Exam 17: Amyotrophic Lateral Sclerosis

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A 56-year-old patient with amyotrophic lateral sclerosis reports mild to moderate right shoulder pain that has been getting worse over the past 3 weeks.The strength of the shoulder musculature is 4/5.Which of the following is the MOST appropriate intervention at this point in time?

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C

Which approach needs to be considered when determining the appropriate amount and type of exercise in a patient with amyotrophic lateral sclerosis whose functional status has declined?

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D

A patient reports difficulty with holding eating utensils and writing but denies difficulty when using the left hand.Upon physical examination,fasciculations and a positive Babinski sign are noted in the right upper extremity.Which of the following is the MOST likely diagnosis?

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D

A patient who was recently diagnosed with amyotrophic lateral sclerosis presents with clonus and weakness in the right dorsiflexors (3/5)and hip flexors (4-/5).The patient also reports a few choking episodes when eating.Which is the MOST appropriate category for this patient according to the El Escorial Criteria?

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A patient with amyotrophic lateral sclerosis is unable to elevate the eyebrows.Which cranial nerve (CN)is MOST likely involved?

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