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exam#2 485 > Right Hemisphere disorders > Flashcards

Right Hemisphere disorders Flashcards

1
Q

% of the population = left hemisphere dominant for language

A

96

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2
Q

Right hemisphere language lateralized individuals are typically

A

either left-handed or ambidextrous

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3
Q

In adults, both the LH (left hemisphere) and RH (right) are specialized for specific tasks

A

t

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4
Q

some things your left hemisphere can do that your right can’t

A

speak

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5
Q

One way to study differences between left and right hemisphere

A

split brain patients

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6
Q

, the left hemisphere deals with _____ and _______, as well as the linguistic domain

A

details

specifics

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7
Q

right hemisphere deals with the “big picture” and the _______-_____ domain

A

visuo-spatial

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8
Q

LHD will show lack of _____

A

details

local deficits

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9
Q

RHD does not have _____ processing in tack

A

global

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10
Q

what is in tack with RHD?

A

local processing

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11
Q

Why isn’t RHD a large focus in speech & hearing?

A

Many of the symptoms/deficits seem subtler than LHD

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12
Q

Historically, non-dominant hemisphere strokes were not referred to slp clinics

A

t

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13
Q

RHD is not a large focus in speech and hearing because the primary disorders are related to nonverbal cognitive systems (other deficits) t/f

A

t

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14
Q

RHD patients Don’t display word-finding and grammatical deficits associated with aphasia

A

t

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15
Q

Many of the RHD deficits are ______ in nature.

A

linguistic

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16
Q

What are some typical behavioral problems found with RHD patients:

A

voice quality- flat, uninflected
abrupt topic changes
tangential off-topic comments
disinhibited
Anosagnosia (problem recognizing visual objects)
unkempt
visuo-spatial neglect
humor- flat—if laugh at all- flat affect in laugh and w/o prosody
literalness- idioms and metaphors
miss the thrust of a conversation (general idea of conversation)

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17
Q

What are the 6 problem areas in RHD?

A 
visuospatial
attentional
auditory
social/emotional
theory of mind
discourse
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18
Q

Attentional deficits are not sensory deficits t/f

A

t

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19
Q

attentional deficits are problems with ______ and ______ sensory information.

A

processing

accessing

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20
Q

Agnosia

A

means “lack of knowledge” of a certain thing (it could be objects, faces, words, etc.).

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21
Q

Anosoagnosia is a lack of

A

self-awareness of a disease, condition, etc.

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22
Q

Proprioception

A

the sense of the relative position of neighboring parts of the body

23
Q

Attentional Deficit:Left Neglect

A

Patients with this symptom do not process stimuli in their left visual field

24
Q

is Attentional Deficit: Left Neglect a visual problem?

A

no

25
Q

Attentional Deficits has information is coming in, but they cannot access it directly

t/f

A

t

26
Q

Visuospatial Deficits include what 3 things?

A

Topographic disorientation
Constructional apraxia
Prosopagnosia

27
Q

Topographic Disorientation

A

A failure to orient to the immediate environment

28
Q

_________ disorientation experience “false memories” of two similar locations when only one exists in reality

A

Visuospatial

29
Q

Constructional Apraxia

A

An impairment of visuospatial motor functions

30
Q

Prosopagnosia

A

Difficulty in recognizing faces

May confuse people with everyday objects

31
Q

What is the direct linguistic impact of these visuospatial deficits?

A

reading
writing
spelling
day-to-day conversation

32
Q

what are 2 Auditory Deficits ?

A

amusia

phonagnosia

33
Q

Amusia

A

music agnosia – difficulty in recognizing (familiar) melodies without lyrics

34
Q

Phonagnosia

A

problems in recognizing people’s voices, or in deciding whether two voices are the same or different

35
Q

what are 3 Social & Emotional Deficits

A

Aprosodia
Emotional agnosia
Pragmatics

36
Q

Aprosodia:

A

Specifically emotional prosody

37
Q

Comprehension of an upward inflection to ask a question is fine but….
Comprehension of an upward inflection to indicate happiness is impaired

A

aprosodia

38
Q

this type of social and emotional deficit may have flat affect in speech

A

aprosodia

39
Q

prosody

A

definition: melodic line of speech that conveys information

40
Q

conveys information about affective (speakers emotional state) as well as linguistic properties (statement or question) of language.

A

prosody

41
Q

prosodic contour is characterized by 3 things

A
  1. pitch (frequency)
    2. loudness (amplitude)
    3. timing (duration)
42
Q

prosody deficits may affect RHD patients, how?

A

cannot read a neutral sentence with happy, sad, angry, ect. intonation

43
Q

prosody deficits for patients with frontal RH damage have…

A

expressive aprosodia

44
Q

prosody deficits for patients with posterior damage will have

A

receptive aprosodia

45
Q

Emotional agnosia: 2 types

A

Hypoarousal/hyporesponsiveness

46
Q

Hypoarousal/hyporesponsiveness

A

show less reaction than expected to emotional and disturbing pictures
and

47
Q

Individuals with RHD tell inappropriate stories/jokes, intrude on personal space, go off on tangents and are overly-talkative. This is an example of Social & Emotional Deficits , specifically ….

A

pragmatics

48
Q

Theory of Mind:

A

the ability to understand that others have beliefs, desires and intentions that are different from one’s own

49
Q

Theory of Mind Deficits includes trouble with what three areas?

A

intention
inference
humor

50
Q

RHD patients often have a problem with understanding speaker ________. Especially true for ___-____ language

A

meaning

non-literal

51
Q

trouble inferring information that is not overtly available

A

Theory of Mind Deficits: Inference

52
Q

what is one theory of discourse deficits?

A

RH’s role in language is to develop and maintain “alternative” or “secondary” interpretations during language comprehension

53
Q

Discourse Deficits , include:

A

metaphors
idioms
jokes
RHD patients have trouble pulling out the main theme of a paragraph

exam#2 485 (7 decks)

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