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Comp Exam > Brain function > Flashcards

Brain function Flashcards

1
Q

Frontal lobe functions

A
  • primary motor cortex and brocas area
  • cognitive function
  • judgement, reasoning, understanding, abstract thinking, short-term memory
  • behavior and personality
  • emotional responsiveness
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2
Q

temporal love functions

A
  • audtiory cortex, sensory info (smell taste hearing sensory memory)
  • visual task learning
  • emotion
  • long term memory
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3
Q

Parietal lobe

A
  • sensory interpretation
  • tactile and sense, body awareness
  • spatial perception
  • vision
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4
Q

occipital lobe

A

visual images and memories

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5
Q

mechanism of rigidity

A

decreased dopamine levels lead to overactive of motor neurons which would normally be inihbited

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6
Q

LMN is a lesion of what cell

A

anterior horn cell

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7
Q

Brunnstrom’s stages of recovery - stage 1

A

flaccid

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8
Q

Brunnstrom’s stages of recovery - stage 2

A

spasticity begins

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9
Q

Brunnstrom’s stages of recovery - stage 3

A

severe spasticity

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10
Q

Brunnstrom’s stages of recovery - stage 4

A

spasticity decreases, some isolated mvtms

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11
Q

Brunnstrom’s stages of recovery - stage 5

A

more complex isolated movements

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12
Q

Brunnstrom’s stages of recovery - stage 6

A

normal tone and movements

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13
Q

define hypermetria

A

the inability to grade forces appropriately for the distance and speed of a task. associated with cerebellar dysfunction

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14
Q

glaucoma vs macular degeneration - areas of vision lost

A

glaucoma = loss of peripheral vision

macular degeneration = loss of central vision

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15
Q

increased fall risk score on berg

A

<45/56

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16
Q

tinetti score for increased fall risk

A

<23/28

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17
Q

FTSST abromal score

A

> 15 seconds

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18
Q

ABC - activities specific balance confidence scale

A
  • level of self confidence that you wil not fall
  • score < 50 = low physical function, home care needed
  • score 50-80 = moderate physical function, usually live in retirement home
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19
Q

Fukuda test - what is it

A

step test for vestibular issues. used when a patient complains of dizziness. have them stand with their EC and step in place. if they turn, it indicates vestiublar hypofunction

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20
Q

ALS - common s/s/

A

bulbar invovlement = dysarthria, dysphagia, emotional lability
UMN and LMN involvement
asymmetrical muscle weakness, atrophy, fasciculations, spasticity.
sensation, eye movement, and bowel/bladder function are preserved!!

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21
Q

PASS: Postural Assessment Scale for Stroke Patients

A

does not take into account quality of movement. looks at maintaining and changing posture. sit without support, stand with support, etc. all ranked from 0-3 (3 is the best)

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22
Q

sitBAT: sitting balance assessment tool

A

score of 0-4

sit to supine, scooting, quiet sit, look over shoulder, pick up object, etc

23
Q

missing from the fugl meyer is what

A

function! used for patients with hemiplegia

24
Q

FIM scale 0

A

activity not performed

25
Q

FIM scale 1

A

total assistance. patient does <25%

26
Q

FIM scale 2

A

max assist

27
Q

FIM 3

A

moderate assistance

28
Q

FIM 4

A

minimal assistance

29
Q

FIM 5

A

supervision/set up

30
Q

FIM 6

A

modified independence

31
Q

FIM 7

A

complete independecne

32
Q

FIM complete dependence score ranges

A

0-2

33
Q

GAR - what is it

A

Gait Abnormality Rating Scale

score of 9 = fall risk

34
Q

hypermetria aka

A

undershoot or overshoot

35
Q

ACA artery stroke, how will patient present

A

LE weakness, incontience, speech is not affected

36
Q

MCA stroke patient presentation

A

facial and arm weakness, brochas and wernickies aphasia

37
Q

PCA stroke presentation

A

5Ds: dizziness, diplopia, dysarthria, dysphagia, dystaxia (drunken gait)

38
Q

cerebellar signs are contralateral or ipislateral

A

ipsilateral! (cortical are contralateral)

39
Q

what 3 things are intact with pure cerebellar ataxia?

A

DTRs, proprioception, vibratory sense

40
Q

s/s of cerebellar stroke

A

vertigo!! nystagmus, ataxia, tremor

41
Q

UE flexion synergy

A

scapular retraction, abduction, ER, supination, elbow/wrist/finger flexion

42
Q

UE extension synergy

A

scapular protraction, adduction, IR, elbow extension, proonation, wrist/finger flexion

43
Q

clinical UE synergy

A

shoulder adduction, IR, elbow flexion, prontation, wrist and finger flexion

44
Q

LE flexion synergy

A

hip/knee flexion, DF, inversion, abduction/ER

45
Q

LE extension synergy

A

hip/knee extension, adduction/IR, PF, eversion

46
Q

what is irradiation?

A

irradiation is the overflow of neuronal excitation from stronger motor units to weaker ones. do so by applying graded resistance to larger mm groups to enhance contraction in the weaker ones

47
Q

order of CSF flow

A

lateral ventricles - interventricular foramen of monro - 3rd ventricle - cerebral aqueduct - 4th ventricle

48
Q

name the arteries off of the MCA that go to the BG

A

lenticulostriate

49
Q

1 dysrrhthmia causing CVA

A

atrial fib

50
Q

R hemisphere CVA characteristics

A

impulsive, poor decision making, L neglect, visuospatial/perceptual deficits

51
Q

L hemisphere CVA characteristics

A

language difficulties, poor motor planning

52
Q

define dysarthria

A

weakness of mm’s involved in speech!!

53
Q

apraxia of speech

A

motor coordination issue! mm’s are fine

54
Q

MS: what causes the clinical disability

A

axonal damage from demyelination! Specifically of optic nerves corticospinal tracts and cerebellum. MS = blunted HR/BP souse RPE for exercise!! (11-14)

Comp Exam (10 decks)

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