Miscellaneous Flashcards

1
Q

Aphasia

A
  • acquired neurological impairment of processing for receptive/ and or expressive language
  • ## result of brain trauma, injury, CVA, tumor or infection
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2
Q

fluent aphasia

A
  • lesion varies based on the type of fluent aphasia but freq involves the temporal lobe , Wernicke’s area or regions of the parietal lobe
  • word output and speech production are functional
    -Prosody is acceptable but empty speech
    -
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3
Q

non-fluent aphasia

A
  • lesion varies based on type of non-fluent, but freq the frontal lobe of the dominant hemisphere is affected
  • poor word output and dysprosodic speech
  • poor articulation and incr effort for speech
  • content is present but impaired syntactical words
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4
Q

Wernicke’s aphasia

A
  • Lesion: post region of superior temporal gyrus
  • “receptive aphasia”
  • comp[rehension impaired
  • good articulation
  • impaired writing
  • poor naming ability
  • motor impairment not typical due to the distance from Wernicke’s area to the motor cortex
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5
Q

conduction aphasia

A
  • Lesion: supramarginal gyrus, arcuate fasciculus
  • severe impairment with repetition
  • intact fluency, good comprehension
  • speech interrupted by word-finding difficulties
  • reading intact
  • writing impaired
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6
Q

Broca’s aphasia

A
  • Lesion: 3rd convolution of frontal lobe
  • “expressive aphasia”
  • most common form of aphasia
  • intact auditory and reading comprehension
  • impaired repetition and naming skills
  • frustration with language skill errors
  • paraphasias are common
  • motor impairment typical due to proximity of Broca’s area to the motor cortex
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7
Q

global aphasia

A
  • Lesion: frontal, temporal and parietal lobes
  • comprehension (reading/ auditory) severely impaired
  • impaired naming, writing, repetition skills
  • may involuntary verbalize, usually w/o context
  • may use nonverbal skills for communication
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8
Q

Verbal apraxia

A
  • non-dyarthritic and non- aphasic impairment of prosody and articulation of speech
  • verbal expression is impaired secondary to deficits in motor planning
  • Lesion usually in left frontal lobe
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9
Q

dysarthria

A
  • motor disorder of speech that is caused by an upper motor neuron lesion that affects the muscles that are used to articulate words and sounds.
  • speech is often slurred
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10
Q

Facilitatory ROOD techniques

A
- approximation
joint compression
-icing
-light touch
- quick stretch
- resistance
- tapping
- traction
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11
Q

Inhibitatory ROOD techniques

A
  • deep pressure
  • Prolonged stretch
  • warmth
  • prolonged cold
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12
Q

relapsing- remitting MS (RRMS)

A
  • characterized by discrete attacks of neurological deficits (relapses) with either full or partial recovery in subsequent weeks or months
  • periods between relapses are characterized by lack of disease progression
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13
Q

Primary- progressive MS (PPMS)

A
  • characterized by disesase progression and a deterioration in function from onset
  • Pt may experience modest fluctuations in neurological disability but discrete attacks do not occur
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14
Q

secondary- progressive MS (SPMS)

A
  • characterized by an initial relapsing-remitting course, followed by a change to a progressive course with a steady decline in function, with or without continued acute attacks
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15
Q

Progressive- relapsing MS (PRMS)

A
  • characterized by a steady deterioration in disease from onset but with occasional acute attacks;
  • intervals between attacks are characterized by continuing disease progression
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16
Q

Stages (Hoehn and Yahr classification)

A
  1. minimal or absent disability, unilateral symptoms
  2. Minimal Bilateral or midline involvement, no balance involvement
  3. impaired balance, some restrictions in activity
  4. all symptoms present and severe; stands and walks only with assistance
  5. confinement to bed or wheelchair
17
Q

neurapraxia

A
  • class 1
  • injury to nerve that causes a transient loss of function
  • nerve dysfunction may be rapidly reversed or persist a few weeks
  • ex: compression
18
Q

axonotmesis

A
  • class 2
  • injury to nerve interrupting the axon and causing loss of function and wallerian degeneration distal to the lesion; with no disruption of the endoneurium, regeneration is possible
  • ex: crush injury
19
Q

neurotmesis

A
  • class 3
  • cutting of the nerve with severance of all structures and complete loss of function; reinnervation typically fails without surgical intervention because of aberrant regeneration
20
Q

A.P.G.A.R

what does it stand for??

A
  • method for objectively reporting the health of a newborn shortly after it is delivered
  • the score is determined by rating 5 different criteria
    Appearance
    Pulse
    Grimace
    Activity
    respiration
  • each graded on scale of 0-2 with a score of 2 indicating a normal response
  • scores calculated at 1 min and 5 min
  • Good condition scores 7-10
  • Less than 3 requires immediate medical attention
21
Q

APGAR

- GRading for appearance

A

0 blue pale
1 normal body blue hands and feet
2 All body pink

22
Q

APGAR

- Grading for Pulse

A

0 absent
1 below 100 bpm
2 above 100 bpm

23
Q

APGAR

- Grading for grimace

A

0 no response to stimulation
1 minimal response
2 pulls away, sneeze, or cough

24
Q

APGAR

- Grading for activity

A

0 floppy no movement
1 flexing of the arms and legs
2 active movement

25
Q

APGAR

- Grading for respiration

A

0 absent
1 slow irregular
2 vigorous cry