Stroke

Question 1

MCA stroke?

Answer 1

Contralateral: hemiplegia face, UE>LE, sensory loss UE>LE
Homonymous Hemianopsia

Question 2

ACA stroke?

Answer 2

Contralateral hemiplegia and sensory loss LE>UE
Urinary incontinence
Problems with bimanual tasks
Apraxia

Question 3

PCA syndrome?

Answer 3

Contralateral sensory loss
Involuntary movements: choreoathetosis, tremor, hemiballismus
Transient contralateral hemiparesis
Homonymous hemianopsia

Question 4

Pushers syndrome?

Answer 4

Push to WEAK side

Question 5

Nonfluent aphasia?

Answer 5

Broca’s motor aphasia, EXPRESSIVE APHASIA
-Central speech disorder where speech is awkward, restricted, interrupted and produced with effort
-Result of lesion involving the third frontal convolution of the L hemisphere (Broca’s area_

Question 6

Fluent aphasia?

Answer 6

Wernicke’s aphasia
Receptive aphasia
-Central language disorder in which spontaneous speech is preserved and flows smoothly, while AUDITORY COMPREHENSION IS IMPAIRED
-Result of lesion in the posterior first temporal gurus of the L hemisphere (wernickes area)

Question 7

0 reflex score?

Answer 7

Absent

Question 8

1+ reflex score?

Answer 8

Tone change, no visible movement of extremities

Question 9

2+ reflex score?

Answer 9

Normal- visible movement of extremities

Question 10

3+ reflex score?

Answer 10

Exaggerated, full movement of extremities

Question 11

4+ reflex score?

Answer 11

Obligatory and sustained movement lasting for >30 seconds (Clonus)