Lec 08: Rehabilitation of Stroke Flashcards
T/F: There is usually extension synergy in the upper extremities after stroke.
F
UE - flexion
LE - extension
This vessel is the most commonly involved in stokes.
A. middle cerebral artery B. basilar artery C. vertebral artery D. anterior cerebral artery E. posterior cerebral artery
A. MCA
Enumerate three primary goals of rehabilitation in stroke.
prevent complications
minimize impairment
maximize function
ID: This still ‘off label’ use drug has shown potential to promote neuroplasticity in the cerebral cortex for memory and learning.
dopamine
Meanwhile, SSRIs regulate memory, mood, sleep, and activate cortical motor areas.
ID: This is the inability to identify objects in the hand.
astereognosia
The following sign/s is/are strongly predictive of of aspiration post-stroke
A. severe dysphagia B. abnormal pharyngeal sensation C. abnormal gag reflex D. A & B only E. AOTA
D.
Abnormal gag reflex is a poorly reliable predictor of aspiration.
This is the best management for upper limb complex regional pain syndrome (UE-CRPS).
A. tramadol and gabapentin B. desensitization C. early mobilization D. stellate ganglion block E. transcutaneous electrical nerve stimulation
C. early mobilization
The following are included in the Braden scale for risk of pressure ulcers EXCEPT
A. sensory perception B. moisture C. nutrition D. blood pressure E. NOTA
D. blood pressure
Risk factors include:
sensory perception moisture activity mobility nutrition friction and shear
ID: What is the main sign/symptom of deep vein thrombosis?
leg swelling
In 95% of stroke survivors, the best neurologic level is typically achieved after how many weeks?
A. 6 weeks B. 9 weeks C. 11 weeks D. 15 weeks E. NOTA
C. 11 weeks
This however may vary depending on the severity of the stoke.
The affected limb in stoke should be mobilized or used for how long in one day?
A. 50% of waking hours B. 60% of waking hours C. 70% of waking hours D. 80% of waking hours E. 90% of waking hours
E. 90% of waking hours
ID: This is a treadmill location training with assistance of a robot-drive gait orthosis.
Lokomat
Urinary incontinence has higher incidence in patients with
A. increased age B. increased stroke severity C. presence of diabetes D. A & B only E. AOTA
E. AOTA
ID: This antidepressant also improves motor strength and can help in motor recovery.
fluoxetine
Enumerate the two scales used for neurologic and cognitive status assessment.
NIHSS (NIH Stroke Scale)
GCS (Glasgow Coma Scale)
True of neuroplasticity EXCEPT
A. allows structural reorganization
B. restitution of partially damaged pathways
C. reduction of representational brain maps
D. modification of neuronal network
E. NOTA
C.
Representational brain maps are EXPANDED due to recruitment of latent neurons.
This functional assessment score measures functional independence in personal care and mobility.
A. barthel index score B. modified rankin score C. glasgow outcome score D. inchiong functional score E. NOTA
A. barthel index score
This is the gold standard in determining whether other stroke scales have good construct validity
A. barthel index score B. modified rankin score C. glasgow outcome score D. inchiong functional score E. NOTA
C. glasgow outcome score
Early mobilization can prevent the following EXCEPT
A. deep vein thrombosis B. skin breakdown C. constipation D. pneumonia E. NOTA
E. NOTA
ID: This must be integrated in the management of all stroke patients.
rehabilitation program
When should the rehabilitation program start in stroke patients?
A. as soon as medical / surgical intervention is completed
B. as soon as the patient is medically stable
C. as soon as two weeks after the intervention
D. as soon as the patient regain basic reflexes
E. NOTA
B. medically stable
This is the most common complication of stroke.
A. deep vein thrombosis B. motor impairment C. communication impairment D. sensory deficits E. cognitive deficits
B. motor impairment
ID: Communication impairment usually presents as
slurring of speech
ID: This is the most basic test for dysphagia screening.
simple bedside swallowing evaluation (GUSS)
