Deck 6: Neurologic Pathologies

Question 1

Which statements is an appropriate consideration when massaging a client with attention-deficit hyperactivity disorder (ADHD)?

A)Longer-than-normal sessions are more appropriate.
B)The therapist should strictly adhere to office policies and boundaries to provide structure for the client.
C)The client may fidget, talk, and miss appointments.
D)Avoid teaching massage techniques to the caregiver of a child with this condition.

Answer 1

The client may fidget, talk, and miss appointments.

Question 2

Which consideration applies if a client with cerebral palsy cannot speak clearly?

A)The client's guardian must be present.
B)The therapist and client must devise a communication code.
C)Massage is contraindicated.
D)Informed consent can only be provided by the client's guardian.

Answer 2

The therapist and client must devise a communication code.

Question 3

Which course of action is appropriate for the massage therapist to take if a client appears to be having a seizure?

A)Leave the room, call 911, and then call the client's emergency contact.
B)Stay calm, remain in the room, time the seizure, clear the area of objects, and cushion the client's head with the client's chin lifted.
C)Speak to the client loudly and continuously to keep him or her as alert as possible while holding the client's hand.
D)Put a firm object between the client's teeth to keep the client from biting his or her tongue.

Answer 3

Stay calm, remain in the room, time the seizure, clear the area of objects, and cushion the client's head with the client's chin lifted.

Question 4

Massage considerations for a client with multiple sclerosis include:

A)scheduling appointments when he or she begins feeling ill.
B)he or she should be evaluated at every visit because symptoms change.
C)using neuromuscular techniques to increase nerve transmission.
D)that it is an absolute contraindication.

Question 5

Which type of paralysis involves only the lower extremities and trunk?

A)Quadriplegia
B)Hemiplegia
C)Paraplegia
D)Monoplegia

Question 6

Considerations for clients with less severe forms of spina bifida include that message is:

A)contraindicated unless the caregiver is present.
B)indicated without any cautions or contraindications.
C)contraindicated unless it is geared toward rehabilitation.
D)indicated while avoiding the area over the spinal defect.

Question 7

Which condition is a congenital defect characterized by failure of the posterior spinous processes of the vertebral column to close, usually in the lumbar spine?

A)Amyotrophic lateral dysplasia
B)Myasthenia gravis
C)Spina bifida
D)Shingles

Question 8

Which condition is a type of dementia that produces a typical profile of mental deterioration?

A)Multiple sclerosis
B)Parkinson disease
C)Cerebral palsy
D)Alzheimer disease

Question 9

Which neurologic disorder produces a syndrome of abnormal movements marked by destruction of dopamine-producing neurons in the brain?

A)Guillain-Barré syndrome
B)Parkinson disease
C)Poliomyelitis
D)Alzheimer gravis

Question 10

What is another term for amyotrophic lateral sclerosis?

A)Lou Gehrig disease
B)Myasthenia gravis
C)Huntington disease
D)Bell palsy

Question 11

Which term means explosive episodes of uncontrolled and excessive electrical activity in the brain?

A)Seizure disorder
B)Autism
C)Encephalitis
D)Alzheimer disease

Question 12

Which disorder results in progressive neural demyelination?

A)Alzheimer disease
B)Myasthenia gravis
C)Cerebral palsy
D)Multiple sclerosis

Question 13

Inflammation of the brain is called:

A)encephalitis.
B)meningitis.
C)shingles.
D)dementia.

Question 14

A person with Huntington disease develops:

A)involuntary, jerky motions of the arms and face.
B)hearing loss.
C)progressive muscle atrophy in the thorax and limbs.
D)petechial rash.

Question 15

Which is a rare, genetic disease characterized by motor disturbances, mental deterioration, and abnormal behavior?

A)Meningitis
B)Parkinson disease
C)Huntington disease
D)Shingles

Question 16

Which treatment approach is appropriate for a client with postpolio syndrome?

A)90-minute sessions using deep gliding strokes and percussion
B)90-minute sessions using joint mobilizations and deep friction
C)30-minute sessions using lighter-than-normal techniques
D)30-minute sessions using joint mobilizations and stretching

Question 17

Which infectious disease is caused by the poliovirus?

A)Meningitis
B)Poliomyelitis
C)Lyme disease
D)Shingles

Question 18

Dementia typically interferes with work and social activities because it:

A)causes muscle fiber conduction.
B)affects vision and causes hearing loss.
C)affects thinking, memory, and communicating.
D)causes peripheral neuropathy.

Question 19

Which term means paralysis of the arms and legs?

A)Hemiplegia
B)Monoplegia
C)Paraplegia
D)Quadriplegia

Question 20

A person with autism is most likely to benefit from which type of treatment?

A)90-minute sessions combining relaxation and deep tissue massage
B)60-minute sessions focused on firm gliding and light percussion
C)30-minute sessions focused on general relaxation
D)15-minute sessions focused on firm gliding and compressive strokes

Question 21

Amyotrophic lateral sclerosis affects which physiologic aspect of the body?

A)Intelligence
B)Sensory function
C)Motor function
D)Memory

Question 22

Which condition occurs when pain radiates into the extremities along the path of a compressed nerve?

A)Shingles
B)Radiculopathy
C)Dementia
D)Neuralgia

Question 23

Which action is recommended for a massage therapist to prevent developing carpal tunnel syndrome?

A)Keep wrists flexed while working.
B)Strengthen forearm and hand muscles.
C)Use the same strokes for all clients.
D)Keep table height same for all clients.

Question 24

Myasthenia gravis results in:

A)progressive muscle weakness and paralysis.
B)loss of memory and intellect.
C)progressive hypertonicity of the facial muscles.
D)peripheral neuropathy.

Question 25

The term frequently used to denote a cerebrovascular accident is:

A)herniation.
B)stroke.
C)sequela.
D)seizure.

Question 26

Which condition is due to occlusion or rupture of blood vessels causing disruption in cerebral blood flow?

A)Parkinson disease
B)Stroke
C)Spina bifida
D)Depression

Question 27

Which disorder is caused by a loss of acetylcholine receptors at the neuromuscular junction?

A)Guillain-Barré syndrome
B)Poliomyelitis
C)Parkinson disease
D)Myasthenia gravis

Question 28

Massage considerations for a client with Bell palsy include:

A)treating the disorder as an absolute contraindication.
B)treating the disorder as a local contraindication.
C)focusing on the face and head.
D)incorporating light gliding directed upward on facial muscles.

Question 29

Peripheral neuropathy affects which structures?

A)Somatic nerves, autonomic nerves, or both
B)Central nerves, peripheral nerves, or both
C)Sympathetic nerves, parasympathetic nerves, or both
D)Sensory nerves, motor nerves, or both

Question 30

Which term is the same as trigeminal neuralgia?

A)Brachial plexus injury
B)Amyotrophic lateral sclerosis
C)Tic douloureux
D)Radiculopathy

Question 31

Massage considerations for a client with trigeminal neuralgia include:

A)treating the disorder as an absolute contraindication.
B)avoiding the face and scalp.
C)using only the prone position.
D)scheduling sessions of shorter-than-normal duration.

Question 32

Massage considerations for clients with degenerative disc include:

A)treating it as an absolute contraindication.
B)performing only spinal mobilizations.
C)gentle gliding over the affected area after positioning the client for comfort.
D)performing longer sessions to enhance benefit from treatment.

Question 33

Migraine headaches appear to be caused by:

A)muscle tension in the cervical and temporal regions.
B)lack of vitamin C.
C)chemical imbalance that dilates and inflames blood vessels.
D)harsh sounds and lights.

Question 34

Which condition is most often due to repetitive use of the wrist?

A)Carpal tunnel syndrome
B)Cerebral palsy
C)Postpolio syndrome
D)Multiple sclerosis

Question 35

Which condition is inflammation of the sciatic nerve?

A)Bell palsy
B)Poliomyelitis
C)Herpes zoster
D)Sciatica

Question 36

The two main types of stroke are:

A)petit and grand.
B)ischemic and hemorrhagic.
C)benign and malignant.
D)cerebral and arterial.

Question 37

Which condition involves protrusion of the nucleus pulposus through a tear in the annulus fibrosus?

A)Ankylosing spondylitis
B)Spina bifida
C)Herniated disc
D)Peripheral neuropathy

Question 38

Massage considerations for a client with Guillain-Barré syndrome include:

A)treating it as a local contraindication.
B)postponing treatment until full recovery has occurred.
C)assisting client on and off the massage table because of medications.
D)being aware the client will be sensitive to scented oils and candles.

Question 39

Which nerve is most affected in people with carpal tunnel syndrome?

A)Musculocutaneous
B)Median
C)Ulnar
D)Radial

Question 40

Which condition is caused by a compression of nerves in the brachial plexus and/or the subclavian artery and vein?

A)Thoracic outlet syndrome
B)Shingles
C)Sciatica
D)Cervical radiculopathy