OT 611 Exam 2 Study Set With
Correct Solution
A fatal motor neuron disease of changes to the upper and lower motor neuron functions,
as well as brain stem and multiple spinal cord regions - ANSWER ALS
Disease where voluntary muscle control is affected - ANSWER ALS
The cause of this disease is unknown but genetics and environmental factors are
believed to play a role - ANSWER ALS
These neurons usually cause spasticity in muscles, general weakened and hyperreflexia
- ANSWER UMN
These neurons usually cause muscle weakness, atrophy, and twitching. They cause
cervical extensor weakness, muscle cramps and areflexia - ANSWER LMN
What type of ALS includes children of parents who have been dx(50% chances) -
ANSWER Familial
What type of ALS is the most common. With the risk factors of: middle age, male,
smokers, lead exposure, physical stress, exposure to environment - ANSWER Sporadic
Which disease has no specific test or procedure to dx but is dx through a multistep
system of exclusion of other dx - ANSWER ALS
Which ALS treatment is an anti glutamate agent in full form shown to slow the course of
ALS
SE: dizziness, fatigue, GI and liver problems - ANSWER Riluzole
Which ALS treatment is taken via IV infusion to reduce difficulty in ADLs associated with
ALS
SE: swelling, SOB, walking difficulty, hives for sulfite sensitivity - ANSWER Edaravone
What is the focus for medical management of ALS - ANSWER Management of sx
What stage of ALS is ambulatory, no problems with ADL, mild weakness - ANSWER I
What stage of ALS is ambulatory, moderate weakness in certain muscles, increased
fatigue - ANSWER II
What stage of ALS is ambulatory, severe weakness in certain muscles, increased
difficulty with ADL, marked fatigue - ANSWER III
,Which stage of ALS is w/c confined, almost (I), severe weakness in legs - ANSWER IV
Which stage of ALS is w/c confined, (D), marked leg and arm weakness - ANSWER V
Which stage of ALS is bedridden, unable to perform ADL, max (A) required - ANSWER VI
What disease includes the follow precautions:
-respiratory hygiene
-pain
-fall prevention
-safety awareness
-fatigue
-moderate exercise - ANSWER ALS
Which disease has the ESE impacts of:
Devastating due to relatively fast progression
More depression, feel external locus of control and hopelessness
Withdrawal from work quickly and confront economic instability and health insurance
issues - ANSWER ALS
Which disease evaluation includes:
Geared toward clearly defined levels of functional stage
ALSFR, Timed UE function test, Fatigue Inventory, Mobility seating, social participation,
nutrition
Re evaluations are important - ANSWER ALS
Which stage of ALS goal setting includes:
Optimizing strength and ROM using HEP
Maintain function in ADL and IADL through use of adaptive techniques and or assistive
devices
Decrease pain and fatigue through orthosis
Manage pain and energy using joint protection and work simplification techniques -
ANSWER Early
Which stage of ALS goal setting includes:
Optimize safety and positioning
,Enable communication using augmented communication
Assess and manage dysphagia
Optimize social participation
Identify and obtain equipment to allow for continued mobility and comfort
Modify environment to enhance participation, safety and comfort
Discuss differences with client and caregivers - ANSWER Later
Which disease includes the following interventions:
Movement programs
Equipment and assistive technology
Dysphagia management - ANSWER ALS
What is the most commonly dx neurological disease that can cause disability in YA -
ANSWER MS
This disease results in hardened or sclerotic plaques that build up on the myelin of the
CNS - ANSWER MS
Dispersal across time and location of MS lesions and relapses - ANSWER Multiple
Plaques on the axons and myelin covering that form scar tissue and interfere with nerve
conduction - ANSWER Sclerosis
The cause of this disease is unknown but research suggests environmental triggers,
genetics and infectious agents - ANSWER MS
Dx this disease includes:
Hx, neurological exam
MRI and analysis of CFS
Damage in at least 2 separate areas
Evidence that damage occurred at 2 points in time
r/o other dx - ANSWER MS
Signs of this disease include:
Hyperreflexia
Positive Babinski
Dysmetria
, Nystagmus
Impaired proprioception - ANSWER MS
Inability to properly scale movement disease - ANSWER Dysmetria
This type of MS is the first neurological episode that may go on to an MS dx - ANSWER
CIS
This type of MS is most common, clearly defined relapses of acute worsening following
by partial or complete improvement and stable periods of remission between attacks -
ANSWER Relapsing remitting
This type of MS begins with RR of up to 10-15 years and then progressed to continued
deterioration and disability - ANSWER Secondary progressive
This type of MS continuously declines neurological function from onset without clear
relapses - ANSWER Primary progressive
This type of MS has clear progressions with occasional relapses - ANSWER Progressive
relapsing
These sx are most common of which disease:
Fatigue
Weakness
Cognition
Pain
Spasticity
Tremor and ataxia
Dysphagia - ANSWER MS
Weakness, paralysis, spasticity and tremors are MS sx of - ANSWER Motor
Numbness and decreased proprioception are MS sx of - ANSWER Sensory
Visual loss, dysphagia, optic neuritis and double vision are MS sx of - ANSWER CN
dysfunction
Correct Solution
A fatal motor neuron disease of changes to the upper and lower motor neuron functions,
as well as brain stem and multiple spinal cord regions - ANSWER ALS
Disease where voluntary muscle control is affected - ANSWER ALS
The cause of this disease is unknown but genetics and environmental factors are
believed to play a role - ANSWER ALS
These neurons usually cause spasticity in muscles, general weakened and hyperreflexia
- ANSWER UMN
These neurons usually cause muscle weakness, atrophy, and twitching. They cause
cervical extensor weakness, muscle cramps and areflexia - ANSWER LMN
What type of ALS includes children of parents who have been dx(50% chances) -
ANSWER Familial
What type of ALS is the most common. With the risk factors of: middle age, male,
smokers, lead exposure, physical stress, exposure to environment - ANSWER Sporadic
Which disease has no specific test or procedure to dx but is dx through a multistep
system of exclusion of other dx - ANSWER ALS
Which ALS treatment is an anti glutamate agent in full form shown to slow the course of
ALS
SE: dizziness, fatigue, GI and liver problems - ANSWER Riluzole
Which ALS treatment is taken via IV infusion to reduce difficulty in ADLs associated with
ALS
SE: swelling, SOB, walking difficulty, hives for sulfite sensitivity - ANSWER Edaravone
What is the focus for medical management of ALS - ANSWER Management of sx
What stage of ALS is ambulatory, no problems with ADL, mild weakness - ANSWER I
What stage of ALS is ambulatory, moderate weakness in certain muscles, increased
fatigue - ANSWER II
What stage of ALS is ambulatory, severe weakness in certain muscles, increased
difficulty with ADL, marked fatigue - ANSWER III
,Which stage of ALS is w/c confined, almost (I), severe weakness in legs - ANSWER IV
Which stage of ALS is w/c confined, (D), marked leg and arm weakness - ANSWER V
Which stage of ALS is bedridden, unable to perform ADL, max (A) required - ANSWER VI
What disease includes the follow precautions:
-respiratory hygiene
-pain
-fall prevention
-safety awareness
-fatigue
-moderate exercise - ANSWER ALS
Which disease has the ESE impacts of:
Devastating due to relatively fast progression
More depression, feel external locus of control and hopelessness
Withdrawal from work quickly and confront economic instability and health insurance
issues - ANSWER ALS
Which disease evaluation includes:
Geared toward clearly defined levels of functional stage
ALSFR, Timed UE function test, Fatigue Inventory, Mobility seating, social participation,
nutrition
Re evaluations are important - ANSWER ALS
Which stage of ALS goal setting includes:
Optimizing strength and ROM using HEP
Maintain function in ADL and IADL through use of adaptive techniques and or assistive
devices
Decrease pain and fatigue through orthosis
Manage pain and energy using joint protection and work simplification techniques -
ANSWER Early
Which stage of ALS goal setting includes:
Optimize safety and positioning
,Enable communication using augmented communication
Assess and manage dysphagia
Optimize social participation
Identify and obtain equipment to allow for continued mobility and comfort
Modify environment to enhance participation, safety and comfort
Discuss differences with client and caregivers - ANSWER Later
Which disease includes the following interventions:
Movement programs
Equipment and assistive technology
Dysphagia management - ANSWER ALS
What is the most commonly dx neurological disease that can cause disability in YA -
ANSWER MS
This disease results in hardened or sclerotic plaques that build up on the myelin of the
CNS - ANSWER MS
Dispersal across time and location of MS lesions and relapses - ANSWER Multiple
Plaques on the axons and myelin covering that form scar tissue and interfere with nerve
conduction - ANSWER Sclerosis
The cause of this disease is unknown but research suggests environmental triggers,
genetics and infectious agents - ANSWER MS
Dx this disease includes:
Hx, neurological exam
MRI and analysis of CFS
Damage in at least 2 separate areas
Evidence that damage occurred at 2 points in time
r/o other dx - ANSWER MS
Signs of this disease include:
Hyperreflexia
Positive Babinski
Dysmetria
, Nystagmus
Impaired proprioception - ANSWER MS
Inability to properly scale movement disease - ANSWER Dysmetria
This type of MS is the first neurological episode that may go on to an MS dx - ANSWER
CIS
This type of MS is most common, clearly defined relapses of acute worsening following
by partial or complete improvement and stable periods of remission between attacks -
ANSWER Relapsing remitting
This type of MS begins with RR of up to 10-15 years and then progressed to continued
deterioration and disability - ANSWER Secondary progressive
This type of MS continuously declines neurological function from onset without clear
relapses - ANSWER Primary progressive
This type of MS has clear progressions with occasional relapses - ANSWER Progressive
relapsing
These sx are most common of which disease:
Fatigue
Weakness
Cognition
Pain
Spasticity
Tremor and ataxia
Dysphagia - ANSWER MS
Weakness, paralysis, spasticity and tremors are MS sx of - ANSWER Motor
Numbness and decreased proprioception are MS sx of - ANSWER Sensory
Visual loss, dysphagia, optic neuritis and double vision are MS sx of - ANSWER CN
dysfunction
