patho ch 15

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

In most patients, the first sign of myasthenia gravis involves

Diplopia and ptosis

ALS affects motor and sensation

False

All cranial nerves have motor and sensory functions

False

Clostridium botulinum AKA botox destroys acetylcholine receptors

False

Multiple sclerosis can causes respiratory failure

False

Myasthenia gravis affects motor and sensation

False

Parkinson's disease is easily diagnosed

False

There is a cure for Parkinson disease

False

All of the following are seen in upper motor neuron lesions/diseases except

Fascinations

With what are lower motor neuron lesions/diseases most often associated from a clinical presentation

Flaccidity

A deficiency of which of the following may contribute to loss of motor function in parkinsons

Dopamine

Besides myasthenia gravis, what other degenerative diseases have diplopia

-MS

Myasthenia gravis is

A disease where nerves impulses do not reach the muscle

What disease is characterized by muscle atrophy resulting in paralysis and death

ALS or Lou Gehrig Disease

What is multiple sclerosis

Autoimmune disorder

Define bradykinesia

Abnormally slow movements

Myasthenia gravis is an autoimmune disorder in which

Acetylcholine receptors are destroyed

_______ neurons relay sensory input to CNS while ________ neurons relay motor output from the CNS

Afferent and efferent

A patient is taking long term corticosteroids for myasthenia gravis. What teaching is most important

Avoid large crowds and people who are ill

What sign is consistent with Guillain

Barre syndrome-Sudden onset of weakness in the legs

Which of the following describes multiple sclerosis best

CNS myelin sheaths demyelinate

Multiple sclerosis is an autoimmune diseases that

Causes the immune system to attack the nerve cells

Where are the upper motor neurons located at

Cerebrum and brainstem

What happens when the myelin sheath degenerates in a person with multiple sclerosis

Communication to muscles slows down

Which type of medication is used to treat acute exacerbations of multiple sclerosis

Corticosteroids

What is amyotrophic lateral sclerosis

Degenerative of upper and lower motor neurons

Hypomimia is described as

Diminished facial movement causing lack of facial expression

ALS is potentially caused by excessive

Glutamate

Dysfunction in which of the following nerves would cause anosmia

I

Which assessment finding would the nurse identify as a late manifestation of amyotrophic lateral sclerosis

Impairment of respiratory muscles

What is not a common symptom of Parkinson disease

Loss of motor tone

Dyskinesia

Loss of voluntary movement

Where does decussation of neurons take place

Medulla oblongata

All the following disorders affect the PNS except

Multiple sclerosis

Signs and symptoms of parkinsons include all of the following except

Muscular excitement

Where do motor neurons attach to the muscle

Neuromuscular junctions

Is there a cure for multiple sclerosis

No

What cure is available for amyotrophic lateral sclerosis

No cure

All the following are neurological autoimmune disorders except

Parkinson's

Which is not a stage of multiple sclerosis

Relapsing/remitting static

Parkinson disease causes muscles to become so _______ that patients lose muscular capacity

Rigid

The priority nursing diagnosis for a patient with amyotrophic lateral sclerosis is

Risk for aspiration

You learn the patient you will be caring for has Guillain barre syndrome. As a nurse, you know this disease presents with

Signs and symptoms that are symmetrical, ascending, start in the lower extremity

What does hypophonia mean

Soft, low voice when speaking

What symptoms does ALS cause

Stiff muscles and muscles twitching

What is anosmia

The inability to smell

ALS can cause respiratory failure

True

ALS causes muscle atrophy

True

Guillian barre causes ascending paralysis

True

In MS, autoantibodies attack myelin sheath in brain and spinal cord

True

In guillian barre, autoantibodies attack peripheral nerve myelin sheath

True

In myasthenia gravis, autoantibodies attack the neuromuscular junction and destroy acetylcholine receptors

True

Injury to lower motor neurons means an absence of Babinski sign

True

Myasthenia gravis can cause respiratory failure

True

Parkinson's disease effects your ability to move

True

Spinal nerves have motor and sensory functions

True

The cause Guillain barre syndrome is unknown but usually follows what

Viral respiratory infection or gastroenteritis within 10 to 21 days

What are the symptoms of the disease and/or condition of multiple sclerosis

Vision loss, fatigue, and impaired coordination

What is a sign or symptom of myasthenia gravis

Weakness of neck muscles, Double vision/drooping eyelids, Difficulty speaking


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