Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Neuro One > stroke pt 2 > Flashcards

stroke pt 2 Flashcards

1
Q

what kind of scan is the most common if a stroke is suspected?

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

do MRIs or CT scans have greater sensitivity for acute stroke

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what kind of imaging is used to examine the vertebrobasilar system

A

doppler ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

this imaging technique is an x-ray of the carotid artery but is invasive and has a small risk of causing a stroke

A

arteriography and digital subtraction angiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

the acute phase of rehab for stroke usually begins within ______ hours

A

72

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

your patient is in the acute phase of stroke rehab. what should that consist of?

A
  • early mobilization and use of hemiparetic side
  • positioning, ADLs, functional mobility
  • patient caregiver information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

the subacute phase of stroke rehab often takes place where? how many hours of therapy per day?

A

inpatient rehab
3 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

patients in the chronic phase of stroke rehab are greater than __ months post-stroke

A

6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

pts in the chronic phase of stroke rehab typically get therapy where? what is the focus?

A

outpatient or home
focus on continuing to improve functional performance and resuming participation in community

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

cranial nerve for facial sensation?

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

cranial nerves for facial movement

A

5, 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

cranial nerve for auditory function

A

8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

cranial nerve for visual fields, acuity, and pupillary reflex

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

cranial nerves for swallowing

A

9, 10, 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

cranial nerves for extra-occular movements

A

3, 4, 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

central post-stroke pain

A

pain arising as a direct consequence of a lesion or disease affecting the central somatosensory system * occurs in about 10% of strokes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

stage 1 of motor recovery

A

flaccid paralysis *system is in shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

stage 2 of motor recover

A
  • min voluntary movement
  • basic synergies appear
  • spasticity develops
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

stage 3 of motor recovery

A
  • voluntary control of movement synergies
  • further increase in spasticity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

stage 4 of motor recovery

A
  • synergies decline
  • spasticity starts to decrease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

stage 5 of motor recovery

A
  • more difficult movement combos learned
  • limb synergies lose dominance
22
Q

stage 6 of motor recovery

A
  • spasticity disappears
  • individual joint movements possible
  • coordination approaches normal
23
Q

what side does spasticity occur on?

A

contralateral

24
Q

T or F: initially, patients post stroke are hyperreflexic

A

F: they are initially hyporeflexic and flaccid due to shock to the system

25
Q

associated reaction

A

involuntary and automatic movement of a body part as a result of an intentional active or resistive movement in another body part
ex. when yawning the UE flexes or LE extends

26
Q

homolateral synkinesis

A

flexion pattern of involved UE facilitates flexion pattern of lower extremity

27
Q

raimiste’s phenomenon

A
  • abduction or adduction of the uninvolved extremity when resistance applied to involved extremity in the same direction
28
Q

souque’s phenomenon

A

raising involved extremity above 100 degrees with elbow extension will produce extension and abduction of the fingers

29
Q

UE flexor synergy - describe it

A

scap retraction
shoulder abduction and ER
elbow flexion
supination
finger flexion

30
Q

LE extensor synergy - describe it

A

hip extension, adduction, IR
knee extension
plantar flexion
inversion
toe flexion

31
Q

T or F: for the LE, it doesn’t matter if it is a flexion or extensor synergy, there is always ankle inversion

A

T

32
Q

patient presents with ataxia and motor weakness. which part of the brain is most likely involved

A

cerebellum

33
Q

pt presents with slowed and involuntary movements. which part of the brain is most likely involved

A

basal ganglia

34
Q

ideational apraxia

A

inability to produce movement either on command or automatically

35
Q

ideomotor apraxia

A

unable to initiate motion on command but can move automatically

36
Q

in stroke, do proximal or distal muscles typically exhibit greater strength deficits

A

distal

37
Q

T or F: stroke patients typically fall in the direction of weakness

A

T

38
Q

pusher syndrome

A
  • tendency to fall towards hemiparetic side
  • altered perception of body
    orientation in relation to gravity
39
Q

Fugl-meyer assessment of physical performance (FMA)

A

used to determine motor function after stroke ** higher score is better

40
Q

stroke rehabilitation assessment of movement (STREAM)

A

measure of voluntary movement and basic mobility

41
Q

stroke impact scale

A

self-report measure, assess function and quality of life after stroke

42
Q

chedoke-mcmaster stroke assessment

A

physical impairment and activity/disability

43
Q

national institute of health stroke scale (NIHSS)

A

screening tool focused on initial impairments
** lower score is better

44
Q

what are the 11 parts of NIHSS scale?

A

1 - level of consciousness
2 - horizontal gaze
3 - visual fields
4 - facial palsy
5 - motor arm
6 - motor leg
7 - limb ataxia (finger-nose, heel-shin)
8 - sensory (pin prick)
9 - lanugage (aphasia)
10 - dysarthria
11 - extinction/inattention

45
Q

NIHSS score ranges

A

> 25 = very severe impairment
15-24 = severe
5-14 = mod severe
<5 = mild

46
Q

NIHSS score of <5= discharge to?

A

home

47
Q

NIHSS score of 6-13 = discharge to

A

rehab

48
Q

NIHSS score of >13 = discharge to ?

A

SNF

49
Q

what is fugl-meyer based on

A

brunnstrom motor recovery stages

50
Q

in fugl-meyer each item is scored from _____ to ___ with a total possible score of ____-

A

0-2
226

51
Q

fugl-meyer parts (5) and highest possible score for each part

A

motor function (100)
sensation (24)
balance (14)
joint ROM (44)
joint pain (44)

Adult Neuro One (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions