Study Cerebrovascular Accident (CVA) Flash Cards

 
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Cerebrovascular Accident (CVA)

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Characteristics of a CVA in the Cerebellum?
*DECREASED BALANCE
*ATAXIA
*DECREASED COORDINATION
*NAUSEA
*DECREASED ABILITY FOR POSTURAL ADJUSTMENT
*NYSTAGMUS
Characteristics of a CVA in the Brainstem?
*UNSTABLE VITAL SIGNS
*DECREASED CONSCIOUSNESS
*DECREASED ABILITY TO SWALLOW
*WEAKNESS ON BOTH SIDES OF THE BODY
*PARALYSIS ON BOTH SIDES OF THE BODY
Characteristics of a CVA in the left hemisphere?
*WEAKNESS, PARALYSIS OF THE RIGHT SIDE
*INCREASED FRUSTRATION
*DECREASED PROCESSING
*POSSIBLE APHASIA (EXPRESSIVE, RECEPTIVE, GLOBAL)
*POSSIBLE DYSPHAGIA
*POSSIBLE MOTOR APRAXIA (IDEOMOTOR AND IDEATIONAL)
*DECREASED DISCRIMINATION BETWEEN LEFT AND RIGHT
*RIGHT HEMIANOPSIA
Characteristics of a CVA in the right hemisphere?
*WEAKNESS, PARALYSIS OF THE LEFT SIDE
*DECREASED ATTENTION SPAN
*LEFT HEMIANOPSIA
*DECREASED AWARENESS AND JUDGEMENT
*MEMORY DEFICITS
*LEFT INATTENTION
*DECREASED ABSTRACT REASONING
*EMOTIONAL LABILITY
*IMPULSIVE BEHAVIORS
*DECREASED SPATIAL ORIENTATION
A patient is suffering from Wernicke's aphasia. Where is the site of the lesion?
MIDDLE CEREBRAL ARTERY
What parts of the brain does the Middle Cerebral Artery supply?
*FRONTAL LOBE
*TEMPORAL LOBE
*PARIETAL LOBE
True/False

If the Middle Cerebral Artery is occluded, the lower extremities will be effected more than the upper extremities.
FALSE

THE FACE AND UPPER EXTREMITIES ARE MORE AFFECTED THAN THE LOWER.
A person who suffers disability seems unaware of or denies the existence of his or her disability?
ANOSOGNOSIA
Homonymous hemianopsia often occurs if what two arteries are occluded?
*POSTERIOR CEREBRAL ARTERY
*MIDDLE CEREBRAL ARTERY
Most common site of a CVA?
MIDDLE CEREBRAL ARTERY
If a patient has a lower extremity loss, which area of the brain did the CVA occur
ANTERIOR CEREBRAL ARTERY
If a patient loses the ability to feel pain and temperature, what area did the CVA likely occur?
POSTERIOR CEREBRAL ARTERY
Impairs a person's fluency or accuracy in being able to read, write, and spell?
DYSLEXIA (POSTERIOR CEREBRAL ARTERY)
Characterized by involuntary flinging motions of the extremities. The movements are often violent and have wide amplitudes of motion?
HEMIBALLISMUS (POSTERIOR CEREBRAL ARTERY)
A disorder of the central nervous system characterized by impaired ability to read Nontechnical name?
ALEXIA (POSTERIOR CEREBRAL ARTERY)
The condition of seeing everything in the field of view as larger than it really is, which can occur in diseases of the retina or in some brain disorders?
MACROPSIA (POSTERIOR CEREBRAL ARTERY)
A defect of vision in which objects appear to be smaller than they appear to a person with normal vision?
MICROPSIA (POSTERIOR CEREBRAL ARTERY)
A visual disorder in which the patient perceives a prolonged afterimage?
PALINOPSIA (POSTERIOR CEREBRAL ARTERY)
Difficulty in telling the difference between colors?
DYSCHROMATOPSIA
Anomia?
A FORM OF APHASIA CHARACTERIZED BY PROBLEMS RECALLING WORDS OR NAMES.
Ataxia?
LACK OF MUSCLE COORDINATION DURING VOLUNTARY MOVEMENT
A stroke in the anterior cerebral artery will have an effect on what parts of the brain?
*FRONTAL LOBE
*PARIETAL LOBE
Expected impairments if a stroke occurs in the Posterior Cerebral Artery?
*PAIN AND TEMPERATURE SENSORY LOSS
*CONTRALATERAL HEMIPLEGIA (CENTRAL AREA)
*ATAXIA, ATHETOSIS OR CHOREIFORM MOVEMENTS
*QUALITY OF MOVEMENT IS IMPAIRED
*THALAMIC PAIN SYNDROME
*ANOMIA
*PROSOPAGNOSIA WITH OCCIPITAL INFARCT
*HEMIBALLISMUS
*VISUAL ANGOSIA
*HOMONYMOUS HEMIANOPSIA
*MILD HEMIPARESIS
*MEMORY IMPAIRMENT
*DYSCHROMATOPSIA
*PALINOPSIA, MICROPSIA, MACROPSIA
*ALEXIA, DYSLEXIA
*ACHROMATOPSIA
Expected impairments if a stroke occurs in the Vertebral-Basilar Artery?
*LOSS OF CONSCIOUSNESS
*HEMIPLEGIA OR TETRAPLEGIA
*COMATOSE OR VEGETATIVE STATE
*INABILITY TO SPEAK
*LOCKED-IN SYNDROME
*VERTIGO
*NYSTAGMUS
*DYSPHAGIA
*DYSARTHRIA
*SYNCOPE
*ATAXIA
Expected impairments if a stroke occurs in the Anterior Cerebral Artery?
*LOWER EXTREMITY INVOLVEMENT
*LOSS OF BOWEL AND BLADDER CONTROL
*LOSS OF BEHAVORIAL INHIBITION
*SIGNIFICANT MENTAL CHANGES
*MAY SEE NEGLECT
*MAY SEE APHASIA
*MAY SEE APRAXIA AND AGRAPHIA
*PERSEVERATION
What are secondary causes of CVA's?
*OBESITY
*HIGH CHOLESTEROL
*BEHAVIORS RELATED TO HYPERTENSION
*PHYSICAL INACTIVITY
*INCREASED ALCOHOL CONSUMPTION
What are the risk factors for CVA's?
*HYPERTENSION
*HEART DISEASE
*DIABETES MELLITUS
*CIGARETTE SMOKING
*TRANSIENT ISCHEMIC ATTACKS (TIA)
Where do TIA's most frequently occur?
CAROTID AND VERTEBROBASILAR ARTERIES
Approximately 50% of deaths occur within the first 48 hours of this kind of stroke?
HEMORRHAGE STROKE (10-15% OF CVA'S)
Ischemic?
AN INADEQUATE SUPPLY OF BLOOD TO PART OF THE BODY, CAUSED BY PARTIAL OR TOTAL BLOCKAGE OF AN ARTERY
True/False

A thrombus is an atherosclerotic plaque that develops in an artery which eventually occludes the artery?
TRUE
True/False

A thrombus can be a sold, liquid, or gas?
FALSE

EMBOLUS
True/False

An embolic CVA will often present as a headache?
TRUE
True/False

An embolic CVA often occurs with no warning?
TRUE
What is the most common artery affected by an embolus?
MIDDLE CEREBRAL ARTERY (MCA)
An embolus can be in the forms of what?
*SOLD
*LIQUID
*GAS
When do thrombotic CVA's usually occur?
*DURING SLEEP
*UPON AWAKENING
*AFTER A MYOCARDIAL INFARCTION
*POST-SURGICAL PROCEDURE
A stroke with a gradual onset is caused by what?
THROMBUS
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