Test 1 Flashcards

0
Q

What type of stroke result when blood vessels rupture, causing leakage of blood in or around the brain?

A

Hemorrhagic stroke

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1
Q

What type of stroke results when a clot blocks or impairs blood flow, depriving the brain of essential oxygen and nutrients?

A

Ischemic stroke

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2
Q

How long must neurological deficits persist to be classified as a stroke?

A

24 hours

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3
Q

What type of stroke is a result of a thrombus, embolism, or condition that produces low systemic perfusion pressure?

A

Ischemic stroke

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4
Q

TIA define

A

Transient ischemic attack refers to the temporary interruption of blood supply to the brain.
Symptoms do not last longer than 24 hours

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5
Q

Paresis or paralysis define

A

Decreased voluntary motor unit recruitment

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6
Q

Where does explicit learning occur?

A

Medial lobe areas and hippocampus

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7
Q

What theory of motor control includes central pattern generators and rhythmic pattern generators?

A

Motor programming theory

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8
Q

What motor control theory includes degrees of freedom and synergies?

A

Systems theory

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9
Q

What motor control theory explains that when a new movement emerges it is due to critical change in one of the systems called a control parameter?

A

Dynamic action theory

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10
Q

What is a dermatome?

A

Area of skin innervated by a single posterior root

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11
Q

What is a myotome?

A

A group of muscles innervated by a single anterior root

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12
Q

What is white matter made up of?

A

Axons

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13
Q

UMNs originate in the cortex and synapses with…

A

LMN in the spinal cord

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14
Q

What type of motor neurons directly command muscle contraction?

A

LMN

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15
Q

Is the cauda equina an upper motor neuron or lower motor neuron?

A

LMN

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16
Q

What is an increased reflex indicative of?

A

UMN lesion

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17
Q

What is a decreased reflex indicative of ?

A

LMN lesion

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18
Q

What is the dorsal column medial lemniscus responsible for?

A

Proprioception and discriminative touch

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19
Q

What is the anterolateral spinothalamic tract responsive for .

A

Pain and temp contralaterally

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20
Q

What does the ACA supply?

A

Cortex (anterior-medial surface)

Anterior medial surface frontal and parietal

21
Q

What does the MCA supply?

A
Cortex superior to sylvian fissure
Internal capsule
Globes pallid us
Putamen
Caudate
22
Q

What does the PCA supply?

A

Midbrain
Occipital lobe
Portions of medial and inferior temporal lobe

23
Q

What are the functions of the frontal lobe?

A
Memory formation
Emotions
Decision making/reasoning
Personality
Movement
24
Broca's area is in what lobe?
Frontal lobe
25
What is the function of the parietal lobe?
Senses and integrate sensation | Spatial awareness and proprioception
26
What is the function of the occipital lobe?
Processing, integration,interpretation of visional and visual stimuli
27
What is the function of the temporal lobe?
Hearing Organization/ comprehension of language Information retrieval (memory)
28
What lobe is wernikes area in
Temporal
29
What lobe is the hippocampus in
Temporal
30
Damage to what area of the brain would cause prosopahnosia?
Infrotemporal cortex
31
What artery supplies the thalamus?
PCA
32
What artery supplies the basal ganglia?
ACA
33
A stroke in what artery may present with difficulty with divergent thinking and urinary incontinence?
ACA
34
With a stroke in the MCA where would you expect greater motor and sensory deficits? UE or LE.
Face and UE impaired greater than LE
35
Stroke in what artery may lead to cortical blindness or lack of depth perception?
PCA
36
A stroke in what artery may cause difficulty with spatial relationships, neglect if non langue dominated hemisphere impaired
MCA
37
Lesion to the thalamus interrupts what pathways
Ascending pathways
38
What artery supplies the thalamus?
PCA
39
What artery supplies the internal capsule?
MCA
40
The axons of what tract synapses with crainal nerve nuclei in the brain stem?
Corticalbulbar
41
Corticospinal tract
Descending motor
42
Spinothalamic tract
Ascending pain and temp
43
Dorsal column/medial lemniscus
Ascending somatosensory and conscious proprioception
44
Spinocerebellar tract
Ascending unconscious proprioception
45
How would a patient with a left sided stroke typically present?
``` Right sided weakness Right sided sensory deficits Speech and language deficits Slow cautious behavioral style Memory deficits ```
46
How would a pt with a right sided stroke typically present .
``` Left sided weakness Left sided sensory deficits Spatial perceptual deficits Quick impulsive behavioral style Memory deficits ```
47
Global aphasia is seen with occlusion to what artery.
MCA
48
Motor speech impairment and receptive speech impairment is seen with occlusion of what artery.
MCA
49
In what syndrome can a pt not move or speak but remains alert and oriented with consciousness and sensation spared.
Complete basilar artery syndrome Occlusion of basilar artery "Locked" in syndrome
50
If a pt neglects one side what do you do?
Encourage a family member to sit on that side to further increase the pts awareness
51
Damage to the hippocampus would result in what?
The inability to form new explicit memories, but ability to remember the skills of implicit memories