WorksheetsCase 1 and 2 (CP and Scleroderma)
Total questions: 15
Worksheet time: 17mins
Progressive systemic sclerosis is characterized by the following manifestations except for:
a. Inflammatory response
b. Vascular sclerosis
c. Dermal Fibrosis
d. Visceral Fibrosis
NOTA
Systemic Sclerosis has poor prognosis and is related the extent of cutaneous involvement.
TRUE
FALSE
This is a condition characterized by dilatation of capillary vessels causing red marks of the surface of the skin.
(a)
This is a condition characterized by the thickening of the skin on the fingers and hands.
(a)
Scleroderma is usually diagnosed on clinical grounds in conjunction autoantibody testing like the following except:
ANA
Antitopoisomerase I AB
Anti-SCL 70
Anticentromere AB
NOTA
What type of medical intervention is used to reduce spasticity through an injection directly to the muscle. (Answer in complete terminology)
(a)
Which statement best reflects why children with cerebral palsy may have speech and language problems?
a. Lesions affecting primary motor
b. Lesions affecting temporal lobe
c. Lesions affecting limbic system
a & b
a & c
According to the medical record, Jenny had damage to her primary motor cortex during birth trauma. She has been receiving OT, PT, and SLP since birth. The therapist observed the following during the initial evaluation:
◾Abnormal movements and atypical reflexes present (ie. ATNR)
◾Hypertonicity in her arms with spasticity greater in her right bicep, wrist flexors, and thumb adductor
◾Hypertonicity in her legs with spasticity greater in hip adductors, hamstrings, and gastroc/soleus
◾Delayed or absent righting and equilibrium responses\
What type of cerebral palsy does Jenny have?
(a)
What type of movement would you expect to see upon observation of a 4-year-old girl with athetoid type cerebral palsy (CP)?
Large sudden fluctuations, "jerky" movements with poor midrange control
Large, calculated writhing movements of the oculomotor and oral motor origin.
Small, patterned “pill-rolling “movements of the hands
AOTA
NOTA
Which of the following is a common compensatory strategy used by children with cerebral palsy while reaching and grasping?
Excessive trunk movements including trunk extension and lateral flexion
Overemphasized ATNR
Overemphasized STNR
Overemphasized placing reflex with excessive arm and hand movements
A 1-year-old child is being evaluated for cerebral palsy. When assessing the child, which finding is the PT least likely to observe?
Arching of the back
Normal muscle tone in all extremities
Strabismus
Developmental delay
A PT is preparing an educational seminar about early intervention programs to promote growth and development of the child with cerebral palsy (CP). Which information would the nurse include to assist the parents of these children?
The value of home schooling so that the child will not have to be exposed to children in the school setting
The need to use terminology 1 year below the child's development level
The use of adaptive devices to help the child communicate more independently
Explain that vocational training is not appropriate but that assisting with a general job is appropriate
A 9-month-old child has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestation would the PT expect to assess in this client?
Tremors and exaggerated posturing
Hypertonia and persistence primitive reflexes
Hypotonia and muscle instability
Hemiplegia and hypertonia
Which surgical intervention is not used to treat cerebral palsy (CP)?
Dorsal rhizotomy
Surgically implanted intrathecal pump
Releasing the hamstrings
Achilles tendon shortening
Scleroderma Pathogenesis:This begins when something damages the endothelium in small vessels. What occurs as the blood vessels heal?
Blood vessel fibrosis and ischemic injury
Venous stasis and collagen formation
Collagen mutation and deposition
Fibrin synthesis and collagen formation
