infectious & degenerative disorders Flashcards

1
Q

a patient presents with rigidity, flexion of arms, clenched fist, & extended legs. This abnorma posturing is called?

Axial posturing
Decerebrate posturing
Hypotonic Posturing
Decorticate posturing

A

decorticate posturing

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2
Q

A patient with encephalitis who scores a 3 on the Glasgow Coma Scale would present as:

No alteration in consciousness, motor function, and verbal response

Mile alteration in consciousness, motor function, and verbal response

Severe alteration in consciousness, motor function, and verbal response

Moderate alteration in consciousness, motor function, and verbal response

A

Severe alteration in consciousness, motor function, and verbal response

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3
Q

Which of the following is a distinct clinical feature of encephalitis yet not meningitis?

Headache

Altered consciousness

Fever

Nausea

A

Altered consciousness

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4
Q

what is the most common cause of viral meningitis?

escherichia coli
herpes simplex 2
enterovirus
epstein-barr virus

A

enterovirus

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5
Q

A patient is tested for meningitis. They are in supine and the hip is flexed while the knee is extended. The patient does not complain of pain. This is a:

Positive Brudzinski’s Sign

Positive Kernig Sign

Negative Kernig Sign

Negative Brudzinski’s Sign

A

Negative Kernig Sign

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6
Q

Which of the following is the MOST common form of meningitis?

Tuberculous

Bacterial

Chemical

Viral

A

Viral

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7
Q

You are working with a patient with Parkinson’s who tends to freeze during ambulation. Which of the following is the BEST strategy to improve movement with this client?

Rocking the body to generate weight shift

Music

Stamping feet

All answers are correct

A

All answers are correct

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8
Q

Which of the following is a common reason Parkinson’s patients are at risk of being off balance or falling?

Retropulsion

Freezing

Festinating gait

All answers are correct

A

all answers are correct

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9
Q

Which of the following symtpoms is the single MOST common and disabling symptom of Multiple Sclerosis?

Sensory changes

Vision changes

Muscle spasms

Fatigue

A

Fatigue

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10
Q

A clients with Huntington’s Disease being tested for dysdiadochokinesia would be asked to:

Perform rapid tongue movements

Perform rapid finger to thumb tapping

Assess muscle strength

Both A & B

A

Both A & B

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11
Q

Which of the following brain structures is MOST impacted by Huntington’s Disease?

Pons

Hippocampus

Frontal lobe

Basal ganglia

A

Basal ganglia

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11
Q

A client with dystonia presents with uncontrolled blinking in your session. This is called:

Blepharospasms

Cervical dystonia

Dysphonia

Oromandibular dystonia

A

Blepharospasms

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12
Q

Which of the following is NOT an effective strategy when designing a program for a person with Alzheimer’s Disease?

Perform exercises in the daytime

Start with activities that the client can achieve

Group therapy with simple exercises

Avoid storytelling into the exercise program

A

Avoid storytelling into the exercise program

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13
Q

Which of the following would be an expected symptom of someone with dementia?

Occasional lapses in attention

Temporary sadness or anxiety

Slower reaction time

Severe weight loss

A

Severe weight loss

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14
Q

At what stage of ALS is a person beginning to demonstrate moderate to severe muscle weakness and has become wheelchair dependent?

Stage 3

Stage 2

Stage 5

Stage 4

A

Stage 5

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15
Q

You are working with a patient with ALS who presents with a forward, drooping head. Which of the following complications should you be the MOST concerned about?

Tight neck extensor muscles

Normal diaphragmatic breathing

Respiratory distress when sleeping in prone

Respiratory distress when sleeping in supine

A

Respiratory distress when sleeping in the supine

16
Q

A patient with ALS presenting with dysarthria may exhibit all of the following presentations EXCEPT:

Nasal tone

An inability to comprehend language

Whispering quality of voice

Inability to shout or sing

A

An inability to comprehend language

17
Q

Which of the following statements is TRUE regarding fasciculations seen in ALS?

They are muscle contractions that occur in predictable patterns

They are muscle contractions that occur spontaneously

Occurs due to hypoexcitable distal motor axons

Fasciculations are not found in healthy adults

A

They are muscle contractions that occur spontaneously

18
Q

Which of the following statements is TRUE regarding motor control manifestations and ALS?

Hyperextension of the head is common

Extensor muscles become weaker than flexor muscles

Flexor muscles become weaker than extensor muscles

Decreased lumbar lordosis occurs as a result of weakness

A

Extensor muscles become weaker than flexor muscles

19
Q

In up to 50% of ALS patients, this impairment is noted and impacts working memory, visual attention, and problem-solving.

Muscle wasting

Fasciculations

Dysarthria

Cognitive

A

Cognitive