Myelodysplasia: Spina Bifida and Birth Defects

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Questions and Answers

What is the primary cause of myelodysplasia?

  • Abnormal neural tube closure (correct)
  • Inflammation of the spinal cord
  • Genetic mutations in the mother
  • Damaged peripheral nervous system

Which type of myelodysplasia is characterized by a protrusion of the spinal cord, CSF, and meninges through a vertebral opening?

  • Meningocele
  • Myelomeningocele (correct)
  • Myeloschisis
  • Spina bifida occulta

What is the most severe form of myelodysplasia?

  • Meningocele
  • Spina bifida aperta
  • Myeloschisis (correct)
  • Myelomeningocele

What is the name of the form of myelodysplasia where the spinal cord is not involved and only CSF and meninges protrude through an abnormal vertebral opening?

<p>Meningocele (C)</p> Signup and view all the answers

What is the primary effect of myelodysplasia on the nervous system?

<p>Lower motor neuron dysfunction (B)</p> Signup and view all the answers

What is the usual site of spina bifida occulta?

<p>L5-S1 (B)</p> Signup and view all the answers

What is a potential activity limitation in individuals with spina bifida?

<p>Decreased mobility and transfers (C)</p> Signup and view all the answers

What is the primary prevention strategy for neural tube defects?

<p>Folic acid supplementation periconceptually (B)</p> Signup and view all the answers

What is the approximate incidence of neural tube defects in the US per 10,000 births in 2006?

<p>3.05 per 10,000 (C)</p> Signup and view all the answers

What is a possible complication associated with spina bifida?

<p>Contractures (A)</p> Signup and view all the answers

Which of the following is NOT a complication of neural tube defects?

<p>Cancer (D)</p> Signup and view all the answers

What is the main goal of physical therapy intervention for individuals with spina bifida?

<p>To teach compensatory patterns of movement (C)</p> Signup and view all the answers

What is a type of spina bifida characterized by a sac of fluid present at the gap in the spine?

<p>Meningocele (A)</p> Signup and view all the answers

What is the typical diagnosis time for neural tube defects?

<p>18 weeks gestation (B)</p> Signup and view all the answers

What is a potential management strategy for individuals with spina bifida?

<p>Surgery to close the neural sac (A)</p> Signup and view all the answers

What is the primary effect of lesion levels on postural deviations and contractures in neural tube defects?

<p>Higher lesion levels result in more severe contractures (D)</p> Signup and view all the answers

What is a characteristic of spina bifida occulta?

<p>No or only mild signs (A)</p> Signup and view all the answers

What is the recommended approach for shoulder girdle management in individuals with neural tube defects?

<p>Conservative management with regular monitoring (C)</p> Signup and view all the answers

What is the characteristic posture of a person with a sacral level spinal defect?

<p>Crouched standing with calcaneal valgus malalignment (A)</p> Signup and view all the answers

What is the potential consequence of inadequate vitamin and folic acid intake during pregnancy?

<p>Increased risk of neural tube defects (D)</p> Signup and view all the answers

What is the common comorbidity associated with a spinal defect at the sacral level?

<p>Hydrocephalus (D)</p> Signup and view all the answers

What is the presenting symptom of shunt malfunction in a person with hydrocephalus?

<p>Headache, irritability, and fever (A)</p> Signup and view all the answers

What is the characteristic feature of a spinal defect at the lumbar level?

<p>Increased lumbar lordosis (C)</p> Signup and view all the answers

What is the progressive symptom of tethered cord syndrome?

<p>Progressive loss of strength or sensation in lower extremities (C)</p> Signup and view all the answers

What is the primary goal of physical therapy intervention for individuals with torticollis?

<p>To prevent limitations and deformity by repositioning to facilitate symmetrical movement and head shaping (C)</p> Signup and view all the answers

What is a potential activity limitation in individuals with torticollis?

<p>Prefer to turn head to one side (B)</p> Signup and view all the answers

What is the name of the type of torticollis characterized by a thickening or lump in the affected muscle?

<p>Congenital Muscular Torticollis (C)</p> Signup and view all the answers

When is physical therapy most effective in resolving torticollis?

<p>When initiated in early infancy (C)</p> Signup and view all the answers

What is a potential consequence of untreated torticollis?

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

What is a characteristic of positional torticollis?

<p>Baby's position when sleeping on back (D)</p> Signup and view all the answers

What is the primary cause of the abnormal position of the head and neck in infants with torticollis?

<p>Tightness in the sternocleidomastoid on one side of the neck (C)</p> Signup and view all the answers

What is the characteristic of the postural type of torticollis?

<p>A postural preference of the head and neck without limitations to PROM and without a nodule in the muscle (B)</p> Signup and view all the answers

What is the incidence of cranial deformity in infants with congenital muscular torticollis?

<p>90.1% (B)</p> Signup and view all the answers

What is the characteristic behavior of an infant with torticollis?

<p>They become fussy when you try to change the position of their head or when placed on their tummy (D)</p> Signup and view all the answers

What is the effect of muscle tightness on the facial features of an infant with torticollis?

<p>It can cause the cheek to appear fuller on one side and one eye to be more open (A)</p> Signup and view all the answers

What is the name of the type of torticollis that is characterized by a palpable nodule or fibrous bands in the sternocleidomastoid muscle?

<p>SCM Nodule (B)</p> Signup and view all the answers

What is theorized to result from uterine constraint perpetuated postnatally with preferential supine position on flat area of the skull?

<p>Congenital Muscular Torticollis (C)</p> Signup and view all the answers

What is a risk factor for developing Congenital Muscular Torticollis?

<p>Male gender (B)</p> Signup and view all the answers

What is a potential consequence of inadequate treatment of Congenital Muscular Torticollis?

<p>Increased risk of craniofacial asymmetry (D)</p> Signup and view all the answers

At what age does the incidence of Congenital Muscular Torticollis typically decrease?

<p>4 months (D)</p> Signup and view all the answers

What is a common associated condition of Congenital Muscular Torticollis?

<p>Mandibular asymmetry (D)</p> Signup and view all the answers

What may help prevent Congenital Deformities?

<p>Earlier motor skill achievements (A)</p> Signup and view all the answers

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