Neuro 164-196 Flashcards

1
Q

Akinesia is common with what Disease

A

Parkinson’s

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2
Q

Pathology of Alzheimer’s

A

Neurons normally involved with Ach transmission deteriorate within the cerebral cortex

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3
Q

Pathology of Huntington’s

A

Degeneration and atrophy of the basal ganglia and cerebral cortex within the brain

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4
Q

Describe the cognitive stage of motor learning

A

Person acquires info regarding the goal of the activity and begin to problem solve as to how to attain the goal

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5
Q

Grade of 2 on modified ashworth represents

A

More marked increase in muscle tone through most of the ROM, but affected parts easily moved

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6
Q

What Disease involves muscles at the neuromuscular junction

A

Myasthenia gravis

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7
Q

Dysarthria is caused by

A

UMN lesion

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8
Q

Dysphagia

A

Inability to properly swallow

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9
Q

What is asthenia

A

Generalized weakness

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10
Q

What is ataxia

A

Inability to perform coordinated movements

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11
Q

Clonus is indicative of…

A

UMN lesion

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12
Q

Grade of 4 on modified Ashworth represents

A

Affected parts rigid in flexion or extension

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13
Q

Are upper or lower motor neuron lesions involved with ALS

A

both upper and lower

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14
Q

Goals of PT for Huntington’s

A
Maximize endurance 
Strength 
Balance 
Postural control 
Functional mobility
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15
Q

What is the associative stage of motor learning

A

Intermediate stage where a person is able to more independently distinguish correct versus incorrect performance

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16
Q

Most common symptoms of gullain barre

A

Motor weakness (distal to proximal)
Sensory impairment
Possible respiratory paralysis

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17
Q

For ALS, what direction does muscle loss occur

A

Distal to proximal

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18
Q

Should you immediately call 911 if someone is having a seizure

A

No only if it lasts more than 5 min

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19
Q

Cardinal signs of myasthenia gravis

A

Extreme fatigue

Skeletal muscle weakness that can fluctuate within minutes or over an extended period

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20
Q

What is Guillain-Barré syndrome

A

Temporary inflammation and demyelination of peripheral nerves’ myelin sheaths, potentially resulting in axonal degeneration

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21
Q

Type of strategy used to lower the center of gravity during standing or ambulation in order to better control the center of gravity

A

Suspensory

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22
Q

Myasthenia gravis is also involved with an enlarged…

A

Thymus

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23
Q

What muscles are generally affected first for myasthenia gravis

A

Ocular

24
Q

Whole training

A

Practice of an entire task

25
Q

Grade of 0 on modified ashworth represents

A

No increase in tone

26
Q

The Fugl-Meyer test is for patients with…

A

Hemiplegia

27
Q

Initial symptoms of diabetic neuropathy

A

Weakness and sensory disturbances symmetrically

28
Q

In gullain barre, muscle weakness progression direction

A

Distal to proximal

29
Q

Agnosia

A

Inability to interpret info

30
Q

Distributed practice

A

Rest time is equal or greater than practice

31
Q

What is Bell’s Palsy

A

Temporary unilateral facial paralysis secondary to trauma with demyelination and/or atonal degeneration of the facial nerve

32
Q

Grade of 3 on modified Ashworth represents

A

Considerable increase in muscle tone, passive movement difficult

33
Q

Massed practice

A

Practice time greater than amount of rest

34
Q

What Disease commonly presents with chorea

A

Huntington’s

35
Q

Cognitive impairment with Huntington’s?

A

Yup

36
Q

Dysarthria

A

Slurred and impaired speech

37
Q

PT management of Alzheimer’s

A

Maximizing patient’s remaining function and providing family and caregiver education

38
Q

Focus of ALS treatment

A

Quality of life

Caregiver training

39
Q

Agraphia

A

Inability to write

40
Q

What two things develop in the brain with Alzheimer’s

A

Amyloid plaques

Neurofibrillary tangles

41
Q

Three stages of motor learning

A

Cognitive
Associative
Autonomous

42
Q

What is the autonomous stage of learning

A

Person improves efficiency of the activity without a great need for cognitive control

43
Q

The modified ashworth scale grades what

A

Spasticity

44
Q

Athetosis is common with what Disease

A

CP

45
Q

Huntington’s is also known as

A

Huntington’s Chorea

46
Q

What nerve should be stimulated for Bell’s palsy

A

Facial

47
Q

Grade of 1+ on the modified ashworth represents

A

Slight increase in tone, a catch followed by minimal resistance throughout remainder (less than half) of the ROM

48
Q

Most common ALS complaints

A

Fatigue
Oral motor impairment
Motor paralysis
Respiratory paralysis (eventually)

49
Q

What is hemiballism

A

Involuntary and violent movement of large body part

50
Q

Examples of suspensory strategy

A

Knee flexion, crouching, squatting

51
Q

Is Bell’s Palsy symmetrical or asymmetrical

A

Asymmetrical

52
Q

What type of rigidity is seen with Parkinson’s

A

Cogwheel

53
Q

Type of trait genetically transmitted in huntingtons

A

Autosomal dominant

54
Q

Blocked practice

A

Consistent practice of a single task

55
Q

Best environment for cognitive stage of motor learning

A

Controlled

56
Q

Grade of 1 on modified ashworth represents

A

Slight increase in tone, catch and release or by minimal resistance at the end of the ROM when the affected parts are in flexion or extension