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Common Neurological Disorders for Medical SLPs
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Common Neurological Disorders for Medical SLPs

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Questions and Answers

What is the only FDA-approved medication used for ALS?

  • PEG tube
  • Riluzole (correct)
  • Neuroprotective drugs
  • Anticholinergic medications
  • Which symptom management technique is used to control drooling in ALS patients?

  • Non-oral feeding
  • Fatigue management
  • Anticholinergic medications (correct)
  • Muscle spasm management
  • What is the second most common type of degenerative disease after Alzheimer's disease (AD)?

  • Parkinson's disease (PD) (correct)
  • Amyotrophic lateral sclerosis (ALS)
  • Masked face
  • Rigidity
  • Which of the following is not a hallmark symptom of Parkinson's disease?

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

    What type of drugs are used to manage the early and advanced symptoms of Parkinson's disease?

    <p>Pharmacological treatments</p> Signup and view all the answers

    What is the main complication of Guillain-Barré syndrome (GBS) that is mentioned in the text?

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

    Which of the following is a neuroprotective drug used in the management of Parkinson's disease?

    <p>Neuroprotective drugs</p> Signup and view all the answers

    What is the cause of amyotrophic lateral sclerosis (ALS) according to the text?

    <p>Unknown in 90% of cases</p> Signup and view all the answers

    Which of the following is NOT a common symptom of ALS mentioned in the text?

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

    What is the primary clinical manifestation of ALS that leads to referral to a speech-language pathologist (SLP)?

    <p>Dysarthria and dysphagia</p> Signup and view all the answers

    Which of the following is NOT mentioned as a complication of Guillain-Barré syndrome (GBS) in the text?

    <p>Muscle atrophy</p> Signup and view all the answers

    What is the primary type of motor neuron affected in amyotrophic lateral sclerosis (ALS) according to the text?

    <p>Both upper and lower motor neurons</p> Signup and view all the answers

    Which of the following is a clinical manifestation of delirium?

    <p>Impaired level of consciousness</p> Signup and view all the answers

    What is NOT recommended for the management of delirium?

    <p>Applying physical restraints</p> Signup and view all the answers

    Which of the following is a complication associated with delirium?

    <p>Aspiration pneumonia</p> Signup and view all the answers

    What is the most common cause of dementia?

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

    Which of the following is a characteristic of multiple sclerosis?

    <p>Autoimmune demyelinating disease of the central nervous system</p> Signup and view all the answers

    Which of the following is NOT a complication associated with dementia?

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

    What is delirium?

    <p>A state of mental confusion and emotional disruption</p> Signup and view all the answers

    Which of the following is NOT a common cause of delirium?

    <p>Traumatic brain injury</p> Signup and view all the answers

    What percentage of inpatients older than 70 years experience delirium in the US?

    <p>More than 30%</p> Signup and view all the answers

    Which of the following is NOT a risk factor for delirium?

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

    In which healthcare setting is a speech-language pathologist (SLP) typically consulted for delirium cases?

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

    What is the primary role of a speech-language pathologist (SLP) in cases of delirium?

    <p>To evaluate speech, language, and swallowing</p> Signup and view all the answers

    What is one of the normal age-related changes mentioned?

    <p>Decline of visual and hearing acuity</p> Signup and view all the answers

    What percentage of hospital admissions in the US are attributable to adverse drug events?

    <p>30%</p> Signup and view all the answers

    Which of the following statements about older adults and adverse drug reactions is true?

    <p>Normal age-related changes make older adults more vulnerable to adverse drug reactions.</p> Signup and view all the answers

    Which of the following is NOT mentioned as a common issue related to aging and diseases?

    <p>Older adults are more likely to exaggerate their symptoms.</p> Signup and view all the answers

    What is one of the examples given for how depression may present differently in older adults?

    <p>Older adults may experience depression as confusion, while younger adults experience it as sadness.</p> Signup and view all the answers

    What is one of the reasons mentioned for communication difficulties in older adults?

    <p>Cognitive decline</p> Signup and view all the answers

    Dementia is characterized by a progressive decline in memory functions associated with decline in another cognitive functions such as ______

    <p>language, calculation</p> Signup and view all the answers

    Delirium can lead to complications such as aspiration pneumonia and ______

    <p>cognitive dysfunction</p> Signup and view all the answers

    Antipsychotic medications are sometimes used in the management of delirium to reduce ______

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

    Physical restraints are not effective in managing delirium and could actually exacerbate it, therefore they need to be ______

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

    Multiple sclerosis is an autoimmune demyelinating disease that affects the ______ nervous system

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

    Alzheimer's disease is the most common cause of ______

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

    ______ in mentation –Delirium: mental confusion and emotional disruption

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

    ______: mental confusion and emotional disruption Usually transient and reversible

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

    ______ Barrie syndrome: Acute muscle weakness

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

    ______ lateral sclerosis (ALS) and Myasthenia gravis: Progressive muscle weakness

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

    Movement disorders include Parkinson’s and ______

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

    Delirium is common among ER, surgical, and medical ward patients with more than 30% of inpatients older than 70 yrs experiencing ______

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

    Brain stimulation technique Deep brain stimulation (DBS) is used to trigger dopamine production and reduce abnormal ______

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

    Anticholinergic drugs used for Parkinson’s disease can cause decrease of saliva and dry mouth leading to difficulties in speech and articulation, and also it affects ______

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

    LSVT-loud is an evidence-based treatment to improve voice and speech ______

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

    Non-pharmacological treatments like Lee Silverman Voice Treatment (LSVT) focus on improving muscle strength and movement through LSVT-______

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

    Narcotic and hypnotic sedatives drugs indirectly affect communication through their effect on ______ (attention, orientation, and memory)

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

    Medications used to treat neurological disorders often involve modulation of neurotransmitter function such as Acetylcholine, dopamine, glutamate, ______, etc.

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

    Riluzole is the only FDA-approved medication used for ______

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

    Anticholinergic medications are used to control ______ in ALS patients

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

    ALS patients may need to use non-oral means of feeding (PEG tube) to maintain ______

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

    SLP needs to educate and prepare the patients and do continuing assessment for ______

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

    Parkinson's disease (PD) is a neurodegenerative disease affecting ______ system

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

    Pharmacological treatments are used to manage the early symptoms, advanced symptoms, and neuroprotective drugs used to slow down ongoing cell damage and ______

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

    People age at different rates and the effect of aging on healthy individuals vary. Age-related changes include: - Reduced capacity - Decreased the ability of homeostasis and regulation of body systems (the ability of the body to self-regulate) - Decline of visual and hearing acuity. Detailed changes in the next slide Date Your Footer Here 21 Age-related changes Date Your Footer Here 22 Age-related changes Date Your Footer Here 23 Age-related changes …common issues Aging and Adverse drug reaction: About 1/3 of drugs are taken by people older than 65 years 30% of hospital admission in US are attributable to adverse drug events About 40% of adverse drug events are considered serious, and life-threating. Normal age-related changes make older adults more vulnerable to adverse drug reactions Date Your Footer Here 24 Age-related changes …common issues Atypical and altered disease - Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in ______ due to a decrease of hearing and visual acuity, and also due to cognitive decline.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision, and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to decrease of hearing and visual acuity, and also due to cognitive decline.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, ______, and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to a decrease of hearing and visual acuity, and also due to cognitive decline.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision, and ______ loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to a decrease of ______ and visual acuity, and also due to cognitive decline.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision, and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to a decrease of hearing and visual acuity, and also due to ______ decline.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision, and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to a decrease of hearing and visual acuity, and also due to cognitive ______.

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

    Older adults may not report symptoms of the disease ….they learn to tolerate syndrome that develop slowly - Some common conditions are mistaken as a normal part of aging, for example: Memory loss, vision, and hearing loss, and falls - Older adults may have different disease presentations and vague and non-specific symptoms Example, depression in young adults (sadness), depression in older adults (confusion) Date Your Footer Here 25 Age-related changes …common issues Communication Older adults may experience changes in communication due to a decrease of hearing and visual acuity, and also due to cognitive decline.

    <p>age-related</p> Signup and view all the answers

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