Exam 1: Lecture 3

Question 1

Three main causes of stroke are?

Answer 1

Thrombosis
Embolus
Hemorrhage

Question 2

What is a thrombus?

Answer 2

60% of strokes. A clot that starts with atherosclerosis (formation of plague)

Question 3

What is an embolism?

Answer 3

Dislodged thrombus, if breaks away can be fatal. Can travel up to heart or brain

Question 4

Hemorrhage

Answer 4

Rupture of vessels

Question 5

What is cerebral edema?

Answer 5

Swelling that can occur within hours, peaks at 4 days.

Question 6

What does TIA stand for and definition?

Answer 6

Transient Ischemic attack. Mini stroke, symptoms subside in 24 hours. Often before heart attack.

Question 7

Symptoms are anterior cerebral infarct are:

Answer 7

contralateral hemiparesis (opposite side weakness)
sensory loss
incontinence
left side neglect

Question 8

Middle cerebral artery infarct

Answer 8

Mot common. 
Contralateral hemiplegia (UE) 
Sensory deficit UE and face
left hemi= aphasia
right hemi- neglect

Question 9

Internal carotid artery infarct causes:

Answer 9

coma and death

Question 10

A posterior cerebral artery infarct causes:

Answer 10

Upper or lower
Loss of field of vision in one eye
Tremors if thalamus and mid brain

Question 11

Vertebrobasilar infarct in the basilar region can cause:

Answer 11

Occipital headache
coma
Locked in syndrome
visual loss

Question 12

Brunnstrom synergy pattern for upper extremity flexion

Answer 12

scapular retraction, shoulder external rotation, shoulder abduction to 90, elbow flexion,, forearm supination, wrist + finger flexion

Question 13

Brunnstrom synergy pattern for lower extremity extension:

Answer 13

hip extension, adduction and internal rotation, knee ext and plantar flexion plus inversion

Question 14

What is aphasia?

Answer 14

Impairment of language

can be receptive, expressive, global

Question 15

What is dysarthria

Answer 15

affected respiration, possible impaired chewing

Question 16

When stroke affects left hemi, symptoms are:

Answer 16

sequencing, difficulty initating movement, hard to learn task

Question 17

When stroke affects right hemi symptoms are:

Answer 17

difficulty in sustaining movement and posture

Question 18

What are the two categories of shoulder subluxation?

Answer 18

Flaccid: relies on liagments to maintain joint. Poor scapulo-humeral rhythm
Hypertonic: depressed, retracted and downwardly rotated. Lack of motion

Question 19

What is the reflex sympathetic disorder?

Answer 19

Disorder that causes pain, swelling and often burning feeling in extremities.

Question 20

Symptons of RSD:

Answer 20

stiffness, contractures
warm, red glossy skin
blanched nails

Question 21

Rehab separated into 3 categories:

Answer 21

Acute, Subacute, late phases

Question 22

The acute phase of rehab involves?

Answer 22

short sessions
frequent contact
visual stim
auditory stim

Question 23

The subacute phase of rehab involves?

Answer 23

agitated patient:
determine stim that is causing irritation
human contact
familiar voices

Question 24

The late phase of rehab :

Answer 24

improvement but still may have problems with
coordination
speed or endurance