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Motor Speech Exam 3 > Chapter 15 > Flashcards

Chapter 15 Flashcards

1
Q

What is the most common cause of dysarthria’s with vascular etiology?

A

Hemmorhagic Stroke

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2
Q

What type of etiologies can vascular dysarthria cause?

A
  1. any type of dysarthria

- mostly causes spastic , UUMN, and Ataxic

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3
Q

Degenerative Dz causes what type of dysarthria?

A

any type: mostly spastic, ataxic, hypokinetic, and flaccid

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4
Q

ALS is a frequent cause of which 2 dysarthrias?

A

flaccid and spastic

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5
Q

What is the most common dysarthria seen in TBI closed-head injury?

A

Spastic

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6
Q

What type of dysarthria’s are associated with open-head injuries?

A
  • spastic,
  • ataxic
  • UUMN
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7
Q

What type of dysarthrias are caused by skull fractures and neck traumas?

A

Flaccid Dysarthria

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8
Q

What type of dysarthria is associated with surgeries involving the ear, nose, throat, chest, cardiac, areas?

A

Flaccid Dysarthria

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9
Q

What type of dysarthrias do toxic and metabolic conditions cause?

A
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10
Q

What types of dysarthrias do toxic conditions cause?

A

cause hyperkinetic and ataxic dysarthrias

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11
Q

what types of dysarthrias do infectious and inflammatory conditions cause?

A
  • rarely cause dysarthria-sometimes occur

- type depends on condition

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12
Q

Demyelination dz can cause any type of dysarthria but which one is rare?

A

hypokinetic

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13
Q

Guillain Barre is usually associated with which dysarthria?

A

Flaccid

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14
Q

MS is usually associated with which dysarthria?

A

ataxic

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15
Q

anatomic malformations (Arnold Chiari- malformations of the brain) are usually associated with which Dysarthria?

A

Flaccid Dysarthria

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16
Q

Neuromotor Junction Disorders, muscle disease, and neuropathies only cause which type of dysarthria?

A

Flaccid-Because they are PNS diseases

17
Q

What are some oral mech findings for flaccid dysarthria?

A
  • Atrophy and Fasciculations
  • hypotonia and hypoactive gag reflex (more often found)
  • MG-rapid loss of intelligibility-
  • nasal regurgitation may be seen-
18
Q

What are some oral mech findings for Spastic Dysarthria?

A
  • pathological oral reflexes,
  • hyperactive gag reflexes,
  • pseudobulbar effect
  • more probs with dysphagia and drooling
19
Q

What are some oral mech findings for ataxic dysarthria?

A

-dysmetria in non speech: jaw, face, and tongue movements
(not typically seen in other dysarthrias)
other oral mech findings maybe normal

20
Q

What are some oral mech findings in hypokinetic dysarthria?

A

-orofacial tremors
-masked face
-

21
Q

what are some oral mech findings in hyperkinetic dysarthrias?

A
  • abnormal movements in both rest and speech

- not seen in other dysarthrias

22
Q

Oral mech findings for UUMN

A

-unilateral facial and lingual weakness without atrophy and fasciculations

23
Q

What are some speech findings for flaccid dysarthria?

A
24
Q

what happens to speech characteristics in flaccid dysarthria if the Xth Nerve (Vagus) is affected?

A

may see:

  • breathiness
  • diplophonia
  • audible inspiration
  • and short phrases
25
Q

what should you listen for to damage with the Xth nerve- flaccid?

A

(greater hoarseness and diplophonia) in Flaccid dysarthria

26
Q

What occurs in spastic and hypokinetic, but is most produced in Flaccid?

A

-Hypernasality-

27
Q

Which dz associate with flaccid dysarthria is associated with rapid deterioration of speech?

A

MG

28
Q

Speech Characteristic in Spastic Dysarthria?

A

-slow rate
combined with slow, regular AMR’s
-strained voice quality
(presence of all three is not common in other dysarthrias)

29
Q

Speech Characteristics of Ataxic:

A

-irregular articulatory breakdowns-
-irregular AMR’s
-Dysprosody
(may also be heard in UUMN and hyperkinetic dysarthrias, but look for unilateral lower facial and tongue weakness in UUMN and abnormal movements in Hyperkinetic

30
Q

Speech characteristics of Hyperkinetic:

A

-abnormal movements are particular to this dysarthria

31
Q

Speech characteristic of UUMN:

A
  • irregular breakdowns-
  • amr’s are usually normal but mildly irregular
  • somewhat strained voice (may sound spastic)
  • hypernaslity is rare-

Motor Speech Exam 3 (6 decks)

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