Neuro Gold

Which is NOT true of Alzhemier's

• Managed with cholingerics

• Autopsy results shows neurofibrillary tangles within cytoplasm, amyloid plaques, cerebral atrophy

• Leading cause of death is infection or dehydration

• End stage can exhibit vegetative symptoms, incontinence, functional dependence, and inability to speak

Which is false of Lou Gehrigs disease

• distal to proximal progression

• Bulbar involvement includes Dysarthia, Dysphagia, Emotional lability

• PT focus is on ADL's and preserving intact gait function

• Muscle weakness due to denervation eventually causes significant fasciculations, atrophy and wasting of muscles

Which is true of carpal tunnel syndrome?

• entrapment of radial nerve

• diagnosed with Froment's sign

• management includes splinting, carpal mobilization, and gentle stretching

• causes atrophy in the hypothenar eminence

Which is characteristic of SPASTIC diplegia/diparesis cerebral palsy?

• Muscle stiffness is mainly in the legs, with the arms less affected or not affected at all, might have difficulty walking because tight hip and leg muscles cause their legs to pull together, turn inward, and cross at the knees (also known as scissoring).

• affects only one side of a person’s body; usually the arm is more affected than the leg.

• the most severe form of spastic CP and affects all four limbs, the trunk, and the face, usually cannot walk and often have other developmental disabilities such as intellectual disability; seizures; or problems with vision, hearing, or speech.

• Movements are uncontrollable and can be slow and writhing or rapid and jerky

Which is characteristic of ATAXIC cerebral palsy?

• Sometimes the face and tongue are affected and the person has a hard time sucking, swallowing, and talking.

• have problems with balance and coordination They might have a hard time with quick movements or movements that need a lot of control, like writing

• has muscle tone that can change (varying from too tight to too loose) not only from day to day, but even during a single day.

• The most common type of CP

Which set of symptoms indicate a Left sided CVA?

• Verbal functions Analytical reasoning Process information in sequential, organized, linear fashion Languages produced and processed Positive emotions (love, happiness)

• Nonverbal Artistic abilities “big picture” without specifically reviewing all details Can understand nonverbal information Facial expressions Negative emotions Mathematical, logical Sustaining movements

• impairments in attention, contralateral neglect, memory issues, decreased awareness of deficits

• loss of musical and artistic awareness

Which describes a CVA to the Middle cerebral artery?

• Alters mental status impaired judgment Neglect contralateral hemiplegia/paresis, Hyperthesia behavioral changes Speech Apraxia if located in the nondominant hemisphere or aphasia if located in the dominant hemisphere

• Contralateral hemiparesis and hyperesthesia ipsilateral hemianopsia with a gaze preference to the side of the lesion. Agnosia- Receptive or expressive aphasia Weakness of UE more often than LE because the UE Motor strip often more involved than LE

• affects vision and thought Homonymous hemianopsia Pain and temperature loss Contralateral hemiplegia Cortical blindness Visual agnosia Altered mental status Impaired memory

• ncontinence, impairment of intellect, paraparesis

Emphasis of PT with Down syndrome?

• facilitation of decreased muscle tone

• strengthening and conditioning

• address hypotonia

• accelerate achievement of milestones

What is FALSE of Duchenne Muscular Dystrophy?

• Gene is found on X-chromosome, recessive trait, only males are affected

• noted by Gower's maneuver

• Inability to ambulate by 16-18 years of age

• Death occurs primarily from cardiopulmonary complications

Guillain-Barre Syndrome is all BUT...

• Demyelination that is initiated at the Ranvier’s nodes

• treated with corticosteroids and conservative therapy

• motor weakness in distal to proximal progression, sensory impairment, and possible respiratory paralysis.

• autoimmune response reacting to previous respiratory infection, Influenza Immunization/vaccinations (flu), Surgery Virus infection, Epstein Barr syndrome, cytomegalovirus Bacterial infection