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Spasticity 09/03/19

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

Which antispasticity drug used to treat a 3 year old child with CP binds to GABA receptors in the spinal cord to inhibit reflexes that lead to increased tone?

a)

Clonidine

b)

Tizanidine

c)

Dantrolene

d)

Baclofen

2.

When applying cryotherapy in the treatment of musculoskeletal disorders, which of the following events Is NOT a contraindication to its use?

a)

Paroxysmal cold hemoglobinuria

b)

Impaired sensation

c)

Arterial insufficiency

d)

Spasticity

3.

Botulinum toxin injections into the hip adductors, hamstrings and gastrocsoleus in children with spastic cerebral palsy are shown to

a)

Have greater effect in children older than 10 years

b)

Be better than serial casting in management of spastic equinus

c)

Be ineffective in management of spastic equinus gait

d)

Delay progression of hip displacement

4.

Intrathecal baclofen decreases spasticity by what mechanism?

a)

It blocks Ia afferent signals through the dorsal root ganglia

b)

It acts as a GABA agonist to inhibit gamma motor neuron activity and decrease muscle spindle sensitivity to spinal reflexes

c)

It blocks acetylcholine release from neurons at the peripheral NMJ

d)

It inhibits calcium release from the sarcoplasmic reticulum during muscle contraction

5.

Neuromuscular electrical stimulation to treat shoulder subluxation after stroke should be applied to which muscles?

a)

Deltoid and supraspinatus

b)

Deltoid and trapezius

c)

Supraspinatus and infraspinatus

d)

Subscapularis and infraspinatus

6.

Which modifiable risk factor MOST increases the relative risk of stroke?

a)

Smoking

b)

Hypertension

c)

Diabetes Mellitus

d)

Hypercholesterolemia

7.

Which clinical exam finding increases the likelihood that a stroke patient has had an ischemic stroke and NOT a hemorrhagic stroke?

a)

Neck stiffness

b)

Cervical bruit

c)

Diastolic BP greater than 110mmHg

d)

Headache

8.

An infarct in the lower division of the left middle cerebral artery division would be associated with which type of aphasia?

a)

Global

b)

Broca

c)

Transcortical Motor

d)

Wernicke

9.

Tizanidine is contraindicated in patients taking which of the following medication?

a)

Fluvoxamine

b)

Baclofen

c)

Atomexitine

d)

Sildenafil

10.

Botulinum toxins type A works at the

following receptor?

a)

VAMP

b)

CAMP

c)

SNAP 25

d)

Synaptobrevin