Speech Flashcards

1
Q

Standardized Mental Status Exam

A

-not sufficient for diagnosis in absence of other info

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2
Q

Amnesia

A

-impaired recent memory, with deficient new learning

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3
Q

Aphasia

A

-an acquired disorder of language caused by brain damage

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4
Q

Apraxia

A

-impairment of learned movement

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5
Q

Agnosia

A

-impaired visual, auditory, or tactile recognition

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6
Q

Disarthria

A

-disorder of speech due to motor system involvement

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7
Q

Dysphonia

A

-disorder of voice related to laryngeal disease

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8
Q

Cerebral Dominace

A
  • 99% of dextrals (right handers) are left dominant for language
  • 67% of left handers are ALSO left dominant for language
  • ambidextrous people may have mixed language dominance
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9
Q

Aphasia Examination

A

Spontaneous Speech- nonfluency is characterized by labored, effortful speech and

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10
Q

Broca’s Aphasia

A
  • spontaneous speech: nonfluent
  • comprehension: good
  • repetition: poor
  • naming: poor
  • characterized by nonfluent, effortful speech with relatively preserved auditory comprehension
  • speech is telegraphic and agrammatic
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11
Q

Wernicke’s Area

A

-responsible for auditory comprehension

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12
Q

Wernicke’s Aphasia

A
  • spontaneous speech: fluent
  • comprehension: poor
  • repetition: poor
  • naming: poor
  • characterized by fluent, paraphasic speech with poor auditory comprehension
  • speech may be very rapid (logorrhea)
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13
Q

Paraphasias

A
  1. literal (pipe becomes hike)
  2. verbal (wife becomes mother)
  3. neologism (new and meaningless word)
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14
Q

Conduction Aphasia

A
  • spontaneous speech: fluent
  • comprehension: good
  • repetition: poor
  • naming: poor
  • involves damage to arcuate fasciculus
  • repetition deficit is salient feature
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15
Q

Global Aphasia

A
  • spontaneous speech: nonfluent
  • comprehension: poor
  • repetition: poor
  • naming: poor
  • destruction of the entire perisylvian language zone
  • no language function
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16
Q

Transcortical Motor Aphasia

A

-resembles Broca’s aphasia but the primary deficit is in speech initiation

17
Q

Transcortical Sensory Aphasia

A

-resembles Wernicke’s aphasia but auditory comprehension may be less affected

18
Q

Anomic Aphasia

A

-the salient deficit is in naming

19
Q

Mixed Transcortical Aphasia

A
  • the only function left is repetition

- echolalia

20
Q

Alexia

A

-acquired disorder of reading

21
Q

Agraphia

A

-acquired disorder of writing

22
Q

Right Hemisphere Contributions to Language

A
  • automatic speech (ex. expletives)
  • prosody
  • music
  • humor
  • metaphor
  • recovery (in case of damage to left brain)
23
Q

Localization of Nouns

A

-left anterior and middle temporal lobe

24
Q

Localization of Verbs

A

-left frontal lobe

25
Q

Aphasia in Frontotemporal Lobal Degeneration (Primary Progressive Aphasia)

A
  • progressive nonfluent aphasia
  • resembles Broca’s aphasia
  • semantic dementia also
  • logopenic progressive aphasia
26
Q

Aphasia Treatment

A
  • tx causative lesion
  • most functional involvement occurs in first year
  • no drug therapy has yet proven effective