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SLP PRAXIS PREP > CH 8: neuro disorder > Flashcards

CH 8: neuro disorder Flashcards

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1
Q

GLOBAL APHASIA

A

NONFLUENT
POOR AUD COMP
POOR REP

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2
Q

BROCAS

A

NONFLUENT
GOOD AUD COMP
POOR REP

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3
Q

MIXED TRANSCORTICO

A

NONFLUENT
POOR AUD COMP
GOOD REP

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4
Q

TRANSCORTICO MOTOR

A

NONFLUENT
GOOD AUD COMP
GOOD REP

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5
Q

WERNICKES

A

fluent
poor aud comp
poor rep

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6
Q

TRANSCORTICO SENSORY

A

fluent
poor aud comp
good rep

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7
Q

CONDUCTIVE

A

fluent
good aud comp
poor rep

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8
Q

ANOMIC

A

fluent
good aud comp
good rep

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9
Q

R hemisphere brain damage

A

related mostly to perceptual and attentional deficits

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10
Q

Tx of aphasia concerned with

A

verbal expression
aud comp
reading, writing, nonverbal modes of communication

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11
Q

ischemic strokes

A

caused by blocked or interrupted blood supply to brain

thrombosis or embolism

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12
Q

thrombus

A

collection of blood material that blocks the flow of blood

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13
Q

hermorrhagic strokes

A

bleeding in brain due to ruptured blood vessels.

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14
Q

more than X % of stroke survivors have aphasia

A

50%

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15
Q

% of strokes are ischemic

A

87%

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16
Q

nonfluent aphasias (GMBTm)

A

limited agrammatic effortful halting slow speech

impaired prosody

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17
Q

Broca’s supplied by

A

posterior inferior frontal gyrus of left hemisphere

supplied by upper MCA

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18
Q

Transcortico motor TMA impacted areas

A

nonfluent

anterior cerebral artery and anterior branch of MCA

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19
Q

TMA patients have seriously impaired

A

writing skills are seriously impaired in these pts

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20
Q

distinguishing feat in TMA patients

A

intact rep. skills can repeat long complex sentences without errors

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21
Q

Mixed transcortico MTA lesions located in X

A

nonfluent

lesions in watershed regions

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22
Q

distinguish feat. of Mixed transcortico

A

severe echolalia- parrotlike of what is heard

and mostly UNimpaired auto. speech like numbers

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23
Q

global- lesions in X areas

A

MOST SEVERE NONFLUENT APHASIA

lesions in all lagnuage areas- perisylvian

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24
Q

FLUENT APHASIAS (WTsCA)

A

intact fluency and meaningless speech

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25
Q

speech is relatively easily initiated and well articulated in these aphasias

A

in fluent aphasia (WTsCA)

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26
Q

Wernickes

A

poor aud comp and very bad with background noise
impaired repetition skills
paresis paralysis uncommon with W aphasia

27
Q

Transcorticosensory TSA

A

fluent
affected region supplied by posterior branches of left MCA
good rep. bad comp of repeated words
IMPAIRED REPETITION

28
Q

Conduction lesions located in X

A

fluent
RARE FORM
lesions in supramarginal gyrus in inf. parietal lobe and arcuate fasciculus

29
Q

good comprehension for routine conversation

A

conduction aphasia

30
Q

anomic aphasia is a X

A

syndrome

31
Q

persons with anomic aphasia most difficulty with

A

wordfinding - but can point to named objects

all language unimpaired except naming!!!

32
Q

aphasia usually due to X damage

A

cortical damage usually causes this

33
Q

subcortical aphasia is caused by lesions in the X and X

A

basal ganglia and surrounding structures

34
Q

X bilingual individuals have aphasia in given year

A

150, 000

35
Q

X bilingual individuals with aphasia recover both languages

A

most- 65%

36
Q

main aphasia assessment goals

A

1) yes/ no aphasia
2) type of aphasia
3) any coexisting disorder?

37
Q

bedside exam for initial impression

A

personal questions
requests nonverbal responses (point to )
reading writing sample
ask orientation questions

38
Q

assess

A

repetition, naming skills, sentence production, speech fluency, functional communication skills, aud. comp, comp. of single words, comp of sentences, assess reading writing gestures automated speechh

39
Q

“what is this?” example of

A

confrontation naming

“

40
Q

” what color is snow?”

A

example of responsive naming task- context cue given

41
Q

main tx goal for aphasia: social approach

A

natural interaction, conversation, functional comm, enhancement of life participation

42
Q

alexia

A

loss of previously acquired reading skills due to brain damage

43
Q

agraphia

A

impairment or lsos of writing skills

44
Q

agnosia

A

impaired understanding of the meaning of certain stimuli- they can see, feel, hear stim but not understand meaning.
disorder of recognition!*

45
Q

apraxia

A

neurogenic speech sound disorder

46
Q

more common with apraxia than distortions and omissions

A

substitutions more common- voiceless for voiced ( pet for bet)

47
Q

apraxia - difficulty with X and X

A

consonants and affricates fricatives cons. clusters

48
Q

most effective tx for apraxia

A

behavioral tx- speech movements

49
Q

tx targets

A

artic accuracy
slower rate
gradual increase in rate
normal prosody

50
Q

SPT- sound production tx

A

emphasis on articulating sounds with minimal contrast
shock sock
conical comical

51
Q

dysarthria is a X based disorder

A

neurologically motor speech due to PNS or CNS damage

52
Q

7 types of dysarthria

A 
ataxic
flaccid
hyper/ hypo 
spastic
mixed
unilateral UMN
53
Q

abnormal strength, speed, range, tone, accuracy of movement in speech production

A

dysarthrias

54
Q

automatic simple production to less automatic more spontaneous production = AOS TX

A

AOS TX moves from X to X

55
Q

Ataxic dysarthria damage in

A

cerebellar system damage- artic and prosody issues

muscular incoord and irregular movements

56
Q

impression of drunken speech in X dysarthria

A

ataxic dysarthria

57
Q

flaccid dysarthria

A

damage to peripheral nervous system and lower motor neuron involvement

58
Q

respiratory weakness characteristic in flaccid dysarthria

A

reduced subglottic P and weak inhalation

59
Q

hyperkinetic dysarthria results from damage X

A

damage to basal ganglia

60
Q

hyperkinetic dysarthria assoc w/ X and X

A

1) variable muscle tone

2) involuntary movements interfere with speech production PROSODIC MOST APPARENT

61
Q

chorea is

A

purposeless random invol movements of body parts

assoc with hyperkinetic dysarthria (damage to basal ganglia)

62
Q

hypokinetic dysarthria damage

A

basal ganglia

63
Q

hypokinetic: MOST IMPACTED

A

voice
artic
prosody

SLP PRAXIS PREP (3 decks)

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