STROKE REHABILITATION EXAM
QUESTIONS WITH CORRECT
MARKING SCHEME
What should All suspected stroke patients be admitted directly and what does this
allow? - Answer- o Specialist acute stroke unit:
o Early recognition and treatment of complications
o MDT working
o Co-ordinated and organised in-patient care with weekly MDT meetings
o Programmes of education and training for staff, patients, carers
o Involvement of carers in rehabilitation
o Staff interest and expertise
Define aphasia - Answer- loss of ability to understand or express speech due to brain
dysfunction
What is expressive dysphasia? - Answer- o understands language, but cannot find the
right words
o recognises incorrect language
o reading and writing may be affected
What is receptive dysphasia? - Answer- o inability to understand language
o does not recognise error in speech
o reading & writing affected
What is dysarthria? - Answer- · know what they want to say, but cannot get the words
out correctly · understanding, ready & writing notaffected
What is hemianopia? - Answer- Loss of one half of the visual fields
Define apraxia - Answer- Difficulty in performing tasks despite intact motor function
Define asterognosis - Answer- Inability to identify objects in both hands by touch alone
despite intact sensation
Define agnosia - Answer- o Inability to recognise objects.
o Persons, sounds, shapes or smells when the specific sense is intact or these is no
memory loss
Define inattention - Answer- Inability to attend to stimuli bilaterally despite intact
sensation
, When does aphasia usually occur? - Answer- occurs when someone has a left
hemisphere stroke - usually when Broca's or Wernicke's are the site of the location
What is Receptive dysphasia due to? - Answer- a lesion in Wernicke's area and results
in the inability to understand language correctly
What is receptive dysphagia usually associated with? - Answer- · there is often a
combination of expressive and receptive dysphasia, as the two areas are closely related
anatomically
What is the difference between dysarthria and aphasia? - Answer- · in dysarthria,
comprehension, reading and writing should not be affected
Define dysarthria - Answer- o motor disturbance of speech
o a problem of weak muscles and reduced control affecting the ability to speakclearly
How may a person with dysarthria appear? - Answer- · The person may sound slurred,
get easily out of breath and have a flat-sounding voice
Define dyspraxia - Answer- · Dyspraxia affects the person's ability to respond voluntarily
in conversation, but they may be able to do things
automatically e.g. greet a person
How does a person with dyspraxia appear? - Answer- · Typically, the person is unable
to repeat things and seems to grope for words and sounds
What % of people have dysphagia after stroke? - Answer- 30-50%
What members of the MDT manage dysphagia and how? - Answer- o Doctors & nurses
- screening assessments (if complex they may refer on without screening the patient
first)
o Speech & Language Therapist (SALT) - assess the patient further to check the risks
for oral intake
o Physiotherapist - assess appropriate positioning for swallowing & monitor the patient's
chest
o Occupational Therapist (OT) - assess seating for eating and drinking & look at hand-
mouth coordination and adaptations to aid eating and drinking
o Dietician - assess and monitor intake
o Health Care Assistants and Nurses - feed/ supervise when eating and drinking
o Kitchen - meals in a modified format
What are the 4 stages to eat and drink? - Answer- o Pre-oral stage
o Oral stage
o Pharyngeal stage
o Oesophageal stage
QUESTIONS WITH CORRECT
MARKING SCHEME
What should All suspected stroke patients be admitted directly and what does this
allow? - Answer- o Specialist acute stroke unit:
o Early recognition and treatment of complications
o MDT working
o Co-ordinated and organised in-patient care with weekly MDT meetings
o Programmes of education and training for staff, patients, carers
o Involvement of carers in rehabilitation
o Staff interest and expertise
Define aphasia - Answer- loss of ability to understand or express speech due to brain
dysfunction
What is expressive dysphasia? - Answer- o understands language, but cannot find the
right words
o recognises incorrect language
o reading and writing may be affected
What is receptive dysphasia? - Answer- o inability to understand language
o does not recognise error in speech
o reading & writing affected
What is dysarthria? - Answer- · know what they want to say, but cannot get the words
out correctly · understanding, ready & writing notaffected
What is hemianopia? - Answer- Loss of one half of the visual fields
Define apraxia - Answer- Difficulty in performing tasks despite intact motor function
Define asterognosis - Answer- Inability to identify objects in both hands by touch alone
despite intact sensation
Define agnosia - Answer- o Inability to recognise objects.
o Persons, sounds, shapes or smells when the specific sense is intact or these is no
memory loss
Define inattention - Answer- Inability to attend to stimuli bilaterally despite intact
sensation
, When does aphasia usually occur? - Answer- occurs when someone has a left
hemisphere stroke - usually when Broca's or Wernicke's are the site of the location
What is Receptive dysphasia due to? - Answer- a lesion in Wernicke's area and results
in the inability to understand language correctly
What is receptive dysphagia usually associated with? - Answer- · there is often a
combination of expressive and receptive dysphasia, as the two areas are closely related
anatomically
What is the difference between dysarthria and aphasia? - Answer- · in dysarthria,
comprehension, reading and writing should not be affected
Define dysarthria - Answer- o motor disturbance of speech
o a problem of weak muscles and reduced control affecting the ability to speakclearly
How may a person with dysarthria appear? - Answer- · The person may sound slurred,
get easily out of breath and have a flat-sounding voice
Define dyspraxia - Answer- · Dyspraxia affects the person's ability to respond voluntarily
in conversation, but they may be able to do things
automatically e.g. greet a person
How does a person with dyspraxia appear? - Answer- · Typically, the person is unable
to repeat things and seems to grope for words and sounds
What % of people have dysphagia after stroke? - Answer- 30-50%
What members of the MDT manage dysphagia and how? - Answer- o Doctors & nurses
- screening assessments (if complex they may refer on without screening the patient
first)
o Speech & Language Therapist (SALT) - assess the patient further to check the risks
for oral intake
o Physiotherapist - assess appropriate positioning for swallowing & monitor the patient's
chest
o Occupational Therapist (OT) - assess seating for eating and drinking & look at hand-
mouth coordination and adaptations to aid eating and drinking
o Dietician - assess and monitor intake
o Health Care Assistants and Nurses - feed/ supervise when eating and drinking
o Kitchen - meals in a modified format
What are the 4 stages to eat and drink? - Answer- o Pre-oral stage
o Oral stage
o Pharyngeal stage
o Oesophageal stage
