🧠 Stroke
What causes the majority of strokes?
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A blocked blood vessel cutting off blood flow (ischaemic) A burst blood vessel (haemorrhagic) A blow to the head A sudden drop in blood sugar
🧠 Stroke
The FAST test for stroke stands for…
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Face, Arms, Speech, Time Focus, Aim, Steady, Try Feet, Ankles, Shoulders, Torso Find, Ask, Sit, Text
🧠 Stroke
A TIA (mini-stroke) whose symptoms pass should be treated as…
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An emergency and a serious warning sign A false alarm to ignore Something to mention at your next check-up A normal part of ageing
🧠 Stroke
Which most helps reduce the risk of a second stroke?
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Managing blood pressure and other risk factors Complete bed rest Avoiding all exercise Taking extra vitamins alone
🧠 Stroke
Which change most lowers future stroke risk?
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Stopping smoking Switching to decaf coffee Taking more naps Avoiding all salt substitutes
🧠 Stroke
Aerobic (cardio) exercise after stroke is generally…
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Beneficial for recovery and fitness Dangerous and best avoided Only for athletes Useless for the brain
🧠 Stroke
To protect a weak arm after stroke, you should…
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Support it and avoid pulling on it Pull it to move the person quickly Let it hang unsupported Ignore new shoulder pain
🧠 Stroke
Spasticity after stroke is…
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Muscle stiffness from changes in how the brain controls muscles A sign the muscles have grown stronger Always permanent and untreatable Caused by too much stretching
💬 Aphasia & communication
Someone with aphasia has mainly lost…
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The ability to use language - speaking, understanding, reading, or writing Their intelligence Their memory of loved ones Their hearing
💬 Aphasia & communication
To help someone with aphasia understand, it's best to…
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Use short sentences and give extra time Speak much more loudly Talk faster to keep momentum Avoid gestures and writing
💬 Aphasia & communication
If a word is 'on the tip of your tongue', a good strategy is to…
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Describe what it's for, its group, and what it looks like Stop talking altogether Avoid the topic Spell the word backwards
💬 Aphasia & communication
Broca's (non-fluent) aphasia typically involves…
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Effortful, short speech with relatively good understanding Fluent speech that makes little sense No difficulty with language at all Loss of hearing
💬 Aphasia & communication
Melodic intonation therapy uses… to support speech.
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Melody and rhythm (a sing-song style) Electric shocks Silent reading only Typing with one finger
💬 Aphasia & communication
Constraint-induced language therapy encourages people to…
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Use speech intensively rather than relying on gestures Stop communicating for a week Only write, never speak Practise once a month
💬 Aphasia & communication
When spoken words won't come, a helpful backup is to…
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Gesture, draw, or point Give up on the message Only try again tomorrow Speak in a foreign language
💬 Aphasia & communication
Group therapy for aphasia is especially good for…
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Practising real conversation and building confidence Avoiding other people Replacing all individual therapy Curing aphasia overnight
💬 Aphasia & communication
Slurred speech where the right words are chosen is usually…
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Dysarthria (a speech-muscle problem) Aphasia (a language problem) A hearing problem Completely untreatable
🌳 Dementia & brain health
When talking with someone who has dementia, it helps to…
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Use short sentences and give them time to respond Speak quickly to save time Correct every mistake they make Test their memory often
🌳 Dementia & brain health
Which habit is linked to a LOWER risk of dementia?
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Regular physical activity Long-term smoking Chronic social isolation Untreated high blood pressure
🌳 Dementia & brain health
Staying socially engaged is associated with…
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Slower cognitive decline Faster memory loss No effect at all Higher blood pressure only
🌳 Dementia & brain health
According to the research, physical activity and dementia risk are…
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Linked - more activity, lower risk Completely unrelated Linked the opposite way Only relevant for athletes
🌳 Dementia & brain health
Which eating pattern is most studied for supporting cognition?
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A Mediterranean-style diet A diet high in ultra-processed food Skipping meals Only drinking juice
🌳 Dementia & brain health
Consistently poor sleep is associated with…
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Higher markers of Alzheimer's risk Guaranteed protection from dementia No link to brain health Better long-term memory
🌳 Dementia & brain health
Reminiscence therapy uses…
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Past memories, photos, and familiar objects Intensive memory testing Loud, fast quizzes Only new, unfamiliar tasks
🌳 Dementia & brain health
Spaced retrieval helps memory by asking someone to recall…
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Information at gradually increasing time intervals Everything at once, then never again Only while distracted Random facts with no repetition
🎯 Parkinson's & movement
When the feet 'freeze', a useful trick is to…
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Use a cue - count '1-2-3-go' or step over a line Try to run through it Look only at your feet and rush Hold your breath
🎯 Parkinson's & movement
LSVT LOUD is a therapy that targets…
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Speaking with adequate loudness Walking speed only Handwriting size Swallowing pills
🎯 Parkinson's & movement
LSVT BIG focuses on…
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Large-amplitude movements Speaking loudly Tiny, precise finger taps Sitting still
🎯 Parkinson's & movement
Regular exercise in Parkinson's tends to…
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Help mobility and everyday function Speed up the disease Have no effect Only help sleep
🎯 Parkinson's & movement
A steady beat or metronome can help walking by…
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Providing a rhythm to step to Making people walk slower Distracting them dangerously Replacing physiotherapy
🎯 Parkinson's & movement
Dance programmes for Parkinson's can help with…
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Balance, movement, and mood Nothing measurable Only memory Curing the condition
🎯 Parkinson's & movement
Treadmill training in Parkinson's can improve…
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Walking speed and gait Handwriting Vision Nothing
🎯 Parkinson's & movement
Small, cramped handwriting (micrographia) can be helped by…
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Consciously making big movements and using cues Writing even smaller Never writing again Holding the breath
🎯 Parkinson's & movement
A common speech change in Parkinson's is…
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A soft, quiet voice An unusually loud voice Perfect, unchanged speech Loss of vocabulary
🩹 Brain injury
Modern advice in the days after a concussion is usually…
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A short period of relative rest, then a gradual return to activity Weeks alone in a dark room Immediate intense exercise No change to routine at all
🩹 Brain injury
After the first rest period following concussion, you should…
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Gradually resume activity as symptoms allow Stay completely inactive for months Return to full contact sport immediately Ignore any returning symptoms
🩹 Brain injury
Returning to work after brain injury usually goes best with…
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A gradual, phased return with adjustments Going straight back to full hours Never returning Hiding all difficulties from your employer
🩹 Brain injury
Fatigue after brain injury is best managed by…
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Pacing - balancing activity with planned rest Always pushing through Relying on caffeine Ignoring it
🩹 Brain injury
Virtual reality is used in rehab mainly to…
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Add engaging, repetitive practice Replace all therapists Entertain with no benefit Diagnose stroke
🩹 Brain injury
Rehab goals tend to work best when they are…
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Specific, meaningful, and agreed with you Vague and imposed by others Impossibly large Kept secret
🩹 Brain injury
Errorless learning helps by…
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Preventing mistakes while something is first learned Encouraging lots of guessing Testing under pressure Removing all practice
🩹 Brain injury
An enriched, stimulating environment can…
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Support brain recovery and engagement Slow recovery down Have no effect whatsoever Replace therapy entirely
🔄 How recovery works
"Neuroplasticity" is the brain's ability to…
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Reorganise itself and form new connections with practice Never change after childhood Grow entirely new lobes Work without any oxygen
🔄 How recovery works
In motor rehab, what matters most for regaining a skill?
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Practising the real task, and enough of it Finding one secret method Buying expensive equipment Rare but very long sessions
🔄 How recovery works
Mirror therapy after stroke works by…
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Using a mirror image of the stronger limb to engage the weaker side Massaging the affected arm Applying heat to the muscles Giving electric shocks to the brain
🔄 How recovery works
For constraint-induced therapy, a higher 'dose' of practice generally…
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Improves outcomes Makes no difference Is always harmful Only matters for speech
🔄 How recovery works
Mental practice (imagining a movement) can…
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Add useful practice alongside physical training Replace all movement forever Harm the brain Only work while asleep
🔄 How recovery works
Watching someone perform a movement (action observation) can…
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Help motor learning of that movement Do nothing at all Only help vision Replace all practice
🔄 How recovery works
Bimanual training practises…
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Both hands working together on tasks Only the strong hand Only the weak hand, never together The feet
🔄 How recovery works
Constraint-induced movement therapy involves…
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Restraining the stronger arm to force use of the weaker one Resting both arms completely Only stretching Avoiding the weaker arm
🔄 How recovery works
Functional electrical stimulation (FES) helps by…
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Stimulating muscles to produce useful movement Numbing the limb Cooling the muscle Replacing exercise
🔬 Therapies & evidence
For communication problems after stroke, speech and language therapy is…
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Supported by good evidence, especially with enough practice Not supported by any evidence Only useful for children A replacement for medical care
🔬 Therapies & evidence
Which magnetic approach actually has evidence as an add-on treatment?
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rTMS - clinic-based magnetic brain stimulation Magnetic bracelets A fridge magnet under the pillow Copper bands
🔬 Therapies & evidence
Intensive language therapy (a lot of practice in a short time) tends to…
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Help communication for many people Always be worse than doing nothing Only suit children Be unsafe
🔬 Therapies & evidence
Telerehabilitation (therapy delivered remotely) is…
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Effective for many people and improves access Never as good as anything else Only for tech experts Banned everywhere
🔬 Therapies & evidence
Occupational therapy mainly focuses on…
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Everyday tasks and independence Only walking speed Only speech Only strength
🔬 Therapies & evidence
Music-based therapy after stroke can support…
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Mood, movement, and rehabilitation Nothing at all Only hearing A full cure
🔬 Therapies & evidence
Robot-assisted arm therapy mainly adds…
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Extra repetitions of practice A guaranteed cure A replacement for effort Nothing measurable
🔬 Therapies & evidence
Dual-task training practises…
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Doing two things at once, like walking and talking Doing nothing One task in total silence only Sleeping more
🔬 Therapies & evidence
Mindfulness for neuro conditions may help with…
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Stress and wellbeing Regrowing brain cells on demand Nothing at all Replacing medical treatment
🤝 Daily life & caregiving
A well-supported way to handle post-stroke or brain-injury fatigue is…
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Pacing - balancing activity with planned rest Always pushing through it Relying on caffeine Ignoring it until it passes
🤝 Daily life & caregiving
Regular aerobic exercise is associated with…
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Better thinking and memory over time Faster cognitive decline No effect on the brain Harm to brain health
🤝 Daily life & caregiving
A regular daily routine supports recovery by…
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Building consistent practice and structure Making every day unpredictable Removing all rest Avoiding any activity
🤝 Daily life & caregiving
To reduce falls at home, a good step is to…
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Clear clutter and improve lighting Add loose rugs and cables Turn the lights off Rush between rooms
🤝 Daily life & caregiving
A safe-swallowing habit for someone with dysphagia is to…
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Sit upright and take small, unhurried bites Eat lying down Talk with a full mouth Rush the meal
🤝 Daily life & caregiving
A simple, evidence-informed way to calm stress is…
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Slow, steady breathing Holding your breath as long as possible Breathing as fast as you can Ignoring how you feel
🤝 Daily life & caregiving
A dementia-friendly home tends to use…
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Clear signs, good lighting, and reduced clutter Busy patterns and dim lighting Frequent furniture rearranging Lots of mirrors and noise
🤝 Daily life & caregiving
Peer support (connecting with others in recovery) can…
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Improve wellbeing and motivation Guarantee a full cure Make no difference at all Replace medical care
🤝 Daily life & caregiving
Which is studied (with mixed results) for brain health?
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Omega-3 fatty acids Skipping sleep Heavy smoking Constant stress
🧠 Stroke
When re-learning to walk after a stroke, it usually helps to…
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Practise a little and often, safely Only practise once a week Avoid walking aids at all costs Wait until you feel fully recovered
🧠 Stroke
Regaining hand and arm use after a stroke depends most on…
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Frequent, meaningful, task-based practice Resting the arm completely Waiting for it to return on its own A single therapy session
🧠 Stroke
Low mood is common after a stroke. It can be helped by…
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Talking therapy such as CBT Ignoring it until it passes Just resting more Nothing - it never improves
🧠 Stroke
Rhythmic music after a stroke is used to help retrain…
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The rhythm and timing of walking Eyesight Appetite Blood pressure
🧠 Stroke
To re-engage a weak hand, mirror therapy uses…
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The reflection of the strong hand Both hands hidden from view A video game headset A heat pack on the wrist
🧠 Stroke
For foot drop after a stroke, functional electrical stimulation (FES) can…
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Stimulate muscles to lift the foot when walking Numb the leg Cool the muscle down Replace all exercise
🧠 Stroke
Robot-assisted arm therapy after a stroke mainly provides…
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Many extra, guided arm repetitions A guaranteed cure A reason to rest the arm Nothing measurable
🧠 Stroke
The strongest driver of arm recovery after a stroke is…
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Lots of practice of real, meaningful tasks One secret exercise Expensive gadgets Rare but very long sessions
🧠 Stroke
Bimanual training after a stroke practises…
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Both hands doing a task together Only the strong hand Only the weak hand, never together The legs
🧠 Stroke
Between physical sessions, stroke survivors can add practice by…
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Vividly imagining the movement (motor imagery) Sleeping more Doing nothing Only watching TV
🧠 Stroke
Virtual reality after a stroke is mainly a way to…
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Make repeated practice engaging Diagnose the stroke Replace therapists Cure weakness instantly
🧠 Stroke
Spasticity (tight, stiff muscles) after a stroke can be managed with…
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Stretching, positioning, and sometimes medication Ignoring it completely Never moving the limb Pulling hard on the arm
💬 Aphasia & communication
A practical way to help a stuck word come to mind is to…
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Describe it, try the first sound, or come back to it Panic and stop talking Repeat 'um' faster Switch to another language
💬 Aphasia & communication
Apraxia of speech makes it hard to…
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Plan the mouth movements for speech Understand language Hear sounds Read, but nothing else
💬 Aphasia & communication
Script training for aphasia rehearses…
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Useful phrases for real situations Random word lists Silent reading only Grammar rules alone
💬 Aphasia & communication
Speech apps for aphasia are best used to…
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Add extra, self-paced practice Replace the therapist entirely Guarantee a cure Avoid practising
💬 Aphasia & communication
Rebuilding reading and writing in aphasia works best with…
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Regular practice at the right level Avoiding all text Only the hardest books Never practising
💬 Aphasia & communication
To help someone with aphasia join a group conversation, it helps to…
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Slow down, take turns, and jot key words Talk over each other Speak only to the others Rush the conversation
💬 Aphasia & communication
A useful 'communication ramp' for aphasia is to…
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Offer choices and write down key words Ask only long, open questions Speak faster to keep momentum Avoid writing anything
💬 Aphasia & communication
Speech and language therapy for aphasia is…
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Backed by evidence, especially with enough practice Not worth doing Only for children A one-session quick fix
💬 Aphasia & communication
Aphasia therapy often works better when the practice is…
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Higher in dose, when it's manageable As little as possible Never done at home Only a single session
💬 Aphasia & communication
rTMS in aphasia is…
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A clinic-based brain-stimulation add-on to therapy A magnetic bracelet A guaranteed cure A type of surgery
💬 Aphasia & communication
Tele-rehabilitation for aphasia (remote therapy) can…
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Widen access and work well for many people Never help anyone Only suit tech experts Be unsafe by default
🌳 Dementia & brain health
An early warning sign of dementia (more than ordinary forgetfulness) is…
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Struggling with familiar tasks or finding words Feeling tired after a long day Forgetting a name but recalling it later Misplacing keys once
🌳 Dementia & brain health
Cognitive Stimulation Therapy (CST) is…
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Themed group activities that engage thinking Bed rest Only medication Memory testing under pressure
🎯 Parkinson's & movement
Living well with Parkinson's is supported most by…
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Staying active and keeping a routine Avoiding all movement Resting all day Stopping social contact
🩹 Brain injury
A traumatic brain injury (TBI) is caused by…
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An external force injuring the brain (a blow or jolt) A blocked blood vessel Normal ageing A single gene
🩹 Brain injury
Attention problems after a brain injury are often eased by…
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Reducing distractions and taking regular breaks Doing everything at once Working in a noisy room Skipping all rest
🔄 How recovery works
Games can support rehab practice mainly because they…
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Make repetition motivating and enjoyable Replace all therapy Guarantee recovery Are only for children
🔬 Therapies & evidence
Complementary approaches (like supplements) are best seen as…
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Possible add-ons, not replacements for proven care Guaranteed cures Replacements for medical care Always harmful
🤝 Daily life & caregiving
Staying socially connected during recovery tends to…
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Support mood and motivation Slow the brain down Make no difference Replace therapy
🧬 Multiple sclerosis
In multiple sclerosis, what does the immune system damage?
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The myelin coating around nerves The muscles directly The blood vessels of the heart The bones of the spine
🧬 Multiple sclerosis
Which MS pattern is most common at diagnosis?
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Relapsing-remitting Primary progressive Secondary progressive None - MS never relapses
🧬 Multiple sclerosis
MS fatigue is best described as…
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An overwhelming tiredness out of proportion to activity Just ordinary tiredness that rest fixes A sign you must stop all activity Always caused by poor sleep alone
🧬 Multiple sclerosis
A core pacing habit for managing fatigue is to…
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Rest before you're empty, in planned breaks Push through until you crash Do all hard tasks in one burst Avoid all activity
🧬 Multiple sclerosis
Is exercise safe for most people with MS?
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Yes - it's safe and helpful when paced sensibly No - it always triggers relapses Only for people without symptoms Only swimming is ever allowed
🧬 Multiple sclerosis
One of the most consistent benefits of exercise in MS is…
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Reduced fatigue More relapses Worse mood Loss of strength
🧬 Multiple sclerosis
Feeling temporarily worse when overheated in MS is…
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Common, usually short-lived, and manageable A sign of permanent damage A reason to never exercise Extremely rare
🧬 Multiple sclerosis
A common thinking change in MS is…
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Slower processing speed Sudden loss of all memory Complete loss of language No cognitive changes ever occur
🧬 Multiple sclerosis
Which helps most for MS thinking changes day to day?
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Practical strategies - one calendar, reminders, routines Ignoring it and hoping it passes Multitasking as much as possible Avoiding all mental effort
🧬 Multiple sclerosis
Does an MS diagnosis mean you'll end up in a wheelchair?
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No - MS varies enormously and many stay mobile Yes, always Yes, within a year Only if you exercise
⚡ Epilepsy & seizures
Epilepsy is best defined as…
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A tendency to have recurring seizures A single seizure, ever A type of fainting A mental illness
⚡ Epilepsy & seizures
Do all seizures involve falling and shaking?
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No - some are staring, confusion, or brief blanking out Yes, always Only children have non-shaking seizures Seizures never affect awareness
⚡ Epilepsy & seizures
A focal seizure starts…
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In one part of the brain In both sides of the brain at once In the heart Only during sleep
⚡ Epilepsy & seizures
Which is a common seizure trigger?
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Missed medication or poor sleep Drinking water Reading a book Gentle walking
⚡ Epilepsy & seizures
During a convulsive seizure, you should…
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Never put anything in their mouth Put a spoon in their mouth Hold them down firmly Give them water immediately
⚡ Epilepsy & seizures
Call for emergency help if a convulsive seizure lasts more than…
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5 minutes 30 seconds 1 hour You never need to call
⚡ Epilepsy & seizures
Once the jerking of a seizure stops, you should…
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Gently roll them onto their side Sit them straight up and feed them Wake them with cold water Leave immediately
⚡ Epilepsy & seizures
Anti-seizure medication works best when…
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Taken consistently as prescribed Taken only when a seizure starts Stopped once you feel better Doubled whenever stressed
⚡ Epilepsy & seizures
Memory or attention effects in epilepsy can come from…
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Seizures, the cause, medication, and sleep or mood Only low intelligence Only old age Nothing - epilepsy never affects thinking
⚡ Epilepsy & seizures
A helpful strategy for memory in epilepsy is…
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One trusted calendar plus protecting sleep Stopping medication to think clearer Avoiding all reminders Cramming everything at once
🧩 Cognition & development
'Executive functions' include…
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Attention, working memory, and self-control Height and weight Heart rate and blood pressure Hearing and vision only
🧩 Cognition & development
Across adulthood, vocabulary and accumulated knowledge tend to…
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Keep growing for decades Peak at 18 then fall Disappear by middle age Stay fixed from birth
🧩 Cognition & development
The best 'brain training' for a young child is…
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Play, conversation, and warm relationships Expensive flashcard apps Long hours of screen time Silent solo study
🧩 Cognition & development
For young children, passive screen time mainly…
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Crowds out the interaction that helps most Boosts language faster than talking Replaces the need for sleep Has no downsides at all
🧩 Cognition & development
Which is a normal age-related change in thinking?
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Taking a moment longer to find a word Getting lost on familiar routes Forgetting whole recent events Being unable to manage money
🧩 Cognition & development
The single most-studied protector of brain health is…
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Regular physical activity Crossword apps Vitamin megadoses Sleeping less
🧩 Cognition & development
To focus better, the evidence suggests you should…
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Single-task - do one thing, then the next Multitask as much as possible Keep all notifications on Work without any breaks
🧩 Cognition & development
To make information stick, it's better to…
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Space practice and test yourself Cram it all at once Re-read passively many times Study only while distracted
🧩 Cognition & development
Brain-training apps mostly make you better at…
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The game itself - broad transfer is weak Every area of life Physical fitness Curing dementia
🧩 Cognition & development
Cognitive reserve is best built by…
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Novel, effortful, and social activity Passive routine and isolation One quiz app, forever Avoiding anything difficult