Quiz 3

Question 1

Which CN has 3 branches, each having a special purpose for speech production?

Answer 1

Vagus

Question 2

The difference between the hypernasality in spastic dysartria and falccid dysarthria is that spastic dysarthria does not include…

Answer 2

nasal emission

Question 3

UUMN dysarthria mostly affects what area of speech production>

Answer 3

Articulation

Question 4

Which CN is responsible for pitch change?

Answer 4

CN X SLN

Question 5

The control circuit is responsible for integrating and controlling movements and do have direct synapses with the motor neurons In the brain stem.

Answer 5

FALSE

Question 6

Most common cause of UUMN dysarthria is..

Answer 6

stroke

Question 7

Pathological oral reflexes are consistent with….

Answer 7

Spastic Dysarthria

Question 8

Parkinsons disease is characterized by difficulty initiating movements and reduced ROM.

Answer 8

true

Question 9

What would NOT be a possible symptom of a pt with a lacunar infarct?

Answer 9

Aphasia

Question 10

Which structure is described as the doorway through which subcortical systems of the nervous system communicate to the cerebral cortex?

Answer 10

Thalamus

Question 11

Co-occuring speech and language disorders might be difficult to clearly dx in UUMN dysarthria because

Answer 11

verbal output may be limited

Question 12

visually evident dyskinesias are a salient non-speech sign in hyperkinetic dysarthria

Answer 12

True

Question 13

It isn’t possible to see pts with UUMN dysarthria to show breathy or hypernasality.

Answer 13

False

Question 14

Hypernasality seen in flaccid dysarthria is often due to damage in…

Answer 14

CN X

Question 15

Hyperkinetic means…

Answer 15

Too MUCH movement.

Question 16

Most common speech charactersitics of flaccid dysarthria include

Answer 16

Hypernasality, impercise consonants, and breathy voice quality

Question 17

LMN lesion to CN V causes the jaw to deviate to…

Answer 17

weak/affected side

Question 18

A right lower facial weakness is consistent with damage to…

Answer 18

Left UMN

Question 19

Atrophy or fasciculations is consistent with…

Answer 19

flaccid dysarthria

Question 20

What component of speech is LEAST comprimised in spastic dysarthria?

Answer 20

Respiration

Question 21

Ataxic dysarthria is associated with damage to..

Answer 21

Cerebellum

Question 22

Tremor can affect any part of speech production but often affects the larynx.

Answer 22

True

Question 23

Primary neuromuscular feature in pts with flaccid dysarthria is…

Answer 23

Weakness

Question 24

The tongue with deviate to the _______ side in a pt with a LMN lesion to XII

Answer 24

weak/affected

Question 25

In UUMN dysarthria the speech characteristics are often described as mild or moderate.

Answer 25

True.

Question 26

Final motor pathway refers to...

Answer 26

LMNs

Question 27

Spastic dysarthria is caused by.

Answer 27

Extrapyramidal and pyramidal neural pathways.

Question 28

What structure is important for the initial planning of voluntary movements?

Answer 28

Association cortex

Question 29

One of the nonspeech signs in hypokinetic dysarthria is action tremor.

Answer 29

FALSE | **Tremor at rest**

Question 30

Mixed dysarthria is a result of...

Answer 30

damage to two or more parts of the nervous system.

Question 31

In which dysarthria is slowness of speech is the most pronounced and common?

Answer 31

Spastic

Question 32

The most common articulation disorder associated with spastic dysarthria is...

Answer 32

Imprecise consonants

Question 33

The dyskinesias that affect speech production are classified as "fast" or "slow"

Answer 33

TRUE

Question 34

The pyramidal system is responsible for facilitating discrete, skilled motor movements, such as speech production.

Answer 34

TRUE

Question 35

What non-speech signs are associated with UUMN dysarthria?

Answer 35

Unilateral lower facial weakness

Question 36

Movement deficits in timing, force, range or direction is known as...

Answer 36

cerebellar ataxia

Question 37

Damage to the direct activation pathway result in increased muscle tone, spasticity and over responses of reflexes

Answer 37

FALSE

Question 38

Huntington's is characterized by which neuromuscular characteristics...

Answer 38

Chorea

Question 39

The most prominent signs/symptoms of ataxia are...

Answer 39

Articulation inaccuracy and scanning like prosody

Question 40

What parkinsonism symptoms have the greatest effects on speech?

Answer 40

muscle rigidity, reduced ROM and slowed movement

Question 41

Which dysarthria can be characterized by abnormally fast speech rate?

Answer 41

Hypokinetic

Question 42

Damage to the indirect action pathway is a cause of strained vocal quality in pts with spastic dysartria.

Answer 42

TRUE

Question 43

List the steps of the motor pathway to say the word "cat"

Answer 43

Association cortex > BG > Thalamus > Primary Motor Cortex > Pyramidal Pathway > LMN > Articulators