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Gerontology > Module 10 > Flashcards

Module 10 Flashcards

1
Q

Resting tremor occurs in the

A

Earlier stages of disease

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2
Q

Bradykinesia presents as

A

Reduction in spontaneous movement, mask like expression or decrease in facial expression, shuffling or freezing gait

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3
Q

_% of those with neurological conditions present with depression

A

25

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4
Q

The Schwab and England ADL scale is used for

A

PD

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5
Q

The Schwab and England ADL scale assesses

A

Persons ability to perform ADLs

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6
Q

The Schwab and England ADL scale higher percentage means

A

Greater independence

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7
Q

The gold standard PD assessment

A

Unified Parkinson’s disease rating scale

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8
Q

0 on the modified Hoehn And Yahr stages

A

No signs of disease

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9
Q

1 on the modified Hoehn And Yahr stages

A

Unilateral disease

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10
Q

1.5 on the modified Hoehn And Yahr stages

A

Unilateral plus axial involvement

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11
Q

2 on the modified Hoehn And Yahr stages

A

Bilateral disease without impairment of balance

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12
Q

2.5 on the modified Hoehn And Yahr stages

A

Mild bilateral disease, recovery on pull test

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13
Q

3 on the modified Hoehn And Yahr stages

A

Mild to moderate bilateral disease, postural instability, physically independent

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14
Q

4 on the modified Hoehn And Yahr stages

A

Severe disability, able to walk or stand unassisted

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15
Q

5 on the modified Hoehn And Yahr stages

A

Wheelchair bound or bedridden

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16
Q

PD QOL questionnaire has _ items

A

10

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17
Q

PD QOL rates each item on a scale of

A

0-3, higher number is more severe involvement

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18
Q

Four sub scales on the PD QOL

A

Parkinsonism symptoms, systemic symptoms, emotional functioning, social functioning

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19
Q

In functional gait assessment a score of 15/30 indicates

A

Fall risk

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20
Q

Brief BeSTest has _ items and is good for

A

9, PD

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21
Q

What is sinemet

A

Levodopa combined with carbidopa

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22
Q

Four types of drugs for treatment of PD

A

Sinemet, dopamine agonists (requip, mirapex), anti cholinergics and MAO-B inhibitors

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23
Q

Deep brain stimulation targets the

A

Subthalamic nucleus and globus pallidus

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24
Q

The four exercises in flewitt Hanford exercises for PD

A

Long sitting flexion extension, hook lying rocking knees, supine lying flexion extension and standing exercises

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25
Q

Practice technique best used to learn a new task

A

Blocked

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26
Q

In PD patients There is a better retention of learning when knowledge of results was given

A

After every trial

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27
Q

Studies show that rhythmic ____ stimulation is effective with PD

A

Auditory

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28
Q

LSVT stands for

A

Lee Silverman Voice Treatment

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29
Q

LSVT program lasts

A

4 days per week for 4 weeks

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30
Q

LSVT focus is on

A

Amplitude - big movements

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31
Q

LSVT has _ different exercises

A

7

32
Q

Most common cause of hemorrhagic stroke

A

Uncontrolled HTN

33
Q

The 6 common signs and symptoms of CVA

A

Acute onset of numbness or weakness, decreased level of consciousness, aphasia/dysarthria, nystagmus or visual changes, ataxia and Vertigo and headache

34
Q

This CVA will present with more depression

A

Left

35
Q

This side CVA will present with more language deficits

A

Left

36
Q

This side CVA will present with more cautious behaviors

A

Left

37
Q

This side CVA will be more aware of their deficits

A

Left

38
Q

This side CVA will have more difficulty performing new tasks

A

Left

39
Q

Motor programming deficits in left side CVA

A

Difficulty with sequence of movement, requires increased time for learning, slower movement

40
Q

Strategies in therapy for left CVA

A

Speak slowly to allow processing, use visual cues, prevent distractions

41
Q

Side CVA to present with inappropriate positive emotions

A

Right

42
Q

Side CVA more likely to present with safety concerns

A

Right

43
Q

Side CVA to present with spatial lesions

A

Right

44
Q

Side CVA to present with right vs left side discrimination deficits

A

Right

45
Q

Motor programming deficits in right CVA

A

Difficulty sustaining movement and or posture, tends to move too fast

46
Q

Strategies for therapy with right CVA

A

Decrease environmental distractions, maximize verbal cues and address safety issues

47
Q

Tripp’s model for evaluating stroke patients

A

Motor neuron response, fractioned movements, movement consistency, mental status and functional assessment

48
Q

The Carr and shepherd motor assessment scale outlines

A

Problems and compensatory strategies

49
Q

The Carr and Shepard motor assessment scale is on a _ point scale

A

7

50
Q

Tonus is included on the

A

Carr and Shepard motor assessment scale

51
Q

What is pusher syndrome

A

Postural imbalance due to ipsilateral pushing

52
Q

In Pusher syndrome they push away from the

A

Unaffected side

53
Q

Motor function limitations of pusher syndrome : overuse of ___ on uninvolved side and predominant ____ pattern on affected side

A

Extension, flexion synergy

54
Q

Motor function limitations with pusher syndrome : increased weight bearing on the ___ side, and shifting of trunk away from ___ side

A

Involved, uninvolved

55
Q

Explicitl information is good for those with ____ damage

A

Cerebellar

56
Q

Explicit learning interferes with learning in those with

A

Basal ganglia damage

57
Q

In subjects who had a stroke involving the MCA, they had decline in learning with addition of

A

Explicit information

58
Q

According to ____ guidance has a negative impact on learning

A

NDT

59
Q

Guidance is a form of ____ that occurs ___ In learning process

A

Feedback, early

60
Q

Feedback for stroke should be in __% of trials

A

50

61
Q

Risk factors for Alzheimer’s

A

Age, history, APOE 4 genotype, obesity, insulin resistance, vascular factors, dyslipidemia, HTN, inflammatory markers, Down syndrome, traumatic brain injury

62
Q

Older adults with dementia retain ___ memory but have almost no ___ Memory

A

Implicit, explicit

63
Q

Stage 1 Alzheimer’s is characterized by

A

Forgetfulness, mild memory deficit, difficulty with novel tasks, apathy and social withdrawn

64
Q

Middle stage (2) Alzheimer’s is characterized by

A

Moderate to severe objective memory deficit, disorientation to time and place, requires supervision, language disturbance, apraxia, personality and behavioral changes

65
Q

Late stage (3) Alzheimer’s is characterized by q

A

Intellectual functions untestable, verbal communication severely limited, incapable of self care, incontinence

66
Q

Terminal stage 4 Alzheimer’s is characterized by

A

Bedridden, mite, unaware of environment, joint contractors and myoclonus

67
Q

Plaques and tangles are widespread and brain atrophy occurs in stage

A

Late stage Alzheimer’s

68
Q

The most widely used staging system in dementia research is

A

Clinical dementia rating scale

69
Q

The functional assessment staging (FaSt ) is used for

A

Alzheimer’s

70
Q

The global deterioration scale for assessment of primary degenerative dementia (GDS) divides disease process into _ stages

A

7

71
Q

What is sundowning

A

A syndrome seen in late afternoon and early evening of confusion, hallucinations and agitation

72
Q

Sundowning occurs in what stages of Alzheimer’s

A

Middle and late

73
Q

Patients with Alzheimer’s are able to achieve near transfer with ____ practice

A

Constant

74
Q

Alzheimer’s patients are unable to learn new tasks with ____ practice

A

Random

75
Q

There is impaired learning with ___ practice in those with Alzheimer’s

A

Blocked

76
Q

The four primary neurological impairments

A

Resting tremor, bradykinesia, rigidity and postural instability

Gerontology (12 decks)

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