Cognitive Screening Flashcards

1
Q

Language is the combination of

A

comprehension and speech

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2
Q

Characteristics of Language

A
spontaneous speech
fluency
word comprehension
repetition
object naming
reading comprehension
writing
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3
Q

dysarthria

A

speech difficulties due to impaired motor control of one or more of the structures that control speech

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4
Q

these structures are

A

tongue, pharynx, palate

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5
Q

characteristics of dysarthria

A

slurred, nasal or indistinct

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6
Q

dysarthria results of

A
motor lesions to CNS or PNS
Parkinsons
Huntingtons
ALS
cerebellar dysfunction
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7
Q

Dysphonia

A

difficulty in voice production
low volume, quality, pitch
parkinsons

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8
Q

Aphasia

A

difficulty with or inability to PRODUCE or UNDERSTAND LANGUAGE

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9
Q

typical dominant hemisphere

A

LEFT

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10
Q

Types of Aphasia

A

Brocas (expressive)
Wernickes (receptive)
Global Aphasia
Anomia

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11
Q

Anomia

A

inability to name objects

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12
Q

Global Aphasia

A

expressive & receptive deficits

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13
Q

Receptive Aphasia

A
Wernickes
long sentences w/ no meaning
invent new words
rapid effortless 
unaware of errors
impaired word comprehension, repetition, object naming, reading comprehension and writing
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14
Q

Expressive

A

Brocas
short meaningful phrases with great effort
omit small words
easily frustrated by inability to communicate
non-fluent
impaired
good reading comprehension but can’t read out loud

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15
Q

Simple Assessment includes

A
understanding of questions (simple/complex)
Word comprehension
Repetition
Naming
Writing
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16
Q

Cognition includes

A
orientation 
attention
memory
problem solving
perception
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17
Q

What do you start with?

A

Alertness

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18
Q

Alertness is located

A

brainstem

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19
Q

levels of alertness

A
Normal
Lethargy
Obtundation
Stupor
Coma
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20
Q

Lethargy

A

slight reduction
clouding of consciousness
think more slowly

21
Q

Obtundation

A

moderate reduction in alertness

22
Q

Stupor

A

excessively long or deep sleep like state

arouse only by vigorous stimulation

23
Q

coma

A

complete unresponsiveness
lacks most basic response
reflexes may be present

24
Q

Orientation Status is located

A

Frontal lobe

A&O x 1 to 4

25
definition of orientation status
``` ability to orient to: person, place, time and situation ```
26
Attention is considered
Multifocal/ Diffuse
27
definition of attention
ability to attend to a specific stimulus or task
28
assess this by
repetition of a series of numbers or letters
29
Different types of attention
``` Focused Attention Sustained Attention (vigilance) Divided Attention Alternating Attention Selective Attention ```
30
Memory is located in what lobe
Frontal/ Temporal
31
Types of memory
immediate recall short-term long-term
32
Two types of Problem Solving
Thought Processes (frontal) Calculation (Left Parietal) Abstract Thought (frontal) Judgement (frontal)
33
Thought Processes is
frontal | complete if/then statements
34
Calculation is
Left Parietal | ability to perform verbal or written mathematical problems
35
Abstract thought is
Frontal ability to reason in an abstract fashion proverb
36
Judgement is
Frontal ability to reason in concrete fashion demonstrate common sense and safety
37
Spacial Perception is
Right Parietal | ability to contract or draw an object with a specific orientation or characteristic
38
Body Perception is
Right Parietal self-awareness of own body ask to identify as specific body part on body
39
Cortical Sensations
``` Parietal Stereognosis Tactile Localization Two-Point Discrimination Double Simultaneous Stimulation Graphesthesia ```
40
Praxis is
Dominant Hemisphere | ability to conceive and plan a new motor action in response to an environmental demand
41
Motor Praxis requires the integration of
``` cognition tactile-kinesthetic input vestibular visual-spatial selection and sequencing of movement and language ```
42
Apraxia is
the inability to perform a movement or a sequence of movements despite intact sensation, automatic motor output and an understanding of the task
43
Ideomotor Apraxia is (limb)
inability to imitate gestures or perform a purposeful motor task on command
44
Ideational Apraxia is (conceptual)
inability to carry out a sequence of motor tasks and loss of the idea of how to interact with an object or tool
45
Agnosia
loss of the ability to recognize objects, persons, sounds, shapes, or smells while the specific sense is not affected and no memory loss
46
Agnosia affects only
a single modality | vision or hearing
47
Agnosia result of damage at the
occipitotemoral border
48
Abstract Thought two different types
meaning of proverb or discuss how two objects are similar or different