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bassich midterm (test two)

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Question
Answer
Ataxia   show
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show finger to nose test: Under or Overshoot (ataxia)  
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show Decreased muscle tone (ataxia,flaccid) reduced phonation - (hypo) masked face, reduced eye blink decreased phonation/soft voice- (hypo)  
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Intention tremor   show
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show Involuntary eye-jerk movement (ataxic)  
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show muscle shrinkage. Ex:Jaw, tongue (flaccid)  
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fasciculations   show
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show fast "dance like" uncontrollable/unpredictable movements (hyper)  
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show very slow movements (hyper)  
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athetosis   show
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show not slow/not fast (hyper)  
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Myoclonus   show
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show faster hyperkenetic movements (hyper)  
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show resting termor, benign essential tremor, (hyper-general tremor) intention tremor  
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show stiffness, cramping (cogwheel-little jerks) (hypo)  
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show slow movement (latency) (hypo)  
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resting tremor   show
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show lack of movement, freezing (hypo)  
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show resistance to stretching (clasp knife-sudden give way) (spastic)  
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pathological reflexes   show
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pseudobulbar affect micrographia   show
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show Group of MSDs associated w/ disturbed muscular execution or control of the speech mechanism due to cns/pns  
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show Bilateral chronic UMN  
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Spastic: Medical conditions/Neurological condition   show
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Spastic:Speech characteristics/ Auditory perceptual signs   show
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show AMRs sound REGULAR, SLOW rate reduced ROM Reduced force  
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Spastic: Neurological signs/neuro muscular characteristics   show
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Spastic:Speaker/Pt Complaint   show
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show unilateral acute cerebral hemispheres  
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UUMN: medical/Neurolofical conditions   show
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show Minimal effects imprecise lingual consonants  
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UUMN:Non-speech movement deficits   show
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show Test for Central Facial Weakness: Facial Droop but CAN wrinkle forehead,raise eyebrow,blink eye  
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UUMN:Speaker/Pt complaints   show
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Hypokinetic: Place of lesion   show
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Hypokinetic:Medical/Neurological conditions   show
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Hypokinetic:Speech/Auditory perceptual characteroistics   show
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show Very reduced ROM- non speech repetitive Reduced ROM -individual movements  
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Hypokinetic:Neurologic signs/ Neurmuscular characteristic   show
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show Reduced Loudness (listener complaint) Rapid rate Mumbling or Stuttering Difficulty initiating speech Reports that "people tell them..."- not their perception Stiff lip- also other stiffness and cramps  
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HYPERkinetic: Place of lesion   show
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Hyperkinetic:Medical/neurological conditions   show
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Hyperkinetic: CHOREA :Speech/Audiological perceptual characteristics   show
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show Distorted Vowels Harsh Irregular artic breakdowns Inappropriate silences voice stoppages (phonatory:breaks,instability) Improves w/ sensory trick. Ex. Bite block  
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show not important clues for dx  
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show Adventitious Movements: Chorea Dystonia Dyskinesia Tics Myoclonus  
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show Effortful speech Involuntary oral movements chewing/swallowing difficulty  
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Hyperkinetic: DYSTONIA :Speaker/Pt complaint   show
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show Cerebellum  
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show Damage to Cerebellum, TBI ? Unilateral Cortical stroke  
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show Irregular articulatory breakdowns Scanning Speech: prolonged phonemes& excess/equal stress in ea syllable Excessive loudness variation hyponasality Vowel distortions Voiced for Voiceless errors  
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show Irregular AMRs-Uncoordinated (SMR) ROM for individual and repetitive movements can be excessive  
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Ataxic:Common Neurological Signs/ Neuromuscular characteristics   show
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show "Drunk" speech Stumbling over words Biting Tongue or cheek when speaking/eating Deterioration of Speech w/ alcohol Poor coordination of breathing w/ speech  
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show PNS (CNs)  
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Flaccid: Medical/Neurological Conditions   show
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show Depends on CN or Nerves involved and if its bilater or unilateral lesion  
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show Useful ti ID Myasthenia Gravis  
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What is Myasthenia Gravis   show
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Stress Test:Task and performance?   show
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show Reduced: muscle TONE, RATE of individual movements, RANGE of repetitive movements  
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show Atrophy Fasciculations Hypotonia Decreased gag- if high vagal lesion  
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show Variation depending on the specific CN involved. Specific compensation depending on site of weakness Perceptual Features: HYpernasaility, Audible inhalation/exhalation, imprecise vowel/consonant production  
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Mixed: Medical/Neurological conditions   show
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Differentiation between resting tremor associated with PD and Benign Essential Tremor   show
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CN V- Trigeminal: Function   show
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show Jaw elevation against resistance 6 Light and deep touch to pt face, eyes closed Right/Left light touch to tongue, eyes closed  
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show Upper and Lower Face Taste to ant 2/3 tongue  
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show Facial Movement:Wrinkle forehead,blink,smile,pucker Salt water/ Sugar water: what do you taste  
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show General sensation to post 1/3 tongue Taste to Post 1/3 tongue  
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show Test light touch Test taste of something sour  
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show Pharynx- velum Larynx- Vfs no speech sensory  
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show Velar elevation: ee-ee-ee Phonation:say "ah" for as long as you can Pitch glide: say ah, increase pitch  
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show tongue no sensory  
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show tongue at rest lateralization elevation/depression  
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Primitive Reflexives:   show
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Snout Reflex   show
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sucking reflex   show
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show Test:pt relaxed lips parted, jaw open. Tap chin Abnormal: quickly close jaw  
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Test for Central Facial Weakness   show
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why?   show
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show Articulatory agility "pa pa pa "ta" "ka" rapid and precise  
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show Sequencing /coordination "Pataka" fast suggests ataxia or apraxia  
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Additional observations to make during tasks   show
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show Branches 1-3 palatal muscles & Larynx Hypernasality Soft Breathy voice Cant raise pitch  
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show Spare palate inability to raise pitch soft breathy voice  
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Low vagal lesion (5)   show
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