CH 8: neuro disorder

Question 1

GLOBAL APHASIA

Answer 1

NONFLUENT
POOR AUD COMP
POOR REP

Question 2

BROCAS

Answer 2

NONFLUENT
GOOD AUD COMP
POOR REP

Question 3

MIXED TRANSCORTICO

Answer 3

NONFLUENT
POOR AUD COMP
GOOD REP

Question 4

TRANSCORTICO MOTOR

Answer 4

NONFLUENT
GOOD AUD COMP
GOOD REP

Question 5

WERNICKES

Answer 5

fluent
poor aud comp
poor rep

Question 6

TRANSCORTICO SENSORY

Answer 6

fluent
poor aud comp
good rep

Question 7

CONDUCTIVE

Answer 7

fluent
good aud comp
poor rep

Question 8

ANOMIC

Answer 8

fluent
good aud comp
good rep

Question 9

R hemisphere brain damage

Answer 9

related mostly to perceptual and attentional deficits

Question 10

Tx of aphasia concerned with

Answer 10

verbal expression
aud comp
reading, writing, nonverbal modes of communication

Question 11

ischemic strokes

Answer 11

caused by blocked or interrupted blood supply to brain

thrombosis or embolism

Question 12

thrombus

Answer 12

collection of blood material that blocks the flow of blood

Question 13

hermorrhagic strokes

Answer 13

bleeding in brain due to ruptured blood vessels.

Question 14

more than X % of stroke survivors have aphasia

Answer 14

50%

Question 15

% of strokes are ischemic

Answer 15

87%

Question 16

nonfluent aphasias (GMBTm)

Answer 16

limited agrammatic effortful halting slow speech

impaired prosody

Question 17

Broca’s supplied by

Answer 17

posterior inferior frontal gyrus of left hemisphere

supplied by upper MCA

Question 18

Transcortico motor TMA impacted areas

Answer 18

nonfluent

anterior cerebral artery and anterior branch of MCA

Question 19

TMA patients have seriously impaired

Answer 19

writing skills are seriously impaired in these pts

Question 20

distinguishing feat in TMA patients

Answer 20

intact rep. skills can repeat long complex sentences without errors

Question 21

Mixed transcortico MTA lesions located in X

Answer 21

nonfluent

lesions in watershed regions

Question 22

distinguish feat. of Mixed transcortico

Answer 22

severe echolalia- parrotlike of what is heard

and mostly UNimpaired auto. speech like numbers

Question 23

global- lesions in X areas

Answer 23

MOST SEVERE NONFLUENT APHASIA

lesions in all lagnuage areas- perisylvian

Question 24

FLUENT APHASIAS (WTsCA)

Answer 24

intact fluency and meaningless speech

Question 25

speech is relatively easily initiated and well articulated in these aphasias

Answer 25

in fluent aphasia (WTsCA)

Question 26

Wernickes

Answer 26

poor aud comp and very bad with background noise impaired repetition skills paresis paralysis uncommon with W aphasia

Question 27

Transcorticosensory TSA

Answer 27

fluent affected region supplied by posterior branches of left MCA good rep. bad comp of repeated words IMPAIRED REPETITION

Question 28

Conduction lesions located in X

Answer 28

fluent RARE FORM lesions in supramarginal gyrus in inf. parietal lobe and arcuate fasciculus

Question 29

good comprehension for routine conversation

Answer 29

conduction aphasia

Question 30

anomic aphasia is a X

Answer 30

syndrome

Question 31

persons with anomic aphasia most difficulty with

Answer 31

wordfinding - but can point to named objects | all language unimpaired except naming!!!

Question 32

aphasia usually due to X damage

Answer 32

cortical damage usually causes this

Question 33

subcortical aphasia is caused by lesions in the X and X

Answer 33

basal ganglia and surrounding structures

Question 34

X bilingual individuals have aphasia in given year

Answer 34

150, 000

Question 35

X bilingual individuals with aphasia recover both languages

Answer 35

most- 65%

Question 36

main aphasia assessment goals

Answer 36

1) yes/ no aphasia 2) type of aphasia 3) any coexisting disorder?

Question 37

bedside exam for initial impression

Answer 37

personal questions requests nonverbal responses (point to ) reading writing sample ask orientation questions

Question 38

assess

Answer 38

repetition, naming skills, sentence production, speech fluency, functional communication skills, aud. comp, comp. of single words, comp of sentences, assess reading writing gestures automated speechh

Question 39

"what is this?" example of

Answer 39

confrontation naming | "

Question 40

" what color is snow?"

Answer 40

example of responsive naming task- context cue given

Question 41

main tx goal for aphasia: social approach

Answer 41

natural interaction, conversation, functional comm, enhancement of life participation

Question 42

alexia

Answer 42

loss of previously acquired reading skills due to brain damage

Question 43

agraphia

Answer 43

impairment or lsos of writing skills

Question 44

agnosia

Answer 44

impaired understanding of the meaning of certain stimuli- they can see, feel, hear stim but not understand meaning. disorder of recognition!*

Question 45

apraxia

Answer 45

neurogenic speech sound disorder

Question 46

more common with apraxia than distortions and omissions

Answer 46

substitutions more common- voiceless for voiced ( pet for bet)

Question 47

apraxia - difficulty with X and X

Answer 47

consonants and affricates fricatives cons. clusters

Question 48

most effective tx for apraxia

Answer 48

behavioral tx- speech movements

Question 49

tx targets

Answer 49

artic accuracy slower rate gradual increase in rate normal prosody

Question 50

SPT- sound production tx

Answer 50

emphasis on articulating sounds with minimal contrast shock sock conical comical

Question 51

dysarthria is a X based disorder

Answer 51

neurologically motor speech due to PNS or CNS damage

Question 52

7 types of dysarthria

Answer 52

``` ataxic flaccid hyper/ hypo spastic mixed unilateral UMN ```

Question 53

abnormal strength, speed, range, tone, accuracy of movement in speech production

Answer 53

dysarthrias

Question 54

automatic simple production to less automatic more spontaneous production = AOS TX

Answer 54

AOS TX moves from X to X

Question 55

Ataxic dysarthria damage in

Answer 55

cerebellar system damage- artic and prosody issues | muscular incoord and irregular movements

Question 56

impression of drunken speech in X dysarthria

Answer 56

ataxic dysarthria

Question 57

flaccid dysarthria

Answer 57

damage to peripheral nervous system and lower motor neuron involvement

Question 58

respiratory weakness characteristic in flaccid dysarthria

Answer 58

reduced subglottic P and weak inhalation

Question 59

hyperkinetic dysarthria results from damage X

Answer 59

damage to basal ganglia

Question 60

hyperkinetic dysarthria assoc w/ X and X

Answer 60

1) variable muscle tone | 2) involuntary movements interfere with speech production PROSODIC MOST APPARENT

Question 61

chorea is

Answer 61

purposeless random invol movements of body parts assoc with hyperkinetic dysarthria (damage to basal ganglia)

Question 62

hypokinetic dysarthria damage

Answer 62

basal ganglia

Question 63

hypokinetic: MOST IMPACTED

Answer 63

voice artic prosody