13 Jan It is unlikely that Georgia is e

Joanne just celebrated her 50th birthday and knows that she should probably see her physician for a physical. She’s generally in good health, but has been experiencing some odd symptoms lately. Joanne has been experiencing mild to moderate headaches once or twice a week, usually in the morning hours. She feels that her mental acuity “isn’t what it used to be” and forgets the day of the week occasionally. Her husband often complains that she has the TV too loud, but Joanne thinks it’s a normal volume. She has noticed that her feet and toes are colder and she has to wear socks and slippers around the house to be comfortable.

A few nights a week, she wakes up in the middle of the night with tingling and numbness in her right hand. Joanne works at a desk all day and she notices a sharp, and sometimes throbbing, pain in her feet bilaterally after a long workday. She was thinking that her symptoms were just part of aging, but wonders if it could be abnormal. She has no history of major trauma, alcoholism, cancer, or inherited diseases.

Which of the following choices would best describe the symptoms in Joanne’s feet?

Sensory neuron dysfunction

Both sensory and motor neuron dysfunction

Motor neuron dysfunction

Permanent neuron damage to the sympathetic nervous system

1 points

QUESTION 2

Which of Joanne’s symptoms could be related to peripheral neuropathy?

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1 points

QUESTION 3

All of the following are possible causes for peripheral neuropathy EXCEPT:

Vitamin B deficiencies

Hemorrhage

Intervertebral disk herniation

Medications

1 points

QUESTION 4

If Joanne’s neuropathy is related to diabetes, what are some complications she can expect (and try to avoid)? List and describe at least three complications.

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1 points

QUESTION 5

All of the following might be an explanation for Joanne’s right hand symptoms, except which?

Lumbar disc herniation

Carpal tunnel syndrome

Cervical disc herniation

Sleeping on her right shoulder, causing pressure on the brachial plexus

1 points

QUESTION 6

If Joanne’s hand symptoms area caused by carpal tunnel syndrome, which nerve would be affected?

Ulnar nerve

Axillary nerve

Radial nerve

Median nerve

1 points

QUESTION 7

If Joanne’s hand symptoms are caused by carpal tunnel syndrome, which of her fingers would be affected by the numbness?

1st – 3rd digits

All digits

1st digit only

1st-3rd digits and medial half of the 4th digit

1 points

QUESTION 8

How might Joanne’s lower extremity symptoms be related to her job? Briefly describe how ergonomics might be related to the pathophysiology she is experiencing.

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1 points

QUESTION 9

Dysfunction of the following structures would explain Joanne’s numbness?

Corticospinal tract

Dorsal root

Lumbar plexus

Ventral root

1 points

QUESTION 10

Dysfunction of which the following structures may be the cause of Joanne’s lower extremity symptoms?

Sacral plexus

Lumbar plexus

Cervical plexus

Brachial plexus

1 points

QUESTION 11

Georgia is 20 years old. She works at a stressful full-time job, co-parents a four-year-old and is attending evening courses to finish her bachelor degree. She has no history of significant trauma or health concerns, other than well-managed type I diabetes. She woke up one morning feeling a little off. When she looked in the mirror, she noticed that her right eye looked droopy and she was unable to smile fully. She panicked, called 911, and ran to her neighbor’s house to ask for a ride to the hospital. Georgia remembers learning in one of her first aid courses that face drooping was a sign of a stroke, so she was very worried.

It is unlikely that Georgia is experiencing a stroke. List and explain at least three reasons why a stroke is unlikely in this case.

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1 points