Nervous System Conditions

How should Alzheimer disease best be understood?
A. As a loss of intellectual function while motor function remains intact
B. As progressive memory loss that occurs normally with aging
C. As cumulative brain damage resulting from repeated trauma and /or infection 
D. As an abnormal, progressive degenerative disorder of the brain.

You have a new client who has Alzheimer disease. Which of the following cautions about massage should you consider?

A. Because the client is likely to shake uncontrollably, focus on strokes that help reduce tremor.
B. Because the client's ability to communicate may be impaired, you should be sensitive to nonverbal signals.
C. Because the client will have significant areas of numbness, be careful to avoid all but very light work in those areas.
D. Becuase of your risk for infection, provide massage only when the client's condition is in a subacute stage.

You have a client in the early stage of amyotrophic lateral sclerosis. Which of the following symptoms is he most likely to have?
A. Weakness or loss of coordination in the feet and hands
B. Severe headache
C. Rigid muscles and tremors
D. Loss of bowel and bladder control

What is the typical long-term prognosis for amyotrophic lateral sclerosis?
A. One or tow decades without symptoms followed by rapid degeneration of motor and sensory neurons
B.A gradually worsening pattern of flares of motor and sensory loss followed by diminishing periods of remission
C. up to a decade of progressive muscle atrophy without loss of mental function followed by death from kidney or lung infection
D. A decade or more of gradual degeneration of mental function followed by failing body systems

How does a eripheral neuropathy occur?
A. As a complication of an underlying disease
B. As a long-term complication of chronic injury
C. As a complication of a severe infection 
D. All of the above

You have a client with peripheral neuropathy. As you plan the massage session, what significant concern should you consider?
A. The client may be unable to give good feedback because of numbness
B. The client's condition may be contagious
C. Rigorous massage may spread the condition into new soft-tissue areas
D. Certain techniques may cause the client to experience tremors

How is does dystonia different from tremor? in contrast to tremor:
A. Dystonia involves rhythmic oscillations in a fixed plane
B. Dystonia does not involves thythmic oscillations in a fixed plane
C. Dystonia is not a central nervous system issue
D. Dystonia is always painful

You have a new client with dystonia. What implications for massage should you be aware of when planning treatment?
A. Deep work is likely to exacerbate the symptoms of dystonia
B. Dystonia can cause reduced sensation and susceptibility to pain
C. Some drug used for dystonia have implication for massage
D. The mental deterioration caused by dystonia can lead to inappropriate behavior

You have a client with Parkinson disease. Which of the following symptoms might you expect to see?
A. Paralysis
B. Resting tremor
C. Dystonia
D. Torticollis

Which of the following ma be a benefit of massage for a client with Parkinson disease?
A. Massage can lead to improved quality of sleep
B. Massage can reduce episodes of acute pain
C. Massage has no benefit for a client with Parkinson disease
D. Massage can stop the progression of the disease if started in an early stage

Which of the following symptoms can occur with herpes zoster?
A. Numbness in affected areas
B. Cold sores
C. Pain persisting after active infection resolves
D. Difficulty breathing

Which of the following is the most common sign of shingles?
A. Facial tics accompanying painless rash
B. One-sided weakness
C. Outbreak of painful blisters
D. Polyneuropathy

At what point does abuse of an addictive substance become dependence?
A. The person experiences withdrawal symptoms when not using the substance
B. The person is using the substance on an almost daily basis
C. The person's use of the substance interferes with obligations to work or family
D. The person does not admit to loved ones that he or she is using the substance

What is the first and most important step in treating an addiction?
A. A medical diagnosis is made b a licensed healthcare provider
B. The person checks into a treatment facility
C. The person accepts that a problem exists
D. The most effective drug therapy is chosen for the individual

What do panic disorder, postraumatic stress disorder and obsessive compulsive disorder have in common?
A. They are all associated with structural brain abnormalities
B. They are related to some sort of childhood trauma
C. They are all types of anxiety disorders
D. All of the above

At what time is massage appropriate for a client with an anxiety disorder?
A. On days when the client can score 7 or higher on the anxiety relief scale
B. Only when the client has not recently taken an anti-anxiety medication
C. Whenever the client is experiencing sympathetic reactions
D. When the client feels the environment is safe and nurturing

ADHD is typically associated with which of these groups of behaviors?
A. Inattention, dyslexia abuse, impulsivity
B. Poor impulse control, repetitive movements, impaired cognition
C. Mood swings, hyperfocus, repetitive movements
D. Poor impulse control, inattention hyperactivity

You have a new client with ADHD. What should you consider when planning his massage session?
A. He may become violent if startled 
B. His symptoms will likely be exacerbated by vigorous massage
C. His medications will be less effective if massage increases local circulation
D. He may not be able to tolerate a 60-minute massage

What is the most serious complication of depression?
A. Nutritional deficiencies increasing the risk of disease
B Inability to focus on productive tasks
C. Suicidal feelings
D. Hormonal deiciencies

What is the physical risk of massage for a client with depression?
A. Massage may trigger release of hormones that increase depression symptoms
B. Sympathetic stimulation may counteract antidepressant medications
C. There are no specific physical risks related to depression 
D Many clients with depression have hypersensitivity to touch

How is Bell palsy typically recognized?
A. Flaccid paralysis of one side of the face
B. Dull aching pains on one side of the face
C. Sharpshooting pains on one side of the face
D. Spastic paralysis of one side of the face

You have a new client with a recent episode of Bell palsy. What benefit may massage provide the client?
A. Massage is not expected to have any significant impact for this client
B. Massage can help keep affected muscles flexible and nourished while nerves heal
C.Massage can eliminate the possible need for steroidal anti-inflammatories
D. Massage can only help the client feel better generally while waiting for the condition to resolve by itself