Neurodegenerative Flashcards

1
Q

define aphasia

A

loss of language ability due to brain damage

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2
Q

define broca’s aphasia

A

problems with speech production and articulation such as slow speech and short phrases

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3
Q

what area of the brain is damaged to cause broca’s aphasia

A

frontal lobe (usually left)

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4
Q

define wernicke’s aphasia

A

lack of language comprehension, cannot follow verbal commands or repeat phrases, can speak but it doesn’t make sense

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5
Q

what area of the brain is damaged to cause wernicke’s aphasia

A

dominant temporal lobe (usually left)

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6
Q

define anosognosia

A

being unaware of problems in language

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7
Q

how is conduction aphasia different from wernicke’s aphasia

A

in conduction aphasia, they are aware that they have a problem. people with wernicke’s aphasia are unaware that they have a problem (anosognosia)

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8
Q

what is the cause of conduction aphasia

A

lesions between pathways between receptive and expressive regions

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9
Q

define global aphasia

A

widespread damage to the language areas of the cortex

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10
Q

define anomic aphasia

A

specifically having problems recalling words or names and not being able to explain a concept (circumlocution)

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11
Q

what area of the brain is damaged to cause transcortical aphasia

A

damage outside the main language areas

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12
Q

name three types of transcortical aphasia

A

motor aphasia, sensory aphasia, mixed aphasia

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13
Q

define apraxia

A

cannot carry out purposeful motor movements even though they understand, however they can do involuntary movements

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14
Q

do people with apraxia have motor or sensory deficits

A

no

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15
Q

define agnosia

A

loss of ability to recognize specific sensory stimuli (object, person, smell, sound, shape) but nothing is actually wrong with the senses

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16
Q

define two types of agnosia

A

anosognosia and prospoagnosia

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17
Q

define anosognosia

A

lack of awareness you have a problem

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18
Q

define prosopagnosia

A

cannot recognize familiar faces

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19
Q

define agraphia

A

loss of ability to write

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20
Q

define alexia

A

loss of ability to read

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21
Q

T/F Amnesia is total memory loss

A

False, it can be partial as well

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22
Q

Define two types of amnesia

A

retrograde and anterograde

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23
Q

define retrograde amnesia

A

loss of past memories with a more severe effect on autobiographical memory

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24
Q

define anterograde amnesia

A

loss of the ability to create new memories, cannot consolidate short term memories in to long term memories

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25
One-sided neglect usually effects which side of the body
the left side of all objects are neglected due to right sided damage
26
what are the qualifiers of dementia
memory problems PLUS one of the following - aphasia, apraxia, agnosia, or disturbance in executive functioning. PLUS an interference in activities of daily living (ADL's)
27
what are memory problems without a dementia qualifier called
amnestic disorders
28
what is the most common type of dementia
dementia due to alzheimers
29
what are the early symptoms of alzheimers
memory problems (remembering names, recent events, misplacing things, forgetting what they are about to do, apathy, and depression)
30
what are the steps in the progession of alzheimers
as it progresses - disorientation, wander away from home, decreased judgment, motor disturbances, and behavioral alterations. Further progression - Trouble with ADL's, Final stage- loss of ability to communicate, bed ridden, don't recognize relatives
31
What changes in the brain are seen in alzheimers
plaques and tangles (only type of dementia with this), widespread neuronal damage, hippocampus and amygdala damage, significant decrease in acetylcholine)
32
what processes is acetylcholine associated with
learning and memory
33
what are the three clinical stages of alzheimers
preclinical, mild cognitive impairment, and dementia due to alzheimers disease
34
what is the name of the test that detects plaques in the brain to diagnose alzheimers
Amyvid - it is a radioactive material that sticks to the plaques after it is injected in the brain using a PET scan
35
what is the cause of alzheimers
unclear, may be genetic
36
Can alzheimers be cured
no, but it can have temporary improvement with some medications
37
which medications can temporarily improve cognitive function in alzheimers
Aricept and Cognex
38
how is alzheimers treated
supporting caregivers and symptom management
39
what is the second most common type of dementia
vascular dementia
40
what is the cause of vascular dementia
numerous causes such as small strokes and high blood pressure
41
what effects how functioning is impaired in vascular dementia
location of injuries
42
what are the differences between alzheimers and vascular dementia
in vascular dementia, onset is more abrupt, it has plateau's and declines, and half die within 2-3 years, and there is not much that helps improve functioning
43
what are lewy bodies
abnormal clumps of a particular type of protein
44
how does dementia with lewy bodies differ from alzheimers
also have visual hallucination, sleep disturbances, and muscular rigidity
45
what is mixed dementia
alzheimers that coexists with another type of dementia
46
people with parkinsons will always develop dementia T/F
false, but most do
47
what is the first symptom of dementia due to parkinsons disease
depressive symptoms
48
define subcortical dementia
speed of processing and executive functioning difficulties
49
what area of the brain are abnormalities seen in dementia due to parkinson's disease
the substantia nigra (basal ganglia)
50
what neurotransmitter is lacking in dementia due to parkinson's disease
dopamine
51
what type of dementia is caused by a gene that is not sex linked
dementia due to huntingtons chorea
52
what are the symptoms of huntingtons chorea
changes in personality and mood, apathetic or disinhibited, progressively deteriorating dementia along with psych symptoms
53
define choreiform movements
brisk jerking movements of the trunk, limbs, and pelvis
54
define athetosis
slow writhing movements and facial grimaces
55
what area of the brain is involved in huntingtons chorea
the basal ganglia, caudate nucleus, putamen
56
which neurotransmitters are involved in huntingtons chorea
reduction in acetylcholine and gaba which triggers too much dopamine which causes excessive movement
57
what are two examples of frontotemporal dementia
pick's disease and progressive supranuclear palsy
58
what are the symptoms of dementia due to HIV
memory problems, attention, motor weakness and gait, jerky eyes, apathy and withdrawal, motivation, inappropriate affect
59
define ADC
aids dementia complex
60
what is another name for mad cow disease
creutzfeldt jakob's disease
61
T/F death due to creutzfeldt jakob's disease is not common
false. death occurs within 4-6 months
62
define hydrocephalus
accumulation of cerebrospinal fluid in the brains ventricles