NM Adult patho

Question 1

MCA presents with what signs?

Answer 1

most common stroke area
controlateral hemi & homonymous hemianospia
if L MCA?–>aphasia

Question 2

if R MCA?

Answer 2

perceptual deficits

Question 3

Occulusion of main stem of MCA?

Answer 3

global aphasia

Question 4

anterio cerebral shows what Sx’s

Answer 4

LE > UE involvemnt, confusion, amnesia, short attenion spand

Question 5

posteiror cerebral CVA shows what Sxs?

Answer 5

aphasia & thalmic pain syndroem

Question 6

Vertebral CVA shows what Sx’s?

Answer 6

often death OR locked in syndrome

Question 7

Superior cerebellar CVA has what Sx’s

Answer 7

Sevre ataxia, dysarthria, dysmetria, controlatearl loss of pain/temp

Question 8

Wallberg’s syndrome has what Sx’s and associted with what area for CVA?

Answer 8

Sx’s=vertigo, hoarsenss, dyshpaea, ptosis, decreased sensation in imsilatearl face & controlatearl limb/torso
Hornerns syndrome
area=posteiroe inferiro cerebellar CVA

Question 9

List 5 stages of stroke according to Brungstom

Answer 9

1=flaccid, no limb mvmt
2=spastiicy, hyperreflexia, synergies emerge
3=spasticy increases, voluntary control of syndregies appear
4=some mvmt indepdendent of syntegies,
5=no synergies, more complex mvmt done
6=spastisity is gone, coordination & mvmt=nomral

Question 10

Explain UE flexion/extesnion synergies ? Same for LE

Answer 10

UE Flex=scap elevation & retraction, shoudler abd & ER, elbow flexion (strongest part), forearm supination
LE flex=hip flexion (storngest), abd, ER, knee flexion, DF & inversion
extesnions=opposite

Question 11

L CVA shows what Sxs?

Answer 11

R hemi, apraxia, issues starting tasks, easily frustrated, can’t verbally communite, cautious & slow*

Question 12

R CVA shows what?

Answer 12

L hemi, issues with hand eye coordination, irrablity/short attention span, can’t retain/learn new things, poor judgmenet (safety is an issue–>fall risk), quick & impulsive**

Question 13

List Rancho Los amigos scale

Answer 13

1=no response to any stimuli
2=generalized response, pt reacts randomlly to stimuli
3=localized resposne
4=confused/agitated, pt in heighted state, behavior=nonpurposful, poor recall/attention
5=confused-inappropriate, can responsd to simple commands but not complex task
6=confused-appropriate; pt dependent upon external input, memory improved
7=automatic apporpiate; can perform automatic & proper mvmts in strucutred enviomrnt, poor judgemnt still
8=purpsful appropriate; pt acts appropiratly in most cases, problmes in stressful/unusual circumstnaces

Question 14

If a patient scores < 8 on GCS what does this indicate?

Answer 14

Severe brain injury