CD 5673-101
Fall 1996
Exam I
Name_______________________________________
1. What are the two major categories of motor speech disorders? (2)
2. Define UMN: (2)
3. What is another term for "direct activation pathway"? (1)
4. What common etiology (disease) is characterized by hypokinetic dysarthria? (1)
5. What is the name of the Cranial nerve V and what is its function? (3)
6. What type of cell provides myelinization for PNS axons? (1)
7. Damage to the substantia nigra is associated with what disorder?(1)
8. What type of neurons innervate muscle spindles? (1)
9. Ataxic dysarthria is associated with damage to what anatomical region? (1)
10. Name the specific branch of the appropriate cranial nerve which innervates the (3) cricothyroid muscle.
11. What type(s) of dysarthria will result in fasciculations? (1)
12. What medical diagnosis is often referred to as Lee Lou Gherig's disease? What type of
dysarthria is associated with this disease and what is the neurological basis for the disease (i.e.,
what structures are damaged)? (3)
13. The risorius muscle is innervated by which cranial nerve? (1)
14. You read in a patient's medical chart that she has suffered a right hemisphere middle cerebral artery stroke. Discuss the impairments and disabilities this person may have as a result of this stroke (limit your discussion to communication). (6)
15. Mrs. Randall is going to have heart surgery next Monday. Her surgeon has asked you to talk to her about potential effects her surgery may have on her ability to swallow and communicate (yeah, right!). In this very unlikely scenario, what might you tell Mrs. Randall? Be sure to explain why any problems may occur and to use language that Mrs. Randall will understand.(6)
16. Acetylcholine is a very important neurotransmitter. Which disease(s) interfere with Ach functioning and what type(s) of dysarthria result? (4)
17. If a patient has unilateral UMN damage, what types of impairments and disabilities might you expect to see (with respect to communication)? How does this differ from bilateral UMN damage? (6)
18. Dr. G. I. Mabrayne has asked you to provide exercises for her patient who is suffering from unilateral hypoglossal paresis. Which muscles will you be targeting? (4)
19. What is muscle tone and how is it affected by neurological damage?(3)
20. Katherine Hepburn spoke with a distinctive vocal tremor. What is tremor and what are some potential etiologies for tremor? (2) Bonus: What is a likely cause of Ms. Hepburn's tremor? (1)
21. What is the one type of dysarthria which may be associated with single cranial nerves and muscle groups? Why are the other types of dysarthria not so localized? (5)
22. Mr. Rothchild's son cannot understand why his father can use profanity with perfect clarity but struggles to produce his own name. Mr. Rothchild is only mildly aphasic, but has a severe apraxia of speech. What would you tell your patient's family to help them understand the nature of his communication disorder? (4)
23. Compare and contrast dysarthria and apraxia of speech. (6)