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SPHP 221 Neurogenic Language Disorders > Exam 1 Study Guide > Flashcards

Exam 1 Study Guide Flashcards

1
Q

Formula Goal

A

Pt will (action) with (% accuracy) with (level of assistance)

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2
Q

What is a SMART goal?

A

Specific, Measurable, Attainable, Realistic, Timed

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3
Q

CNI

A

Olfactory - Smell

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4
Q

CNII

A

Optic - Vision

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5
Q

CNIII

A

Oculomotor - Eyes up and “pupilation”

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6
Q

CNIV

A

Trochlear - Eyes toward nose

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7
Q

CNV

A

Trigeminal - Motor to forehead and sensory to le mouth

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8
Q

CNVI

A

Abducens - Lateral eye movement

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9
Q

CNVII

A

Facial

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10
Q

CNVIII

A

Vestibulocochlear - hearing

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11
Q

CNIX

A

Glossopharyngeal

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12
Q

CNX

A

Vagus

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13
Q

CNXI

A

Accessory

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14
Q

CNXII

A

Hypoglossal

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15
Q

Broca: Lesion, fleuncy, speech, word retrieval, repetition, and comprehension

A

Location: Posterior inferior frontal lobe
Fluency: nonfluent, telegraphic
speech paraphasia: phonetic dissolution
Word retrieval: fair, but misarticulated
Repetition: labored, misarticulated, telegraphic
Comprehension: fair to good

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16
Q

Wernicke: Location, fluency, speech, word retrieval, repetition, and comprehension

A 
location: posterior superior temporal lobe
Fluency: fluent, empty
speech paraphasias: verbal paraphasia
word retrieval: poor
repetition: restricted
comprehension: poor
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17
Q

Conduction: location, fluency, speech, word retrieval, repetition, and comprehension

A

location: Parietal lobe
fluency: fluent, sensical
speech paraphasia: literal
Word retrieval: fair
Repetition: restricted
Comprehension: fair to good

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18
Q

Anomic: location, fluency, speech, word retrieval, repetition, and comprehension

A

location: temporal, parietal
fluency: fluent
speech paraphasia: Anomia
word retrieval: Good
repetition: Good
comprehension: Good

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19
Q

Transcortical motor: location, fluency, speech, word retrieval, repetition, and comprehension

A

location: Anterior superior frontal lobe
fluency: fluent
speech paraphasia: variable
word retrieval: variable, with delays in initiation
Repetition: Good
Comprehension: Good

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20
Q

Transcortical sensory: location, fluency, speech, word retrieval, repetition, and comprehension

A

location: Posterior superior parietal lobe
fluency: fluent
speech paraphasia: variable
word retrieval: Poor
repetition: Good
comprehension: poor

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21
Q

Global: location, fluency, speech, word retrieval, repetition, and comprehension

A

location: large, perisylvian
fluency: nonfluent
speech paraphasia: a lot
word retrieval: poor
repetition: poor
comprehension: poor

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22
Q

Literal/phonemic

A

sound errors, sound transpositions (shooshbruss for toothbrush)

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23
Q

Semantic/verbal

A

semantically related word is substituted: for for spoon

24
Q

Circumlocution

A

Intentionally speaking around the target word due to inability to retrieve a word

25
Q

Neologism

A

a new word that makes no sense

26
Q

Jargon

A

A string of neologism

27
Q

perseverative stereotypy

A

consistently says the same utterance

28
Q

agrammatic/telegraphic

A

speech in which function words are omitted

29
Q

empty speech

A

fluent but nonsensical

30
Q

What is ICF and who designed it? What is its purpose?

A

International classification of Functioning, Disability, and Health was developed by the WHO. It provides a framework to address an individual’s functioning and disability related to a health condition within the context of that person’s activities and social roles in everyday life.

31
Q

Define health condition according to the WHO

A

Disorder or disease that informs predicted comorbidities and prognosis

32
Q

Define body structure and function according to the WHO

A

Impairments in anatomical parts and their physiological functions

33
Q

Define activity and participation according to the WHO

A

Limitations in execution of a task or involvement in a life situation

34
Q

Define Personal and environmental factors according to the WHO

A

Barriers of facilitators in the environment or society and/or attitudes that influence function

35
Q

Medical model: focus, global hemisphere, view regarding disability, where are services provided, example?

A 
Impairment focused
Western medicine
Disability is localized within a person
Services are provided in a medical setting
Naming picture noun cards
36
Q

Social Model: focus, global hemisphere, view regarding disability, where are services provided, example?

A 
Social activist
UK
Disability is a cultural/social construct
Services provided in the home
Partner education/training
37
Q

Life Participation Approach to Aphasia (LPAA) focus

A

focuses on activities that are functional for the patient. Sets the goal of xment and the measurement of its effects and being those that focus on alleviating participatory limitations or restrictions on the PWA that are imposed by the aphasia.

38
Q

What are the four language modalities?

A

auditory comprehension, verbal expression, reading, and writing.

39
Q

What are the two (main) types of strokes? Describe.

A

Ischemic: generally the cause of narrowing arteries. Common due to increased cholesterol. Hemorrhagic: When blood leaks out of a vessel and damages or kills brain tissue.

40
Q

What are the two types of ischemic strokes discussed in class?

A

Embolic: the result of a blood clot that dislodges, resulting in cessation or inadequate blood flow to the brain.
Thrombic: blood clot of an occluded vessel.

41
Q

What does the pyramidal system control?

A

voluntary motor movement

42
Q

What nerve fibers comprise the pyramidal tract? What do they do/control?

A

corticobulbar: controls voluntary speech movements
corticospinal: muscles of the trunk and limbs

43
Q

Describe damage to the pyramidal system

A

affects motor activation so that voluntary movement, including speech, is impaired.

44
Q

How to test for motor/coordination

A

Is the patient able to walk or stand? Finger to finger, nose to nose, and rapid alternating movement?

45
Q

What is LOT? Describe its design.

A

Language Oriented Treatment: LOT is designed to provide a highly individualized and tailored approach to treatment based on the language profile, the interests, and the goals of the patient.

46
Q

Transcortical sensory aphasia AKA

A

posterior isolation syndrome

47
Q

Which area is important for language comprehension?

A

Wernicke’s area

48
Q

What is PPP?

A

Preferred practice patterns.

49
Q

Describe aphasia book clubs: mission, purpose, population?

A

Mission: to combine community service, student training and research, centered around individuals living with aphasia.

Purpose: Enhance quality of life through social interaction and life participation.

This is a good approach to use with anyone with aphasia. Some of the exceptions noted mentioned in the class were for ELL clients and for those who might not enjoy reading.

50
Q

Sentence Shaper: What is it, why was it made, and population

A

Sentence Shaper is an innovative computer program that helps people with language problems create speech using their own voices. You record words or short phrases, play them back, and then arrange them into sentences.

It was inspired by research showing that people with aphasia may still know their language but the language processing is slowed down (it takes longer to think of their words and combine them into sentences). By “turning off the clock,” it allows the user to record spoken fragments, play them back and build them into sentences by manipulating icons on a computer screen.

Population: for individuals with non-fluent aphasia

51
Q

PACE: description and full name

A

Promoting Aphasics Communicative Effectiveness.

Cards showing different actions (blowing, cutting) that are meant to promote conversational topics. Used with other therapies. The client and the clinician are equal conversational partners. Get the message across (with gestures, pictures, etc.) rather than linguistic perfection. Functional communication, but limited amount of research.

52
Q

What is the purpose of assessment?

A

To determine the current and long term communication and cognitive needs of the patient.

53
Q

What info do we gather about the patient?

A

The referral, the medical record, the interview, assessments

54
Q

What are neurons?

A

basic building blocks of the nervous system

55
Q

what are sensory neurons?

A

are sensors and are sensitive to light, sound, touch, temperature, smell, and chemical input.


56
Q

What are motor neurons?

A

are actors and receive excitation from other cells giving rise to muscle impulses and secretion of hormones.


57
Q

What are interneurons?

A

connect one neuron to another and can notify motor neurons to move a part of the body that has detected dangerous sensory information

SPHP 221 Neurogenic Language Disorders (10 decks)

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