wk 12

Question 1

What are non motor primary impairments in brain injuries

Answer 1

vision
sensation
proprioception
speech/language
perceptual-cognitive function
vestibular function
behaviour

Question 2

What is homonymous hemianopia

Answer 2

Reduction in half of field of vision in both eyes

Question 3

What is diplopia

Answer 3

double vision

Question 4

what is impaired ocular convergence

Answer 4

constantly looking at an object

Question 5

What is impaired saccadic movement

Answer 5

eyes dart from one side to another and won’t lock on to a target

Question 6

When conducting a neuro exam, what should be tested first

Answer 6

vision

Question 7

What does Broca’s area do

Answer 7

speech production

Question 8

What does primary motor cortex do

Answer 8

produce muscle action (eg speaking)

Question 9

What does Wernicke’s area do

Answer 9

language comprehension

Question 10

What is dysphasia

Answer 10

impaired ability to communicate using language (spoken, written or gesture)

Question 11

What is Dysarthria

Answer 11

Unable to produce clear speech due to impaired motor function of speech muscles (primary motor cortex)

Question 12

What is dyspraxia

Answer 12

Unable to produce clear speech due to impaired planning and sequencing of movement in speech muscles (Broca’s area)

Question 13

What is dysphagia

Answer 13

impaired ability to swallow

Question 14

Can a dysphasia pt recognise if they make mistakes in their speech?

Answer 14

No

Question 15

Can a dyspraxia pt recognise if they make mistakes in their speech?

Answer 15

Yes

Question 16

What is unilateral neglect

Answer 16

Ignoring stimuli presented to the side opposite the brain lesion

Question 17

If a pt presents with neglect to their LHS, how would it be written in your notes? (pt presents with _______ hand sided neglect)

Answer 17

RHS. Go based on the location of the brain lesion, not the presentation of impairment

Question 18

What sided neglect is most common

Answer 18

LHS neglect from a RHS brain lesion

Question 19

What part of the brain is associated with unilateral neglect

Answer 19

R Parietal

Question 20

What is a clinical presentation of motor neglect?

Answer 20

lying in bed and forgot their L arm is hanging over the edge

Bumping into door frame on neglected side

Question 21

What is a clinical presentation of sensory neglect?

Answer 21

Ignoring visual, auditory or tactile stimuli

Visual - only reading one side of a menu

Auditory - only respond to sound coming from RHS

Tactile - won’t respond to anything on RHS

Question 22

What is a clinical presentation of representational/imagery neglect?

Answer 22

Only being able to draw 1/2 of a clock correctly

Question 23

What are the 6 classifications of neglect

Answer 23

Sensory
Motor
Representational/Imagery
Personal
Peripersonal
Extrapersonal

Question 24

What are the 3 modalities of neglect

Answer 24

Sensory
Motor
Representational/Imagery

Question 25

What are the 3 distributions of neglect

Answer 25

Personal Peripersonal Extrapersonal

Question 26

What is personal neglect

Answer 26

Failure to acknowledge one side of body e.g dress only one side of body, shave only one side of face

Question 27

What is peripersonal neglect

Answer 27

Failure to acknowledge stimuli in peripersonal space e.g eating from only one side of plate

Question 28

What is extra personal neglect

Answer 28

Failure to acknowledge stimuli in the extrapersonal space around the pt e.g bumping into four frame on neglect side

Question 29

What is agnosia

Answer 29

Able to recognise a stimulus, but not able to give it meaning despite intact sensory systems e.g if you hand them a pen, they could recognise something is in their hand, but couldn't tell you what it is or what you use it for

Question 30

What are the 3 types of agnosia

Answer 30

Astereognosia Autotopagnosia Anosognosia

Question 31

What is Astereognosia

Answer 31

Inability to recognise symbols or objects by touch

Question 32

What is Autotopagnosia

Answer 32

Disturbed perception of own body parts, inability to distinguish RHS from LHS of body

Question 33

What is Anosognosia

Answer 33

Inability to recognise presence or severity of paralysis

Question 34

How to distinguish between hemianopia and visual unilateral neglect

Answer 34

neglect pt are unable to tell that they can't see out of one side, but hemianopia pt know that they can't see

Question 35

If someone has a brain lesion in the LHS, what side would they neglect and what would they respond to

Answer 35

Neglect R and respond to L. The side of the lesion is the side that they recognise