ADULT 2 A+ COMPILED PAPER 2026 SOLVED
QUESTIONS AND FULL SOLUTION GRADED A+
◉ Mean survival of individuals with ALS.
Answer: 3-5 y. many lives 5, 10, or more years
◉ Stage I of ALS.
Answer: ambulatory, no problems with ADL, mild weakness
◉ stage II of ALS.
Answer: ambulatory, moderate weakness in certain muscles
◉ Stage III of ALS.
Answer: ambulatory, severe weakness in certain muscles
◉ Stage IV of ALS.
Answer: w/c confined, almost independent, severe weakness in legs
◉ Stage V of ALS.
Answer: w/c confined, dependent; pronounced weakness in legs,
severe weakness in arms
,◉ Stage VI of ALS.
Answer: bedridden, no ADL, max A required
◉ Assessments specific to ALS.
Answer: ALS functional rating scale
Purdue pegboard or other timed UE function test and standard ROM
and MMT
Multidimensional fatigue inventory
◉ goal setting for early stages of ALS.
Answer: Optimize strength and ROM using home exercise programs
Maintain function in ADL/IADL through use of AT, home
modification
Decrease pain and fatigue through use of splints/orthotics
Employ joint protection, pain management, energy conservation,
and work simplification techniques
◉ goal setting for later stages of ALS.
Answer: Focus on enabling the CG to assist pt safely and effectively
Optimize safety, assess positioning, perform safe transfers, and
maintain skin integrity
Employ augmentative communication equipment
,Assess and manage dysphagia
Optimize social participation
Identify and obtain equipment to allow cont. mobility
Environmental mod
◉ Tx options for ALS.
Answer: o OTs must be aware of client's level of tolerance for
gadgets, financial resources, and social/cultural context
o Special Tx considerations:
Exercise
Equipment
AT
Dysphagia management
◉ Guillain-Barre Syndrome (GBS).
Answer: o Aka acute inflammatory demyelinating polyneuropathy
o Autoimmune disorder
o Results in acute neuromuscular failure
o Body's immune system attacks myelin sheath covering the nerve,
resulting in a slower signal transmission through nerve
◉ Etiology of GBS.
, Answer: o Exact etiology unknown
o Distribution is worldwide
o 1.3-2 per 100,000
o 1.5 x more likely in men
o Ages: 20-24 and 70-74
o No hereditary susceptibility or vaccinations cause this
o Enteritis precedes this in 41% of cases
Some respiratory infections, HIV/AIDS
◉ possible risk factors of GBS.
Answer: o GBS can affect all age groups, however there is a slightly
increased risk if:
Male
Young adult
◉ possible triggers for GBS.
Answer: Most commonly, infection with campylobacter, a type fo
bacteria often found in uncooked poultry
Influenza virus
Cytomegalovirus
Epstein-barr virus
Zika virus
QUESTIONS AND FULL SOLUTION GRADED A+
◉ Mean survival of individuals with ALS.
Answer: 3-5 y. many lives 5, 10, or more years
◉ Stage I of ALS.
Answer: ambulatory, no problems with ADL, mild weakness
◉ stage II of ALS.
Answer: ambulatory, moderate weakness in certain muscles
◉ Stage III of ALS.
Answer: ambulatory, severe weakness in certain muscles
◉ Stage IV of ALS.
Answer: w/c confined, almost independent, severe weakness in legs
◉ Stage V of ALS.
Answer: w/c confined, dependent; pronounced weakness in legs,
severe weakness in arms
,◉ Stage VI of ALS.
Answer: bedridden, no ADL, max A required
◉ Assessments specific to ALS.
Answer: ALS functional rating scale
Purdue pegboard or other timed UE function test and standard ROM
and MMT
Multidimensional fatigue inventory
◉ goal setting for early stages of ALS.
Answer: Optimize strength and ROM using home exercise programs
Maintain function in ADL/IADL through use of AT, home
modification
Decrease pain and fatigue through use of splints/orthotics
Employ joint protection, pain management, energy conservation,
and work simplification techniques
◉ goal setting for later stages of ALS.
Answer: Focus on enabling the CG to assist pt safely and effectively
Optimize safety, assess positioning, perform safe transfers, and
maintain skin integrity
Employ augmentative communication equipment
,Assess and manage dysphagia
Optimize social participation
Identify and obtain equipment to allow cont. mobility
Environmental mod
◉ Tx options for ALS.
Answer: o OTs must be aware of client's level of tolerance for
gadgets, financial resources, and social/cultural context
o Special Tx considerations:
Exercise
Equipment
AT
Dysphagia management
◉ Guillain-Barre Syndrome (GBS).
Answer: o Aka acute inflammatory demyelinating polyneuropathy
o Autoimmune disorder
o Results in acute neuromuscular failure
o Body's immune system attacks myelin sheath covering the nerve,
resulting in a slower signal transmission through nerve
◉ Etiology of GBS.
, Answer: o Exact etiology unknown
o Distribution is worldwide
o 1.3-2 per 100,000
o 1.5 x more likely in men
o Ages: 20-24 and 70-74
o No hereditary susceptibility or vaccinations cause this
o Enteritis precedes this in 41% of cases
Some respiratory infections, HIV/AIDS
◉ possible risk factors of GBS.
Answer: o GBS can affect all age groups, however there is a slightly
increased risk if:
Male
Young adult
◉ possible triggers for GBS.
Answer: Most commonly, infection with campylobacter, a type fo
bacteria often found in uncooked poultry
Influenza virus
Cytomegalovirus
Epstein-barr virus
Zika virus
