ALS Treatment Options
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Questions and Answers

What is the primary function of Riluzole in the treatment of ALS?

  • Decreases the release of glutamate (correct)
  • Reverses muscle weakness
  • Increases motor neuron function
  • Reduces oxidative stress
  • What is the typical dosing cycle for Edaravone in the treatment of ALS?

  • Daily for 10 days, followed by a 10-day drug-free period
  • Daily for 14 days, followed by a 14-day drug-free period (correct)
  • Every other day for 10 days, followed by a 10-day drug-free period
  • Weekly for 6 weeks, followed by a 6-week drug-free period
  • What is the primary goal of moderate-intensity exercises in the management of ALS?

  • To reduce muscle weakness
  • To reduce ALS spasticity (correct)
  • To increase respiratory function
  • To improve cognitive function
  • What is a key aspect of nursing interventions for ALS patients?

    <p>Facilitating communication and reducing aspiration risk</p> Signup and view all the answers

    What is an important aspect of emotional support for ALS patients and caregivers?

    <p>Discussing advance directives and artificial methods of ventilation</p> Signup and view all the answers

    What is a characteristic of the illness trajectory for ALS patients?

    <p>The patient is cognitively intact while wasting away</p> Signup and view all the answers

    What is the primary function of motor neurons affected in ALS?

    <p>Facilitate voluntary muscle movement</p> Signup and view all the answers

    What percentage of ALS cases have a known genetic cause?

    <p>10%</p> Signup and view all the answers

    What is the average lifespan of an ALS patient after diagnosis?

    <p>2-5 years</p> Signup and view all the answers

    What part of the nervous system is primarily affected in ALS?

    <p>Brainstem and spinal cord</p> Signup and view all the answers

    What is the former name of Amyotrophic Lateral Sclerosis (ALS)?

    <p>Lou Gehrig's disease</p> Signup and view all the answers

    What is the underlying pathology of ALS?

    <p>Degeneration of motor neurons</p> Signup and view all the answers

    Which of the following signs is more characteristic of upper motor neuron disease?

    <p>Increased muscle tone and stiffness</p> Signup and view all the answers

    What is the primary focus of the diagnostic tests for ALS?

    <p>Neurologic examination and patient history</p> Signup and view all the answers

    What is the main benefit of maintaining weight for people living with ALS?

    <p>Increased life expectancy</p> Signup and view all the answers

    Which of the following is a component of supportive therapy for ALS?

    <p>Symptom management and quality of life improvement</p> Signup and view all the answers

    What is the primary impact of lower motor neuron disease on muscle tone?

    <p>Decreased muscle tone and flaccidity</p> Signup and view all the answers

    Which of the following is NOT a sign of upper motor neuron disease?

    <p>Muscle weakness and wasting</p> Signup and view all the answers

    Which of the following cellular mechanisms contributes to the development of an inflammatory milieu in ALS?

    <p>M1 activated microglia's secretion of proinflammatory cytokines</p> Signup and view all the answers

    What is a potential environmental risk factor for ALS, particularly for women after menopause?

    <p>Smoking</p> Signup and view all the answers

    Which of the following is a typical feature of ALS that a neurologist may look for during assessment?

    <p>Muscle weakness, often only on one side of the body</p> Signup and view all the answers

    What is the potential link between military service and the development of ALS?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a consequence of defects in protein degradation pathways in ALS?

    <p>Protein aggregate formation and RNA toxicity</p> Signup and view all the answers

    Which of the following is a potential consequence of astrocytes' impaired glutamate clearance in ALS?

    <p>Neuronal excitotoxicity and mitochondrial dysfunction</p> Signup and view all the answers

    What is a primary reason people living with ALS require more calories than those without ALS?

    <p>Because their metabolic requirements are higher even with reduced physical activity</p> Signup and view all the answers

    What is a crucial role of nurses in caring for ALS patients?

    <p>Coordinating care and educating patients and families</p> Signup and view all the answers

    What is a potential benefit of using a feeding tube for ALS patients?

    <p>Helping patients meet their nutrition and hydration needs</p> Signup and view all the answers

    What is an essential component of providing adequate care and comfort to ALS patients and their families?

    <p>An interprofessional team</p> Signup and view all the answers

    What is a potential nursing intervention for ALS patients experiencing muscle weakness?

    <p>Decreasing the risk of fall-related injury</p> Signup and view all the answers

    What is the primary reason why sensory symptoms are not typical of motor neurone disease?

    <p>The motor neurones are affected, but the sensory neurones are not.</p> Signup and view all the answers

    Which type of motor neurone disease primarily affects the muscles of talking and swallowing?

    <p>Progressive bulbar palsy</p> Signup and view all the answers

    What percentage of motor neurone disease cases are inherited?

    <p>5-10%</p> Signup and view all the answers

    What is a possible risk factor for developing motor neurone disease, in addition to family history?

    <p>Smoking and exposure to heavy metals</p> Signup and view all the answers

    What is the typical age of onset for motor neurone disease?

    <p>60-70 years old</p> Signup and view all the answers

    What is the primary feature of the weakness experienced by patients with motor neurone disease?

    <p>It is gradual and progressive</p> Signup and view all the answers

    What is the primary reason for delayed diagnosis of motor neurone disease?

    <p>The need to exclude other conditions with similar symptoms</p> Signup and view all the answers

    What is the primary benefit of using Riluzole in the management of ALS?

    <p>It slows the progression of the disease and extends survival</p> Signup and view all the answers

    What is the primary cause of death in patients with motor neurone disease?

    <p>Respiratory failure</p> Signup and view all the answers

    What is the primary focus of the management of motor neurone disease?

    <p>Supporting the patient and their family</p> Signup and view all the answers

    What is the characteristic of muscle tone in upper motor neurone disease?

    <p>Increased tone or spasticity</p> Signup and view all the answers

    What is the role of multidisciplinary team input in the management of motor neurone disease?

    <p>To support and maintain the patient's quality of life</p> Signup and view all the answers

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