Lec 08: Rehabilitation of Stroke Flashcards Preview

[OS 211] Neurology E1 Trans Cluster 4 > Lec 08: Rehabilitation of Stroke > Flashcards

Flashcards in Lec 08: Rehabilitation of Stroke Deck (25)
Loading flashcards...
1
Q

T/F: There is usually extension synergy in the upper extremities after stroke.

A

F

UE - flexion
LE - extension

2
Q

This vessel is the most commonly involved in stokes.

A. middle cerebral artery
B. basilar artery
C. vertebral artery
D. anterior cerebral artery
E. posterior cerebral artery
A

A. MCA

3
Q

Enumerate three primary goals of rehabilitation in stroke.

A

prevent complications
minimize impairment
maximize function

4
Q

ID: This still ‘off label’ use drug has shown potential to promote neuroplasticity in the cerebral cortex for memory and learning.

A

dopamine

Meanwhile, SSRIs regulate memory, mood, sleep, and activate cortical motor areas.

5
Q

ID: This is the inability to identify objects in the hand.

A

astereognosia

6
Q

The following sign/s is/are strongly predictive of of aspiration post-stroke

A. severe dysphagia
B. abnormal pharyngeal sensation
C. abnormal gag reflex
D. A & B only
E. AOTA
A

D.

Abnormal gag reflex is a poorly reliable predictor of aspiration.

7
Q

This is the best management for upper limb complex regional pain syndrome (UE-CRPS).

A. tramadol and gabapentin
B. desensitization
C. early mobilization
D. stellate ganglion block
E. transcutaneous electrical nerve stimulation
A

C. early mobilization

8
Q

The following are included in the Braden scale for risk of pressure ulcers EXCEPT

A. sensory perception
B. moisture
C. nutrition
D. blood pressure
E. NOTA
A

D. blood pressure

Risk factors include:

sensory perception
moisture
activity
mobility
nutrition
friction and shear
9
Q

ID: What is the main sign/symptom of deep vein thrombosis?

A

leg swelling

10
Q

In 95% of stroke survivors, the best neurologic level is typically achieved after how many weeks?

A. 6 weeks
B. 9 weeks
C. 11 weeks
D. 15 weeks
E. NOTA
A

C. 11 weeks

This however may vary depending on the severity of the stoke.

11
Q

The affected limb in stoke should be mobilized or used for how long in one day?

A. 50% of waking hours
B. 60% of waking hours
C. 70% of waking hours
D. 80% of waking hours
E. 90% of waking hours
A

E. 90% of waking hours

12
Q

ID: This is a treadmill location training with assistance of a robot-drive gait orthosis.

A

Lokomat

13
Q

Urinary incontinence has higher incidence in patients with

A. increased age
B. increased stroke severity
C. presence of diabetes
D. A & B only
E. AOTA
A

E. AOTA

14
Q

ID: This antidepressant also improves motor strength and can help in motor recovery.

A

fluoxetine

15
Q

Enumerate the two scales used for neurologic and cognitive status assessment.

A

NIHSS (NIH Stroke Scale)

GCS (Glasgow Coma Scale)

16
Q

True of neuroplasticity EXCEPT

A. allows structural reorganization
B. restitution of partially damaged pathways
C. reduction of representational brain maps
D. modification of neuronal network
E. NOTA

A

C.

Representational brain maps are EXPANDED due to recruitment of latent neurons.

17
Q

This functional assessment score measures functional independence in personal care and mobility.

A. barthel index score
B. modified rankin score
C. glasgow outcome score
D. inchiong functional score
E. NOTA
A

A. barthel index score

18
Q

This is the gold standard in determining whether other stroke scales have good construct validity

A. barthel index score
B. modified rankin score
C. glasgow outcome score
D. inchiong functional score
E. NOTA
A

C. glasgow outcome score

19
Q

Early mobilization can prevent the following EXCEPT

A. deep vein thrombosis
B. skin breakdown
C. constipation
D. pneumonia
E. NOTA
A

E. NOTA

20
Q

ID: This must be integrated in the management of all stroke patients.

A

rehabilitation program

21
Q

When should the rehabilitation program start in stroke patients?

A. as soon as medical / surgical intervention is completed
B. as soon as the patient is medically stable
C. as soon as two weeks after the intervention
D. as soon as the patient regain basic reflexes
E. NOTA

A

B. medically stable

22
Q

This is the most common complication of stroke.

A. deep vein thrombosis
B. motor impairment
C. communication impairment
D. sensory deficits
E. cognitive deficits
A

B. motor impairment

23
Q

ID: Communication impairment usually presents as

A

slurring of speech

24
Q

ID: This is the most basic test for dysphagia screening.

A

simple bedside swallowing evaluation (GUSS)

25
Q

The patient is at risk for ulcer in the braden scale in less that

A. 14
B. 15
C. 16
D. 17
E. depends on the type of lesion
A

C. 16