OT 611 Exam 2 Study Set With Correct Solution

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