Test Bank Motor Unit & Myopathic Issues Chapter 31

Chapter 31: Motor Unit and Myopathic Diseases: Considerations and Treatment

Multiple Choice

1. An OTA is working with a 56-year-old homemaker who is complaining of muscle weakness, especially around the face/neck. The client states that she seems to feel fine in the morning; however, her muscles feel the worst later in the day after household tasks, and she is having trouble preparing dinner for her family. Which condition would this client most likely be experiencing?

a. Myasthenia gravis

b. Charcot-Marie-Tooth disease

c. Becker muscular dystrophy

d. Duchenne muscular dystrophy

OBJ: 31.1

2. An OTA is working with a young adult client who is currently utilizing a power wheelchair for mobility. The client is experiencing progressive weakness requiring adaptations to his wheelchair. The client is also rather small in stature from having this disorder since a young child and has developed scoliosis. Which condition does this client most likely have?

a. Limb girdle muscular dystrophy

b. Duchenne muscular dystrophy

c. Myotonic dystrophy

d. Spinal muscular atrophy

OBJ: 31.1

3. How is post-polio syndrome different from most of the muscular dystrophies?

a. It is new weakness after being stable for years.

b. It only progresses with weakness in the arms.

c. It is a genetic disorder.

d. No muscle should be exercised to extreme fatigue.

OBJ: 31.1

4. The OTA has a client who has Becker muscular dystrophy, and the client asks the OTA how that disease is different from Duchenne muscular dystrophy. The OTA would provide which of the following as education?

a. Men with Duchenne muscular dystrophy have less incidence of scoliosis.

b. Becker muscular dystrophy has a much later onset, with slower progression.

c. Becker muscular dystrophy has more respiratory and swallowing involvement.

d. Men with Duchenne muscular dystrophy will generally require a wheelchair by age 20.

OBJ: 31.1

5. A 24-year-old has been hospitalized with the diagnosis of chronic inflammatory demyelinating polyneuropathy. Which condition did the client most likely have prior to receiving this additional diagnosis?

a. Guillain-Barré syndrome

b. Post-polio syndrome

c. Becker muscular dystrophy

d. Charcot-Marie-Tooth disease

OBJ: 31.2

6. A client has been diagnosed with Guillain-Barré syndrome. When planning for future treatment sessions, when should the OT practitioner expect that the client will be at her weakest?

a. 2 months after symptoms appear

b. 2 to 3 weeks after symptoms appear

c. 5 days after symptoms appear

d. 1 month after symptoms appear

OBJ: 31.2

7. A client is currently in the hospital due to the onset of Guillain-Barré syndrome. Although the client is currently in the beginning of the acute phase, how might the OTA assist this client?

a. Fabrication of orthoses to prevent contracture

b. Instruction in AAROM

c. Assistance with sitting at the edge of the bed

d. Power wheelchair mobility training

OBJ:31.3

8. An OTA is providing treatment to an adult with myasthenia gravis to help accommodate weakness experienced during her routine for ADLs. Which type of approach will most likely benefit this client in managing her condition?

a. Rehabilitative

b. Biomechanical

c. Compensatory

d. Model systems

OBJ: 31.3

9. An OTA is utilizing functional exercise as a part of an intervention plan for a young adult with spinal muscular atrophy. What would the OTA most likely have this individual do as a part of treatment and with his home program?

a. Using the movements for brushing his hair as the exercise

b. Lifting light weights first thing in the morning

c. Resistive exercises in a swimming pool

d. Lifting a laundry basket 10 times in a row

OBJ: 31.4

10. An OTA is recommending an exercise program for a client with limb-girdle muscular dystrophy. Which type of exercise would best help the client manage the symptoms of this condition?

a. Archery

b. Weight lifting

c. Aerobics

d. Swimming

OBJ: 31.4