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Neuro II > CVA > Flashcards

CVA Flashcards

1
Q 
Inappropriate initiation 
difficulty sequencing 
inappropriate timing
altered force production are problems with 
a. tone
b. primary impairments
c. changes in muscle activation
d. secondary impairments
A

changes in muscle activation

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2
Q

This change in muscle activation is an inability to initiate either at the muscle level or apraxia

a. inappropriate initiation
b. difficulty sequencing
c. inappropriate timing
d. altered force production

A

inappropriate initiation

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3
Q

A patient demonstrates coordination deficits, inability to sequence balance or postural control appropriately

a. inappropriate initiation
b. difficulty sequencing
c. inappropriate timing
d. altered force production

A

difficulty sequencing

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4
Q

A patient demonstrates coactivation of muscles by initiating their proximal muscles before distal muscles, this can be classified as

a. inappropriate initiation
b. difficulty sequencing
c. inappropriate timing
d. altered force production

A

inappropriate timing

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5
Q

A patient has difficulty scaling movement

a. inappropriate initiation
b. difficulty sequencing
c. inappropriate timing
d. altered force production

A

altered force production

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6
Q

Changes in sensation are commonly found

a. only in the extremities
b. contralateral face and extremities
c. on the contralateral side
d. proximally more than distally

A

contralateral face and extremities

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7
Q

What changes in sensation are common?

A

proprioceptive loss
tactile impairment
abnormal sensation

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8
Q

A patient with left hemiplegia had a stroke affecting the

a. left parietal lobe
b. right parietal lobe
c. left temporal lobe
d. right temporal lobe

A

right parietal lobe

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9
Q

Perceptual and cognitive problems can include

A 
body scheme/body image
spatial relations
agnosia
attention deficit
memory impairment 
decision making
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10
Q

Emotional problems is a (direct/indirect) cause

A

direct

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11
Q

Depression is a direct impairment related to infarct (true/false)

A

true

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12
Q

List difficulties with speech and language

A

aphasia
dysarthria
dysphagia

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13
Q

Contraversive Lateropulsion is due to

A

a defect in posterolateral thalamus or in internal capsule

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14
Q

Patients experiencing contraversive lateropulsion push

a. toward the center
b. away from the center
c. towards hemi side
d. towards uninvolved side

A

towards hemi side

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15
Q

What scale can be used to assess contraversive lateropulsion?

A

Burke Lateropulsion Scale

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16
Q

A patient is actively pushing toward the hemiplegic side

A

contraversive lateropulsion

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17
Q

Contraversive lateropulsion is the subjective impression of falling to the

a. non-paretic side
b. paretic side

A

non-paretic side

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18
Q

A shift to the hemiplegic side with no attempt to support but tend to maintain correct head orientation defines

a. pusher syndrome
b. hemiplegia
c. spatial neglect
d. postural asymmetry

A

postural asymmetry

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19
Q

Rehab for patients with contraversive lateropulsion takes the same amount of time as a non-pushing stroke (true/false)

A

false

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20
Q

Patients with contraversive lateropulsion also demonstrate what impairments?

A

hemiplegia
spatial and sensory neglect
postural asymmetry
abduction and extension of non-paretic

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21
Q

Transfering to the (weak/strong) side is more difficult for a patient experiencing contraversive lateropulsion

A

strong

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22
Q

Alignment and mobility changes is a

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

secondary impairment

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23
Q

Changes in muscle and soft tissue is considered a

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

secondary impairment

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24
Q

Pain is considered a

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

secondary impairment

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25
Q

Edema is considered a

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

secondary impairment

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26
Q

Movement deficits are categorized as

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

composite impairments

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27
Q

Atypical deficits are categorized as

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

composite impairments

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28
Q

Undesirable compensations are a

a. primary impairment
b. direct effect
c. secondary impairment
d. composite impairment

A

composite impairment

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29
Q

Fractionated movements is also known as

A

atypical movements

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30
Q

It is common to develop shoulder pain due to

a. contractures
b. nonuse
c. osteoporosis
d. pusher syndrome

A

nonuse

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31
Q

Pieces of movement that are missing or the inability to move efficiently or move at all

a. movement deficits
b. atypical movements
c. undesirable compensations
d. none of the above

A

movement deficits

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32
Q

A deviation from normal movement sequence

a. movement deficits
b. atypical movements
c. undesirable compensations
d. none of the above

A

atypical movements

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33
Q

Inefficient movement strategies are

a. movement deficits
b. atypical movements
c. undesirable compensations
d. none of the above

A

undesirable compensations

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34
Q

A patient presents with flaccid paralysis, what stage of the Brunnstroms motor recovery stage do they fall under?

a. stage 1
b. stage 2
c. stage 3
d. stage 4

A

stage 1

35
Q

A patient demonstrates minimal voluntary movement, associated reactions, and the beginning of spasticity. What stage are they classified under Brunnstroms stages?

a. stage 1
b. stage 2
c. stage 3
d. stage 4

A

stage 2

36
Q

A patient shows movement in synergies and increased spasticity. What stage would you classify them as under Brunnstroms stages?

a. stage 3
b. stage 2
c. stage 5
d. stage 4

A

stage 3

37
Q

A patient is in the beginning stages of selective control and spasticity is declining. What stage of Brunnstroms stages would you classify them under?

a. stage 4
b. stage 3
c. stage 5
d. stage 6

A

stage 4

38
Q

Patient shows more difficult movement combinations and spasticity is decreasing, what stage in Bruunstroms stages?

a. stage 4
b. stage 3
c. stage 5
d. stage 6

A

stage 5

39
Q

The patient is approaching normal movement, selective control and tone is near normal. What stage of Brunnstroms stages are they classified as?

a. stage 1
b. stage 2
c. stage 5
d. stage 6

A

stage 6

40
Q

The Brunnstroms stages is good for

A

tracking motor recovery

41
Q

A patients arm is at their side, internally rotated, elbow extended, pronated and subluxation is common this is a

A

low tone arm in acute hypotonic positon

42
Q

A patient has a weak trunk, ribs flare and show a lateral trunk lean

A

acute hypotonic positon

43
Q

The pelvis is dropped, the hip and knee collapse in standing

A

acute hypotonic positon

44
Q

In the acute hypotonic position, patients will lean (towards/away) from weak side

A

away

45
Q

In the acute hypotonic position, patients will shift their weight to the (involved/uninvolved) leg

A

uninvolved

46
Q

In the acute movement deficit stage there is changes in _ _ and they cannot _

A

muscle activation

generate enough force to use muscles effectively

47
Q

An unbalanced muscle return and deficits with muscle activation

A

atypical movement patterns

48
Q

Inability to correctly activate muscle could be issues with

A

sequence
timing
scaling

49
Q

What are the two potential problems with atypical movement patterns seen?

A

greater weakness

greater return

50
Q

Unbalanced return with muscle shortening and poor alignment is

a. greater weakness
b. greater return

A

greater weakness

51
Q

Problems with hypertonicity showing atypical movement patterns is

a. greater weakness
b. greater return

A

greater return

52
Q

Atypical movement patterns and undesirable compensatory patterns are in the (earlier/higher) stages

A

higher

53
Q

Movement deficits are in the (earlier/higher) stages

A

earlier

54
Q 
Scapular retraction/elevation
shoulder abduction
ER or hyperextension
elbow flexion
forearm supination 
wrist and finger flexion
a. upper extremity flexion synergy 
b. upper extremity extension synergy 
c. lower extremity flexion synergy
d. lower extremity extension synergy
A

upper extremity flexion synergy

55
Q 
Scapular protraction
shoulder adduction, IR
elbow extension
forearm pronation 
wrist and finger flexion 
a. upper extremity flexion synergy 
b. upper extremity extension synergy 
c. lower extremity flexion synergy
d. lower extremity extension synergy
A

upper extremity extension synergy

56
Q 
Hip flexion, abduction, ER
knee flexion
ankle DF and inversion
toe extension
a. upper extremity flexion synergy 
b. upper extremity extension synergy 
c. lower extremity flexion synergy
d. lower extremity extension synergy
A

lower extremity flexion synergy

57
Q 
Hip extension, adduction, IR 
knee extension
ankle PF and inversion
toe flexion
a. upper extremity flexion synergy 
b. upper extremity extension synergy 
c. lower extremity flexion synergy
d. lower extremity extension synergy
A

lower extremity extension synergy

58
Q

Which motion is the hardest to get back in the upper extremity?

a. forearm pronation
b. forearm supination
c. wrist and finger extension
d. wrist and finger flexion

A

wrist and finger extension

59
Q

Which motion is missing in both synergy patterns for the UE?

a. forearm pronation
b. forearm supination
c. wrist and finger extension
d. wrist and finger flexion

A

wrist and finger extension

60
Q

Which motion is the hardest to get back in the lower extremity?

a. hip flexion
b. knee extension
c. ankle and foot eversion
d. ankle and foot inversion

A

ankle and foot eversion

61
Q

Which motion is missing in both synergy patterns for the LE?

a. hip flexion
b. knee extension
c. ankle and foot eversion
d. ankle and foot inversion

A

ankle and foot eversion

62
Q

What is the strongest component of the UE flexion synergy pattern?

a. forearm supination
b. elbow flexion
c. wrist and finger flexion
d. shoulder elevation

A

elbow flexion

63
Q

What is the strongest component of the UE extension synergy pattern?

a. shoulder adduction and forearm pronation
b. scapular protraction and forearm supination
c. shoulder IR
d. elbow extension

A

shoulder adduction and forearm pronation

64
Q

What is the strongest component of the LE flexion synergy pattern?

a. toe extension
b. ankle eversion
c. hip flexion
d. knee flexion

A

hip flexion

65
Q

What are the strongest components of the LE extension synergy pattern?

a. hip extension and adduction, knee extension, ankle PF
b. toe flexion and ankle inversion
c. ankle PF and inversion
d. hip adduction, knee extension, and ankle PF

A

hip adduction, knee extension, and ankle PF

66
Q

There is (higher/lower) tone in the strongest component of a synergy pattern

A

higher

67
Q 
rely on use of uninvolved extremities
balance precarious
learned nonuse 
develops more severe spasticity 
increased severity of secondary problems
increased chance of falls
A

undesirable compensatory problems

68
Q

The Orpington Prognostic Scale is a measure for

a. diagnosing
b. prognosis
c. independence
d. impairment

A

prognosis

69
Q

Which test is used to measure tone/reflexes?

A

Ashworth or Tardieu

70
Q

Which test is used to measure strength?

a. Ashworth
b. Tardieu
c. Timed up and Go
d. 5 times sit to stand

A

5 times sit to stand

71
Q

Which test involves doing a dual task?

A

walkie-talkie test

72
Q

Which component of the ICF does the Fugl Meyer fall under?

a. body structure and function
b. activity
c. participation
d. environmental internal

A

body structure and function

73
Q

Which component of the ICF is the Stroke impact scale categorized as?

a. body structure and function
b. activity
c. participation
d. environmental internal

A

participation

74
Q

Which component of the ICF is the PASS classified as?

a. body structure and function
b. activity
c. participation
d. environmental internal

A

activity

75
Q

The Ashworth test is used for which component of the ICF

a. body structure and function
b. activity
c. participation
d. environmental internal

A

body structure and function

76
Q

The Fugl Meyer is an outcome measure (true/false)

A

false

77
Q

Outcome measures fall under which categories in the ICF

A

either activity or participation

78
Q

List the most likely movement system diagnosis for stroke

A

force production deficit
movement pattern coordination deficit
fractionated movement deficit
sensory detection deficit

79
Q

List the lesser likely movement system diagnoses for stroke

A

dysmetria
postural vertical deficit
cognitive deficit
sensory selection and weighting deficit

80
Q

Which movement system diagnosis is rarely used for stroke?

A

hypokinesia

81
Q

A patient demonstrating contraversive lateropulsion would be diagnosed with

a. force production deficit
b. movement pattern coordination deficit
c. postural vertical deficit
d. fractionated movement deficit

A

postural vertical deficit

82
Q

A patient demonstrating atypical movement patterns can be classified as

A

movement pattern coordination deficit or

fractionated movement deficit

83
Q

What is the typical position in the acute phase?

A

arm at side, IR, elbow extended, pronation, subluxation common
trunk weak, ribs flare, lateral trunk lean
leg weak, pelvis dropped and hip and knee collapse in standing

Neuro II (11 decks)

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