensory capacity to do so

Question 14

may be one manifestation of a larger, more generalized attentional impairment; considered an intellectual and not just a perceptual deficit

Answer 14

neglect

Question 15

Neglect in LHS

Answer 15

often resolves

Question 16

Neglect in RHS

Answer 16

may persist

Question 17

subtypes of neglect

Answer 17

viewer-centered (egocentric)
stimulus/object centered (allocentric)

Question 18

egocentric neglect

Answer 18

“left” shifts w person’s visual focus

Question 19

allocentric neglect

Answer 19

“left” side of objects is neglected regardless of placement in visual field

Question 20

evaluation nonlinguistic deficits

Answer 20

cancellation
scanning
line bisection
drawing tasks
oral reading tasks
writing tasks

Question 21

linguistic deficits

Answer 21

word discrimination
naming
following commands
word definitions
word fluency
reading & reading comp
writing

Question 22

often, linguistic deficits are

Answer 22

mild and do not affect communication significantly

Question 23

to evaluate linguistic deficits:

Answer 23

traditional language Ax

Question 24

understanding of implied meaning of complex narratives

Answer 24

extralinguistic deficit

Question 25

understanding humor, irony, and sarcasm

Answer 25

extralinguistic deficit

Question 26

expressing their own intended meaning

Answer 26

extralinguistic deficit

Question 27

using extralinguistic cues that convey emotion

Answer 27

extralinguistic deficit

Question 28

occasionally, confabulation

Answer 28

extralinguistic deficit

Question 29

extracting and integrating bits of info

Answer 29

extralinguistic deficit

Question 30

generative alternative meanings

Answer 30

extralinguistic deficit

Question 31

comprehending and expressing emotion

Answer 31

extralinguistic deficit

Question 32

comprehending and producing prosody

Answer 32

extralinguistic deficit

Question 33

to evaluate extralinguistic deficits

Answer 33

language sample (structure & content)
picture description
tell a joke and ask pt. to explain why it is funny

Question 34

apragmatism

Answer 34

a disorder in conveying and/or comprehending meaning or intent through linguistic, paralinguistic, and/or extralinguistic modes of context-dependent communication

Question 35

context of apragmatism

Answer 35

convo partners
environment
cultural considerations
goal of the interaction

Question 36

Impact of RHS deficits on outcomes, cognitive deficits, unilateral neglect, and anosognosia

Answer 36

mortality
functional status on discharge
long term recovery
quality of life
dependence in ADLs
length of stay
discharge to dependent setting
participation-level outcomes

Question 37

impact of apragmatism

Answer 37

lack of empathy
poor reader of non-verbal cues

Question 38

Why do RH strokes fall through the cracks?

Answer 38

have to be more severe before they can be identified as easily as LH strokes

Question 39

anosodiaphoria

Answer 39

seem indifferent to the problem (may make them less likely to seek help)

Question 40

RH stroke patients are less likely to:

Answer 40

*get the the ED within the first 3 hours
*get clot busting drug Tx than LH strokes (but twice as likely to get tPA if they demonstrate neglect)
*undergo longer hospital stays because they typically arrive at the ED later than pts w LH strokes

Question 41

social interactions will uncover deficits

Answer 41

better than test scores