ALU 301 Chapter 11Exam Questions With Rationale Answers

Paresis - ANSWER-Incomplete or partial paralysis. Monoplegia/monoparesis - ANSWER-Paralysis or paresis of a single limb. Diplegia - ANSWER-Paralysis that is bilateral, usually affecting lower limbs greater than upper limbs. Often used when describing effects of cerebral palsy. Hemiplegia/hemiparesis - ANSWER-Paralysis or paresis affecting one side of the body. Most common cause is cerebrovascular disease. Upper limb usually affected more severely than the lower limb. Paraplegia/paraparesis - ANSWER-Paralysis or paresis of the lower trunk and legs - usually below a spinal cord lesion. Quadraplegia/tetraplegia and tetraparesis - ANSWER-Most severe form of paralysis or paresis affecting both arms and both legs. Commonly caused by trauma - usually injury to the high cervical spinal cord region (C4 or higher); always bowel and bladder involvement and respiratory muscles can be compromised depending on the level of injury. Assisted ventilation can be required. Spastic paralysis - ANSWER-Associated with motor nerve damage in CNS. It is manifested by exaggerated deep tendon reflexes and forceful and prolonged muscular spasms. Over time, limbs can be fixed in bent positions known as contractures. Flaccid paralysis - ANSWER-Associated with cranial or spinal nerve lesions and causes loss of muscle tone. Underwriting considerations for paralysis - ANSWER-Age at onset; underlying cause; acute, chronic, remitting/recurring, stable, progressive; impact on quality of life, if any. Cerebral Palsy - ANSWER-A general term that describes a group of disorders presenting either at birth or in early infancy. These disorders are thought to arise from brain damage during gestation, at the time of birth, or shortly afterwards. It is a leading cause of childhood disability. Conditions of cerebral palsy - ANSWER-Characterized by motor deficits that limit activity, but individuals with CP often have associated musculoskeletal problems, learning disabilities and behavioral problems. Subgroups of cerebral palsy - ANSWER-1. Dyskinesia syndromes 2. Spastic cerebral palsy 3. Ataxic