Chat with us, powered by LiveChat 1. Scott, a 37-year-old elementary teacher, is seeing his general practitioner for complaints of general - Writeedu

1. Scott, a 37-year-old elementary teacher, is seeing his general practitioner for complaints of general

1. Scott, a 37-year-old elementary teacher, is seeing his general practitioner for complaints of general weakness, especially in his lower extremities. He has also been feeling very fatigued lately and has trouble keeping up with his students throughout his work day. His physician notes that he has lost a significant amount of weight in the last 6 months. Scott reports that even simple tasks, such as brushing his hair and getting dressed, can seem like a chore. He has trouble climbing stairs because of his weakness and notices that his speech is slurred, especially at the end of the day. Scott’s physician uses a tongue depressor during his physical examination and Scott begins to gag and has difficulty swallowing. His physician notes muscle wasting and abnormal spasticity in upper and lower extremities bilaterally. All reflexes are normal except the Babinski reflex. Scott’s toes fan out when the sole of his feet are stroked with the reflex hammer. Scott’s symptoms are primarily related to problems with:

 

 

Motor neurons

 

 

Neurons of the autonomic nervous system only

 

 

Both sensory and motor neurons

 

 

Sensory neurons

1 points   

QUESTION 2

1. Because Scott’s symptoms are progressively getting worse over a period of several months, we can rule out which of the following diagnoses?

 

 

Amyotrophic Lateral Sclerosis

 

 

Muscular dystrophy

 

 

Traumatic spinal cord hemisection

 

 

Multiple Sclerosis

1 points   

QUESTION 3

1. Scott’s physician believes he may have ALS. Briefly describe this condition in your own words.  

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QUESTION 4

1. Which of the following is NOT an early symptom of ALS?

 

 

Leg weakness

 

 

Difficulty swallowing

 

 

Loss of balance

 

 

Fatigue

1 points   

QUESTION 5

1. What are the major differences between ALS and MS, physiologically? Describe any pathological differences you find in your research.

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QUESTION 6

1. Scott has a positive Babinski reflex. What is the significance of this? What does a positive Babinski reflex mean in adult patients?

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