PT Exam and Management of Hemiplegia

Question 1

What is the proper range for systolic blood pressure?

Answer 1

> 90 and <200

90-200

Question 2

What is the proper range for diastolic blood pressure?

Answer 2

<110

Question 3

What is the proper range for heart rate?

Answer 3

> 50 and <100

50-100

Question 4

What does elevated INR indicate?

Answer 4

Increased chance for bleed.

INR~4 be very cautious

Question 5

What are the chances of a DVT post-stroke?

Answer 5

30-75%

Question 6

What would be considered normal for for O2 saturation?

Answer 6

> 90%

Below is respiratory insufficiency. Be on the lookout in those post stroke.

Question 7

What type of stroke increases the chances of having seizures the most?

Answer 7

Hemoorrhagic 34%

Ischemic is 10%

Question 8

Name 5 common problems encountered post-CVA.

Answer 8

1. Dysphagia
2. Cognitive problems
3. Seizures
4. Language deficits
5. Visuospatial and perceptual disturbances.

Question 9

_____ is difficulty with swallowing and can be _____ or can lead to ______.

Answer 9

Dysphagia
silent
pneumonia

Question 10

3 compensatory strategies for dysphagia include:

Answer 10

thickening liquids, chin tucks during swallowing, and taking small sips.

Question 11

3 treatments used for dysphagia include:

Answer 11

vitalSTIM NMES, posture/environmental set up, and mirror feedback.

Question 12

People with ______ hemiplegia will often have attention deficits and distractibility.

Answer 12

Left hemiplegia.

Question 13

_____ is a common visual disturbance seen with stroke patients.

Answer 13

Homonymous hemianopsia=loss of vision on the same side of both eyes.

Question 14

Stroke patients often have body image disorders, difficulty with R/L discrimnation, and body scheme disorders known as _______.

Answer 14

somatagnosia= cant identify or orient one’s body parts

Question 15

Perceptual deficits often experienced include:

Answer 15

depth, distance, and vertical

Question 16

Agnosia is ________.

Answer 16

the inability to recognize familiar objects using one or more sensory modalities, while often retaining the ability to recognize the same objects with other modalities.

Question 17

Anosognosia is ______.

Answer 17

the sever denial, neglect, and lack of awareness of the presence or severity of one’s deficits.
very common in Left hemiplegia

Question 18

Dysarthria is ______. And can also affect:

Answer 18

difficulty saying words due to muscle dysfunction.

respiration, phonation, articulation, resonance

Question 19

Treatment for dysarthria includes:

Answer 19

tongue and oral motor ex, functional speaking ex, and posture

Question 20

Aphasia impairs ______ and usually occurs in the _____ hemisphere.

Answer 20

the expression and/or understanding of language,

dominant

Question 21

____ aphasia is also known as expressive aphasia which means they have a hard time getting words out.

Answer 21

Broca’s

Question 22

______ aphasia is also known as receptive aphasia where the patient has a “word salad” and doesn’t always understand your commands.

Answer 22

Wernike’s

Question 23

____ aphasia is a combination of both Broca’s and Wernike’s.

Answer 23

Global

Question 24

Hemiplegia or hemiparesis is a ______.

Answer 24

Lack of movement on one side of the body.

Question 25

Aparaxia is _____.

Answer 25

the loss of the ability to execute or carry out skilled movements and gestures, despite having the ability and desire to perform them. Pt is unable to accomplish the task even though the directions are understood.

Question 26

Mild apraxia is also known as _____.

Answer 26

dyspraxia

Question 27

Aparaxia is often the result of an injury to the ______ lobe.

Answer 27

parietal

Question 28

_____ is the most common form of apraxia and can be described as an _______.

Answer 28

Buccofacial or orofacial
inability to carry out facial movements on command.
Can spontaneously do something if not commanded.

Question 29

_____ apraxia is the inability to make fine, precise movements with an arm or leg.

Answer 29

Limb-kinetic

Question 30

____ apraxia is the inability to make proper movement in response to a verbal command.

Answer 30

Ideomotor

Question 31

_____ apraxia is the inability to coordinate activities with multiple, sequential movements.

Answer 31

Ideational

Example: eating, dressing, and bathing.

Question 32

_______ apraxia is difficulty coordinating mouth and speech movements on command.

Answer 32

Verbal

Question 33

______ apraxia is the inability to copy, draw, or construct simple figures.

Answer 33

Constructional

Question 34

_____ apraxia is difficulty moving the eyes on command.

Answer 34

Oculomotor