CMSD 636 Study Questions Chapter I: Medical Aspects

Types of Strokes

1. Explain stroke/cerebral vascular accident (CVA).

2. What is a brain attack?

3. Descibes the different types of ischemic strokes.

4. What is intraparnchymal bleeding?

5. Explain the differences between transcient ischemic attack (TIA) and reversible ischemic neurological defect (RIND).

CMSD 636 Study Questions Chapter 2: Medical Aspects: Neurophysiological Changes

1. Describe the several types of neurological changes that occur after a CVA or a TBI. e.g. those occurring after neurons are deprived of oxygen.

2. What is diachisis?

3. What are the characteristics of brain function due to edema?

CMSD 636 Study Questions Chapter 3: Medical Aspects: The Stroke Prone Profile

1. Describe the stroke prone profile.

2. Describe the five most important items on the profile.

CMSD 636 Study Questions Chapter 4: The Blood Supply

1. Describe the three major arteries that take blood to the brain.

2. Describe the three major cerebral arteries.

3. Explain the affects of interruption to the blood supply for each of those arteries.

4. Describe the role of the circle of Willis.

5. What is the significance of the communicating arteries?

6. Explain collateral circulation.

CMSD 636 Study Questions Chapter 5: Aphasia Characteristics

1. Describe and give examples of anomia.

. Describe and give examples of the different types of paraphasias.

3. Discuss the emotional concomitants of aphasia.

4. Describe the physical aspects of typical aphasic patients.

CMSD 636 Study Questions Chapter 6: Aphasia: Major Syndromes

1. What percentage of cases match up with a recognized sub-type of aphasia?

2. Explain localization.

3. Discuss the use of the the Rating Scale of Speech Characteristics from the Boston Diagnostic Aphasia Examination.

CMSD 636 Study Questions Chapter 7: Aphasia: Specific Syndromes (the non-fluent Aphasias)

1. Which aphasias are the non-fluent type?

2. Where are the sites of lesion in non-fluent aphasia?

3. Which is the most common of the non-fluent aphasias? 4. Would you expect dysarthria and apraxia to be present with non-fluent aphasias?

5. Is one more likely to see upper motor lesions with fluent aphasia? Explain!

6. What are the characteristics of Broca's aphasia?

7. Describe transcortical motor aphasia.

CMSD 636 Study Questions Chapter 8: Specific Syndromes ( the fluent aphasias)

1. What is fluent aphasia?

2. Why do fluent aphasias result from post Rolandic lesions?

3. Describe conduction aphasia.

4. Describe transcortical sensory aphasia.

5. Why is transcortical sensory aphasia sometimes confused with Wernicke's?

6. How does anomic aphasia fit in?

7. Would you include mixed aphasias here?

CMSD 636 Study Questions Chapter 9: Aphasia: Diagnosis

1. Why is repetition so important in the diagnosis of aphasia?

2. Discuss the development of the Boston Examination by Goodglass and Kaplan.

3. Discuss strengths and weaknesses of the Boston.

4. Describe two other tests of aphasia.

CMSD 636 Study Questions Chapter 10: Aphasia: Therapy

1. Describe Schuell's approach to remediation of aphasia.

2. Describe Duffy's modifications os Schuells approach.

3. Describe La Pointe's programmed stimulation approach.

4. What is Visual Action Therapy?

5. Explain how Sparks and Holland's Melodic Intonation could be used for both aphasia and apraxia.

6. Describe and give examples of PACE Therapy.

CMSD 636 Study Questions Chapter 11: Traumatic Brain Injury: Effects of Closed Head Injury

1. Discuss traumatic brain injury.

2. Describe the effects of closed head injury (CHI).

3. Explain the differences between acceleration-deceleration trauma and coup-contra coup.

4. Discuss rotational trauma. 5. Discuss epidural, subdural, and subarachnoid bleeding.

6. What causes tentorial herniation?

7. Explain diffuse and focal brain injuries.

8. Describe the Glascow Coma Scale.

CMSD 636 Study Questions Chapter 12: Closed Head Injury: Recovery and Remediation

1. Discuss the recovery of abilities after CHI.

2. What does Bach y Rita say about neural plasticity?

3. Describe Adamovitch, Henderson'and La Pointe's therapy recommendations.

4. Describe Chapey's therapy for convergent thinking, divergent thinking, deductive reasoning, inductive reasoning, multi-process reasoning, working memory, and orientation.

CMSD 636 Study Questions Chapter 13: Right Hemisphere Involvement: Symptoms and Diagnosis

1. Discuss, in general terms, the effects of right hemisphere lesions.

2. Describe a typical right hemisphere disordered (RHD) patient.

3. Compare linguistic and non-linguistic deficits.

4. Describe left side neglect (LSN).

5. Is LSN a perceptual problem?

6. Is there visual field involvement wih LSN?

7. Do RHD patients usually have aphasia?

CMSD 636 Study Questions Chapter 14: Right Hemisphere Involvement: Evaluation

1. Explain how one would go about assessing a patient with right hemisphere disorder (RHD).

2. Describe some of the commercially available instruments used to evaluate right hemisphere disorder (RHD).

3. Explain Myers and Mackisack's clinical procedures.

CMSD 636 Study Questions Chapter 15: Right Hemisphere Involvement: Evaluation

1. Write a brief statement on your philosophical approach toward therapy for right hemisphere disorder (RHD) or syndrome.

2. Describe comercially available materials that are recommended for clinicians working with RHD.

3. Describe Myers and Mackisack's therapy approach for neglect and visuospatial processing problems.

4. Explain and describe how Promoting Aphasics' Communicative Effectiveness (PACE) by Davis could be modified for RHD.

Revised 1/19/2012