Chapter 2, Pathology For The Physical Therapist Assistant (Lescher)

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Chapter 2, Pathology For The Physical Therapist Assistant (Lescher) - Quiz


Questions and Answers
  • 1. 

    The rate of occurrence of Down syndrome is roughly 1 in every ________ to _______ births.

    • A.

      100, 150

    • B.

      660, 800

    • C.

      1000, 1250

    • D.

      2, 10

    Correct Answer
    B. 660, 800
    Explanation
    page 55

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  • 2. 

    Chromosome ___ is affected in Down syndrome.

    • A.

      21

    • B.

      12

    • C.

      22

    • D.

      11

    Correct Answer
    A. 21
    Explanation
    page 55

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  • 3. 

    Signs and symptoms of Down syndrome include...

    • A.

      Atlantoaxial subluxation

    • B.

      Congenital heart disorders

    • C.

      Hypotonia

    • D.

      Varying degrees of mental retardation

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    pages 55, 56

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  • 4. 

    Individuals with Down syndrome...

    • A.

      Often live into their 50s

    • B.

      Tend to age prematurely

    • C.

      Are prone to dementia

    • D.

      Can often hold jobs and get married

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 56

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  • 5. 

    __________intake in women may help prevent birth defects.

    • A.

      Beta carotene

    • B.

      Folic acid

    • C.

      Vitamin K

    • D.

      Acetic acid

    Correct Answer
    B. Folic acid
    Explanation
    page 56

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  • 6. 

    Children with Down syndrome tend to have

    • A.

      Developmental dysplasia of the hip; atlantoaxial instability

    • B.

      Muscular hypotonia

    • C.

      Incredibly good balance

    • D.

      A and B

    • E.

      B and C

    Correct Answer
    D. A and B
    Explanation
    page 56

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  • 7. 

    Which of the following is TRUE about hemophilia?

    • A.

      Hemophilia affects females and males in equal numbers

    • B.

      Hemophilia is rarely hereditary.

    • C.

      Hemophilia is caused by deficient amounts of Factor VIII.

    • D.

      Hemophilia is almost always fatal.

    Correct Answer
    C. HemopHilia is caused by deficient amounts of Factor VIII.
    Explanation
    page 67

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  • 8. 

    Even a small injury in a person with hemophilia can cause...

    • A.

      Bleeding into a joint (hemiarthrosis)

    • B.

      Bleeding into the brain

    • C.

      Intestinal bleeding

    • D.

      Bleeding into a muscle

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 67

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  • 9. 

    Approximately _____ US babies are born with hemophilia yearly.

    • A.

      1,000

    • B.

      50

    • C.

      Less than 100

    • D.

      400

    Correct Answer
    D. 400
    Explanation
    page 67

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  • 10. 

    Some people with hemophilia may also suffer from HIV because

    • A.

      Both conditions are autoimmune and having one predisposes one to having the other

    • B.

      They generally spend a great deal of time hospitalized and are exposed to others with HIV

    • C.

      They likely received blood transfusions in the early 80s, before the blood supply was screened for HIV

    • D.

      HIV and hemophilia are both caused by the same gene

    Correct Answer
    C. They likely received blood transfusions in the early 80s, before the blood supply was screened for HIV
    Explanation
    page 67

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  • 11. 

    Causes of cerebral palsy include

    • A.

      Hypoxia of the fetus

    • B.

      Traumatic brain injury (TBI)

    • C.

      Meningitis

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    page 59

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  • 12. 

    Other risk factors for cerebral palsy include

    • A.

      A baby with a very high birth weight

    • B.

      Seizures in mother or child

    • C.

      Maternal exposures to toxic substances

    • D.

      Both A and B

    • E.

      Both B and C

    Correct Answer
    E. Both B and C
    Explanation
    page 59

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  • 13. 

    Which statement is TRUE regarding physical therapy for cerebral palsy?

    • A.

      It is only effective if treatment sessions are scheduled weekly

    • B.

      It can include aquatherapy, ambulation training, or the use of assistive devices

    • C.

      It must be started before the child is one year old

    • D.

      It is rarely employed unless the child has undergone surgery for his/her condition

    Correct Answer
    B. It can include aquatherapy, ambulation training, or the use of assistive devices
    Explanation
    page 60

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  • 14. 

    Symptoms of cerebral palsy include...

    • A.

      Ataxia

    • B.

      Hyper- or hypotonicity

    • C.

      Varying levels of paralysis

    • D.

      Vision, speech, or hearing deficits

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 60

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  • 15. 

    Medications that may be prescribed to relieve cerebral palsy symptoms include...

    • A.

      Muscle relaxants

    • B.

      Analgesics

    • C.

      Botulinium toxin (Botox)

    • D.

      Anti-seizure medications

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 60

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  • 16. 

    According to an estimate by the NIH, there are approximately ______ US children and adults living with cerebral palsy.

    • A.

      800,000

    • B.

      80,000

    • C.

      120,000

    • D.

      90,000

    Correct Answer
    A. 800,000
    Explanation
    page 59

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  • 17. 

    Sickle cell disease is autosomal recessive, which means that

    • A.

      It is transmitted via female family members

    • B.

      It only occurs once per generation

    • C.

      Both parents must pass the traits to their offspring

    • D.

      Only males can receive the genetic trait

    Correct Answer
    C. Both parents must pass the traits to their offspring
    Explanation
    Sickle cell disease is caused by a mutation in the hemoglobin gene. It is autosomal recessive, which means that both copies of the gene must be mutated for an individual to have the disease. This means that both parents must pass on the mutated gene to their offspring in order for them to inherit the disease. If only one parent passes on the mutated gene, the offspring will be a carrier of the disease but will not have symptoms.

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  • 18. 

    Sickle cell disease causes acute periods of hypoxia/ischemia to vital organs. The term for one of these periods is a(n) __________.

    • A.

      Flare-up

    • B.

      Crisis

    • C.

      Attack

    • D.

      Emergency

    Correct Answer
    B. Crisis
    Explanation
    page 69

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  • 19. 

    Factors leading to a sickle cell disease crisis include

    • A.

      Overexertion or fatigue

    • B.

      Stress or emotional factors

    • C.

      Heat or cold

    • D.

      Infection

    • E.

      Pregnancy

    • F.

      All of the above

    Correct Answer
    F. All of the above
    Explanation
    page 69

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  • 20. 

    Sickle cell disease is especially prevalent in

    • A.

      European and Scandinavian populations

    • B.

      Hispanic and African-American populations

    • C.

      Asian-American populations

    • D.

      Native peoples

    • E.

      None of the above; all ethnicities are affected equally

    Correct Answer
    B. Hispanic and African-American populations
    Explanation
    page 68

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  • 21. 

    Symptoms of a sickle cell crisis include

    • A.

      Abdominal or joint pain

    • B.

      Fever

    • C.

      Hives

    • D.

      A and B

    • E.

      B and C

    Correct Answer
    D. A and B
    Explanation
    page 69

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  • 22. 

    In the US, approximately _____________ to ____________ people are living with sickle cell disease.

    • A.

      70,000;80,000

    • B.

      1,000;1,500

    • C.

      20,000; 40,000

    • D.

      100,000; 1,000,000

    Correct Answer
    A. 70,000;80,000
    Explanation
    page 68

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  • 23. 

    Which statement regarding scoliosis is FALSE?

    • A.

      Scoliosis affects girls more often than boys

    • B.

      Many cases of scoliosis are mild and do not cause any problems

    • C.

      All surgeries to treat scoliosis are very invasive

    • D.

      Most cases of scoliosis are of unknown cause

    Correct Answer
    C. All surgeries to treat scoliosis are very invasive
    Explanation
    page 63

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  • 24. 

    Approximately ____% of the US population has scoliosis.

    • A.

      0.5

    • B.

      10

    • C.

      2

    • D.

      5

    Correct Answer
    C. 2
    Explanation
    page 63

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  • 25. 

    Besides the musculoskeletal system, which of the following systems is most likely to be affected by severe scoliosis?

    • A.

      Gastrointestinal

    • B.

      Lymphatic

    • C.

      Respiratory

    • D.

      Integumentary

    Correct Answer
    C. Respiratory
    Explanation
    page 63

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  • 26. 

    A scoliosis curvature above ____ degrees is likely to need a brace, and a curvature above _____ degrees is likely to require surgery.

    • A.

      10; 20-25

    • B.

      15; 20-25

    • C.

      30; 50-60

    • D.

      20; 40-45

    Correct Answer
    D. 20; 40-45
    Explanation
    page 63

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  • 27. 

    The two types of muscular dystrophy are ___________ and_____________.

    • A.

      Fontaine's; Backstrom's

    • B.

      Duchenne's ;Becker's

    • C.

      Duchenne's; Lescher's

    • D.

      Dupeytren's; Becker's

    Correct Answer
    B. Duchenne's ;Becker's
    Explanation
    page 67

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  • 28. 

    Life expectancy for patients with Duchenne's is __________ and Becker's is _________

    • A.

      Late teens to early adulthood; midlife

    • B.

      Early teens; late twenties

    • C.

      Midlife; late eighties

    • D.

      Early thirties; late teens

    Correct Answer
    A. Late teens to early adulthood; midlife
    Explanation
    page 68

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  • 29. 

    Which of the following statements is TRUE regarding muscular dystrophy?

    • A.

      It affects the ability of the muscles to utilize acetylcholine

    • B.

      Patients suffering from muscular dystrophy commonly undergo total joint arthroplasties

    • C.

      It is far more prevalent in females than males

    • D.

      It is an X-linked recessive chromosomal trait generally carried by the mother

    Correct Answer
    D. It is an X-linked recessive chromosomal trait generally carried by the mother
    Explanation
    page 67

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  • 30. 

    Which of the following are possible or probable in children with muscular dystrophy?

    • A.

      Trendelenburg gait

    • B.

      Severe muscle atrophy

    • C.

      Balance and ambulation difficulties

    • D.

      Scoliosis due to lack of muscular support

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 68

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  • 31. 

    Physical therapy interventions for children with muscular dystrophy include

    • A.

      Balance training

    • B.

      Aquatherapy

    • C.

      Breathing exercises

    • D.

      Lifting and transfer techniques

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    page 68

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  • 32. 

    The three types of spina bifida are

    • A.

      Spina bifida occulta, meningocele, myelomeningocele

    • B.

      Spina bifida gravida, meningocele, myelomeningocele

    • C.

      Spina bifida occulta, myelocele, neuromyelocele

    • D.

      Spina bifida gravida, melanocele, myeloneurocele

    Correct Answer
    A. Spina bifida occulta, meningocele, myelomeningocele
    Explanation
    page 64

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  • 33. 

    Risk factors for spina bifida include

    • A.

      Paternal exposure to Agent Orange

    • B.

      Maternal use of anti-seizure medication

    • C.

      Family history of the condition

    • D.

      Maternal obesity or insulin-dependent diabetes

    • E.

      All of the above

    • F.

      None of the above

    Correct Answer
    E. All of the above
    Explanation
    page 64

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  • 34. 

    Surgical closure of the spinal defect in a child with spina bifida is generally done

    • A.

      In utero

    • B.

      Within 72 hours of birth

    • C.

      Any time within the child's first four months

    • D.

      A and B

    • E.

      B and C

    Correct Answer
    D. A and B
    Explanation
    page 66

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  • 35. 

    Which of the following statements regarding spina bifida is FALSE?

    • A.

      Children with spina bifida occulta may not exhibit any signs or symptoms

    • B.

      Spina bifida almost always results in death within a child's first year of life

    • C.

      Most children with spina bifida have bowel and bladder incontinenence

    • D.

      Children with spina bifida are at a risk for pressure ulcers due to lack of sensation in the lower body

    Correct Answer
    B. Spina bifida almost always results in death within a child's first year of life
    Explanation
    page 66

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  • 36. 

    In spina bifida, the spinal column fails to close during the _________ month of pregnancy.

    • A.

      First

    • B.

      Third

    • C.

      Fifth

    • D.

      Eighth

    Correct Answer
    A. First
    Explanation
    page 64

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  • 37. 

    The normal human cell consists of ____ chromosomes (____ pairs).

    • A.

      50; 25

    • B.

      46; 23

    • C.

      48; 24

    • D.

      36; 18

    Correct Answer
    B. 46; 23
    Explanation
    page 51

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  • 38. 

    Which statement is TRUE regarding autosomal dominant genes?

    • A.

      The factor is inherited from one parent only

    • B.

      Each child has a 50% chance of inheriting the trait

    • C.

      it tends to have a total-body effect

    • D.

      All of the above are true

    • E.

      None of the above are true

    Correct Answer
    D. All of the above are true
    Explanation
    page 52

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  • 39. 

    Which statement is FALSE regarding autosomal recessive conditions?

    • A.

      Autosomal recessive conditions are more common than autosomal dominant conditions

    • B.

      Both parents must transmit the gene to cause a manifestation in the child

    • C.

      Autosomal recessive conditions are more likely to occur in areas of intermarriage

    • D.

      Autosomal recessive conditions only occur in males

    Correct Answer
    D. Autosomal recessive conditions only occur in males
    Explanation
    page 52

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  • 40. 

    Which of the following is a characteristic of X chromosome-linked disorders?

    • A.

      X chromosome-linked disorders only occur in males

    • B.

      Females can be carriers of X chromosome-linked traits

    • C.

      Muscular dystrophy and hemophilia (A/B) are types of X chromosome-linked disorders

    • D.

      All of the above are characteristics of X chromosome-linked disorders

    • E.

      None of the above are characteristics of X chromosome-linked disorders

    Correct Answer
    D. All of the above are characteristics of X chromosome-linked disorders
    Explanation
    X chromosome-linked disorders only occur in males because these disorders are caused by mutations in genes located on the X chromosome. Females can be carriers of X chromosome-linked traits because they have two X chromosomes, so even if one X chromosome carries the mutated gene, the other X chromosome can compensate for it. Muscular dystrophy and hemophilia (A/B) are types of X chromosome-linked disorders, as they are caused by mutations in genes on the X chromosome. Therefore, all of the above statements are characteristics of X chromosome-linked disorders.

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  • Aug 31, 2023
    Quiz Edited by
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  • Feb 06, 2016
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    Pintaloosa322
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