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neurology > ALS (Exam 5) > Flashcards

ALS (Exam 5) Flashcards

1
Q

Lough Gehrig Diease

A

ALS

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2
Q

Amyotrophic Lateral Sclerosis

A

ALS

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3
Q

Terminal progressive diease invovling UMNs and LMNs

A

ALs

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4
Q

Progessive degeneration and loss of motor neurons in the spinal cord, brainstem, and motor cortex.

A

ALS

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5
Q

____ is the most common motor neuron disorder among adults.

A

ALS

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6
Q

Average onset is ____.

A

Mid to Late 50s

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7
Q

Men or women more greater?

A

Men

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8
Q

Cause of ALS _____.

A

Unknown except for an inherited form.

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9
Q

Elevated levels of ____ present.

A

Creatine Phosphokinase

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10
Q

Both UMN and LMN in at least 3 regions. UMN and LMN signs in the bulbar region and at least 2 spinal regions.

A

Clincially Definite

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11
Q

UMN and LMN in 2 regions. At least 1 UMN rostral to the LMN.

A

Clinically Probable

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12
Q

UMN and LMN in 1 region. UMN present in 1 region. UMN in 1 region. LMN in at least 2 regions.

A

Clinically Probable with Laboratory Support

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13
Q

UMN and LMN found together in 1 region. UMN found in 2 or more regions. LMN found rostral to UMN instability to establish a diagonosis of clincially probable laboratory supported.

A

Clinically Possible

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14
Q

Degenerate in the cortex and corticospinal tract.

A

UMN

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15
Q

Degerenate in the brainstem and antieror horn cells in the spinal cord.

A

LMN

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16
Q

____ is a cardinal sign.

A

Muscle Weakness

17
Q

Limb Loss: Asymmetrical weakness in arm or leg.

Bulbar Loss: Swallowing or speaking difficulties. Fasiculuation with tongue.

A

Clinical Signs

18
Q

Bulbar loss more common in men or women.

A

Women

19
Q

Early Signs

A

Muscle cramps, weakness, atrophy, fatigue.

20
Q

Mixed Palsy

A

Combination of spasticity and flacciditiy.

21
Q

Avoid heavy eccentric exercise. Moderate resistance can increase strength in muscles with a MMT of 3 or higher. Overuse is not a issue if the muscles exhibit a MMT of 3 or higher.

A

General Suggestions for PT.

22
Q

Can you strengthen a patient with ALS?

A

No, because they will just loose it any way because its a degenerative diease.

23
Q

ALS is UMNL or LMNL?

A

Both!

neurology (19 decks)

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