Certified Stroke Rehabilitation Specialist (CSRS 2024) Exam Questions and Answers

Certified Stroke Rehabilitation Specialist (CSRS 2024) Exam Questions and Answers Types of stroke (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 Embolic Stroke (Ischemic) - Answer-26% of all strokes -typically occurs while awake -sudden, immediate deficits (sometimes seizures) -11% are associated with prior TIA Lucunar Stroke (Ischemic) small vessel disease - Answer-13% of all strokes -small infarct (>15-20 cm) deep in the brain -onset can be gradual or sudden -23% associated with proceeding TIA -often pure sensory or motor symptoms -typically no higher cortical functional involved Intracerebral Hemmorhage (ICH) - Answer-10% of all strokes -90% happen with the patient is under "no stress" -major cause of "hypertension" -onset may be gradual or sudden -8% are associated with prior TIA -direct correlation with high blood pressure/ hypertension Subarachnoid Hemorrhage (SAH) - Answer-3% of all stroke -occurs often during strenuous activity -cause: rupture aneurysms and vascular malformations -sudden onset -7% are associated with preceding TIA Left Stroke with Right Hemiplegia - Answer--Language/Perceptual problems -expressive aphasia -receptive aphasia -global aphasia -alexia, agraphia , acalculia -apraxias: motor planning perceptual problems (Impaired verbal and math skills with word letter discrimination 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