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Flashcards in Geriatrics Deck (11)
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1

What are the 3 main clinical features of a cerebral infarct?

Loss of higher mental function
Ipsilateral sensory/motor defect
Hemianopia

2

What clinical features would be found in a partial anterior circulation infarct (PACI) and which artery would be affected?

2 of loss of higher mental function, ipsilateral sensory/motor defect, hemianopia
Middle/anterior cerebral artery branch occlusion

3

What clinical features would be found in a total anterior circulation infarct (TACI) and which artery would be affected?

Loss of higher mental function
Ipsilateral sensory/motor defect
Hemianopia
Middle cerebral artery occlusion

4

What clinical features would be found in a posterior circulation infarct (POCI) and which artery would be affected?

CN palsy
Contralateral motor/sensory defect
Homonymous hemianopia

5

What clinical features would be found in a lacunar circulation infarct (LACI) and which artery would be affected?

Motor/sensory hemiparesis
Ataxia
Small deep perforating artery occlusion

6

Which artery supplies the frontal lobe and what are the functions of this lobe?

Anterior cerebral artery
Motor function (pre-central gyrus)
Concentration, personality, judgement/inhibition
Language expression

7

Which artery supplies the temporal lobe and what are the functions of this lobe?

Middle cerebral artery
Auditory reception
Language reception
Memory, info retrieval
Smell

8

Which artery supplies the parietal lobe and what are the functions of this lobe?

Middle cerebral artery
Sensory function (post-central gyrus)
Proprioception
Calculation
Perception

9

Which artery supplies the occipital lobe and what are the functions of this lobe?

Vertebrobasillar artery
Vision

10

List notable risk factors that increase the likelihood of falls

Muscle weakness
Impaired gait/balance
Polypharmacy
Psychotropic/sedative drugs
Age over 80
Visual impairment
Cognitive impairment
Urinary urgency/frequency

11

Outline measures you would take to reduce the risk of falls

Review medications
Involve MDT (physio, OT)
GCA assessment (medical, functional and psychological needs)