Certified Stroke Rehabilitation Specialist (CSRS 2024) Questions and answers

What is evidence based practice? combination of three things? - Correct Answer the combo of scientific evidence, clinical experience, and client need What is the gold standard for evidence? - Correct Answer Randomized control trial participants are randomly assigned to intervention or control group PICO - Correct Answer Problem/population Intervention Comparison Outcome What are the two types of strokes? - Correct Answer ischemic and hemorrhagic Which type of stroke is more common? - Correct Answer ischemic 87% List three types of ischemic stroke - Correct Answer thrombotic, embolic, lacunar Thrombotic stroke - Correct Answer Arterial occlusions caused by thrombi formed in arteries supplying the brain or in the intracranial vessels associated with prior TIA 50% Embolic stroke - Correct Answer Fragments that break from a thrombus formed outside the brain when awake sudden deficits (seizures) 11% associated with prior TIA Lacunar stroke - Correct Answer small vessel disease 13% of all strokes small infarcts deep in the brain 23% associated with prior TIA pure motor or sensory symptoms intracerebral hemorrhage - Correct Answer bleeding into the brain as a result of a ruptured blood vessel within the brain ~calm, unstressed ~major cause: hypertension subarachnoid hemorrhage - Correct Answer Bleeding into the subarachnoid space, where the cerebrospinal fluid circulates occurs during strenuous activity Characteristics of Left stroke with right hemiplegia - Correct Answer language/perceptual problems (aphasias, apraxias, agraphias,), impaired verbal and math skills, behavior (slow, anxious, cautious, normal attention span, emotionally labile, quick anger) Characteristics of right stroke with left hemiplegia - Correct Answer Perceptual deficits (visual-spatial, constructional relationships, directional concepts, neglect, drawing, body schema perception), behavior (fast, impulsive, short attention, overestimates ability, denial of illness, lack of inhibition, flat affect) frontal lobe function - Correct Answer control voluntary movement, thinking/problem solving, reasoning/judgement, personality Parts of frontal lobe - Correct Answer primary motor cortex: voluntary movement premotor cortex: controls actions of trunk / proximal limbs, body part ownership prefrontal cortex: motor planning region --stores motor memories, directs primary MC broca's area: expressive speech , left side of brain 90% of people pariteal lobe function - Correct Answer perception, processing of sensation, spatial awareness parietotemporal association cortex - Correct Answer Is located at the junction of the parietal, occipital, and temporal lobes and is involved in cognitive intelligence and the integration and interpretation of sensations -abstract thought, reading and writing, math, spatial perception, written language occipital lobe function - Correct Answer vision primary visual cortex - Correct Answer visual perception, receiving input from contralateral visual field injury to one side --hemianopsia Visual association area - Correct Answer interpretation of visual stimuli, spatial perception, recognition of faces