Matthew Coulson
Quiz by , created more than 1 year ago

Motor Neuron Diseases lecture given by Esther Sammler in Week 5

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Matthew Coulson
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Motor Neuron Disease

Question 1 of 20

1

What is the most common form of Motor Neuron Disease?

Select one of the following:

  • Amyotrophic Lateral Sclerosis (ALS)

  • Hereditary Spastic Paraplegia (HSP)

  • Primary Lateral Sclerosis (PLS)

Explanation

Question 2 of 20

1

Which type of motor neuron disease exhibits both upper and lower motor neuron degeneration?

Select one of the following:

  • Hereditary Spastic Paraplegia (HSP)

  • Primary Lateral Sclerosis (PLS)

  • Amyotrophic Lateral Sclerosis (ALS)

Explanation

Question 3 of 20

1

Which type fo Motor Neuron Disease is also referred to as Lou Gehrig's Disease?

Select one of the following:

  • Hereditary Spastic Paraplegia (HSP)

  • Primary Lateral Sclerosis (PLS)

  • Amyotrophic Lateral Sclerosis (ALS)

Explanation

Question 4 of 20

1

Amyotrophic Lateral Sclerosis typically presents at what age?

Select one of the following:

  • Around 40

  • Around 20

  • Around 60

  • Teenage years

Explanation

Question 5 of 20

1

Select from the dropdown lists to complete the text.

The average survival for patients diagnosed with ALS is ( 2-4, 10-20, 15-20 ) years, with most eventually dying of ( respiratory, heart, cerebral ) failure

Explanation

Question 6 of 20

1

The most common symptoms of onset in ALS are spinal onset and bulbar onset. Match the type of onset to its symptoms:
= Presents with progressive weakness in the arms and the legs
= Presents with progressive weakness in the muscles of speech, chewing & swallowing.

Drag and drop to complete the text.

    Bulbar onset (25%)
    Spinal onset (65%)

Explanation

Question 7 of 20

1

Which of the following describe Babinski sign

Select one of the following:

  • Firm stroking of the sole of the foot causes plantarflexion of the foot

  • Firm stroking of the sole of the foot causes dorsiflexion of the foot

  • Firm stroking of the sole of the foot causes eversion of the foot

  • Firm stroking of the sole of the foot causes inversion of the foot

Explanation

Question 8 of 20

1

A clonic jaw reflex would suggest which type of ALS onset?

Select one of the following:

  • Bulbar onset

  • Spinal onset

  • Respiratory onset

Explanation

Question 9 of 20

1

Select from the dropdown list to complete the text.

The hands can be a prime indicator of ALS. Split hand syndrome seen in ALS describes the preferential wasting of the ( thenar, hypothenar ) muscle group.

Explanation

Question 10 of 20

1

Select from the dropdown list to complete the text.

Primary Lateral Sclerosis differs from Amyotrophic Lateral Sclerosis in that it does NOT show signs of ( lower, upper ) motor neuron degeneration

Explanation

Question 11 of 20

1

Which condition has a better prognosis?

Select one of the following:

  • Amyotrophic Lateral Sclerosis

  • Primary Lateral Sclerosis

Explanation

Question 12 of 20

1

There is a strong link between ALS and which type of dementia?

Select one of the following:

  • Frontotemporal Dementia (Pick's Disease)

  • Vascular Dementia

  • Alzheimer's Disease

  • Dementia with Lewy Bodies

Explanation

Question 13 of 20

1

Select from the dropdown list to complete the text.

Babinski Sign suggests that a patient has experienced ( upper, lower ) motor neuron degeneration

Explanation

Question 14 of 20

1

What are the two most common causes of death in ALS patients?

Select one or more of the following:

  • Respiratory failure

  • Pneumonia

  • Cardiac failure

  • Endocarditis

  • Lung cancer

  • Choking from aspiration

Explanation

Question 15 of 20

1

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The pathological hallmark of ALS is the presence of ( inclusion, subtrusian, lewy, tau, ubiquitin ) bodies (abnormal aggregations of protein) in the cytoplasm of motor neurons

Explanation

Question 16 of 20

1

How are reflexes affected by ALS?

Select one of the following:

  • Patients have hyperreflexia due to the UMN degeneration

  • Patients have hyporeflexia due to the LMN degeneration

Explanation

Question 17 of 20

1

Fill the blank space to complete the text.

Disease is an X-linked recessive condition of the motor neurons in the brainstem and spinal cord. Degeneration of these structures leads to weakness and muscle cramps. It is commonly misdiagnosed as ALS.

Explanation

Question 18 of 20

1

Select from the dropdown list to complete the text.

Kennedy's Disease ( only affects males, only affects females, affects males and females equally )

Explanation

Question 19 of 20

1

What is the main treatment for the respiratory failure seen in ALS patients?

Select one of the following:

  • Invasive ventilation

  • Non-invasive ventilation

Explanation

Question 20 of 20

1

Fill the blank space to complete the text.

Which sodium channel antagonist can be given to patients with ALS, prolonging their life by 2-3 months?

Explanation