STROKE REHABILITATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS

What should All suspected stroke patients be admitted directly and what does this allow? correct answer: o Specialist acute stroke unit: o Early recognition and treatment of complications o MDT working o Co-ordinated and organised in-patient care with weekly MDT meetings o Programmes of education and training for staff, patients, carers o Involvement of carers in rehabilitation o Staff interest and expertise Define aphasia correct answer: loss of ability to understand or express speech due to brain dysfunction What is expressive dysphasia? correct answer: o understands language, but cannot find the right words o recognises incorrect language o reading and writing may be affected What is receptive dysphasia? correct answer: o inability to understand language o does not recognise error in speech o reading & writing affected What is dysarthria? correct answer: • know what they want to say, but cannot get the words out correctly • understanding, ready & writing notaffected What is hemianopia? correct answer: Loss of one half of the visual fields Define apraxia correct answer: Difficulty in performing tasks despite intact motor function Define asterognosis correct answer: Inability to identify objects in both hands by touch alone despite intact sensation Define agnosia correct answer: o Inability to recognise objects. o Persons, sounds, shapes or smells when the specific sense is intact or these is no memory loss Define inattention correct answer: Inability to attend to stimuli bilaterally despite intact sensation When does aphasia usually occur? correct answer: occurs when someone has a left hemisphere stroke - usually when Broca's or Wernicke's are the site of the location What is Receptive dysphasia due to? correct answer: a lesion in Wernicke's area and results in the inability to understand language correctly What is receptive dysphagia usually associated with? correct answer: • there is often a combination of expressive and receptive dysphasia, as the two areas are closely related anatomically What is the difference between dysarthria and aphasia? correct answer: • in dysarthria, comprehension, reading and writing should not be affected Define dysarthria correct answer: o motor disturbance of speech o a problem of weak muscles and reduced control affecting the ability to speakclearly How may a person with dysarthria appear? correct answer: • The person may sound slurred, get easily out of breath and have a flat-sounding voice Define dyspraxia correct answer: • Dyspra