Case Study Myelodysplasia Ch.24 Test Bank 3rd Edition

Chapter 24. Case Study: Myelodysplasia

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. Improved strength and aerobic capacity in obese children with spinal cord dysfunction or myelomeningocele has been reported after a 16-week:
   1. intervention program of nutrition and fitness.
   2. wheelchair training program.
   3. weight training program.
   4. walking intervention program.
2. What happens to the heart rate of children with low-lumbar and mid-lumbar myelomeningocele compared with nondisabled peers when walking?
3. Heart rate remains the same
4. Heart rate increases
5. Heart rate decreases
6. Heart rate varies
7. All of the following are environmental adaptations that might assist a child with mid-lumbar myelomeningocele in using the bathroom except:
8. a sliding board.
9. grab bars.
10. a changing table.
11. a rolling stool.
12. A high school student with a diagnosis of myelodysplasia is an independent manual wheelchair user. Next year, he will be attending a community college with longer distances to travel between buildings/classes. He has recently been experiencing shoulder pain and is now being treated by an orthopedic physical therapist. What equipment modifications should the school-based physical therapist consider to ensure he remains independent in community wheelchair mobility?
    1. Arrange for a new power wheelchair evaluation with a wheelchair seating specialist.
    2. Order a lighter weight manual wheelchair to decrease upper extremity strain.
    3. Order a gait trainer and appropriate orthotics to allow for ambulation across campus.
    4. Arrange for transportation services across campus.
13. A student with a diagnosis of myelodysplasia went for an annual physical and his body mass index (BMI) score placed him in the obese range. He uses a wheelchair for mobility and tends to prefer sedentary activities. His doctor has recommended a diet and an exercise program, which the therapist plans to incorporate into his physical education class. To monitor his BMI, the therapist should:
    1. weigh the student on the gym scale and use segmental height.
    2. weigh the student on the gym scale and use arm-span measurements.
    3. weigh the student on the gym scale and measure height in supine.
    4. weigh the student on the gym scale and use the recorded height from his medical record.
14. Which test/measure would be most appropriate to assess mobility of a student who uses a wheelchair in a new school setting?
    1. School Function Assessment
    2. Gross Motor Function Measure
    3. Five repetitions of sit to stand
    4. Peabody Developmental Motor Scales–2

Short Answer

1. List five common complications of myelodysplasia.
2. Discuss what a child must learn when using a manual wheelchair in a natural school environment.
3. List three common medical concerns that would be appropriate for the school-based physical therapist to address with school personnel, and which should be monitored for, when working with a student with myelodysplasia.
4. List three factors to consider before recommending lower extremity orthotics for a student with myelodysplasia.

True/False

Indicate whether the statement is true or false.

1. In the natural school environment, the physical therapist relies on the classroom staff to follow through with mobility and transfer activities on a daily basis for a child with myelomeningocele.
2. In the school environment, it is nice to have a translator available to interpret at the individualized education program meetings, but it is not required.

Chapter 24