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Midterm Exam: NR572 / NR 572 (Latest Update 2024 / 2025) Advanced Acute Care Management | Questions & Answers | 100% Correct | Grade A - Chamberlain $7.99
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Midterm Exam: NR572 / NR 572 (Latest Update 2024 / 2025) Advanced Acute Care Management | Questions & Answers | 100% Correct | Grade A - Chamberlain

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Midterm Exam: NR572 / NR 572 (Latest Update 2024 / 2025) Advanced Acute Care Management | Questions & Answers | 100% Correct | Grade A - Chamberlain Question: Amyotrophic lateral sclerosis (ALS) Answer: degenerative disorder of motor neurons in the spinal cord and brainstem Question:...

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  • October 25, 2024
  • 165
  • 2024/2025
  • Exam (elaborations)
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Midterm Exam: NR572 / NR 572
(Latest Update )
Advanced Acute Care Management |
Questions & Answers | 100%
Correct | Grade A - Chamberlain


Question:
Amyotrophic lateral sclerosis (ALS)
Answer:
degenerative disorder of motor neurons in the spinal cord and brainstem




Question:
ALS risk factors
Answer:
-Age
-Autoimmune disease
-Environmental exposures to toxins
-Family history
-Smoking
-Viral infections

,Question:
ALS physical exam findings
Answer:
-dysarthria
-Hyper- or hyporeflexia
-fasciculations
-clonus
-spasticity
-Muscular atrophy
-foot drop
-presence of abnormal reflexes, including Hoffman, Babinski, or Chaddock
signs




Question:
Hoffman's sign
Answer:
Provider flicks the middle fingernail while the patient holds their arm out
with their palm down and fingers extended.


Positive: Thumb or index finger flexes after the flick


Negative: no movement after the flick


A positive result could indicate cervical spinal cord compression

,Question:
Chaddock Reflex/Sign
Answer:
Evaluates for an upper motor neuron lesion


Provider strokes just distal to the lateral malleolus along the lateral side of the
foot and a response normally would be nothing (negative)


Positive= flared toes with dorsiflexion




Question:
Clinical features of ALS (Subjective)
Answer:
Clinical feature stemmed from the loss of dysfunction of upper and lower
motor neurons


Symptoms tend to be related (stiffness, weakness, cramping) without sensory
or pain complaints.


Typically do not have pain, numbness, tingling


Weakness in arms or hands (cervical)
Weakness in legs or ankles (thoracic)
Dysphasia, dysphagia, drooling (craniobulbar)

, Dyspnea, orthopnea, weak cough, excessive daytime, sleepiness, risk of
aspiration (respiratory)


Attention deficit, concentration issues, memory impairment (cognitive
impairment)




Question:
ALS ddx
Answer:
-GBS
-myasthenia gravis
-multiple sclerosis
-Brain stem lesion
-Cervical myopathy due to compressive factors (stenosis, disc herniation, etc.)
-polymyositis




Question:
Gold Coast Criteria
Answer:
For the diagnosis of ALS

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