| Term 
 | Definition 
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        | Term 
 
        | waxing and waning symptoms: |  | Definition 
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        | Term 
 
        | subacute onset of symptoms: |  | Definition 
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        | Term 
 | Definition 
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        | Term 
 | Definition 
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        | Term 
 
        | Guillaine Barre starts in __ and worsk way up, may have had URI or immunizations. |  | Definition 
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        | Term 
 
        | Levels of consciousness from least concscious to most conscious: |  | Definition 
 
        | coma> stupor> delirium> lethargy> confusion> A&O x3 |  | 
        |  | 
        
        | Term 
 
        | Hemiplagia is caused by damage to the __ __ __ the brainstem. It is __ brain damage with __ early on and then __. There is NO spontaneous movement. |  | Definition 
 
        | - corticospinal tract above the brainstem - paralysis early on then spasticity
 - no spont mvment
 |  | 
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        | Term 
 
        | Decorticate is damage to the __ tract. It is an abnormal __ response. Arms are tight to side, eblows, wrist and fingers flexed. Legs are __. |  | Definition 
 
        | - corticospinal tract - flexor
 - legs are extended
 |  | 
        |  | 
        
        | Term 
 
        | Decerebrate occurs with damage to the __, it is an abnormal __ response of the arms and legs. The jaws are __ and the back may be __ __. |  | Definition 
 
        | - brainstem - extensor
 - clenched
 - rigidly arched
 |  | 
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        | Term 
 
        | Sudden onset of acute confused state with disordered perceptions. sundowning occurs with this. |  | Definition 
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        | Term 
 
        | clinical syndrome of failing memory, decreased intelligence, and behavioral abnormalities. |  | Definition 
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        |  | 
        
        | Term 
 | Definition 
 
        | - response to questions - calculation
 - writing ability
 - exectution of motor
 - memory- immediate, recent, remote
 - attention span
 - judgment
 |  | 
        |  | 
        
        | Term 
 
        | Emotional stability assessment: |  | Definition 
 
        | - Mood and feelings - Thought process and content
 - Perceptual distortions and hallucinations
 - Suicidal/homicidal ideations
 |  | 
        |  | 
        
        | Term 
 
        | Speech and language skills: |  | Definition 
 
        | - voice quality - articulation
 - comprehension
 - coherence
 |  | 
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        | Term 
 
        | Pts with Broca's aphasia __ words, but cannot __ __. Reading is __, but writing is __. |  | Definition 
 
        | - understand words - cannot express self
 - reading is intact
 - writing is impaired
 |  | 
        |  | 
        
        | Term 
 
        | Pts with Wernickes aphasia __ but can't __. They have __ ___ speech. Reading and writing are __. |  | Definition 
 
        | - hear but can't understand - fluent non-sensical
 - reading and writing impaired
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | May understand only own name 
 Cannot speak to only a few words or sounds
 
 Reading and writing ability severely impaired
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | - word comprehension - repitition
 - naming
 - reading comprehension
 - writing
 |  | 
        |  | 
        
        | Term 
 
        | Folstein's Mini Mental Status Exam: |  | Definition 
 
        | Orientation (10 points) What is the; year, season, date, day, month?
 Where are we; state, county, town, clinic, floor?
 Registration (3 points)
 Name 3 objects
 Attention & Calculation (5 points)
 Serial 7’s or WORLD backwards
 Recall (3 points)
 Repeat 3 previously named objects after 10 minutes
 Language (9 points)
 Identify 2 objects
 Repeat “no ifs, ands or buts”
 Follow 3 stage command
 Read and obey written command
 Write a sentence
 Copy intersecting pentagons
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | If suspect higher order  thinking deficit could do: |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | MMSE - max score of 30
 - greater than or equal to 25 = normal
 - 24 or lower= impairment
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The cognitive impairment test is a 6 item screening test that may detect __ __ earlier. The __ the score the better. |  | Definition 
 
        | - mild demetia - lower the score the better
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | I: Olfactor II: Optic
 III: Oculomotor
 IV: Trochlear
 V: Trigeminal
 VI: Abducens
 VII: Facial
 VIII: Vestibulocochlear
 IX: Glossopharyngeal
 X: Vagus
 XI: Accessory
 XII: Hypoglossal
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