Neuromuscular Part Nine

Question 1

overall, which affected hemisphere side leads to more dangerous decisions

Answer 1

right hemisphere

Question 2

Level 2 on Rancho Los Amigos Levels of Cognitive Functioning

Answer 2

generalized response.. patient reacts inconsistently and nonspecifically to stimuli

Question 3

ACA stroke symptoms

Answer 3

LE > UE

contralateral hemiplegia and sensory loss

Question 4

what is Romberg’s Sign

Answer 4

loss of balance in standing when the eyes are closed

Question 5

what is monocular blindness

Answer 5

blindness in one eye

Question 6

ataxia

Answer 6

uncoordinated movement, especially gait

Question 7

name all stages of stroke recovery

Answer 7

Stage 1: flaccid, no limb movement

Stage 2: synergies may appear.. spasticity begins to develop.. minimal voluntary movement

Stage 3: spasticity increased and may become severe.. voluntary control of movement synergies appears

Stage 4: some movement independent of the synergies.. spasticity begins to decline

Stage 5: synergies no longer dominate, movement becomes more complex

Stage 6: spasticity is gone, coordination and movement approach normal

Question 8

how to appropriately communicate with someone with Fluent aphasia

Answer 8

word repetition and manual cues

Question 9

what is Visual Acuity

Answer 9

sharpness of vision that generally decreases with age or certain disabilities (diabetes)

Question 10

Level 1 on Rancho Los Amigos Levels of Cognitive Functioning

Answer 10

no response.. completely unresponsive to any stimuli

Question 11

what is nystagmus

Answer 11

rapid (usually back and forth) movement of the eyeballs

Question 12

what is Morton’s Neuroma

Answer 12

an excessive pronation during stance produces a compression between the third and fourth metatarsals

Question 13

what is bitemporal hemianopsia

Answer 13

deficit of the temporal or peripheral visual fields

Question 14

symptoms with middle cerebral artery stroke

Answer 14

contralateral hemiplegia

motor loss UE > LE

loss of sensation primarily in arm and face

Question 15

Level 5 on Rancho Los Amigos Levels of Cognitive Functioning

Answer 15

confused/inappropriate.. patient able to respond to simple commands but not do complex tasks.. inappropriate verbalization

Question 16

what is Horner’s Syndrome

Answer 16

ptosis of the eyelid

constriction of the pupil

lack of sweating of ipsilateral face

Question 17

tunnel vision AKA

Answer 17

bitemporal hemianopsia

Question 18

Level 3 on Rancho Los Amigos Levels of Cognitive Functioning

Answer 18

localized response.. patient reacts inconsistently but specifically to stimuli

Question 19

LE flexion synergy

Answer 19

hip flexion, ABD, ER

knee flexion

ankle DF and IV

toe DF

Question 20

causalgia is associated with what disease

Answer 20

CRPS Type 1

Question 21

what is Glove and Stocking Anesthesia

Answer 21

distal portions of nerves degenerate resulting in anesthesia of distal extremities in a pattern as if the patient was wearing gloves and stockings

Question 22

what causes homonymous hemianopsia

Answer 22

damage to the contralateral optic tract

Question 23

how to stimulate sucking

Answer 23

deep pressure to the neck above the thyroid

Question 24

asynergia

Answer 24

inability to move muscles together in a coordinated manner

Question 25

what is agnosia

Answer 25

inability to recognize familiar objects with one form of sensation

Question 26

what is ideomotor apraxia

Answer 26

person can't do a task on command, but can do it spontaneously

Question 27

what is apnea

Answer 27

cessation of breath

Question 28

what diagnostic test would be used to determine severity of nerve compression prior to surgery

Answer 28

nerve conduction velocity

Question 29

Wallenberg's Syndrome is most associated with what type of CVA

Answer 29

PICA

Question 30

how to communicate with global aphasia

Answer 30

use gestures to reduce chancer of overestimating patient's ability to understand speech

Question 31

what is akinesia

Answer 31

inability to initiate movement

Question 32

what disease is common with Glove and Stocking Anesthesia

Answer 32

Guillan-Barre

Question 33

UE flexion synergy

Answer 33

scapular elevation and retraction shoulder ABD and ER elbow flexion forearm supination and wrist/finger flexion

Question 34

what is apraxia

Answer 34

inability to perform movements previously learned even though there is no loss of strength, coordination, sensation, comprehension

Question 35

what is delirium

Answer 35

temporary confusion and loss of mental function

Question 36

Level 4 on Rancho Los Amigos Levels of Cognitive Functioning

Answer 36

confused/agitated.. behavior is bizarre and nonpurposeful relative to immediate environment

Question 37

what is reciprocal inhibition

Answer 37

inhibition of muscles antagonistic to those being facilitated

Question 38

causalgia

Answer 38

burning sensation, which is painful

Question 39

immediately following a stroke, is flaccidity or spasticity present

Answer 39

flaccidity

Question 40

what is somatagnosia

Answer 40

a lack of awareness of the relationship of one's own body parts or the body parts of others

Question 41

vertebral-basilar stroke symptoms

Answer 41

often times death from edema associated with infarct (if survival) quadriparesis and bulbar palsy "locked-in" state where they communicate by eye blinking

Question 42

what is homonymous hemianopsia

Answer 42

deficit of either the right or left halves of the visual field

Question 43

who demonstrates Cheyne-Stokes respiration

Answer 43

severe TBI CHF

Question 44

anterior inferior cerebellar stroke symptoms

Answer 44

unilateral deafness loss of pain and temp on contralateral side unilateral Horner's

Question 45

astereognosis

Answer 45

inability to recognize objects by touch alone

Question 46

what is ideational apraxia

Answer 46

person no longer gets the "idea" of how to do something

Question 47

how to communicate with someone with non-fluent aphasia

Answer 47

phrase questions for "yes/no" response to avoid confusion and frustration

Question 48

blindness in one eye is a result of...

Answer 48

damage to the optic nerve

Question 49

an injury to the optic chiasm could result in

Answer 49

bitemporal hemianopsia

Question 50

what is Cheyne-Stokes Respiration

Answer 50

breathing pattern characterized by period of apnea lasting 10-60 seconds followed by gradually increasing, then decreasing depth and frequency of respiration