Module 15: Cognitive Perceptual Dysfunction and Impact on Occupational Performance Flashcards

1
Q

Your patient has a stroke with a LEFT side lesion. You would suspect what type of hemispheric deficits?

A) Praxis
B) Visuospatial processing
C) Verbal memory
D) Visual and tactile memory
E) Emotions

A
  • RIGHT Hemisphere: Contralateral motor and sensory control.

B) Visuospatial processing
D) Visual and tactile memory
E) Emotions

ALSO SEE:
- Musical ability
- Attention/Orientation

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2
Q

Your patient has a stroke with a RIGHT side lesion. You would suspect what type of hemispheric deficits?

A ) Musical ability
B ) Speech
C ) Verbal memory
D) Attention/Orientation
E) Comprehension

A

*LEFT Hemisphere: Contralateral motor and sensory control.

E) Comprehension
B) Speech
C) Verbal memory

ALSO:
- Praxis

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3
Q

What area of the brain is impacted by Ideation Praxis?

A) Pre-frontal lobe
B) Primary motor cortex
C) Temporal lobe

A

A) Pre-frontal lobe

  • The left side mostly*
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4
Q

Your completing an assessment and ask your patient to brush their teeth. Your patient does not know what to do. They reach for the razor to brush their teeth. You suspect which type of apraxia ?

A

Ideational Apraxia ( Not knowing what to do)

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5
Q

Performance latency (slowness of task) and does not perform is aspects of what type of apraxia?

A) Motor
B) Ideation
C) Spatial

A

B) Ideation

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6
Q

What must you do when you suspect a patient with motor apraxia?

A

Rule out sensory-motor dysfunction

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7
Q

What is loss of kinesthetic memory patterns? What apraxia do you suspect?

A) Motor
B) Ideation
C) Spatial

A

A) Motor apraxia

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8
Q

You notice clumsy movement patterns with your patient, difficulty readjusting arm/hand when crossing midline, difficulty with manipulation of objects, and odd grasp patterns. Which apraxia do you suspect your patient to have?

A) Motor
B) Ideation
C) Spatial

A

A) Motor Apraxia

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9
Q

You placed your patients white splint unto to white bed sheet and you ask you patient to pick it up and hand it to you. Your patient was challenging to locate it. What spatial relations dysfunction do you suspect?

A) Position in space
B) Depth/distance perception
C) Spatial relations dysfunction
D) Foreground from background differentiation

A

D) Foreground from background differentiation

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10
Q

Misjudges distance when placing toothbrush under running water is what type of spatial relations dysfunction?

A) Position in space
B) Depth/distance perception
C) Spatial relations dysfunction
D) Foreground from background differentiation

A

B) Depth/distance perception

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11
Q

Can’t orient shirt to self is an ADL example of what spatial relations dysfunction?

A) Position in space
B) Depth/distance perception
C) Spatial relations dysfunction
D) Foreground from background differentiation

A

C) Spatial relations dysfunction

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12
Q

Unable to master navigation of a new environment is an ADL example of which topographical disorientation?

A ) Difficulty finding way in space
B ) Agnostic component (Visual & Spatial component)
C ) Amnesic component (Remember his route)

A

A ) Difficulty finding way in space

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13
Q

What is an inattention to or neglect of multi-sensory stimuli in extrapersonal space contralateral USUALLY right-hemispheric lesion?

A

Unilateral spatial neglect

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14
Q

What is one aspect you must do when you suspect your patient to have a unilateral spatial neglect ?

A

Rule out hemianopsia

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15
Q

True or false: The following are examples of topographical disorientation…

  • Not eating food on one side of the plate
  • Consistently hitting door frames during mobility
  • Unable to locate objects
  • Unable to find ADL tools on one side of the sink
A

TRUE

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16
Q

T or F: Perseveration is the result of difficulty shifting from one pattern of response to another.

A

TRUE

17
Q

Your patient is responding back to you , what you stated. You recognize that they are echoing. You suspect what type of perseveration?

A) Premotor
B) Speech
C) Thought

A

B) Speech

18
Q

Your patient is not focusing on the exercise because they are fixated on wanting to clean there bathroom. You suspect what type of perseveration?

A) Premotor
B) Speech
C) Thought

A

C) Thought

19
Q

“Compulsive” stirring of the coffee is what ADL example of perseveration?

A) Premotor
B) Speech
C) Thought

A

A) Pre-Motor

20
Q

Dress….Undress….Dress is what ADL example of perseveration?

A) Premotor
B) Speech
C) Pre-frontal

A

C) Pre-frontal

21
Q

Inattention or neglect of personal space, contralateral to lesion is described as?

A

Unilateral body neglect

22
Q

Failure to recognize one’s own body parts and their relationships to each other is what type of body scheme disorders?

A

Somatoagnosia

23
Q

True or False: The following are examples of body scheme disorders…..

  • Does not dress affected side
  • Does not cross midline when shaving or tooth brushing.
  • Loss of UE control during conversation… Spillage
  • Brushing the hair of the mirror image
  • Dressing the arm of therapist
A

TRUE

24
Q

What is one clinical condition you must R/O in diagnosising body scheme disorders?

A

Ideational Apraxia

25
Q

What is the impaired ability to recognize the significance of differentiate between sensory stimuli?

A

Agnosia

26
Q

What term describes a condition in which an individual has difficulty recognizing and identifying objects, despite having intact vision?”

a) Visual acuity disorder
b) Visual agnosia
c) Visual field defect
d) Visual cortex lesion

A

Correct answer: b) Visual agnosia

27
Q

What term describes the condition in which an individual has difficulty recognizing objects by touch, even though tactile sensation and basic sensory functions are intact?”

A) Tactile amnesia
B) Tactile agnosia
C) Tactile apraxia
D) Tactile dysgraphia

A

Correct answer is B) Tactile agnosia

28
Q

What term describes the condition in which an individual has difficulty recognizing and interpreting visual information about the spatial relationships between objects or the spatial layout of an environment?

A) Topographical disorientation
B) Visual spatial agnosia
C) Prosopagnosia
D) Akinetopsia

A

B) Visual spatial agnosia

29
Q

“What term describes the condition in which individuals have difficulty recognizing and interpreting sounds despite having normal hearing abilities?”

A) Phonological disorder
B) Auditory agnosia
C) Tinnitus
D) Conductive hearing loss

A

Correct Answer: B) Auditory agnosia

Explanation: Auditory agnosia is a condition characterized by the inability to recognize and interpret sounds, even though hearing abilities are typically intact. This disorder can affect the recognition of various types of sounds, including speech, music, and environmental noises.