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COTA Exam

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
cerebrovascular accident   (stroke) sudden loss of blood supply to the brain that damages and kills brain cells, thus resulting in neurological deficits related to the involved areas of the brain  
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hemiplegia   one-sided paralysis  
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hemiparesis   partial motor loss on one side of the body  
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transient ischemic attack   (TIA) incomplete stroke. temporary. symptoms are usually mild, develop suddenly, and last for a few minutes up to 24 hours  
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ischemic stroke   80% of total strokes. may be caused by a thrombus (blood clot that causes blockage) or an embolus (traveling blood clot)  
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hemorrhagic stroke   occurs when a rupture of a blood vessel results in bleeding into the brain. 20% of all strokes. high death rate  
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flaccid paralysis   absence of muscle tone  
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hypotonicity   low muscle tone  
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deep vein thrombosis   (DVT) the most common complication after a CVA. usually develops in the paretic leg  
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subluxation   separation of the glenohumeral joint (glenoid fossa of scapular and head of humerus) due to paralysis or weakness of the rotator cuff muscles and spasticity of scapula muscles  
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synergy   flaccid paralysis is often replaced by spastic paralysis resulting in a nonfunctional extremity. clients move the affected extremities in flexion and extension patterns called synergies. may progress to contractures or deformities w/o intervention  
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hypertonicity   high muscle tone. tends to increase with stressful bodily changes such as pain, fatigue, infections, injury, ulcers, and bowel dysfunction  
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hemianopsia   a permanent visual defect after a stroke that results in a loss of vision on the contralateral half of the visual field of the lateral (temporal) aspect of the hemiplegic side and the medial (nasal) aspect of the unaffected side  
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motor preservation   meaningless, nonpurposeful repititon of an action  
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emotional liability   the inability to control the expression of emotions  
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dysphagia   difficulty swallowing or the inability to swallow. caused by sensory loss and muscle weakness in the structures of the mouth and throat  
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aphasia   an acquired language disorder that may result in a wide variety of deficits  
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alexia   difficulty in reading comprehension  
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agraphia   inability to comprehend written expression  
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acalculia   difficulty in mathematical skills  
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anomia   word-finding difficulty  
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Brocha's aphasia   difficulty speaking (expressive)  
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Wernike's aphasia   problems understanding language (receptive)  
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global aphasia   difficulty with speaking and understanding language, combination of Brocha and Wernike  
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dysarthria   difficulty pronouncing many sounds or combinations of sounds, causing slurred speech  
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