Neuromuscular Practice I W1 - Anatomy & Pathophysiology of Stroke/HOAC Model/Movement System Diagnosis
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43 Terms
All of the following criteria must be met in order to be eligible to receive tissue plasminogen activator (tPA) except:
clinical diagnosis of hemorrhagic stroke causing neurological deficit on CT scan
3 multiple choice options
T/F: recovery is limited to the first 6 months after a stroke
false
1 multiple choice option
the most prevalent type of stroke is:
ischemic stroke
3 multiple choice options
all of the following are modifiable risk factors for stroke except:
gender
3 multiple choice options
in the HOAC II model, patient identified problems are almost always at which level(s) of which ICF domains? (select all that apply):
A. health conditions; B. impairment in body structure and function; C. activity limitations; D. participation restrictions
C and D
3 multiple choice options
a patient presents with left visual field neglect. based on this observation, the patient has most likely had a stroke on which side of her brain?
right
1 multiple choice option
a patient presents with left visual field neglect. based on this observation, the patient most likely had a stroke affecting which artery?
middle cerebral artery (MCA)
3 multiple choice options
a patient presents with left visual field neglect. based on this observation, what region of the brain is most likely affected?
parietal lobe
3 multiple choice options
a patient presents with broken speech (non-fluent aphasia). which region of the brain is most likely affected?
L frontal lobe
3 multiple choice options
a patient presents with broken speech (non-fluent aphasia). which area of the brain is most likely affected?
Broca's area
1 multiple choice option
in which region of the brain is Broca's area located?
L frontal lobe
3 multiple choice options
in which region of the brain is Wernicke's area located?
L temporal lobe
3 multiple choice options
a patient presents with fluid speech but the words they say don't make sense. which area of the brain is most likely affected?
Wernicke's area
1 multiple choice option
a patient presents with fluid speech with limited comprehension. which region of the brain is most likely affected?
L temporal
3 multiple choice options
your patient presents with bilateral coordination impairments observed when touching their fingers to their nose. what kind of stroke does this patient most likely have?
cerebella
3 multiple choice options
a patient presents with impaired motor control on the left. which blood supply is most likely affected?
R MCA
3 multiple choice options
this portion of the brain is for higher executive functioning
frontal lobe
3 multiple choice options
the motor homunculus is locates in the _____ gyrus. the sensory homunculus is located in the _____ gyrus.
pre-central; post-central
3 multiple choice options
the lower extremity is mapped on the _____ portion of the motor homunculus. the upper extremity is mapped on the _____ portion.
medial; laterial
3 multiple choice options
which is the correct order from proximal to distal?
cerebrum, midbrain, pons, medulla
3 multiple choice options
which cranial nerves are found in the cerebrum?
1-2
3 multiple choice options
which cranial nerves are found in the midbrain?
3-4
3 multiple choice options
which cranial nerves are found in the pons?
5-8
3 multiple choice options
which cranial nerves are found in the medulla?
9-12
3 multiple choice options
T/F: the cranial nerves cross in the spinal cord
false
1 multiple choice option
which cranial nerve crosses?
8
3 multiple choice options
anterior circulation is supplied by the ____ artery. posterior circulation is supplied by the _____ artery.
internal carotid; vertebral
3 multiple choice options
the middle cerebral artery (MCA) supplies blood to the _____ portion of the brain which supplies _____.
lateral; face/UE
3 multiple choice options
a patient has a right ACA stroke. they will present with these deficits:
left sided LE hemiparalysis
3 multiple choice options
a _____ stroke has greater functional impairments initially, but tends to have a faster recovery compared to _____ strokes.
hemorrhagic; ischemic
3 multiple choice options
which of the following is a modifiable risk factor for stroke?
all of these
3 multiple choice options
a pt is 20, years old had ischemic stroke <4 hours ago, and no history of diabetes. do they qualify for tissue plasminogen activator?
yes
2 multiple choice options
what is an absolute contraindication to receiving tPA?
uncontrolled HTN
3 multiple choice options
a pt who had a left sided stroke will most likely present with the following:
slow performance and cautious
3 multiple choice options
a pt with impaired language and speech most likely had:
left sided brain damage
3 multiple choice options
if apt presents with Broca's aphasia, they likely have damage to which region of the brain?
L frontal
3 multiple choice options
you enter a pt's room and introduce yourself. the pr says they need to go shopping and ramble on about their job. what does this pt appear to be showing signs of?
Wernicke's aphasia/fluent aphasia
3 multiple choice options
a pt presents with prosopagnsia, cortical blindness, contralateral hemiplegia, and involuntary movements. which type of stroke have they likely experienced?
PCA
3 multiple choice options
a pt presents with bladder incontinence, apraxia, and LE involvement. which type of stroke have they likely experienced?
ACA
3 multiple choice options
which stroke is commonly associated with death, coma, and/or locked in syndrome?
basilar artery
3 multiple choice options
which type of stroke is commonly associated with homonymous hemianopsia, unilateral neglect, and impaired spatial perception?
MCA
3 multiple choice options
which type of stroke is commonly associated with ipsilateral loss of pain/temp to the face and contralateral loss of pain/temp to the body?
PICA
3 multiple choice options
T/F: someone suffering from a PICA stroke will have contralateral ataxia and will likely fall to the impaired side
false
1 multiple choice option