Blood Supply
Damage at the CoW is ____, damage below the CoW is _____, damage above the CoW is_______.
A. OK, OK, BAD
B. OK, BAD, OK
C. BAD, OK, OK
D. BAD, BAD, OK
A. OK, OK, BAD
What is vicariation?
A. recruiting uninjured neurons that normally contribute to the behavior
B. learning of new behavioral strategies (compensation)
c. other parts of the brain will start to pick up the slack and take over the roles of damaged areas
d. Broca’s area shuts down to protect itself in response to Wernicke’s being damaged
c. other parts of the brain will start to pick up the slack and take over the roles of damaged areas
What loop tests the entire circuit?
A. repetition
B. comprehension
C. expressive
d. reading
a. repetition
What role does the thalamus play in sensory information?
A. accepts information and transmits it
B. nothing, the basal ganglia is responsible for sensory information
C. only responsible for transmitting information from basal ganglia
D. relay station for ALL sensory information coming in from ALL cranial nerves
A. accepts information and transmits it
Pt presents with damage to the posterior, inferior, frontal lobe. Speech is nonfluent, with intact comprehension and poor repetition. What is a secondary effect within our scope of practice that we might see?
A. impaired pitch
B. vocal nodules
C. swallowing difficulties
D. diaschisis
C. swallowing difficulties
The posterior, inferior, frontal lobe is broca's area. Broca's location is close to the lips, tongue, gums, and jaw on the motor homonculus. If there are deficits with Broca's area, swallowing deficits may be secondary.
What artery supplies blood to the MCA and ACA?
A. Interior Carotid Artery
B. Middle Cerebral Artery
C. Vertebral Artery
D. Anterior Communicating Artery
A. Interior Carotid Artery
Which of the following is a bad secondary effect of a CVA?
A. diaschisis
B. IAHA
C. Collateral sprouting
D. transneuronal degeneration
D. transneuronal degeneration
Axons that are no longer receiving input from infarcted area begin to degenerate due to loss of connections.
Which of the following is the correct receptive language loop?
A. V1, angular gyrus
B. frontal lobe, angular gyrus, hand association cortex, CST
C. PAC, Wernicke's, Frontal lobe, Wernicke's, Broca's, PMC, UMN
D. Frontal lobe, Wernicke's, Broca's, PMC, UMN
C. PAC, Wernicke's, Frontal lobe, Wernicke's, Broca's, PMC, UMN
A. hemmoragic
B. thrombotic
C. embolism
D. TIA
C. embolism
Pt. presents with damage to the left middle cerebral artery. Speech is characterized by profoundly impaired expressive and receptive language skills, perseveration, nonfluent. The pt also presents with right sided paralysis and nonverbal apraxia. What aphasia do they have?
A. Conduction
B. Wernicke's
C. Global
D. Anomic
C. Global
Damage to the ACA would cause what deficits?
A. contralateral motor and sensory deficits
B. ipsilateral motor and sensory deficits
C. visual deficits
D. would not cause deficits because the ACA supplies blood to the watershed areas
A. contralateral motor and sensory deficits
What is diaschisis a response to? Is it good or bad?
A. Good, response to transneuronal degeneration
B. Bad, response to IAHA
C. Good, response to IAHA
D. Bad, response to collateral sprouting
A. Good, response to transneuronal degeneration
The following tract is for what form of language:
Frontal lobe, Wernicke's, Broca's, PMC, UMN
A. Receptive
B. Writing
C. Expressive
D. Reading
C. Expressive
Damage to the ACA may result in what motor deficits?
**pull up motor homunclus
A. leg damage opposite side
B. facial damage same side
C. tongue damage same side
D. finger damage opposite side
A. leg damage opposite side
You are working with a patient on the following goals: ID objects, ID present progressive verbs, ID pics of family members. What aphasia do they have?
A. Wernicke's
B. Global
C. Conduction
D. Anomic
A. Wernicke's
LMN=_____/_____=_____
UMN=_____/_____=_____
Bank:
CN, SN, CBT, CST, FCP, CNS
LMN=CN/SN= FCP (PNS)
UMN= CBT/CST= CNS
Which of the following is not a factor influencing neuroplasticity?
A. age
B. lesion location
C. overall health status
D. kids
D. kids
What white matter association tract is responsible for connecting the frontal, temporal, and parietal lobes?
A. angular gyrus
B. arcuate fasiculus
C. PMC
D. insular cortex
B. arcuate fasiculus
Pt presents with a blockage in the ACoA. What will the pt present with?
A. Contralateral motor deficits
B. Ipsilateral sensory deficits
C. Nothing, this is at the level of the CoW
D. Major speech and language deficits because it is at the CoW
C. Nothing, this is at the level of the CoW
Pt has a complex lesion that destroys the visual cortex and interrupts the exchange of information between brain hemispheres via the posterior corpus callosum: what are the effects?
A. Alexia
B. Agraphia
C. Alexia with agraphia
D. Alexia without agraphia
D. Alexia WITHOUT agraphia
Lesion in MCA=
Lesion in ACA=
Lesion in PCA=
Lesion in ECA=
Bank:
damage to the face
language deficits
primarily visual deficits
restricted contralateral motor and sensory deficits
Lesion in ECA= damage to the face
Lesion in MCA= language deficits
Lesion in ACA= restricted contralateral motor and sensory deficits
Lesion in PCA=primarily visual deficits
T/F the magic number for aphasia tx is 3-5 times per week for 35-45 mins.
T
What does LPAA stand for?
1. life participation approach to aphasia
2. life preventive approach to aphasia
What does SCALE stand for?
1. Snyder Center for Aphasia Life enhancement
2. Silla's Center for Aphasia Life enhancement
Snyder Center for Aphasia Life enhancement
T/F: Diagnosis drives therapy for pts with neuro impairments.
False
s/s and behavior drive therapy
Pt. presents with damage to the junction of the frontal, temporal, and parietal lobe. Which of the following would be appropriate to target in therapy?
A. Comprehension
B. Writing
C. Reading
D. B & C
D. B & C
junction of the frontal, temporal, and parietal lobe= ANGULAR GYRUS!!
angular gyrus is responsible for reading and writing