MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 30-year-old was diagnosed with amyotrophic lateral sclerosis (ALS). Which statement by the client would indicate a need for more teaching from the nurse?
A
“I will have progressive muscle weakness.”
B
“I need to remain active for as long as possible.”
C
“I will lose strength in my arms.”
D
“My children are at greater risk to develop this disease.”
Explanation: 

Detailed explanation-1: -In both cases, motor neurons are damaged and eventually die. ALS is fatal. The average life expectancy after diagnosis is two to five years, but some patients may live for years or even decades. (The famous physicist Stephen Hawking, for example, lived for more than 50 years after he was diagnosed.)

Detailed explanation-2: -Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterised by progressive muscular paralysis reflecting degeneration of motor neurones in the primary motor cortex, corticospinal tracts, brainstem and spinal cord.

Detailed explanation-3: -Muscle twitches in the arm, leg, shoulder, or tongue. Muscle cramps. Tight and stiff muscles (spasticity) Muscle weakness affecting an arm, a leg, the neck, or diaphragm. Slurred and nasal speech. Difficulty chewing or swallowing. 08-Mar-2023

Detailed explanation-4: -Heredity. Five to 10 percent of the people with ALS inherited it (familial ALS ). Age. ALS risk increases with age, and is most common between the ages of 40 and the mid-60s. Sex. Before the age of 65, slightly more men than women develop ALS . Genetics.

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