Neuromotor disorders Flashcards

1
Q

Where is the area of lesion for spastic dysarthria

A

Bilateral damage to the upper motor neurons

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2
Q

What is a common diagnosis for spastic dysarthria

A

stroke bilateral cortical

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3
Q

What are the DDK characteristics of spastic dysarthria

A

slow/regular

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4
Q

what is the resonance of spastic dysarthria

A

hypernasality

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5
Q

What is the voice of spastic dysarthria

A

harsh/strained-strangled

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6
Q

What is the articulation of spastic dysarthria

A

slow, imprecise consonants

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7
Q

What is the distinguishing characteristic of spastic dysarthria

A

harsh strain-strangled voice w/ hypernasality

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8
Q

What is the area of lesion for flaccid dysarthria

A

lower motor neuron

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9
Q

What is a common diagnosis for flaccid dysarthria

A

myasthenia gravis

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10
Q

What is the ddk for flaccid dysarthria

A

imprecise

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11
Q

What is the resonance for flaccid dysarthria

A

hypernasal

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12
Q

Which dysarthrias are hypernasal?

A

Spastic, flaccid and sometimes hyperkinetic

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13
Q

What is the voice for flaccid dysarthria

A

breathy, monopitch, monoloud

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14
Q

What is the artic for flaccid dysarthria

A

imprecise

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15
Q

What is the destinguishing characteristic for flaccid dysarthria

A

rapid deterioration of quality overtime with improvement after rest

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16
Q

What is the area of lesion for ataxic dysarthria?

A

Cerebellum

17
Q

What is a common diagnosis of ataxic dysarthria

A

Friedrichs

18
Q

DDK of ataxic dysarthria

A

irregular

19
Q

Resonance or ataxic dysarthria

A

hyponasality

20
Q

voice of ataxic dysarthria

A

harsh, abnormal prosody, excess/equal stress

21
Q

artic of ataxic dysarthria

A

vowel distortions, irregular breakdowns, prologations

22
Q

distinguishing characteristic of ataxic dysarthria

A

scanning speech

23
Q

Area of lesion for hyperkinetic dysarthria

A

Basal ganglia striatum

24
Q

common dx of hyperkinetic dysarthria

A

huntingtons

25
Q

DDK of hyperkinetic

A

slow, imprecise

26
Q

resonance hyperkinetic

A

intermittant hypernasality

27
Q

voice of hyperkinetic

A

tremor, transient breathiness, transient vocal strain/harshness

28
Q

artic of hyperkinetic

A

distorted vowels, prolonged phonemes, irregular breakdowns

29
Q

distinguishing characteristics of hyperkinetic

A

it varies

30
Q

Area of lesion hypo kinetic

A

Basal ganglia - substantia nigra

31
Q

Common dx hypokinetic

A

Parkinsons

32
Q

DDK hypokinetic

A

rapid “blurred”

33
Q

Resonance hypokinetic

A

monopitch, monoloud,

34
Q

voice of hypokinetic

A

breathy sometimes harsh

35
Q

artic of hypo kinetic

A

latency, short rushes, repeated phonemes, palilalia

36
Q

Distinguishing characteristic of hypokinetic

A

hypophonia/fast rate

37
Q

What cranial nerve is damaged to cause flaccidity and which branch?

A

CN V the maxillary branch

38
Q

Which aspect of the motor speech evaluation assesses nasality

A

Phonotory/resonance component, mirror under nose

39
Q

Which muscles are being evaluated?

A

Velopharyngeal, hard/soft palate, pharyngeal walls