A 20-year-old female student awakens one morning with severe
pain and blurry vision in her left eye; the symptoms abate over
several days. About 6 months later, on a morning after playing
volleyball with friends, she notices weakness but not pain in her
right leg; the symptoms intensity while taking a hot shower.
Which of the following is most likely to be the case?
A.) The two episodes described are not likely to be related.
B.)She may have primary-progressive multiple sclerosis
C.) She may have relapsing-remitting multiple sclerosis
D.) She may have a lumbar disk rupture.
E.) She may have Guillain-Barre syndrome. Correct Answer
C.) She may have relapsing-remitting MS
A 24 y.o. male who suffered a T2 spinal cord injury, you decide
to visit rehab and find him experiencing a pounding headache,
blurred vision, sweating profusely and pulse rate of 50 bpm
while exercising in the supine position. What needs to be done?
A.) Maintain the pt. in supine position and monitor blood
pressure.
B.) Place the pt in the upright position and check the catheter
C.) Document that the rehabilitation superior did not choose the
appropriate level of exercise
D.) Contact your supervising physician prior to injecting
epinephrine Correct Answer B.) Place pt. in upright position
and check the catheter.
Autonomic dysreflexia
,A 35 y.o. woman sees her physician to report muscle weakness
in the extraoccular eye muscles and muscles of the extremities.
She states that she feels fine when she gets up in the morning,
but the weakness begins as soon as she becomes active. The
weakness is improved by rest. Sensation appears normal. The
physician treats her with an anti cholinesterase inhibitor, and she
notes immediate return of muscle strength. Her physician
diagnoses her with
A.) Lambert-Eaton syndrome
B.) Myasthenia gravis
C.) MS
4.) Parkinsons Disease
5.) Muscular dystrophy Correct Answer B.) Myasthenia
gravis
A patient has difficulty walking with variation in speed and
completing an alternating finger to nose test. These deficits are
most characteristic of?
A. Asthenia
B. Bradykinesia
B. Bradykinesia
C. Dysmetria
D. Dysdiodochokinesia Correct Answer D.
Dysdiodochokinesia
A.) weakness
B.) slowness of movement
C.) inability to judge distance
D.) inability to perform rapid alternating movements
, A patient that has been extended bed rest is positioned on a tilt
table. After slightly elevating the head of the table, the patient
begins to experience mild dizziness. The patient's systolic blood
pressure is measured as 10 mmHg less than the value recorded
prior to raising the tilt table. Which of the following is the most
appropriate action?
A. Reassure the patient, response not unusual
B. Contact supervising physician for assistance
C. Document the usual response in the patient chart.
D. Immediately lower the table. Correct Answer A. Reassure
the patient, response not unusual
Concerned if it is more than a 20 mmHg drop.
A patient with a recent stroke affecting the right hemisphere
displays signs and symptoms with pusher syndrome. While
practicing seated balance reaction, this patient will most likely
lean:
A. Forward
B. Backward
C. To the right
D. To the left Correct Answer D. to the left
Misperception of body orientation in relation to gravity. Going
to lean towards the hemiparetic side.
Define a "Graded receptor potential" Correct Answer A
graded receptor potential is when the amount of
neurotransmitters available influences the strength of the
response. More neurotransmitters available leads to more
binding on the post-synaptic membrane and therefore a greater
response.