Exam 1 -webinars

Question 1

Trigeminal Neuralgia (what is it. and types)

Answer 1

-chronic pain condition affecting CN V (5) trigeminal, (ophthalmic, maxillary, and mandibular branches) caused by neuropathic pain associated with nerve injury or nerve lesion

Type 1: classic = burning or shock like facial pain lasting seconds up to 2 mins

Type 2: atypical: constant burning, higher intensity. Less common

Question 2

Trigeminal neuralgia (pathophys, symptoms)

Answer 2

• pathophys: blood vessel pressing on nerve, compression from tumor, or associated with MS.
• symptoms: range from sudden, severe stabbing to a constant ache/burning. pain is often triggered by contact with the cheek.

Question 3

Trigeminal neuralgia (management)

Answer 3

• medically with anti-epileptic drugs or surgically

- PT: TENS, relaxation techniques, hot packs

Question 4

Chronic inflammatory demyelinating polyneuropathy (CIDP) -what is it

Answer 4

• autoimmune disorder that attacks the myelin sheath of peripheral nerves causing symmetrical progressive weakness and impaired sensation in the UE/LE
• cause not entirely known. Less often associated with a preceding infection as in AIDP.

Question 5

CIDP -symptoms

Answer 5

• tingling or numbness in toes and fingers
• symmetrical weakness in arms and legs
• loss of DTR
• fatigue
• gait imbalance

Question 6

Anodyne therapy

Answer 6

-a light therapy treatment for patients with neuropathy.

Question 7

Multifocal motor neuropathy

Answer 7

• autoimmune disorder
• motor nerves are attacked causing weakness without sensation loss
• lower motor neuron disorder with no sensation involvement
• fasciculations
• PT: pt edu, strengthen weak mm, preserve ROM, maintain function, E-stim

Question 8

Polymyositis and Dermatomyositis

Answer 8

• chronic idiopathic inflammatory myositis.
• autoimmune in which T-cells attack muscle fibers and destroy them
• usually associated with malignancy

skin lesions are common: heliotrope rash, Gorton’s sign, or erythema over knees or elbows.