Week 6 pt. 2 - Memory & Strokes Flashcards

1
Q

unconscious recall of how to perform an action or skill
E.g., remembering how to ride a bike

A

Procedural Memory

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2
Q

Must be learned all at once e.g., where you parked your car

A

Episodic memories

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3
Q

Facts for which the context does not matter e.g., “the sun is a star”

A

Semantic memories

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4
Q

Implicit memories become ____________ over time.

A

Procedural

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5
Q

Explicit memories become ____________ over time.

A

Declarative

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6
Q

Declarative memory is broken into what two parts?

A

Episodic & Semantic

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7
Q

Memory peaks at age

A

8

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8
Q

Longterm memory storage lasts for how long?

A

It is not permanent for a few hours to days

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9
Q

Failure in explicit/declarative memory

“Can’t recall what you learn going forward.”

A

Anterograde amnesia

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10
Q

Failure in implicit/non-declarative memory

“Can’t recall what they use to be automatic, but I can learn.”

A

Retrograde amnesia

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11
Q

Strokes are also called what two things?

A

Infarcts = tissue necrosis due to stroke
CVA = Cardiovascular Accident

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12
Q

Incidence of strokes in the US averages…

A

over 750,000 per year

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13
Q

number 1 risk factor for stroke?

A

hypertension/high blood pressure

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14
Q

What causes a 3x increased risk of ischemic strokes?

A

Diabetes

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15
Q

What independently increase risk of stroke by 4x?

A

Obstructive sleep apnea (OSA)

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16
Q

3 types of strokes

A
  • Ischemic
  • Hemorrhagic strokes
  • Transient ischemic attack (TIA)
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17
Q

obstruct the flow of blood

A

Ischemic strokes

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18
Q

2 types of Ischemic strokes

A

thrombus & embolus

19
Q

Hemorrhagic strokes are caused by?

A

bleeding in the brain

20
Q

Most common stroke

A

88% Ischemic;
12% Hemorrhagic

21
Q

Transient ischemic attack (TIA) is a stroke that lasts…?

A

only a few minutes, “mini stroke”

22
Q

Difference between thrombus vs. embolus strokes

A

blood clot vs. material that breaks off and blocks an artery because it doesn’t fit.

23
Q

Initial Damage in Ischemic stroke is due to what?

A

Glutamate Ecotoxicity = leads to neuronal necrosis and apoptosis

24
Q

What is Glutamate Ecotoxicity?

A

excessive amounts of glutamate causes cell death

25
Stroke Risk Factors that are NON-MODIFIABLE
* FAMILY HISTORY * AGE * RACE
26
where the internal carotid arteries branch into smaller arteries that supply oxygenated blood to over 80% of the cerebrum.
Circle of Willis
27
Middle Cerebral Artery (MCA) Strokes is where what amount of strokes occur?
90%
28
three main blood vessel that your internal carotid send blood to?
Middle cerebral artery Anterior cerebral artery Posterior cerebral artery
29
MCA Stroke Symptoms for LEFT and RIGHT brain?
Contralateral Weakness & Sensory Loss in UPPER extremities
30
MCA Stroke Symptoms for left brain?
Speech Deficits (Broca's/Wernicke’s)
31
Right MCA Stroke Symptoms?
Neglect & Poor Motivation
32
Anterior Cerebral Artery (ACA) Stroke symptoms (5; F CUPS)
* Contralateral Motor and sensory loss in LOWER Extremities * Poor gait and coordination = Clumsy * Slowed initiation (Abulia) * Flat Affect * Urinary Incontinence
33
Posterior Cerebral Artery PCA is where what amount of strokes occur?
5-10%
34
Posterior Cerebral Artery PCA Stroke Symptoms (5; VAINN)
* Vision changes * Ataxia (difficulty with motor movements) * Impaired consciousness * Nausea/Vomiting * Nystagmus (eyes flutter/shake)
35
Tangle of arteries and veins without connecting capillaries
Arteriovenous malformations (AVMs)
36
Sx onset occurs between age __-__ for AVMs
10-40
37
Post-Stroke Depression Treatment
Antidepressant meds (usually fluoxetine) ASAP!
38
6x increased risk of ___________ 2-3 years post stroke
depression
39
1/4 of people meet criteria for _______ post stroke
GAD
40
right-temporo-parietal-occipito area lesions, seizures, and subcortical atrophy increases risk for what?
psychosis
41
Pseudobulbar Affect (laughing uncontrollably/inappropriately) affects __-__% post stroke patients
10-15%
42
Tissue Plasminogen (tPA) can be administered within __ hours to help restore blood flow to the brain.
4.5 hours
43
What acronym do we use to identify an active stroke and need to call 911
BE FAST Balance Eye - vision loss Face - uneven Arms Speech Time