CERTIFIED STROKE REHABILITATION SPECIALIST
QUESTIONS AND ANSWERS(CSRS 2025/ 2026 )
Left Stroke with Right Hemiplegia (BEHAVIORS) -
ANSWER ->-Slow, anxious, cautious, normal attention
span
-underestimated abilities
-emotionally labile ( abrupt mood changes)
-quick to anger and/or become frustrated
Right Stroke with Left Hemiplegia - ANSWER ->Perceptual
problems/ Distortion of physical reality
-visual spatial disorders :depth perception
-constructional relationships
-directional concepts
-neglect, drawing abilities
-body schema perception disorders;
-perceptual language disorders
language
Right Stroke with Left Hemiplegia (BEHAVIORS) -
ANSWER ->-fast and impulsive
-short attention span
-overestimate abilities/ judgement
,-denial of illness (anosognosia)
-lack of inhibition
-inability to express emotions /affect is flat
Cerebrum - ANSWER ->-frontal, parietal, temporal, and
occipital lobes
-consisting of two hemispheres, left and right, separated
by a fissure
-responsible for the integration of complex sensory and
neural functions and the initiation and coordination of
voluntary activity in the body.
initiates and coordinates movement and regulates
temperature. Other areas of the cerebrum enable
speech, judgment, thinking and reasoning, problem-
solving, emotions and learning.
Frontal Lobe - ANSWER ->-controls voluntary movement
-thinking problem solving
-reasoning judgement
-personality
Primary Motor Cortex
(motor homunculus) - ANSWER ->-located on the pre-
central gyrus
-controls voluntary movement
,-lesion to this area results in motor deficits and/or
paralysis to the contralateral side of the body
Premotor Cortex - ANSWER ->-located just anterior to
the primary motor cortex
-controls actions of trunk and proximal limb muscles
-responsible for body part ownership
-lesion to this area result in unilateral neglect
Supplementary Motor Cortex - ANSWER ->-located
medial to the primary motor cortex
-motor planning region
-stores motor memories and directs activity of primary
motor cortex
-lesion may result in apraxia
Broca's Area - ANSWER ->Controls language expression -
an area of the frontal lobe, usually in the left
hemisphere, that directs the muscle movements involved
in speech.
-Speech motor area (expressive)
-located only in the left side of the brain in 90% of people
-can be flipped with left -handed people
Wernike's Area - ANSWER ->language comprehension
-located in the left hemisphere in 90% of people
, -important for understanding language including: verbal
sign and written language
-corresponding area contralaterally responsible for
interpretation of nonverbal communication
-damage results in receptive aphasia (
Parietal Lobe - ANSWER ->A region of the cerebral cortex
whose functions include processing information about
touch.
-perception
-processing of sensation
-spatial awareness
Types of strokes
(Lesson 2) - ANSWER ->Ischemic: 87%
-Thrombotic
-Embolic
-Lacunar
Hemorrhagic: 13%
-Intracerebral
-Subarachnoid
Thrombotic Stroke (Ischemic) - ANSWER ->48% of all
strokes
-typically occurs during sleep
-slow progressive onset of deficits
-50% are associated with prior TIA
QUESTIONS AND ANSWERS(CSRS 2025/ 2026 )
Left Stroke with Right Hemiplegia (BEHAVIORS) -
ANSWER ->-Slow, anxious, cautious, normal attention
span
-underestimated abilities
-emotionally labile ( abrupt mood changes)
-quick to anger and/or become frustrated
Right Stroke with Left Hemiplegia - ANSWER ->Perceptual
problems/ Distortion of physical reality
-visual spatial disorders :depth perception
-constructional relationships
-directional concepts
-neglect, drawing abilities
-body schema perception disorders;
-perceptual language disorders
language
Right Stroke with Left Hemiplegia (BEHAVIORS) -
ANSWER ->-fast and impulsive
-short attention span
-overestimate abilities/ judgement
,-denial of illness (anosognosia)
-lack of inhibition
-inability to express emotions /affect is flat
Cerebrum - ANSWER ->-frontal, parietal, temporal, and
occipital lobes
-consisting of two hemispheres, left and right, separated
by a fissure
-responsible for the integration of complex sensory and
neural functions and the initiation and coordination of
voluntary activity in the body.
initiates and coordinates movement and regulates
temperature. Other areas of the cerebrum enable
speech, judgment, thinking and reasoning, problem-
solving, emotions and learning.
Frontal Lobe - ANSWER ->-controls voluntary movement
-thinking problem solving
-reasoning judgement
-personality
Primary Motor Cortex
(motor homunculus) - ANSWER ->-located on the pre-
central gyrus
-controls voluntary movement
,-lesion to this area results in motor deficits and/or
paralysis to the contralateral side of the body
Premotor Cortex - ANSWER ->-located just anterior to
the primary motor cortex
-controls actions of trunk and proximal limb muscles
-responsible for body part ownership
-lesion to this area result in unilateral neglect
Supplementary Motor Cortex - ANSWER ->-located
medial to the primary motor cortex
-motor planning region
-stores motor memories and directs activity of primary
motor cortex
-lesion may result in apraxia
Broca's Area - ANSWER ->Controls language expression -
an area of the frontal lobe, usually in the left
hemisphere, that directs the muscle movements involved
in speech.
-Speech motor area (expressive)
-located only in the left side of the brain in 90% of people
-can be flipped with left -handed people
Wernike's Area - ANSWER ->language comprehension
-located in the left hemisphere in 90% of people
, -important for understanding language including: verbal
sign and written language
-corresponding area contralaterally responsible for
interpretation of nonverbal communication
-damage results in receptive aphasia (
Parietal Lobe - ANSWER ->A region of the cerebral cortex
whose functions include processing information about
touch.
-perception
-processing of sensation
-spatial awareness
Types of strokes
(Lesson 2) - ANSWER ->Ischemic: 87%
-Thrombotic
-Embolic
-Lacunar
Hemorrhagic: 13%
-Intracerebral
-Subarachnoid
Thrombotic Stroke (Ischemic) - ANSWER ->48% of all
strokes
-typically occurs during sleep
-slow progressive onset of deficits
-50% are associated with prior TIA
