speech aphasia Filly

Question 1

behavioral neurology

Answer 1

structural brain damage that alters behavior

Question 2

neuropsychiatry

Answer 2

psychiatrists pretending to be neurologists.

Question 3

Which professor looks like Hannibal Lecter?

Answer 3

Filley

Question 4

hearing, seeing, speaking, and generating words originate in which brain regions?

Answer 4

Hearing: Wernikies
Speaking: Motor cortex - lateral precentral gyrus, bsal ganglia, cerebellum corticobulbar tracts
Generating: Brocca’s
Seeing: visual cortex, occipital lobe

Question 5

arousal and attention

Answer 5

level of consciousness, digit span, serial sevens

Question 6

Memory

Answer 6

orientation, 3 words at 5 min, remote events

Question 7

language

Answer 7

fluency, comprehension

Question 8

visuospatial function

Answer 8

clock drawing, hemineglect test

Question 9

mood and affect

Answer 9

inquiries about feelings, observation of affect

Question 10

complex cognition

Answer 10

executive function

Question 11

acute confusion

Answer 11

a common and usually reversible disorder of attention known as delerium

Question 12

amnesia

Answer 12

imapared recent memort, deficient new learning

Question 13

aphasia

Answer 13

an acquired disorder of language

Question 14

apraxia

Answer 14

disorder of motor skills, coordination.

Question 15

visuospatial impairment

Answer 15

cant find car, cant dress them selves

Question 16

hemineglect

Answer 16

failure to attend to one side of the body

Question 17

personality change

Answer 17

a departure from normal temperament or character

Question 18

dementia

Answer 18

multiple neurobehavioral syndromes - amnesia, aphasia, personality change

Question 19

does Dr. Filley think psychiatry is a valid profession

Answer 19

no

Question 20

Is Filley proud of his book?

Answer 20

yes

Question 21

how is language organized in the brain?

Answer 21

as distinct neural networks and regions that tend to process specific components of language

Question 22

if someone has a distorted thought process which leads to incoherent language, do they have aphasia?

Answer 22

Nope, they have a thought disorder (ie schizophrenia)

Question 23

dysarthria

Answer 23

slurred speach (think motor disorder of speech)

Question 24

dysphnia

Answer 24

disorder of voice related to laryngeal disease

Question 25

mutism

Answer 25

severe aphasia, can be psychiatric or physical

Question 26

cerebral dominance

Answer 26

``` one side of the brain tends to dominate one function, specifically language. Language- left math, reading - left attention - right emotion- right ```

Question 27

handedness

Answer 27

dominant hand side, right handed people are left dominant for language.

Question 28

sinistrals

Answer 28

left handed people, are also left brain dominant for language

Question 29

spontaneous speech

Answer 29

nonfluency, characterized by labored, effortful speech

Question 30

auditory comprehension

Answer 30

poor comprehension is defined by performing verbal commands

Question 31

repetition

Answer 31

helpful for localization

Question 32

naming

Answer 32

what is this? its a pen - correctly identifying common objects

Question 33

broca's aphasia

Answer 33

nonfluent speech, damage to left inferior frontal lobe effortful, nonfluent speech.

Question 34

werniche's aphasia

Answer 34

fluent, paraphasic speech with poor comprehension. often rapid.

Question 35

paraphsias

Answer 35

three types: literal - pipe becomes hike verbal - neologism -

Question 36

conduction aphasia

Answer 36

in the white matter between brocs and wernikes area in the arcuate fasciulus

Question 37

global aphasia

Answer 37

entire language center is effected | no language function remains

Question 38

alexia

Answer 38

acquired reading disorder

Question 39

dyslexia

Answer 39

reading disorder despite adequate opportunity and training

Question 40

agraphis

Answer 40

acquired writing disorder

Question 41

sign-language aphasia

Answer 41

its a real thing - deaf people with strokes

Question 42

autonomic speech

Answer 42

expletives, angry outbursts

Question 43

prosody

Answer 43

the inflection of speech with emotion

Question 44

music

Answer 44

subserved by the right hemisphere

Question 45

humor

Answer 45

right frontal lobe has been implicated

Question 46

metaphor

Answer 46

subserved by the right hemisphere

Question 47

localization of nouns and verbs

Answer 47

mediated in pert by right hemisphere

Question 48

treatment of aphasia

Answer 48

First line is treat cause/ lesion. most improvement happens in the first year. no drugs currently available. Speech/language therapy, psychiatric care is helpful, help adapting to disability.

Question 49

recovery

Answer 49

look it up