05 Dec 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:
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Motor neurons |
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Neurons of the autonomic nervous system only |
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Both sensory and motor neurons |
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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?
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Amyotrophic Lateral Sclerosis |
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Muscular dystrophy |
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Traumatic spinal cord hemisection |
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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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1 points
QUESTION 4
1. Which of the following is NOT an early symptom of ALS?
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Leg weakness |
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Difficulty swallowing |
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Loss of balance |
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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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1 points
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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