Exam 31: Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Which of the following areas involved in a stroke will cause sensory and motor impairment of the lower extremities?

Which of the following is disease in which patients may have facial wasting, hypotonia, an arched palate with progressive weakness that begins in the distal muscles?

Tissue plasminogen activator (TPa) should be administered within ________ of the onset of stroke symptoms.

Management of a traumatic spinal cord injury below the level of C5 involves: 1) prompt assessment to prevent addition injury. 2) immediate intubation. 3) anticoagulation therapy. 4) intravenous fluid resuscitation.

Which of the following NMD can be diagnosed with genetic testing of the dystrophin gene? 1) Duchenne muscular dystrophy 2) Facioscapulohumeral dystrophy 3) Becker muscular dystrophy 4) Limb girdle muscular dystrophy

The respiratory therapist can prevent increases in intracranial pressure (ICP) by:

Elevation of what laboratory values suggest muscle damage? 1) Albumin 2) Aldolase 3) Immunoglobulin 4) Creatine kinase

General management and care of a patient with neuromuscular disease includes: 1) nutritional assessment. 2) gastrostomy tube placement. 3) mechanical ventilation. 4) weekly nerve conduction studies.

Which of the following is transmitted in X-linked, autosomal recessive, and autosomal dominant fashions in which patients typically exhibit muscle weakness and wasting in a scapulohumeroperoneal distribution?

You are assisting the physician with the assessment of a patient that is thought to have ALS. What clinical cues should you be most aware of? 1) Sialorrhea 2) Muscle biopsy results 3) Tongue fasciculations 4) Nerve conduction study results

Which of the following is the leading cause of death in a patient with neuromuscular disease (NMD)?

Which of the following is early sign of disease seen in an infant with Duchenne muscular dystrophy?

Cervical nerves _______ through _______ innervate the diaphragm.

Which of the following are the two main categories of stroke?

You are assessing the patient-ventilator system of a patient being treated for stroke. What parameters are you most concerned with during the assessment? 1) PEEP level of 20 cm H₂O 2) Frequency of 18 breaths/min 3) MAP level of 30 mm Hg 4) Peak inspiratory pressure of 21 cm H₂O

You are treating a patient with a proximal distribution of weakness. Which of the following NMD is most likely?

Which of the following is a progressive neurologic disorder characterized by degeneration of upper and lower motor neurons?

Diagnosis of muscular dystrophy combines: 1) physical examination. 2) laboratory testing. 3) muscle biopsy findings. 4) pulmonary function testing.

The use of hands and arms to "walk up" their own body from a squatting position is referred to as: