class 3: stroke Flashcards

1
Q

what is a ischemic stroke

A

Occurs when a clot blocks or
impairs blood flow, depriving the
brain of essential oxygen and
nutrients

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2
Q

what is a Hemorrhagic Stroke

A

Occurs when blood vessels rupture,
causing leakage of blood in or
around the brain

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3
Q

Right Hemisphere - tone

A

Left hemiparesis/hemisensory loss

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4
Q

RH - impairments

A

left hemi

left side neglect

dysarthria

poor decision making

flat effect

anosongosia - unaware of deficits

asomatogonsia - loss of ownership of one side of the body

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5
Q

LH - impairments

A

right hemi

right homo hemi

dysarthria - hard time speaking

aphasia (lang)

apraxia

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6
Q

what is the most common type of stroke

A

MCA

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7
Q

what type of stroke has worse outcomes hemorragic or ischemic

A

hemmoragic

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8
Q

MCA serves what part of the brain

A

motor

sensory

speech

cog

the lateral/outer part of the brain

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9
Q

sym of PCA stroke

A
  • Contralateral homonymous hemianopsia
  • Visual agnosia
  • Prosopagnosia (difficulty naming people on sight)
  • Dyslexia (difficulty reading) without agraphia (difficulty writing), color naming (anomia), and color discrimination problems
  • Memory defect
  • Topographic disorientation
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10
Q

sym of ACA stroke

A

logical thought

personality

contralateral voluntary moevment

LE motor and sesnsory loss > UE loss

mutism

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11
Q

what does a neg babinski look like

A

toes pointing down

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12
Q

Spasticity Pattern in Upper Extremity - scapula

A

Retraction, downward rotation

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13
Q

Spasticity Pattern in Upper Extremity - shoulder

A

Retraction, downward rotation

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14
Q

Spasticity Pattern in Upper Extremity - elb

A

Flexion

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15
Q

Spasticity Pattern in Upper Extremity - forearm

A

Pronation

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16
Q

Spasticity Pattern in Upper Extremity - wrist

A

Flexion, adduction

17
Q

Spasticity Pattern in Upper Extremity - hand

A

Finger flexion, clenched fist thumb, adducted in

palm

18
Q

Spasticity Pattern in Lower Extremity - pelvis

A

Retraction (hip hiking)

19
Q

Spasticity Pattern in Lower Extremity - hip

A
  • Adduction (scissoring)
  • IR
  • Extension
20
Q

Spasticity Pattern in Lower Extremity - knee

A

Extension

21
Q

Spasticity Pattern in Lower Extremity - foot and ankle

A
  • Plantarflexion
  • Inversion
  • Equinovarus
  • Toes claw (tarsometatarsal extension, metatarsophalangeal flexion)
  • Toes curl (tarso- and metatarsophalangeal flexion)
22
Q

Upper Extremity - flexion syngery

A
  • Scapula retraction/elevation or
    hyperextension
  • Shoulder abduction, external
    rotation
  • Elbow flexion
  • Wrist and finger flexion
23
Q

UE - EXTENSION SYNERGY

A
  • Scapular protraction
  • Shoulder adduction, IR
  • Elbow extension
  • Forearm pronation
  • Wrist and finger flexion
24
Q

ACA serves what part of the brain

A

medial part of the brain

25
Q

PCA serve what part of the brain

A

posterior brain

26
Q

LE - flexor syngery

A
  • Hip flexion, abduction, ER
  • Knee flexion
  • Ankle DF, inversion
  • Toe DF
27
Q

LE - extensor syndergy

A
  • Hip extension, adduction, IR
  • Knee extension
  • Ankle PF, inversion
  • Toe PF
28
Q

what motor impact does a MCA stroke have

A

effects more of the UE and face then the LE

29
Q

what is broca’s aphasia

A

when the person has a hard time expressing lang

expressive aphasia

30
Q

what is wernickes aphasia

A

when a person cannot understand language - word salad

receptive aphasia

31
Q

what is global aphasia

A

characterized by the complete inability either to speak or to understand language, and is typically associated with large lesions of the main hemp

32
Q

is homo hemi normally seen in right or left MCA stoke

A

it can be seen with either

33
Q
A
33
Q

is someone has a right sided MCA would theyhave r or l homo hemi

A

L

33
Q

what does home hemi mean

A

L or R visual field is blocked

33
Q
A