Midterm

Question 1

Overall objective of post-stroke rehabilitation

Answer 1

maximize functional independence and improve quality of life

Question 2

spontaneous recovery

Answer 2

the greatest amount of spontaneous recovery takes place within the first two months post-onset of the brain lesion

Question 3

agrammatism

Answer 3

• associated with broca’s aphasia
• spontaneous speech obtained through complex picture description or interview (describe picture actions or object locations, complete a sentence or short story)

Question 4

most consistent feature of aphasia

Answer 4

anomia

Question 5

circumlocution

Answer 5

empty speech (the thing that’s on the thing with the thing)

Question 6

ischemic stroke

Answer 6

blockage or occlusion of an arterial vessel

Question 7

thrombosis

Answer 7

occurs from accumulation of atherosclerotic platelets and fatty plaque on the vessel wall at the site of occlusion

Question 8

embolism

Answer 8

platelets and fatty plaque break off a vessel wall and then travel until they become stuck in a smaller cerebral artery

Question 9

hemorrhage

Answer 9

a bursting artery causing blood to accumulate around nearby brain tissue

Question 10

aneurysm

Answer 10

dilated blood vessel from the size of a pea to an orange, stretching and weakening the vessel wall

Question 11

tumor

Answer 11

space-occupying lesion that presses against adjacent tissue and obstructs circulation

Question 12

aphasia tests conducted to evaluate in….

Answer 12

• listening
• reading
• speaking
• writing

Question 13

Boston Diagnostic Aphasia Examination (BDAE) salient features

Answer 13

• classification of aphasias into syndromes according toe symptom patterns
• analysis of spontaneous verbalization
• cookie theft picture

Question 14

Western Aphasia Battery

Answer 14

• content & administration similar to the Boston Exam
• summary of scores similar to the PICA
• ranges of scores for classifying aphasias into syndromes

Question 15

anomic aphasia

Answer 15

• aka amnesic aphasia (mildest form)

- most consistent feature of aphasia

Question 16

aphasia can cross all modalities and affect…

Answer 16

auditory, reading comprehension, oral & written expression

Question 17

aphasia is a sensory disorder?

Answer 17

no

Question 18

auditory comprehension deficits have difficulty in understanding…

Answer 18

1. Abstract words as opposed to concrete words

2. Closely associated words

Question 19

factors that aid patients with auditory comprehension deficit

Answer 19

1. Pauses & imposed delays in the right spots will help

2. Vocabulary related to work, family, functional use, or recreation

Question 20

OED manifests itself as…

Answer 20

1. Jargon
2. Circumlocutions
3. Reduced fluency (nonfluent) or excessive fluency (fluent)
4. Articulation errors

Question 21

alexia

Answer 21

an acquired impairment in reading comprehension due to brain damage

Question 22

structure of simulation approach

Answer 22

1. Stimulus repetition
2. Discriminability (semantic, auditory, or visual)
3. Combined sensory modalities

Question 23

Do’s for caretakers

Answer 23

1. Keep talking to the patient
2. Get patient’s attention before speaking
3. Talk slowly to allow patient time to process your message

Question 24

Don’ts for caretakers

Answer 24

1. Don’t finish the patient’s sentences unless the patient wants it.
2. Don’t “fill-in” the silence. Patient may need that time to process
3. Don’t talk only about activities of daily living.