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Certified Stroke Rehabilitation Specialist (CSRS 2021) Exam Questions & Answers | Questions with 100% Correct Answers | Verified | Updated 2024

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Certified Stroke Rehabilitation Specialist (CSRS 2021) Exam Questions & Answers | Questions with 100% Correct Answers | Verified | Updated 2024

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Certified Stroke Rehabilitation Specialist (CSRS
2021) Exam Questions & Answers | Questions with
100% Correct Answers | Verified | Updated 2024

Types of stroke

(Lesson 2) ✔✔Ischemic: 87%

-Thrombotic

-Embolic

-Lacunar

Hemorrhagic: 13%

-Intracerebral

-Subarachnoid



Thrombotic Stroke (Ischemic) ✔✔48% of all strokes

-typically occurs during sleep

-slow progressive onset of deficits

-50% are associated with prior TIA



Embolic Stroke (Ischemic) ✔✔26% of all strokes

-typically occurs while awake

-sudden, immediate deficits (sometimes seizures)

-11% are associated with prior TIA



Lucunar Stroke (Ischemic)

small vessel disease ✔✔13% of all strokes

-small infarct (>15-20 cm) deep in the brain

-onset can be gradual or sudden

-23% associated with proceeding TIA


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, -often pure sensory or motor symptoms

-typically no higher cortical functional involved



Intracerebral Hemmorhage (ICH) ✔✔10% of all strokes

-90% happen with the patient is under "no stress"

-major cause of "hypertension"

-onset may be gradual or sudden

-8% are associated with prior TIA

-direct correlation with high blood pressure/ hypertension



Subarachnoid Hemorrhage (SAH) ✔✔3% of all stroke

-occurs often during strenuous activity

-cause: rupture aneurysms and vascular malformations

-sudden onset

-7% are associated with preceding TIA



Left Stroke with Right Hemiplegia ✔✔-Language/Perceptual problems

-expressive aphasia

-receptive aphasia

-global aphasia

-alexia, agraphia , acalculia

-apraxias: motor planning perceptual problems

(Impaired verbal and math skills with word letter discrimination



Left Stroke with Right Hemiplegia (BEHAVIORS) ✔✔-Slow, anxious, cautious, normal attention span

-underestimated abilities

-emotionally labile ( abrupt mood changes)

-quick to anger and/or become frustrated



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, Right Stroke with Left Hemiplegia ✔✔Perceptual problems/ Distortion of physical reality

-visual spatial disorders :depth perception

-constructional relationships

-directional concepts

-neglect, drawing abilities

-body schema perception disorders;

-perceptual language disorders

language



Right Stroke with Left Hemiplegia (BEHAVIORS) ✔✔-fast and impulsive

-short attention span

-overestimate abilities/ judgement

-denial of illness (anosognosia)

-lack of inhibition

-inability to express emotions /affect is flat



Cerebrum ✔✔-frontal, parietal, temporal, and occipital lobes

-consisting of two hemispheres, left and right, separated by a fissure

-responsible for the integration of complex sensory and neural functions and the initiation and
coordination of voluntary activity in the body.

initiates and coordinates movement and regulates temperature. Other areas of the cerebrum enable
speech, judgment, thinking and reasoning, problem-solving, emotions and learning.



Frontal Lobe ✔✔-controls voluntary movement

-thinking problem solving

-reasoning judgement

-personality




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, Primary Motor Cortex

(motor homunculus) ✔✔-located on the pre-central gyrus

-controls voluntary movement

-lesion to this area results in motor deficits and/or paralysis to the contralateral side of the body



Premotor Cortex ✔✔-located just anterior to the primary motor cortex

-controls actions of trunk and proximal limb muscles

-responsible for body part ownership

-lesion to this area result in unilateral neglect



Supplementary Motor Cortex ✔✔-located medial to the primary motor cortex

-motor planning region

-stores motor memories and directs activity of primary motor cortex

-lesion may result in apraxia



Broca's Area ✔✔Controls language expression - an area of the frontal lobe, usually in the left
hemisphere, that directs the muscle movements involved in speech.

-Speech motor area (expressive)

-located only in the left side of the brain in 90% of people

-can be flipped with left -handed people



Wernike's Area ✔✔language comprehension

-located in the left hemisphere in 90% of people

-important for understanding language including: verbal sign and written language

-corresponding area contralaterally responsible for interpretation of nonverbal communication

-damage results in receptive aphasia (



Parietal Lobe ✔✔A region of the cerebral cortex whose functions include processing information about
touch.


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