speech aphasia Filly Flashcards

1
Q

behavioral neurology

A

structural brain damage that alters behavior

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2
Q

neuropsychiatry

A

psychiatrists pretending to be neurologists.

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3
Q

Which professor looks like Hannibal Lecter?

A

Filley

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4
Q

hearing, seeing, speaking, and generating words originate in which brain regions?

A

Hearing: Wernikies
Speaking: Motor cortex - lateral precentral gyrus, bsal ganglia, cerebellum corticobulbar tracts
Generating: Brocca’s
Seeing: visual cortex, occipital lobe

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5
Q

arousal and attention

A

level of consciousness, digit span, serial sevens

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6
Q

Memory

A

orientation, 3 words at 5 min, remote events

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7
Q

language

A

fluency, comprehension

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8
Q

visuospatial function

A

clock drawing, hemineglect test

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9
Q

mood and affect

A

inquiries about feelings, observation of affect

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10
Q

complex cognition

A

executive function

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11
Q

acute confusion

A

a common and usually reversible disorder of attention known as delerium

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12
Q

amnesia

A

imapared recent memort, deficient new learning

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13
Q

aphasia

A

an acquired disorder of language

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14
Q

apraxia

A

disorder of motor skills, coordination.

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15
Q

visuospatial impairment

A

cant find car, cant dress them selves

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16
Q

hemineglect

A

failure to attend to one side of the body

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17
Q

personality change

A

a departure from normal temperament or character

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18
Q

dementia

A

multiple neurobehavioral syndromes - amnesia, aphasia, personality change

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19
Q

does Dr. Filley think psychiatry is a valid profession

A

no

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20
Q

Is Filley proud of his book?

A

yes

21
Q

how is language organized in the brain?

A

as distinct neural networks and regions that tend to process specific components of language

22
Q

if someone has a distorted thought process which leads to incoherent language, do they have aphasia?

A

Nope, they have a thought disorder (ie schizophrenia)

23
Q

dysarthria

A

slurred speach (think motor disorder of speech)

24
Q

dysphnia

A

disorder of voice related to laryngeal disease

25
Q

mutism

A

severe aphasia, can be psychiatric or physical

26
Q

cerebral dominance

A
one side of the brain tends to dominate one function, specifically language.
Language- left
math, reading - left
attention - right
emotion- right
27
Q

handedness

A

dominant hand side, right handed people are left dominant for language.

28
Q

sinistrals

A

left handed people, are also left brain dominant for language

29
Q

spontaneous speech

A

nonfluency, characterized by labored, effortful speech

30
Q

auditory comprehension

A

poor comprehension is defined by performing verbal commands

31
Q

repetition

A

helpful for localization

32
Q

naming

A

what is this? its a pen - correctly identifying common objects

33
Q

broca’s aphasia

A

nonfluent speech, damage to left inferior frontal lobe

effortful, nonfluent speech.

34
Q

werniche’s aphasia

A

fluent, paraphasic speech with poor comprehension. often rapid.

35
Q

paraphsias

A

three types:
literal - pipe becomes hike
verbal -
neologism -

36
Q

conduction aphasia

A

in the white matter between brocs and wernikes area

in the arcuate fasciulus

37
Q

global aphasia

A

entire language center is effected

no language function remains

38
Q

alexia

A

acquired reading disorder

39
Q

dyslexia

A

reading disorder despite adequate opportunity and training

40
Q

agraphis

A

acquired writing disorder

41
Q

sign-language aphasia

A

its a real thing - deaf people with strokes

42
Q

autonomic speech

A

expletives, angry outbursts

43
Q

prosody

A

the inflection of speech with emotion

44
Q

music

A

subserved by the right hemisphere

45
Q

humor

A

right frontal lobe has been implicated

46
Q

metaphor

A

subserved by the right hemisphere

47
Q

localization of nouns and verbs

A

mediated in pert by right hemisphere

48
Q

treatment of aphasia

A

First line is treat cause/ lesion. most improvement happens in the first year. no drugs currently available.

Speech/language therapy, psychiatric care is helpful, help adapting to disability.

49
Q

recovery

A

look it up