2 Types of Ischemic Stroke Correct Answers Thrombotic and
Embolic
2 Vertebral arteries form the Basilar artery Correct Answers
The left and right verebral arteries also arise from the two
sublcavian arteries that extend from the heart.
The two vertebral arteries unite to form the basilar artery at the
lower level of the pons
At the upper portion of the pons, the basilar artery connects into
the posterior part of the circle of Willis
Aneurysm Correct Answers Pouches/balloons formed in
arterial walls
Angular Gyrus Correct Answers Junction of the temporal,
parietal, and occipital lobes
Facilitates proccesses for reading & writing
Anterior Cerebral Artery Correct Answers Supplies blood to
the upper and anterior regions of the frontal lobes and corpus
callosum
Aphasia Correct Answers Loss or reduction of language skills
due to brain injury. Deficits can occur across all language
modalities: speaking, writing, listening, and reading.
Aphasia Comprehensive Evaluation Instruments Correct
Answers *Boston Diagnostic Aphasia Examination
*Western Aphasia Battery-Revised
,Aphasia Diagnostic Profiles
Minnesota Test for the Differential Diagnosis of Aphasia
(MTDDA)
Porch Index of Communicative Ability (PICA)
Aphasia Language Profiles
(Hospitals typically create their own assessment by selecting
from different evaluations to save time
Aphasia Syndromes Correct Answers Broca's Aphasia:
occlusion of the anterior branch of middle cerebral artery
Wernicke's Aphasia: occlussion of the posterior branch of
middle cerebral artery
Global Aphasia: occlusion of the main trunk of middle cerebral
artery
These aphasia syndromes are caused by damage in cortical
regions considered important for comprehension, formulation,
and production of language.
Aphasia Treatment Correct Answers Individual, group, or both
Fundamental goals to help patient communicate in everyday
situations
Teach compensatory strateges while they're trying to restore
skills
Daily 1 hour initially supplemented by group therapy
Intensive tx is best though not widely available, but home
program should be included as part of a robust tx plan to
facilitate skills
Aphasia Treatment Goal Areas Correct Answers Auditory
comprehension of spoken language
Reading skills
, Verbal expression
Writing skills
Aphasia Treatment of Reading and Writing Correct Answers
Single words -> phrases -> sentences
Writing: copying to more self generated. Copy and write name,
address, family names, etc
Reading: Oral reading and reading comprehension (matching,
multiple choice, open ended, journaling)
Important if returning to work, not so important if retired
Aphasia Treatment of Verbal Expression Correct Answers
Naming
Expanding to phrase and sentence length responses
Model sentences initially and encourage imitation
Ask questions to evoke specific, functional sentences
Connected speech and conversational skills (story retelling,
sequenced picture stories, task descriptions)
Arcuate Fasciculus Correct Answers Pathway of
communication in persylvian area
Band of nerve fibers connecting the frontal to temporal lobe via
the parietal lobe
1. Phonological processing (between Broca's area and superior
temporal gyrus)
2. Lexical semantic processing (between Broca's area and
middle temporal gyrus)
Arteries Correct Answers carry blood away from the heart
Problems in arteries cause most problems in the brain