Question 1

Based upon the research,which of the following would be appropriate interventions for cervical dystonia?

Accepted Answer

A) Active neck range of motion and whole body relaxation 
B) Transcutaneous nerve stimulation (TENS) applied to the appropriate neck musculature 
C) Botulism Toxin-A injection with cervical bracing 
D) Whole-body vibration A

Question 2

Your client presents with Huntington chorea.Damage to which of the following neural structures will present this type of dyskinesia?

Accepted Answer

A) Direct pathways of the basal ganglia 
B) Striatal,prefrontal pathways 
C) Indirect pathways of the basal ganglia 
D) Striatal,limbic pathways C

Question 3

You are working with an individual who has a history of HD and who demonstrates marked choreoathetosis of movement,both in his trunk and extremities.Based upon the work by Kloos (2012),which is likely the best choice of an assistive device?

Accepted Answer

A) Standard walker 
B) Two-wheeled walker 
C) Single point cane 
D) Four-wheeled walker D

Question 4

Which of the following would be an appropriate gait measure for an individual who tested positive for HD and is presymptomatic?

Accepted Answer

A) Timed Up-and-Go 
B) Gait speed 
C) Functional Reach 
D) Berg Balance Scale

Question 5

Your client presents with an action tremor when drinking or pouring a cup of water,with no other neurologic deficits.She has had the tremor for years with only a mild progression.What is her most likely diagnosis?

Accepted Answer

A) Parkinson disease 
B) Essential tremor (ET) 
C) Dystonia 
D) Ataxia

Question 6

What are the (3) factors identified by Raina (2005) that are the best overall predictors of caregiver physical and mental well-being?

Accepted Answer

A) Child's age,socio-economic status,ethnicity 
B) Child's behavior,caregiving demands,family function 
C) Caregiver activity,spousal demands,child disposition 
D) Marital status,child's age,socio-economic status

Question 7

According to Quinn (2010),which was NOT identified as a barrier to exercise programs for individuals with HD and Parkinson disease?

Accepted Answer

A) Poor management of medication 
B) Location of the program 
C) Safety during exercise 
D) Poor cognition

Question 8

What are the benefits of high-intensity,focused ultrasound over deep brain stimulation for the treatment of essential tremor (ET)?

Accepted Answer

A) The signal can be modulated. 
B) The procedure is non-invasive. 
C) The procedure results in permanent changes to the neural structures. 
D) There is a greater reduction in tremor.

Question 9

The 30 year-old adult child of a client who is being treated for late stage Huntington disease (HD) expresses concern about his risk of developing HD.Which of the following statements most accurately represents his risk for developing the disease?

Accepted Answer

A) He has a 50% chance of inheriting the affected gene from his parent with HD. 
B) It is hard to say,the genetic mutation can skip generations. 
C) Symptoms usually present in early adulthood,as he is already 30 years old and is asymptomatic,he is unlikely to have inherited the gene. 
D) Unfortunately no tests exist to determine whether or not he has HD.

Question 10

Although deep brain stimulation (DBS) improves tremor,which of the following may be adversely affected by the surgical procedure?

Accepted Answer

A) Balance function 
B) Muscle strength 
C) Autonomic function 
D) Oculomotor function

Question 11

Dyskinesia refers to all of the following EXCEPT:

Accepted Answer

A) Chorea 
B) Tics 
C) Tremor 
D) Spasticity

Exam 20: Intervention for Involuntary Contractions and Movement