CERTIFIED STROKE REHABILITATION SPECIALIST (CSRS 2021) QUESTIONS AND CORRECT ANSWERS

CERTIFIED STROKE REHABILITATION
SPECIALIST (CSRS 2021) QUESTIONS
AND CORRECT ANSWERS

TypesA2ofA2stroke
(LessonA22)A2-A2Ans--Ischemic:A287%
-Thrombotic
-Embolic
-Lacunar
Hemorrhagic:A213%
-Intracerebral
-Subarachnoid

ThromboticA2StrokeA2(Ischemic)A2-A2Ans--48%A2ofA2allA2strokesA2
-typicallyA2occursA2duringA2sleep
-slowA2progressiveA2onsetA2ofA2deficitsA2
-50%A2areA2associatedA2withA2priorA2TIA

EmbolicA2StrokeA2(Ischemic)A2-A2Ans--26%A2ofA2allA2strokes
-typicallyA2occursA2whileA2awake
-sudden,A2immediateA2deficitsA2(sometimesA2seizures)
-11%A2areA2associatedA2withA2priorA2TIA

LucunarA2StrokeA2(Ischemic)A2
smallA2vesselA2diseaseA2-A2Ans--13%A2ofA2allA2strokesA2
-smallA2infarctA2(>15-20A2cm)A2deepA2inA2theA2brainA2
-onsetA2canA2beA2gradualA2orA2suddenA2
-23%A2associatedA2withA2proceedingA2TIA
-oftenA2pureA2sensoryA2orA2motorA2symptoms
-typicallyA2noA2higherA2corticalA2functionalA2involved

IntracerebralA2HemmorhageA2(ICH)A2-A2Ans--10%A2ofA2allA2strokes
-90%A2happenA2withA2theA2patientA2isA2underA2"noA2stress"A2
-majorA2causeA2ofA2"hypertension"A2
-onsetA2mayA2beA2gradualA2orA2suddenA2
-8%A2areA2associatedA2withA2priorA2TIAA2
-directA2correlationA2withA2highA2bloodA2pressure/A2hypertension

SubarachnoidA2HemorrhageA2(SAH)A2-A2Ans--3%A2ofA2allA2stroke
-occursA2oftenA2duringA2strenuousA2activityA2
-cause:A2ruptureA2aneurysmsA2andA2vascularA2malformationsA2
-suddenA2onset
-7%A2areA2associatedA2withA2precedingA2TIA

,LeftA2StrokeA2withA2RightA2HemiplegiaA2-A2Ans---Language/PerceptualA2problemsA2
-expressiveA2aphasiaA2
-receptiveA2aphasia
-globalA2aphasiaA2
-alexia,A2agraphiaA2,A2acalculia
-apraxias:A2motorA2planningA2perceptualA2problemsA2
(ImpairedA2verbalA2andA2mathA2skillsA2withA2wordA2letterA2discrimination

LeftA2StrokeA2withA2RightA2HemiplegiaA2(BEHAVIORS)A2-A2Ans---
Slow,A2anxious,A2cautious,A2normalA2attentionA2span
-underestimatedA2abilitiesA2
-emotionallyA2labileA2(A2abruptA2moodA2changes)
-quickA2toA2angerA2and/orA2becomeA2frustrated

RightA2StrokeA2withA2LeftA2HemiplegiaA2-A2Ans--PerceptualA2problems/
A2DistortionA2ofA2physicalA2reality
-visualA2spatialA2disordersA2:depthA2perception
-constructionalA2relationships
-directionalA2conceptsA2
-neglect,A2drawingA2abilitiesA2
-bodyA2schemaA2perceptionA2disorders;A2
-perceptualA2languageA2disordersA2
language

RightA2StrokeA2withA2LeftA2HemiplegiaA2(BEHAVIORS)A2-A2Ans---fastA2andA2impulsiveA2
-shortA2attentionA2span
-overestimateA2abilities/A2judgementA2
-denialA2ofA2illnessA2(anosognosia)A2
-lackA2ofA2inhibition
-inabilityA2toA2expressA2emotionsA2/affectA2isA2flat

CerebrumA2-A2Ans---frontal,A2parietal,A2temporal,A2andA2occipitalA2lobesA2
-consistingA2ofA2twoA2hemispheres,A2leftA2andA2right,A2separatedA2byA2aA2fissure
-
responsibleA2forA2theA2integrationA2ofA2complexA2sensoryA2andA2neuralA2functionsA2andA2t
heA2initiationA2andA2coordinationA2ofA2voluntaryA2activityA2inA2theA2body.
initiatesA2andA2coordinatesA2movementA2andA2regulatesA2temperature.A2OtherA2areasA2of
A2theA2cerebrumA2enableA2speech,A2judgment,A2thinkingA2andA2reasoning,A2problem-
solving,A2emotionsA2andA2learning.

FrontalA2LobeA2-A2Ans---controlsA2voluntaryA2movement
-thinkingA2problemA2solving
-reasoningA2judgement
-personality

,PrimaryA2MotorA2Cortex
(motorA2homunculus)A2-A2Ans---locatedA2onA2theA2pre-centralA2gyrusA2
-controlsA2voluntaryA2movement
-lesionA2toA2thisA2areaA2resultsA2inA2motorA2deficitsA2and/
orA2paralysisA2toA2theA2contralateralA2sideA2ofA2theA2body

PremotorA2CortexA2-A2Ans---locatedA2justA2anteriorA2toA2theA2primaryA2motorA2cortex
-controlsA2actionsA2ofA2trunkA2andA2proximalA2limbA2muscles
-responsibleA2forA2bodyA2partA2ownership
-lesionA2toA2thisA2areaA2resultA2inA2unilateralA2neglect

SupplementaryA2MotorA2CortexA2-A2Ans---
locatedA2medialA2toA2theA2primaryA2motorA2cortexA2
-motorA2planningA2region
-storesA2motorA2memoriesA2andA2directsA2activityA2ofA2primaryA2motorA2cortex
-lesionA2mayA2resultA2inA2apraxia

Broca'sA2AreaA2-A2Ans--ControlsA2languageA2expressionA2-
A2anA2areaA2ofA2theA2frontalA2lobe,A2usuallyA2inA2theA2leftA2hemisphere,A2thatA2directsA2theA
2muscleA2movementsA2involvedA2inA2speech.
-SpeechA2motorA2areaA2(expressive)
-locatedA2onlyA2inA2theA2leftA2sideA2ofA2theA2brainA2inA290%A2ofA2peopleA2
-canA2beA2flippedA2withA2leftA2-handedA2people

Wernike'sA2AreaA2-A2Ans--languageA2comprehension
-locatedA2inA2theA2leftA2hemisphereA2inA290%A2ofA2people
-
importantA2forA2understandingA2languageA2including:A2verbalA2signA2andA2writtenA2langua
ge
-
correspondingA2areaA2contralaterallyA2responsibleA2forA2interpretationA2ofA2nonverbalA2co
mmunicationA2
-damageA2resultsA2inA2receptiveA2aphasiaA2(

ParietalA2LobeA2-A2Ans--
AA2regionA2ofA2theA2cerebralA2cortexA2whoseA2functionsA2includeA2processingA2information
A2aboutA2touch.
-perception
-processingA2ofA2sensation
-spatialA2awareness

SomatosensoryA2Cortex
-SensoryA2HomunculusA2-A2Ans--
areaA2atA2theA2frontA2ofA2theA2parietalA2lobesA2thatA2registersA2andA2processesA2bodyA2tou
chA2andA2movementA2sensationsA2(BrodmannA2areaA21,2,A23aA2andA23b)A2
-locatedA2onA2theA2postcentralA2gyrus

, -perceivesA2pain,A2temperature,A2pressure
-touch,A2vibration,A2andA2proprioception

ParietotemporalA2AssociationA2CortexA2-A2Ans--located:
-posteriorA2andA2inferiorA2portionA2ofA2theA2parietalA2lobe
-overlapsA2parietalA2andA2temporalA2lobe
-involvedA2inA2abstractA2thought,A2readingA2andA2writing
-mathematics,A2spatialA2perception
-understandingA2writtenA2languageA2(angularA2gyrus)

OccipitalA2LobeA2-A2Ans--
AA2regionA2ofA2theA2cerebralA2cortexA2thatA2processesA2visualA2information
-containA2twoA2importantA2regions
-PrimaryA2VisualA2Cortex
-VisualA2AssociationA2Area

PrimaryA2VisualA2CortesA2(A2OccipitalA2Lobe)A2-A2Ans--ResponsibleA2for:
-visualA2perception
-receivingA2visualA2inputA2fromA2theA2contralateralA2visualA2field
DamageA2resultsA2in:
-hemianopsia:A2injuryA2onA2oneA2side
-corticalA2blindnessA2:A2bilateralA2injuryA2
-
qudrantanopia:A2anopiaA2affectingA2aA2quarterA2ofA2theA2fieldA2ofA2vision.A2(describesA2def
ectsA2confinedA2mostlyA2toA2approximatelyA2one-fourthA2ofA2anA2eye'sA2visualA2space)

VisualA2AssociationA2AreaA2(OccipitalA2Lobe)A2-A2Ans--
LocatedA2anteriorA2toA2theA2primaryA2visualA2cortex
ResponsibleA2for:
-interpretationA2ofA2visualA2stimuliA2(spatialA2perceptionA2&A2recognitionA2ofA2faces)
DamageA2resultsA2in:
-
visualA2agnosia:A2theA2patientA2canA2seeA2theA2itemA2howeverA2theyA2canA2notA2recognize
A2it


TemporalA2LobeA2-A2Ans--
AnA2areaA2onA2eachA2hemisphereA2ofA2theA2cerebralA2cortexA2nearA2theA2templesA2thatA2is
A2theA2primaryA2receivingA2areaA2forA2auditoryA2information
-limbicA2systemA2(responsibleA2forA2emotionA2&A2memory)
-auditoryA2system
-olfactoryA2system
-facialA2recognition

AphasiaA2(3A2types)A2-A2Ans--
AA2languageA2disorderA2thatA2affectsA2aA2person'sA2abilityA2toA2communicate.