stroke

Question 1

CVA: UMN or LMN?

Answer 1

UMN

Question 2

what will you see with UMN disorders?

Answer 2

hypertonia (velocity dependent)
hyper reflexia
decreased sensation
muscle spasms
movements in synergic patterns

Question 3

what will you see with LMN disorders?

Answer 3

hypotonia
hyporeflexia
decreased sensation
fasciculations (twitching)
weak or absent voluntary movement

Question 4

what will you see in basal ganglia disorder?

Answer 4

rigidity (not velocity dependent)
decreased or normal reflexes
normal sensation
resting tremors
bradykinesia or akinesia
(Parkinson’s)

Question 5

what will you see in cerebellar disorders?

Answer 5

decreased or normal tone and reflexes
normal sensation
no involuntary movements
ataxia, intention tremor, dysmetria, dysdiadochokinesia, nystagmus

Question 6

what will you see in R hemispheric stroke?

Answer 6

perceptual deficits (neglect)
difficulty with visual cues
L sided hemiparesis/hemisensory loss
quick, impulsive, safety risk
rigidity of thought
difficulty with negative emotions

think of a happy baby

Question 7

what will you see in L hemispheric stroke?

Answer 7

R sided hemiparesis/hemisensory loss
Language impairments (aphasia)
respond better to demonstration than verbal cues
slow, cautious behavior
difficulty with positive emotions
distractible

Language = Left
think sad oLd person

Question 8

what will you see with an ACA?

Answer 8

contralateral hemiparesis/hemisenosry loss (more in LE)
urinary continency (baby ABCD)
problems with imitation, bimanual tasks, apraxia
slowness, delay, motor inaction
contralateral grasp reflex, sucking reflex (baby)

Question 9

which is most common: MCA, ACA, PCA?

Answer 9

MCA

Question 10

acronym for MCA?

Answer 10

MPH
mouth (speed impairments)
perception (unilateral neglect)
hemianopsia (contralateral homonymous)

Question 11

L MCA, superior division, what will be affected?

Answer 11

Broca’s area

Broken speech
Expressive
Nonfluent

understands but can’t reply

Question 12

what is seen with R MCA?

Answer 12

unilateral neglect (lack of awareness on weak side)

heminegLEFT (usually left side neglected)

Question 13

what side with homonymous hemianopsia be with a R MCA?

Answer 13

L side cut of both eyes

Question 14

is UE or LE affected more in MCA?

Answer 14

UE

Question 15

what would be affected in inferior division of L MCA?

Answer 15

Wernicke’s area

word salad

Question 16

what would cause thalamic pain syndrome?

Answer 16

central territory PCA

Question 17

what is prosopagnosia?

what would case it?

Answer 17

inability to recognize familiar faces

seen in peripheral territory PCA?

Question 18

what would cause dyslexia (difficulty reading) without agraphia (difficulty writing)

Answer 18

PCA peripheral territory

Question 19

how do you assess spasticity?

Answer 19

PROM

Question 20

what’s synergy?

Answer 20

a patterned movement during AROM

Question 21

what Brunnstrom stage is peak spasticity?

Answer 21

III

Question 22

how can you remember spasticity pattern in UE?

Answer 22

chicken dance

Question 23

how can you remember spasticity pattern in LE?

Answer 23

ballerina

Question 24

how can you remember flexion synergy pattern or UE?

Answer 24

showing off bicep

Question 25

how can you remember extension synergy pattern of UE?

Answer 25

waiter’s tip

Question 26

how can you remember flexion synergy pattern of LE?

Answer 26

Vrunda’s husband

Question 27

how can you remember extension synergy of LE?

Answer 27

ballerina

Question 28

if you are unable to hear, what CN is affected?

Answer 28

CN 8, vestibulocochlear nerve

Question 29

if I hear too much, which CN nerves affected? Bonus what reflex do these control?

Answer 29

CN 5 & 7 (trigeminal and facial)

corneal reflex