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PTRS 853 > UE function and Dementia > Flashcards

UE function and Dementia Flashcards

1
Q

the process by which various brain ans spinal centers work cooperatively to accommodate the demands of intended movements

A

systems theory

Reaching, grasping and manipulating

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2
Q

sensory info on characteristics of object

A

Weight
Firmness
shape
slickness

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3
Q

timing problems
impaired inter-limb coordination
proximal weakness

A

reach dysfunction

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4
Q 
anticipatory hand shape
grip force
precision grip
premature finger closure
slow release
A

grasp dysfunction

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5
Q 
knowledge acquisition
comprehension
thinking
knowing
remembering
A

temporo-parietal areas

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6
Q

judgment
problems solving
imagination
planning

A

frontal areas

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7
Q

Types of memory

A

sensory
working memory
Long term memory

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8
Q

Sensory memory

A
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9
Q

Working memory

A
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10
Q

long term memory

A 
Lifetime
explicit memory (conscious)
implicit memory (unconscious)
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11
Q

Explicit memory

A

Declarative memory

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12
Q

declarative memory

A

facts events
Episodic memory
Semantic memory

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13
Q

Episodic memory

A

autobiography

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14
Q

Semantic memory

A

facts

concepts

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15
Q

implicit memory

A

procedural memory

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16
Q

procedural memory

A

skills

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17
Q

what is it?

A

occipital lobes

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18
Q

How does it relate to me

A

temporal lobes

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19
Q

how do i feel about it

A

limbic system

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20
Q

what do i think about it

A

frontal lobe

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21
Q

brain aging begins between ages

A

20 and 30

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22
Q 
disturbance of consciousness
change in cognition
acute onset (hours to days)
Fluctuating symptoms
evidence of medical etiology
Strong predictor of poor functional and cognitive status in the year following hospital admission
A

delirium

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23
Q

Confusion assessment method CAM

Diagnosis of delirium requires

A
  1. acute onset and fluctuating course
  2. altered level of consciousness
  3. inattention
  4. Disorganized thinking
    presence of both 1 and 2 and either 3 or 4
24
Q

impairments in thinking and memory that do not interfere with every day activities

A

Mild Cognitive Impairment (MCI)

25
Q

MCI memory only

A

amnestic type

26
Q

MCI judgment and or language

A

Multi-domain

27
Q 
forgets names
loses objects
forgets items on a list
forgets multiple tasks
forgets phone numbers
unable to recall info after distraction
Score >1 SD below mean on memory test
A

symptoms of MCI

28
Q 
Reaction time
dual task performance
word fluency
category fluency
delayed verbal recall
narrative recall
name face pair recall
complex figure copying
A

detection of MCI

29
Q

syndrome of impairment in memory and at least one other cognitive ability
language
visuospatial function
executive funtion

A

dementia

30
Q

coherent speech or ability to understand spoken or written language

A

language

31
Q

recognition of common objects

A

visuospatial function

32
Q

motor function, abstract and complex thought, and/or judgment

A

executive function

33
Q 
fogetfulness
confusion
weight loss
sleep disturbance
gait abnormalities
ADL deficits
A

Early signs of dementia

34
Q

protein accumulation outside the neurons

A

beta amyloid

plaques

35
Q

accumulation inside the neurons

A

tau protien

tangles

36
Q

disorientation, loss of insight
loss of logical reasoning, poor judgement
perceptual problems, inability to perform arithmetic
inability to learn, loss of attention
language impairment, apathy
withdrawal, impaired ADLs

A

cognitive AD symptoms

37
Q 
paranoia, delusions
sleep disturbance, hallucinations
agitation/aggression, wandering/sundowning
anxiety, depression
hostility, fear, jealousy, insecurity
A

non cognitive AD symptoms

38
Q 
repeats questions 
anhedonia
word finding problems
frequently loses items
personality changes
A

stage 1: 2-4 years

39
Q 
becomes lost easily
confusion over recent events
ADL impairments
Argumentative
Pacing
Anxiety/depression
delusions
A

stage 2: 2-10 years

40
Q

unable to perform ADLs
impaired speech/comprehension
Unable to recognize family/friends
Unable to recognize self

A

stage 3: 1-3 years

41
Q

diagnostic criteria for AD

A

deficit in memory and at least one other cognitive domain
decline from previous function that interferes with social or occupational functioning
Gradual onset and continuous decline (>6 mo)
Not due to other systemic, CNS, psychiatric, or drug induced condition
Consciousness remains unaltered

42
Q 
Hemiparesis
visual deficits
incontinence
pseudobulbar signs
executive deficits
psychomotor impairment
personality/mood change
hyperreflexia
gait disturbance
A

Symptoms of VD

43
Q

CADASIL

A

cerebral autosomal dominant arteriopathy with sub-cortical infarts and luekoencephalopathy

44
Q

inherited genetic mutation
strong association with migraines
palliative treatment

A

CADASIL

45
Q

clinical syndrome of varying pathologies

A

frototemporal dementias

46
Q

monitoring

A

orbitofrontal area

47
Q

motivation

A

anterior cingulate

48
Q

executive functions

A

dorsolateral prefrontal areas

49
Q

characterized by pick bodies and cells - abnormal formation and accumulation of tau protein in neurons
selective for frontal and temporal lobes

A

Picks disease

50
Q 
aggressive, inappropriate behavior
early onset of language pathology
incontinence
sociopathic, obsessive or steriotyped behaviors
may occur with parkinsonianism
A

picks disease

51
Q

associated with left temporal dysfunction
loss of semantic memory and knowledge
initial sparing of episodic memory and other cognitive functions
impairment on language syntax, phonology

A

Semantic Dementia

52
Q

Loss of expressive language

comprehension often spared, especially in early stages

A

primary progressive aphasia

53
Q

accumulation of alpha-synuclein protein inside neural nuclei

close associations with parkinson’s disease and AD

A

Lewy body Dementia

54
Q 
Striking fluctuations in cognition
visual hallucinations
Bradykinesia
parkinsonian posture and gait
tremor is less common, usually less severe
A

Lewy body dementia

55
Q

People with cognitive impairment CANNOT

A

comprehend the environment
adapt to the environment
Cope with the environment

PTRS 853 (19 decks)

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