NM Quizzes Flashcards

(57 cards)

1
Q

What type of cells creat myelin in the peripheral NS?

A

schwann

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2
Q

whay type of cells creat myeline in the CNS?

A

oligodendrocytes

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3
Q

What is the conduction velocity off nerves with very thick coats of myelin

A

very fast

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4
Q

Which of the following conditions involve the mmotor end plate of a nerve?

diabetic neuropathy

myasthenia gravis

postpolio

A

myasthenia gravis

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5
Q

Which disease is the most physically devastating of the neurodegenerative diseases>?

A

ALS

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6
Q

Which of the following is best describes as the study of how biologic and environmental signals determine gene expression?

genetics

epigentics

genomics

A

epigenetics

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7
Q

A person’s genetic makeup account for what percent of obesity?

A

40-70%

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8
Q

What kind of impairments occur for those affected with acute poliomyelitis?

A

focal and asymmetric motor impairments

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9
Q

For those affected with postpolio syndrom, recovery is attributed to reinnervation of the denervatedmuscle fibers by what…?

A

collateral sprouting

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10
Q

What neuropathy is classified as a metabolic neuropathy?

A

diabetic neuropathy?

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11
Q

What is the immune mediated inflammatory neuropathy?

A

guillain barre

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12
Q

What is the autoimmune myopathy?

A

myasthenia gravis

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13
Q

What are the hereditary myopathies?

A

limb girdle dystrophy

facioscapular dstrophy

duchenne’s dystrophy/becker dystropy

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14
Q

What is a hereditary neuropathy?

A

charcot-marie-tooth

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15
Q

What disease has upper and lower motor neuuro features?

A

ALS

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16
Q

Which type of muscular dystrophy becomes most apparent between 2-5 years of age

A

Duchennes MD

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17
Q

What age do children with DMD lose the ability to walk

A

10-12 years of age

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18
Q

Which NM disease is characterized by progressive weakness and wasting of skeletal muscles resulting from anterior horn cell degneration?

CMT

DMD

SMA

A

Spinal muscular atrophy (SMA)

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19
Q

Which NM disorder do individuals have a higher incidence of learning disorders, autism like features and lower than average IQ?

A

duchenne MD

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20
Q

Charcot Marie Tooth NM disease results in what type of deficits>

A

primary motor and sensory deficits

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21
Q

Which NM disease is a loud foot slapping, steppage gait patttern very common?

SMA

CMT

DMD

A

charcot marie tooth

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22
Q

Duchenne MD hallmark signs include..

A

psuedohypertrophy

Gower’s sign

proximal weakness

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23
Q

What is calf pseudohypertrophy?

A

as muscle degenerates, the calf muscles are infiltrated with fatty and fibrous tissue

24
Q

What gene is the largest in the body?

25
Which of the following therapies are not used to treat SMA Nusinersen Risdiplam corticosteriods
corticosteroids
26
What scale best dscribes the cogntive behavioral stages oof decline in AD?
global deterioration scale
27
Which medication may be used to treat dementia ?
medications that block ACh breakdown
28
What are the subcortical dementia's?
Lewy Body dementia Huntington's disease
29
What are the cortical types of dementia's?
Alzheimer's vascular dementia frontotemporal dementation Wernicke-Korsakoff's syndrome pugilistic dementia (CTE)
30
What is the most beneficial regarding exercise programs for individuals regardless of dementia stage?
mobility training and physical activity
31
True or False Individuals with dementia must be able to explicitly remember all of their exercises in order to demonstrate benefit from them on standardized measures such as Berg Balance Scale, Timed Up and Go and gait speed tests.
False
32
A group of cognitive disorders characterized by memory impairment, difficulty with language, motor ability, object recognition and executive function is describes what?
dementia
33
True or False Chronic Traumatic Encephalopathy (CTE) is associated with repeated hits to the head causing multiple concussions and can only be diagnosed definitively through post-mortem brain tissue analysis.
True
34
what is the 2nd most common type of dementia
vascular dementia
35
What type of dementia is characterized by neurofibrilary tangles and neuritic plaquues with amyloids
Alzheimer's dementia
36
What dementia is caused by EtOH abuse
Wernicke's Korsakoff's syndrome
37
Ture or False Research in Mild Cognitive Impairment (MCI) and Alzheimer's Dementia suggests a clear link between declining cognition in these disorders with declining balance ability.
TRUE
38
Which of Teepa Snow's "GEMS Brain Change Model" analogies describes an individual at the late or end stages of dementia?
Pearl
39
Where in the brain is the initial source of pathology located in PD?
substantia nigra
40
The diagnosis of PD is most typically made by clinical findings of the cardinal signs of PD and a positive response to...
dopamine replacement
41
What are the cardinal signs of PD
tremor, rigidity, postural instability, and bradykinesia
42
Progressive Supranuclear Palsy (PSP) is characterized by what?
the inabilit to look down and sever postural instability
43
The progression of what is faster than the tremor form of PD
postural instability and gait disoders (PIGD)
44
Individuals in the later stages of PD typically have an excessive forward flexed posture including increased forward head position, thoracic kyphosis, hip flexion, elbow flexion and knee flexion. This posture creates a shift of the center of mass forward which can contribute to which of the following? balance difficulties and increased fall risk festinating gait increased risk for MSk impairment all the above
balance difficulties and increased fall risk festinating gait increased risk for MSk impairment
45
What is the most common non motor sign of PD?
olfactory loss, cognitive impairment, dperession
46
Which oHoehn and Yahr stages of PD are described as unilateral symptoms only?
Stage 1
47
Whcih H&Y stage of PD are described as bilateral symptoms with postural instability (unable to recover on the posterior pull test)?
H&Y Stage 3
48
What are primary categories of PT intervention for people with PD
aerobic condition task specific training flexibility strengthening
49
Extended Disability Status Scale (EDSS) scores best describes an individual who has severe disability with restriction to bed or wheelchair?
EDSS 8.0
50
What are common barriers to exercise for individuals with MS
Heat senstivity, fatigue, pain
51
What areas of the nervous system does MS affect?
the brain and spinal cord
52
Extended Disability Status Scale (EDSS) scores best describes an individual who has mild disability overall, with slightly greater disability in one functional system?
EDSS 2.0
53
Between what ages are females most commonly affected by MS?
ages 20-50
54
Multiple Sclerosis is a chronic neurodegenerative disorder of the CNS which is characterized by demyelination by an autoimmune process. Which cells are responsible for myelin production in the CNS?
oligodendrocytes
55
What are the most common initial presentations of MS
optic neuritis, sensory changes, weakness
56
The McDonald Criteria for diagnosing Multiple Sclerosis is best described by which of the below? MRI lesions in 2 of 4 areas (dissemination in space) and a relapse and/or new lesions on MRI (dissemination in time) Cerebrospinal fluid analysis only Clinical diagnosis only; MRI findings don't contribute
MRI lesions in 2 of 4 areas (dissemination in space) and a relapse and/or new lesions on MRI (dissemination in time)
57
True or False There are disease-modifying drugs for Multiple Sclerosis that significantly decrease new lesion development, progression of the disease and relapse rates.
TRUE