COMD 4500 EXAM 2, COMD 4500
EXAM 1 QUESTIONS &
ANSWERS(RATED A+)
compensatory treatment - ANSWER-skills to function
-memory aid
-navigation tools
-hearing assistive devices
-modify environment
restorative treatment - ANSWER-cognitive stimulation therapy
-computer based treatments
glasgow coma scale - ANSWER-widely used
-3 subscales (eye opening, motor response, verbal response)
-severe, moderate, mild
-for tbi
rancho los amigos scale - ANSWER-widely used, 1-10
-rehab professionals familiar
-higher number=better cognitive function
-rates based on observation
-specifies how much assistance is needed
-descriptive behavior at each level
-track progress during recovery
-for tbi
mixed dysarthria - ANSWER-common to have more than one
-any combo of subtypes
-spastic/ataxic common in MS
-spastic/flaccid common in ALS
FEES - ANSWER-flexible endoscopic eval of swallowing
-velopharyngeal port view
non oral feeding - ANSWER-some patients may be NPO
-aspiration of all textures
-minimally responsive
-recent oral/pharyngeal surgery
tbi assessment - ANSWER-standardized tests
-test score can be insufficient to reflect problems
-informal testing
-discourse analysis
-importance of qualitative insights
, apraxia - ANSWER-planning, programming deficit
-bad musical score, good orchestra
-left hemisphere cortical damage
-phonetic-motoric disorder
-words wont come out right/mispronounced
-complaints about articulation
-segmental and prosodic distortion
dysarthria - ANSWER-neuromuscular speech production deficit, good musical score,
bad orchestra, cns or pns damage
flaccid dysarthria - ANSWER-lmn damage
-peripheral nerve injury, infection
-weakness, muscle atrophy
-lower muscle tone
-voice breathy, weak, gravely
spastic dysarthria - ANSWER-bilateral umn damage
-head trauma, motor neuron disease
-multiple strokes
-weakness, slowness, excessive muscle tone
-voice may be strained/strangled, effortful speech, monotone, whispery
ataxic dysarthria - ANSWER-cerebellar damage
-degenerative atrophy, stroke, trauma
-strength typically normal
-coordination, regulation disrupted
-movements become clumsy
-articulation errors irregular, variable
-sounds like alcohol intoxication
hypokinetic dysarthria - ANSWER-basal ganglia damage, reduced movement
-often caused by Parkinson's disease
-too much motor cortex inhibition
-slow, small amplitude, weak movements
-weak, breathy, monotone voice
-smaller steps, handwriting
-in some cases: rapid rushes of speech
hyperkinetic dysarthria - ANSWER-basal ganglia damage
-toxic/metabolic causes
-too little motor inhibition
-involuntary movements, increased movements
-speech patterns vary widely
-visible consequences can be troubling
unilateral umn dysarthria - ANSWER-cortical stroke
-most cranial nerve bilaterally innervated
-lower face and part of tongue are exceptions
-aphasia/apraxia may be present
EXAM 1 QUESTIONS &
ANSWERS(RATED A+)
compensatory treatment - ANSWER-skills to function
-memory aid
-navigation tools
-hearing assistive devices
-modify environment
restorative treatment - ANSWER-cognitive stimulation therapy
-computer based treatments
glasgow coma scale - ANSWER-widely used
-3 subscales (eye opening, motor response, verbal response)
-severe, moderate, mild
-for tbi
rancho los amigos scale - ANSWER-widely used, 1-10
-rehab professionals familiar
-higher number=better cognitive function
-rates based on observation
-specifies how much assistance is needed
-descriptive behavior at each level
-track progress during recovery
-for tbi
mixed dysarthria - ANSWER-common to have more than one
-any combo of subtypes
-spastic/ataxic common in MS
-spastic/flaccid common in ALS
FEES - ANSWER-flexible endoscopic eval of swallowing
-velopharyngeal port view
non oral feeding - ANSWER-some patients may be NPO
-aspiration of all textures
-minimally responsive
-recent oral/pharyngeal surgery
tbi assessment - ANSWER-standardized tests
-test score can be insufficient to reflect problems
-informal testing
-discourse analysis
-importance of qualitative insights
, apraxia - ANSWER-planning, programming deficit
-bad musical score, good orchestra
-left hemisphere cortical damage
-phonetic-motoric disorder
-words wont come out right/mispronounced
-complaints about articulation
-segmental and prosodic distortion
dysarthria - ANSWER-neuromuscular speech production deficit, good musical score,
bad orchestra, cns or pns damage
flaccid dysarthria - ANSWER-lmn damage
-peripheral nerve injury, infection
-weakness, muscle atrophy
-lower muscle tone
-voice breathy, weak, gravely
spastic dysarthria - ANSWER-bilateral umn damage
-head trauma, motor neuron disease
-multiple strokes
-weakness, slowness, excessive muscle tone
-voice may be strained/strangled, effortful speech, monotone, whispery
ataxic dysarthria - ANSWER-cerebellar damage
-degenerative atrophy, stroke, trauma
-strength typically normal
-coordination, regulation disrupted
-movements become clumsy
-articulation errors irregular, variable
-sounds like alcohol intoxication
hypokinetic dysarthria - ANSWER-basal ganglia damage, reduced movement
-often caused by Parkinson's disease
-too much motor cortex inhibition
-slow, small amplitude, weak movements
-weak, breathy, monotone voice
-smaller steps, handwriting
-in some cases: rapid rushes of speech
hyperkinetic dysarthria - ANSWER-basal ganglia damage
-toxic/metabolic causes
-too little motor inhibition
-involuntary movements, increased movements
-speech patterns vary widely
-visible consequences can be troubling
unilateral umn dysarthria - ANSWER-cortical stroke
-most cranial nerve bilaterally innervated
-lower face and part of tongue are exceptions
-aphasia/apraxia may be present
