Neuro Quiz 2

Table 15-1

Which dysarthria is characterized by:
-hypernasality
-breathiness
-nasal emission
-short phrases
-speaking on inhalation
-rapid deterioration with recovery at rest

Which dysarthria is characterized by:
-harshness
-low pitch
-slow rate
-strained-strangled quality
-pitch breaks
-slow and regular AMRs

Which dysarthria is characterized by:
-excess and equal stress
-irregular articulatory break downs
-irregular AMR's
-distorted vowels
-excess loudness variation
-prolonged phonemes
-telescoping syllables

Which dysarthria is characterized by:
-monopitch
-reduced stress
-mono loudness
-inappropriate silences
-short rushes of speech
-variable rate
-increased overall rate
-rapid "blurred" AMRs
-repeated phonemes
-palilalia

Which dysarthria is characterized by:
-irregular AMR's
-distorted vowels
-excess loudness variation
-prolonged intervals
-sudden forced inspiration/expiration
-voice stoppages/arrests
-transient breathiness
-voice tremor
-slow and regular AMR's
-marked deterioration with increased rate
-inappropriate vocal noises
(I didn't include them all on this slide, I think you should be able to get it from these characteristics...)

Which dysarthria is characterized by:
-markedly variable characteristics
-slow rate,
-irregular articulatory breakdowns
-irregular AMR's
-reduced loudness

Main Symptom: FLACCID DYSARTHRIA

Main Symptom: HYPERKINETIC DYSARTHRIA

Main Symptom: ATAXIC DYSARTHRIA

Main Symptom: SPASTIC DYSARTHRIA

Main Symptom: HYPOKINETIC DYSARTHRIA

Main Symptom: UUMN DYSARTHRIA

Confirmatory Signs: FLACCID

Confirmatory Signs: SPASTIC

Confirmatory Signs: HYPOKINETIC

Chapter 15 Distinguishing among the Dysarthrias

Which dysarthrias are NOT associated with supratentorial lesions or lesions in the distribution of the ant, mid, or post, cerebral arteries?

Which dysarthria is associated only with supratentorial lesions?

Posterior fossa lesions and lesions in distribution of the verterbrobasilar system may cause ____ type of dysarthria except______.

Which dysarthria type is associated with lesions at the spinal and peripheral levels of the nervous system and their associated vascular supply?

ALS causes what type of dysarthria?

Parkinson's causes what type of dysarthria?

T/F Traumatic brain injury can cause any type of dysarthria.

T/F Surgical Trauma causes HYPOKINETIC dysarthria.

What type of surgeries are associated with flaccid dysarthrias?

Do infections and inflammatory conditions cause dyarthrias?

Which type of dysarthria is associated with Anatomic Malformation?

Multiple Sclerosis causes which type of dysarthria most frequently?

These are the Oral Mech Findings of which Dysarthria?
-Atrophy/fasciculations
-Hypotonia and Hypoactive gag relex
-Rapid deterioration in strength of speech muscles during nonspeech tasks
-Nasal regurgitation (possible)

These are the Oral Mech Findings of which Dysarthria?
-pathologic reflexes
-hyperactive gag reflex
-pseudobulbar affect
-dysphagia and drooling

These are the Oral Mech Findings of which dysarthria?
-normal oral mech is not uncommon
-the movements of the jaw, face, and tongue might be dysmetric

These are the Oral Mech Findings of which dysarthria?
-Facial masking
-tremulousness of orofacial structures
-reduced range of movement or nonspeech AMRs

These are the Oral Mech Findings of which dysarthria?
-quick/slow patterned/unpatterned adventitous movements
-presence of abnormal, involuntary movements in orofacial muscles

These are the Oral Mech Findings of which dysarthria?
-unilateral right or left cranial or lingual weakness without atrophy and fasiculations

FLACCID

What are the Oral Mech Findings of SPASTIC dysarthria?

What are the Oral Mech Findings of ATAXIC dysarthria?

What are the Oral Mech Findings of HYPOKINETIC dysarthria?

What are the Oral Mech Findings of HYPERKINETIC dysarthria?

What are the Oral Mech Findings of UUMN dysarthria?

What are the speech characteristics of FLACCID Dysarthria?

What are the speech characteristics of SPASTIC Dysarthria?

What are the speech characteristics of ATAXIC Dysarthria?

What are the speech characteristics of HYPOKINETIC Dysarthria?

What are the speech characteristics of HYPERKINETIC Dysarthria?

What are the speech characteristics of UUMN dysarthria?

These are the speech characteristics of which type of dysarthria?

1. Phonatory and resonatory abnormalities
2. Continuous breathiness, diplophonia, audible inspiration, nad short phrases-due to vocal fold or laryngeal-respiratory weakness (CN X-Vagus)
3. Hypernasality
4. Audible nasal emission and nasal snorting
5. Only one with rapid deterioration of speech (recovery with rest) in MG

These are the speech characteristics of which type of dysarthria?
1. Slow rate, slow and regular speech AMRs, and strained, strangeled voice quality (together =spastic)
2. Slow rate and excess and equal stress can make spastic look like ataxic but ataxic does NOT have strained-strangled voice

These are the speech characteristics of which type of dysarthria?
1. Irregular articulatory breakdowns during connected speech
2. Irregular speech AMRs
3. dysprosody

These are the speech characteristics of which type of dysarthria?
1. Monopitch, monoloudness, reduced stress, and loudness
2. Rapid or accelerated rate
3. Rapid or blurred AMRs

These are the speech characteristics of which type of dysarthria?
1. Involuntary movements of jaw, face, and tongue during speech
2. Tremor or palatophayrngeal myoclonus
3. Unpredictable and variable speech abnormalities, such as chorea & dystonia
4. Abnormal noises interrupt speech or produced when pt not speaking

These are the speech characteristics of which type of dysarthria?
1. Mildness
2. Rarely accompanied by resonance or voice abnormalities
3. Never associated with atrophy or fasciculations
4. AMRs may be regular despite irregular articulatory breakdowns during contextual speech.