Cog+lang Disorders/TBI

Question 1

Coup/Contrecoup

Answer 1

Head hits front back and front

Question 2

Diffuse axonal shearing

Answer 2

Tears of the axons themselves
Blast injuries in the military

Question 3

Lacerations

Answer 3

cuts

Question 4

Contusions

Answer 4

Bruising

Question 5

Hematomas

Answer 5

collection of blood

Question 6

Hypoxia/anoxia

Answer 6

reduced oxygen

Question 7

Hypotension

Answer 7

low blood pressure

Question 8

Brain swelling

Answer 8

increased blood volume

Question 9

Edema

Answer 9

increased CSF

Question 10

Precentral gyrus

Answer 10

initiation of movement
Speak and swallow

Question 11

Premotor cortex

Answer 11

coordination of mvmt.
Writing, speech, swallowing

Question 12

Broca’s area

Answer 12

coordination of speech mvmt
Speech production

Question 13

Prefrontal cortex

Answer 13

behavior, personality, higher level cognition including: executive functions of anticipation, attention, initiation and planning of ideas, internal and external monitoring (insight), interpretation and application of feedback, reasoning and problem solving

Question 14

TBI areas that could be affected

Answer 14

Attention
Memory
Executive Function
Language
Visuospatial Skills

COGNITION

Question 15

Emotional stability

Answer 15

Extreme response w/correct emotion

Question 16

Inhibition

Answer 16

suppressing unacceptable tendencies; waiting to respond
Wearing emotions on their face
Yelling things out

Question 17

Emotional stability

Answer 17

proportionate to stimuli
Extreme response w/correct emotion

Question 18

Pragmatics and language

Answer 18

may do well with structure, but a breakdown in actual situations.
They need to be in the real world with strategies
Group therapy is great here

Question 19

Discourse

Answer 19

Narrative, procedural, conversation

Question 20

Narrative

Answer 20

Who, what, where, when,

Question 21

Procedural

Answer 21

Describing how to do something

Question 22

Injury Recovery & Assessment Process

Answer 22

Early, Middle, end

Question 23

Early phase

Answer 23

Levels II and III (alertness, arousal, attention)
Respond to sounds, cold compress
Brief sessions (15-30 minutes)
Checklists to document observed changes
Sensory stimulation perhaps
Cold compress touched to cheek, do you respond to that (cold response)
SLP checks: comprehension, ability to make needs known, educate family, staff education needs