Neuro quiz 3 (AND MIDTERM) Flashcards

(45 cards)

1
Q

Modifiable risk factors for stroke

A

HBP (hypertension)Atrial fibrillation (heart disease)DiabetesAtherosclerosisBlood cholesterol levelsHigh alcohol consumptionHead/Neck injuriesInfectionsCigarette smokingStroke belt in USA

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2
Q

Non-modifiable risk factors for stroke

A

Age (every decade after 55, risk doubles)Gender (males more likely)Race/ethnicityFamily history/genetic tendencyPrevious CVA/TIA

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3
Q

TIA

A

“mini stroke” or “brain attack”Temporary occlusion stopping blood flowNo permanent injury to brainCauses: blood clot in a brain artery or traveling clot, injury to blood vessels, narrowing of blood vessel in brainRisk factors: HBP, atrial fib, diabetes, family hx, high cholesterol, age (over 55), race

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4
Q

Ischemic stroke

A

OcclusiveNarrowing arteries

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5
Q

Hemorrhagic stroke

A

BleedLeaks out of a vessel and damages/kills brain tissue

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6
Q

Etiology: Broca’s aphasia (connectionist model)

A

Occlusion of ANTERIOR branch of MCA (middle cerebral artery)

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7
Q

Etiology: Wernickes aphasia (connectionist model)

A

Occlusion of POSTERIOR branch of MCA (middle cerebral artery)

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8
Q

Etiology: Global aphasia (connectionist model)

A

Occlusion of main trunk of MCA (middle cerebral artery)Damage in central region of the language dominant hemisphere (left side)

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9
Q

Nonfluent/telegraphicDistort consonantsMisarticulated wordsLabored repetitionFair to good comprehension

A

Broca’s

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10
Q

FluentVerbal (semantic) prophasePoor word retrievalPoor comprehension

A

Wernicke’s

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11
Q

NonfluentLiteral, verbal paraphasiaPoor word retrievalPoor repetitionPoor comprehension

A

Global

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12
Q

nipaut (dubeid) for hat

A

neologism

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13
Q

sweater for jacket

A

semantic paraphasia

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14
Q

babana for banana

A

phonemic

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15
Q

ima una dopido paluh noomi for …….?

A

jargon

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16
Q

hand for foot

A

semantic

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17
Q

yellow stick for pencil

A

literal interpretation

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18
Q

“little bit, little bit” for almost everything

A

perseverative stereotypy

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19
Q

fork for knife

20
Q

hot hog for hot dog

21
Q

we went there, to buy you know, but then that one person, he went that way and it was too far so we had to you know,

A

circumlocution

22
Q

heather and heather, no, heather, and the dog, um, went around, then uh, and park

A

agrammatic/telegraphic

23
Q

i went there that one day but that was only there so he never came.

24
Q

“duck” for truck

25
ask client to inhale different flavours/smells
CN I: olfactory
26
ask client to ID colors; count how many fingers holding up; obtain reading sample
CN II: optic
27
bring light from periphery to center of eye
CN III: occulomotor
28
follow finger as moves down/toward nose
CN IV: trochlear
29
check sensation in forehead, cheek, jaw
CN V: trigeminal
30
ask client to look at each of your ears one at a time
CN VI: abducens
31
assess face at rest then while performing movements (wrinkle forehead, close eyes tightly, pucker lips)
CN VII: facial
32
rub fingers together near client's ears
CN VIII: acoustic
33
assess sense of taste on back of tongue and ability to swallow
CN IX: glossopharyngeal and CN X: vagus
34
ask client to raise shoulders against your hands; turn head against hand
CN XI: accessory
35
ask client to stick out tongue
CN XII: hypoglossal
36
What type of aphasia? Damage to upper temporal lobe, lower parietal lobe aka arcuate fasciculus-- the pathway connecting Wernicke's to Broca's area
Global
37
What type of aphasia? Damage spares the central perisylvian region, but disconnects all or parts of the central region from the rest of the brain
Transcortical aphasia
38
What type of aphasia? Only symptom is impaired word retrieval in speech and writing; unusual pauses, circumlocution and substitution of non specific words for missing specific words
Anomic aphasia
39
What type of aphasia? Grossly impaired repetition with relatively preserved language comprehension (secondary to the spared primary auditory cortex & Wernicke's area
Conduction
40
Name the 3 types of transcortical aphasia
Motor, Sensory, and Mixed
41
What type of aphasia? AKA sensory aphasia in the posterior temporal lobe, storage of information and retrieval of grammatic and linguistic rules is affected
Wernicke's
42
What type of aphasia? AKA expressive aphasia in the posterior inferior frontal lobe of left hemisphere, comprehending language and recalling linguistic information, planning and organizing speech movements is affected
Broca's
43
T/F a patient with Broca's aphasia comprehend spoken and written language better than they speak or write
TRUE
44
T/F self-monitoring is not preserved in Broca's aphasia
false; it is preserved in Broca's-- not in Wernicke's
45
T/F destruction of primary auditory cortex in one hemisphere results in lasting deafness on the contralateral ear
false; it does not cause lasting deafness, only mild hearing loss on the contralateral ear