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TherapyEd > Neuromuscular Part Nine > Flashcards

Neuromuscular Part Nine Flashcards

1
Q

overall, which affected hemisphere side leads to more dangerous decisions

A

right hemisphere

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2
Q

Level 2 on Rancho Los Amigos Levels of Cognitive Functioning

A

generalized response.. patient reacts inconsistently and nonspecifically to stimuli

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3
Q

ACA stroke symptoms

A

LE > UE

contralateral hemiplegia and sensory loss

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4
Q

what is Romberg’s Sign

A

loss of balance in standing when the eyes are closed

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5
Q

what is monocular blindness

A

blindness in one eye

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6
Q

ataxia

A

uncoordinated movement, especially gait

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7
Q

name all stages of stroke recovery

A

Stage 1: flaccid, no limb movement

Stage 2: synergies may appear.. spasticity begins to develop.. minimal voluntary movement

Stage 3: spasticity increased and may become severe.. voluntary control of movement synergies appears

Stage 4: some movement independent of the synergies.. spasticity begins to decline

Stage 5: synergies no longer dominate, movement becomes more complex

Stage 6: spasticity is gone, coordination and movement approach normal

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8
Q

how to appropriately communicate with someone with Fluent aphasia

A

word repetition and manual cues

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9
Q

what is Visual Acuity

A

sharpness of vision that generally decreases with age or certain disabilities (diabetes)

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10
Q

Level 1 on Rancho Los Amigos Levels of Cognitive Functioning

A

no response.. completely unresponsive to any stimuli

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11
Q

what is nystagmus

A

rapid (usually back and forth) movement of the eyeballs

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12
Q

what is Morton’s Neuroma

A

an excessive pronation during stance produces a compression between the third and fourth metatarsals

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13
Q

what is bitemporal hemianopsia

A

deficit of the temporal or peripheral visual fields

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14
Q

symptoms with middle cerebral artery stroke

A

contralateral hemiplegia

motor loss UE > LE

loss of sensation primarily in arm and face

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15
Q

Level 5 on Rancho Los Amigos Levels of Cognitive Functioning

A

confused/inappropriate.. patient able to respond to simple commands but not do complex tasks.. inappropriate verbalization

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16
Q

what is Horner’s Syndrome

A

ptosis of the eyelid

constriction of the pupil

lack of sweating of ipsilateral face

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17
Q

tunnel vision AKA

A

bitemporal hemianopsia

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18
Q

Level 3 on Rancho Los Amigos Levels of Cognitive Functioning

A

localized response.. patient reacts inconsistently but specifically to stimuli

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19
Q

LE flexion synergy

A

hip flexion, ABD, ER

knee flexion

ankle DF and IV

toe DF

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20
Q

causalgia is associated with what disease

A

CRPS Type 1

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21
Q

what is Glove and Stocking Anesthesia

A

distal portions of nerves degenerate resulting in anesthesia of distal extremities in a pattern as if the patient was wearing gloves and stockings

22
Q

what causes homonymous hemianopsia

A

damage to the contralateral optic tract

23
Q

how to stimulate sucking

A

deep pressure to the neck above the thyroid

24
Q

asynergia

A

inability to move muscles together in a coordinated manner

25
Q

what is agnosia

A

inability to recognize familiar objects with one form of sensation

26
Q

what is ideomotor apraxia

A

person can’t do a task on command, but can do it spontaneously

27
Q

what is apnea

A

cessation of breath

28
Q

what diagnostic test would be used to determine severity of nerve compression prior to surgery

A

nerve conduction velocity

29
Q

Wallenberg’s Syndrome is most associated with what type of CVA

A

PICA

30
Q

how to communicate with global aphasia

A

use gestures to reduce chancer of overestimating patient’s ability to understand speech

31
Q

what is akinesia

A

inability to initiate movement

32
Q

what disease is common with Glove and Stocking Anesthesia

A

Guillan-Barre

33
Q

UE flexion synergy

A

scapular elevation and retraction

shoulder ABD and ER

elbow flexion

forearm supination and wrist/finger flexion

34
Q

what is apraxia

A

inability to perform movements previously learned even though there is no loss of strength, coordination, sensation, comprehension

35
Q

what is delirium

A

temporary confusion and loss of mental function

36
Q

Level 4 on Rancho Los Amigos Levels of Cognitive Functioning

A

confused/agitated.. behavior is bizarre and nonpurposeful relative to immediate environment

37
Q

what is reciprocal inhibition

A

inhibition of muscles antagonistic to those being facilitated

38
Q

causalgia

A

burning sensation, which is painful

39
Q

immediately following a stroke, is flaccidity or spasticity present

A

flaccidity

40
Q

what is somatagnosia

A

a lack of awareness of the relationship of one’s own body parts or the body parts of others

41
Q

vertebral-basilar stroke symptoms

A

often times death from edema associated with infarct

(if survival) quadriparesis and bulbar palsy

“locked-in” state where they communicate by eye blinking

42
Q

what is homonymous hemianopsia

A

deficit of either the right or left halves of the visual field

43
Q

who demonstrates Cheyne-Stokes respiration

A

severe TBI

CHF

44
Q

anterior inferior cerebellar stroke symptoms

A

unilateral deafness

loss of pain and temp on contralateral side

unilateral Horner’s

45
Q

astereognosis

A

inability to recognize objects by touch alone

46
Q

what is ideational apraxia

A

person no longer gets the “idea” of how to do something

47
Q

how to communicate with someone with non-fluent aphasia

A

phrase questions for “yes/no” response to avoid confusion and frustration

48
Q

blindness in one eye is a result of…

A

damage to the optic nerve

49
Q

an injury to the optic chiasm could result in

A

bitemporal hemianopsia

50
Q

what is Cheyne-Stokes Respiration

A

breathing pattern characterized by period of apnea lasting 10-60 seconds followed by gradually increasing, then decreasing depth and frequency of respiration

TherapyEd (81 decks)

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