Stroke Assessment (FINAL EXAM)
questions & answers
Purpose of the Examination:
What are you trying to determine? (Dx, prog.., )
What plan is formed from this? (d/c, POC) Who needs to be involved with goal setting?
Monitor changes associated with rec..?
Assess what conditions/deficits?
What needs to be documented? (compl... )
Examination gives you the need to make referrals to where? (another pract..., support... gr..,
etc.)
What is the general order of testing? (Or..., Act...., Imp..) - correct answer ✔✔ *Determine PT dx
& movement dx, prognosis
*Clinical decision-making; POC, D/C plan
Be sure that the pt is involved in goal setting!
*Monitor changes associated with recovery
*Assess comorbid conditions / deficits
*Document evolving complications (seizures)
*Need for referrals; another health care practitioner, support groups etc
*Order of testing:
Orientation, Activities, Impairments
History:
What history are we looking at? (PMH, fam...,) Why is family history important? (how likely ......)
Is health status important?
,What aspects of baseline functioning level do we look at? (soc..., cog..., personal....) Will
personality traits change after a CVA? - correct answer ✔✔ *History of current conditions,
symptoms
*Past medical/surgical history
*Family history: familial health risks
Tells us how likely person is to have another CVA
*Health status
*Base-line functioning level of patient
Social / recreational / work status
Cognitive status
Personality Traits (may change)
Speech & Language Disorders:
What is Aphasia? (impaired what? )
What % of CVA pts have it? (30-__) What artery is usually the culprit?
What are the 2 types of aphasia? (exp... and rec...)
With Expressive Aphasia, is it fluent or nonfluent? Is there a ↓ in speech flow, production and
articulation or a ↓ in comprehension of spoken language? Is there a ↓ in reading and writing or
a ↓ in vocabulary and sentences? Does this aphasia have you speak nonsense words, and
experience word finding deficits?
With Receptive Aphasia, ...."
What is a global impairment? What does this indicate?
Dysarthria:
What is this? (speech pr... )
What % of CVA patients experience this? (48-__)?
Can this occur with aphasia?
Is there coordination or incoordination of motor-speech system?
, ↑or↓ in articulation/phonation?
Dysphagia:
What % of CVA patients experience this? (50, 51, 52, 53%?)
What cranial nerves are effected? (6 listed sta - correct answer ✔✔ *Aphasia - Impaired
language; formulation & comprehension
*30- 36% of CVAs (MCA typically)
Expressive impairment
Nonfluent aphasia (Broca's)
↓ speech flow, production & articulation
↓ vocabulary, sentences
Receptive impairment:
fluent aphasia (Wernicke's)
↓ comprehension of spoken language
↓ reading, writing
Non-sense words, word finding deficits (Loss nouns & verbs, circumlocutions)
Global impairment - both
Indicates extensive damage
*Dysarthria: speech production deficits
(48-57% of CVAs)
Can occur with aphasia
Incoordination of motor-speech system
↓ articulation/phonation
respiration
*Dysphagia: swallowing difficulty
(51% of CVAs)
questions & answers
Purpose of the Examination:
What are you trying to determine? (Dx, prog.., )
What plan is formed from this? (d/c, POC) Who needs to be involved with goal setting?
Monitor changes associated with rec..?
Assess what conditions/deficits?
What needs to be documented? (compl... )
Examination gives you the need to make referrals to where? (another pract..., support... gr..,
etc.)
What is the general order of testing? (Or..., Act...., Imp..) - correct answer ✔✔ *Determine PT dx
& movement dx, prognosis
*Clinical decision-making; POC, D/C plan
Be sure that the pt is involved in goal setting!
*Monitor changes associated with recovery
*Assess comorbid conditions / deficits
*Document evolving complications (seizures)
*Need for referrals; another health care practitioner, support groups etc
*Order of testing:
Orientation, Activities, Impairments
History:
What history are we looking at? (PMH, fam...,) Why is family history important? (how likely ......)
Is health status important?
,What aspects of baseline functioning level do we look at? (soc..., cog..., personal....) Will
personality traits change after a CVA? - correct answer ✔✔ *History of current conditions,
symptoms
*Past medical/surgical history
*Family history: familial health risks
Tells us how likely person is to have another CVA
*Health status
*Base-line functioning level of patient
Social / recreational / work status
Cognitive status
Personality Traits (may change)
Speech & Language Disorders:
What is Aphasia? (impaired what? )
What % of CVA pts have it? (30-__) What artery is usually the culprit?
What are the 2 types of aphasia? (exp... and rec...)
With Expressive Aphasia, is it fluent or nonfluent? Is there a ↓ in speech flow, production and
articulation or a ↓ in comprehension of spoken language? Is there a ↓ in reading and writing or
a ↓ in vocabulary and sentences? Does this aphasia have you speak nonsense words, and
experience word finding deficits?
With Receptive Aphasia, ...."
What is a global impairment? What does this indicate?
Dysarthria:
What is this? (speech pr... )
What % of CVA patients experience this? (48-__)?
Can this occur with aphasia?
Is there coordination or incoordination of motor-speech system?
, ↑or↓ in articulation/phonation?
Dysphagia:
What % of CVA patients experience this? (50, 51, 52, 53%?)
What cranial nerves are effected? (6 listed sta - correct answer ✔✔ *Aphasia - Impaired
language; formulation & comprehension
*30- 36% of CVAs (MCA typically)
Expressive impairment
Nonfluent aphasia (Broca's)
↓ speech flow, production & articulation
↓ vocabulary, sentences
Receptive impairment:
fluent aphasia (Wernicke's)
↓ comprehension of spoken language
↓ reading, writing
Non-sense words, word finding deficits (Loss nouns & verbs, circumlocutions)
Global impairment - both
Indicates extensive damage
*Dysarthria: speech production deficits
(48-57% of CVAs)
Can occur with aphasia
Incoordination of motor-speech system
↓ articulation/phonation
respiration
*Dysphagia: swallowing difficulty
(51% of CVAs)
