Pediatric Movement Disorders And Spasticity

Pediatric Movement Disorders And Spasticity
Order 5899466
Pediatric Movement Disorders And Spasticity
1. Spasticity is best described as:
a. Velocity-dependent resistance to passive
muscle stretch usually due to upper motor
neuron lesion
b. Velocity-dependent resistance to active
muscle stretch usually due to upper motor
neuron lesion
c. Velocity-dependent resistance to passive
muscle stretch usually due to lower motor
neuron lesion
d. Force-dependent resistance to passive
muscle stretch usually due to upper motor
neuron lesion
e. Force-dependent resistance to active
muscle stretch usually due to lower motor
neuron lesion
f. Force-dependent resistance to passive
muscle stretch usually due to lower motor
neuron lesion
2. The most common cause of spasticity in children is likely to be:
a. Cerebral palsy
b. Multiple sclerosis
c. Stroke
d. Traumatic spinal injury
e. Wilson’s disease
3. You see a 4-year-old child in clinic with a
right spastic hemiparesis from a previously
ruptured left basal ganglia cavernoma. She
is currently taking oral baclofen and gabapentin. On examination, the right upper
limb has increased tone throughout the
range of movement but is easy to move,
while the right leg has a considerable
increased in muscle tone with passive movement being difficult. What are the Modified
Ashworth scale grades for the right arm
and leg?
Pediatric Movement Disorders And Spasticity
a. Right arm¼1, Right leg¼2
b. Right arm¼1 , Right leg¼2
c. Right arm¼1 , Right leg¼3
d. Right arm¼2, Right leg¼3
e. Right arm¼3, Right leg¼4
4. Which one of the following is LEAST likely to
be a therapeutic end goal for intrathecal
baclofen?
a. Absence of limb spasticity
b. Facilitating care
c. Increasing range of motion
d. Reducing painful muscle spasms
e. Slowing the development of muscle
contractures
5. Intrathecal baclofen treatment in children
with cerebral palsy is most commonly associated with?
a. Increased generalized itching
b. Increased headache
c. Increased progression of scoliosis
d. Increased seizure frequency
e. Reduced physostigmine requirements
6. A 27-year-old patient with spastic diplegia
presents 2 years after baclofen pump insertion with increasing baclofen requirements.
Until 6 months ago he had been stable for
1 year with a requirement of 300 μg/day.
On the X-ray image of his baclofen pump
below, which port would allow you to determine catheter patency?
a. Blue arrow
b. Purple arrow
c. Red circle
d. Yellow arrow
e. Access port is usually in-line with catheter
in lumbar region
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