Deck 6: Neurologic Pathologies

Question 1

If a client with cerebral palsy cannot speak clearly:

A)The client's guardian must be present.
B)The therapist and client must devise a code for communication.
C)Massage is contraindicated.
D)Informed consent is invalid.

Answer 1

The therapist and client must devise a code for communication.

Question 2

Which of the following is a term for explosive episodes of uncontrolled and excessive electrical activity in the brain also known as a "lightning storm in the brain"?

A)Seizure disorder
B)Conjunctivitis
C)Encephalitis
D)Hypothalamic neuralgia

Answer 2

Seizure disorder

Question 3

Which of the following courses of action is the best to take if a client appears to be having a seizure?

A)Leave the room,call 911,and then call the client's emergency contact.
B)Remain in the room calmly,begin to time the seizure,clear the area of objects,and cushion the client's head with the client's chin lifted.
C)Speak to the client loudly and continuously to keep him or her as alert as possible while holding the client's hand.
D)Put a firm object between the client's teeth to keep the client from biting his or her tongue.

Answer 3

Remain in the room calmly,begin to time the seizure,clear the area of objects,and cushion the client's head with the client's chin lifted.

Question 4

Which of the following is a congenital defect characterized by failure of the posterior spinous processes of the vertebral column to close,usually in the lumbar spine?

A)Amyotrophic lateral dysplasia
B)Myasthenia gravis
C)Spina bifida
D)Shingles

Question 5

Which is a rare,genetic disease characterized by motor disturbances,mental deterioration,and abnormal behavior?

A)Crohn disease
B)Markan disease
C)Huntington disease
D)Erb palsy

Question 6

Inflammation of the brain is called:

A)Encephalitis
B)Meningitis
C)Shingles
D)Dementia

Question 7

Which of the following statements is NOT true when treating a client with attention-deficit hyperactivity disorder (ADHD)?

A)Shorter-than-normal sessions are more appropriate.
B)Clients may fidget,talk,and miss appointments.
C)The therapist should relax office policies and boundaries to accommodate the client.
D)Teaching massage techniques to the caregiver of a child with ADHD is helpful.

Question 8

Which of the following is paralysis of the arms and legs?

A)Hemiplegia
B)Synplegia
C)Paraplegia
D)Quadriplegia

Question 9

What is another term used to denote amyotrophic lateral sclerosis?

A)Lou Gehrig disease
B)Myasthenia gravis
C)Huntington disease
D)Bell palsy

Question 10

Which paralysis involves only the lower extremities and trunk?

A)Quadriplegia
B)Hemiplegia
C)Paraplegia
D)Heteroplegia

Question 11

Which of the following is an infectious disease caused by the poliovirus?

A)Meningitis
B)Poliomyelitis
C)Conjunctivitis
D)Encephalitis

Question 12

A person with Huntington disease (chorea)develops:

A)Involuntary,jerky motions of the arms and face
B)Hearing loss
C)Progressive relaxation of the thorax and limbs
D)Petechiae

Question 13

Which of the following is a type of dementia that produces a typical profile of mental deterioration?

A)Radiculopathy
B)Dysthymia
C)Cerebral palsy
D)Alzheimer disease

Question 14

A person with autism is most likely to benefit from:

A)90-minute sessions combining relaxation and deep tissue massage
B)60-minute sessions focused on firm gliding and light percussion
C)30-minute sessions focused on general relaxation
D)15-minute sessions focused on firm gliding and compressive strokes with full hand contact

Question 15

A client with multiple sclerosis:

A)Should schedule appointments when he or she begins feeling ill
B)Should be evaluated at every visit because symptoms change
C)Should be treated with neuromuscular techniques to increase nerve transmission
D)Is contraindicated for massage

Question 16

In less severe forms of spina bifida:

A)Massage is still contraindicated.
B)Massage is indicated with no cautions or contraindications.
C)Massage is geared toward rehabilitation.
D)Massage is indicated while avoiding the area over the spinal defect.

Question 17

What disorder results in progressive neural demyelination?

A)Alzheimer disease
B)Myasthenia gravis
C)Spinal palsy
D)Multiple sclerosis

Question 18

Massage for a client with postpolio syndrome is:

A)Best in 90-minute sessions using deep gliding strokes
B)Contraindicated until the condition is completely resolved
C)Best in 30-minute sessions using lighter-than-normal techniques
D)Best in 30-minute session using joint mobilizations and stretching

Question 19

Dementia typically interferes with work and social activities because it:

A)Causes muscle fiber conduction
B)Causes vision and hearing loss
C)Affects thinking,remembering,and communicating
D)Causes peripheral neuropathy

Question 20

What neurologic disorder produces a syndrome of abnormal movements marked by destruction of dopamine-producing neurons in the brain?

A)Guillain Barré syndrome
B)Parkinson disease
C)Poliomyelitis
D)Alzheimer gravis

Question 21

Which of the following is inflammation of the sciatic nerve?

A)Compartment syndrome
B)Tennis elbow
C)Dowager's hip
D)Sciatica

Question 22

Which of the following is most often due to repetitive use of the wrist?

A)Carpal tunnel syndrome
B)Palsy
C)Poliomyelitis
D)Multiple sclerosis

Question 23

The two main types of stroke are:

A)Petit and grand
B)Ischemic and hemorrhagic
C)Benign and malignant
D)Cerebral and arterial

Question 24

A term frequently used to denote a cerebrovascular accident is a:

A)Hernia
B)Stroke
C)Sequela
D)Seizure

Question 25

What is a synonym for trigeminal neuralgia?

A)Postherpetic neuralgia
B)Acute idiopathic polyneuritis
C)Tic douloureux
D)Obsessive compulsive disorder

Question 26

With degenerative disc disease:

A)Massage is contraindicated.
B)Only mobilizations are indicated.
C)Only gentle gliding over the affected area is indicated after positioning the client for comfort.
D)Longer sessions enhance improvements.

Question 27

Myasthenia gravis results in:

A)Progressive muscle weakness and paralysis
B)Loss of memory and intellect
C)Progressive hypertonicity of the facial muscles
D)Peripheral neuropathy

Question 28

Which of the following autoimmune disorders is caused by a loss of acetylcholine receptors at the neuromuscular junction?

A)Guillain Barré syndrome
B)Poliomyelitis
C)Parkinson disease
D)Myasthenia gravis

Question 29

Massage for a client with Bell palsy:

A)Is an absolute contraindication
B)Is a local contraindication
C)Is focused on the face and head
D)Should incorporate light gliding directed upward,kneading,percussion,and vibration on facial muscles as part of general massage

Question 30

For a client with trigeminal neuralgia:

A)Massage is contraindicated
B)Avoid massaging the face and scalp
C)Use only the prone position
D)Schedule sessions of shorter-than-normal duration

Question 31

A client with Guillain-Barré syndrome:

A)Is locally contraindicated for massage
B)Should postpone massage until full recovery has occurred
C)Requires assistance getting on and off the massage table due to pharmacotherapy
D)Is sensitive to scented oils and candles

Question 32

Which of the following conditions occurs when pain radiates into the extremities along the path of a compressed nerve?

A)Pruritus
B)Radiculopathy
C)Dementia
D)Reflex dystrophy

Question 33

Peripheral neuropathy affects:

A)Somatic nerves,autonomic nerves,or both
B)Central nerves,peripheral nerves,or both
C)Sympathetic nerves,parasympathetic nerves,or both
D)Sensory nerves,motor nerves,or both

Question 34

Which of the following is caused by a compression of nerves in the brachial plexus and/or the subclavian artery and vein?

A)Thoracic outlet syndrome
B)Brachial compartment syndrome
C)Sciatica
D)Brachial radiculopathy

Question 35

Which of the following actions is NOT recommended in order for a massage therapist to prevent developing carpal tunnel syndrome?

A)Keep wrists neutral while working.
B)Strengthen forearm and hand muscles.
C)Stretch between sessions.
D)Raise the table height.

Question 36

What condition is due to occlusion or rupture of blood vessels causing disruption in cerebral blood flow?

A)Anorexia nervosa
B)Stroke
C)Spina bifida
D)Glaucoma

Question 37

Which of the following nerves is most affected in persons with carpal tunnel syndrome?

A)Musculocutaneous
B)Median
C)Ulnar
D)Radial

Question 38

Amyotrophic lateral sclerosis affects:

A)Intelligence
B)Sensory function
C)Motor function
D)Memory

Question 39

Migraine headaches appear to be caused by:

A)Muscle tension in the cervical area
B)Lack of vitamin C
C)Chemical imbalance that dilates and inflames blood vessels
D)Harsh sounds and lights

Question 40

Which of the following is protrusion of the nucleus pulposus through a tear in the annulus fibrosus?

A)Ankylosing spondylitis
B)de Quervain spondylitis
C)Herniated disc
D)Itinerant disc