Module 15: Cognitive Perceptual Dysfunction and Impact on Occupational Performance Flashcards
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
- RIGHT Hemisphere: Contralateral motor and sensory control.
B) Visuospatial processing
D) Visual and tactile memory
E) Emotions
ALSO SEE:
- Musical ability
- Attention/Orientation
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
*LEFT Hemisphere: Contralateral motor and sensory control.
E) Comprehension
B) Speech
C) Verbal memory
ALSO:
- Praxis
What area of the brain is impacted by Ideation Praxis?
A) Pre-frontal lobe
B) Primary motor cortex
C) Temporal lobe
A) Pre-frontal lobe
- The left side mostly*
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 ?
Ideational Apraxia ( Not knowing what to do)
Performance latency (slowness of task) and does not perform is aspects of what type of apraxia?
A) Motor
B) Ideation
C) Spatial
B) Ideation
What must you do when you suspect a patient with motor apraxia?
Rule out sensory-motor dysfunction
What is loss of kinesthetic memory patterns? What apraxia do you suspect?
A) Motor
B) Ideation
C) Spatial
A) Motor apraxia
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) Motor Apraxia
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
D) Foreground from background differentiation
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
B) Depth/distance perception
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
C) Spatial relations dysfunction
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 ) Difficulty finding way in space
What is an inattention to or neglect of multi-sensory stimuli in extrapersonal space contralateral USUALLY right-hemispheric lesion?
Unilateral spatial neglect
What is one aspect you must do when you suspect your patient to have a unilateral spatial neglect ?
Rule out hemianopsia
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
TRUE